Improvement Capability Building and Delivery Group, NHS England, Newcastle upon Tyne, Tyne and Wear, UK
Improvement Capability Building and Delivery Group, NHS England, Newcastle upon Tyne, Tyne and Wear, UK.
BMJ Open Qual. 2021 Jan;10(1). doi: 10.1136/bmjoq-2020-000980.
The Long Term Plan presents an ambitious vision for England's National Health Service which will require a sustained programme of transformational change. The Virtual Academy of Large-Scale Change (VALSC) was developed to build capability in health and care system teams involved in transformation or redesign programmes.
To evaluate the VALSC, quantitative and qualitative data were collected and reviewed against the Kirkpatrick model. Quantitative data were collected via end-of-session surveys to assess individual knowledge before and after participating in capability-building interventions. Qualitative data were also collected and included post-intervention surveys and interviews. Interviews were transcribed and analysed using an inductive approach to identify themes that were subsequently assessed against the Kirkpatrick model.
Results suggest that the VALSC programme has helped build capability for large-scale change in terms of learning, behaviour change and impact. Participants' ipsative self-assessment of knowledge demonstrated a significant change (p<0.001) and qualitative data suggested three broad themes in which the VALSC made an impact. First, participants were empowered with transformation and change skills which they applied to local health and care challenges. Second, VALSC helped strengthen connections within and between transformational change teams. Third, VALSC helped transformational change teams to engage more effectively with their stakeholders.
The VALSC developed knowledge, skills, behavioural change and application impact that built capability in individuals and teams. Therefore, continuing to develop capability-building offers that empower and build agency in front-line staff working on service transformation and equip them with approaches, methods and tools to increase their chances of success, is recommended.
《长期计划》为英格兰国民保健制度提出了一个雄心勃勃的愿景，这将需要一个持续的变革计划。虚拟大规模变革学院（VALSC）的成立是为了培养参与转型或重新设计项目的卫生和医疗保健系统团队的能力。
为了评估 VALSC，收集了定量和定性数据，并根据柯克帕特里克模型进行了审查。定量数据通过课程结束时的调查收集，以评估个人在参与能力建设干预措施前后的知识。还收集了定性数据，包括干预后的调查和访谈。访谈记录并使用归纳方法进行分析，以确定主题，然后根据柯克帕特里克模型进行评估。
结果表明，VALSC 计划在学习、行为改变和影响方面帮助建立了大规模变革的能力。参与者对知识的主观自我评估表明发生了显著变化（p<0.001），定性数据表明 VALSC 产生影响的三个主题。首先，参与者获得了转型和变革技能，将其应用于当地的卫生和医疗保健挑战。其次，VALSC 有助于加强转型变革团队内部和之间的联系。第三，VALSC 帮助转型变革团队更有效地与利益相关者接触。
VALSC 培养了个人和团队的知识、技能、行为改变和应用影响，从而增强了能力。因此，建议继续开发赋能和培养一线工作人员在服务转型方面的机构，并为他们提供方法、方法和工具，以增加他们成功的机会。
