Baernholdt Marianne, Feldman Moshe, Davis-Ajami Mary Lynn, Harvey L Dale, Mazmanian Paul E, Mobley Debbie, Murphy Jenifer K, Watts Carolyn, Dow Alan
Virginia Commonwealth University, Richmond, VA.
Indiana University School of Nursing, Bloomington, IN.
Am J Med Qual. 2019 Nov/Dec;34(6):577-584. doi: 10.1177/1062860618825306. Epub 2019 Jan 29.
A key component of quality improvement (QI) is developing leaders who can implement QI projects collaboratively. A yearlong interprofessional, workplace-based, continuing professional development program devoted to QI trained 2 cohorts of teams (dyads or triads) to lead QI projects in their areas of work using Plan-Do-Study-Act methodology. Teams represented different specialties in both inpatient and outpatient settings. They spent 4 to 6 hours/week on seminars, online modules, bimonthly meetings with a QI coach, and QI project work. Evaluations conducted after each session included pre-post program QI self-efficacy and project milestones. Post-program participants reported higher levels of QI self-efficacy (mean = 3.47; SD = 0.39) compared with pre program (mean = 2.02, SD = 0.51; = .03, Cohen's = 3.19). Impact on clinical units was demonstrated, but varied. The coach was identified as a key factor for success. An interprofessional, workplace-based, continuing professional development program focused on QI increased QI knowledge and skills and translated to improvements in the clinical setting.
质量改进(QI)的一个关键组成部分是培养能够协作实施QI项目的领导者。一个为期一年的基于工作场所的跨专业继续职业发展项目专注于QI,培训了2组团队(二元组或三元组),使其能够使用计划-执行-研究-行动方法在其工作领域领导QI项目。这些团队代表了住院和门诊环境中的不同专业。他们每周花4到6个小时参加研讨会、在线模块、与QI教练的双月会议以及QI项目工作。每次课程结束后进行的评估包括项目前后的QI自我效能感和项目里程碑。与项目前相比(均值 = 2.02,标准差 = 0.51;p = .03,科恩d值 = 3.19),项目后的参与者报告了更高水平的QI自我效能感(均值 = 3.47;标准差 = 0.39)。对临床科室的影响得到了证明,但各不相同。教练被认为是成功的关键因素。一个基于工作场所的跨专业继续职业发展项目专注于QI,增加了QI知识和技能,并转化为临床环境的改善。