Improvement Directorate, NHS England Sustainable Improvement Team, Leeds, UK
Improvement Directorate, NHS England Sustainable Improvement Team, Leeds, UK.
BMJ Open Qual. 2021 Mar;10(1). doi: 10.1136/bmjoq-2019-000781.
Quality improvement (QI) is a priority for national regulatory bodies in health and care in the UK. However, many health and care staff do not know where to go for support in gaining the required skills and knowledge in QI. This paper reviews Improvement Fundamentals, a massive open online course (MOOC), designed to address this gap, run by an improvement team in the national regulatory body.
In 2015, National Health Service (NHS) Improving Quality (subsequently the sustainable improvement team in NHS England) established Improvement Fundamentals: a programme of online, self-directed courses in QI for those involved in heath or social care. The programme ran in two cycles: twice in 2015, followed by a re-launch in 2018 (this programme also ran into 2019). A mixed-methods evaluation was carried out of the 2015 programme involving surveys, interviews and social listening. The 2018-2019 programme was evaluated using post-course surveys of participants and activity data from the platform.
Since the start of the 2015 programme, 604 improvement projects have been developed, run and submitted for formal assessment, with some demonstrating clear improvements in services. Themes from participant feedback on both programmes have included improved understanding of QI tools and methods; greater energy for QI; a greater sense of community and connectedness in participants' work and increased confidence in using QI tools and techniques.
Both programmes delivered benefits for participants, and the team's investment in improvement skills on these programmes has helped to increase capability for future change endeavours. The collaborative nature of the programmes has been key to their successes.
Improvement Fundamentals demonstrates that MOOCs can be instrumental in driving forward improvements in health and care. The programmes may have utility as a model for future MOOCs, both in QI and other topics, to help drive further improvements in health and care.
质量改进（QI）是英国国家卫生和保健监管机构的优先事项。然而，许多卫生和保健工作人员不知道在哪里获得所需的 QI 技能和知识。本文回顾了由国家监管机构的改进团队运营的大规模在线开放课程（MOOC）Improvement Fundamentals，该课程旨在解决这一差距。
2015 年，NHS Improving Quality（后更名为 NHS England 的可持续改进团队）设立了 Improvement Fundamentals：一个针对参与卫生或社会保健的人员的 QI 在线自学课程计划。该计划分两个周期进行：2015 年进行了两次，随后于 2018 年重新启动（该计划也持续到 2019 年）。对 2015 年的计划进行了混合方法评估，涉及调查、访谈和社会聆听。2018-2019 年的计划则使用了参与者的课后调查和平台上的活动数据进行评估。
自 2015 年计划开始以来，已经开展了 604 个改进项目，并提交了正式评估，其中一些项目显示出服务明显改善。两个计划的参与者反馈的主题包括对 QI 工具和方法的理解有所提高；对 QI 的积极性更高；参与者工作中的社区感和联系感增强；以及对使用 QI 工具和技术的信心增强。
两个计划都为参与者带来了收益，团队在这些计划中对改进技能的投资有助于增加未来变革努力的能力。计划的协作性质是其成功的关键。
Improvement Fundamentals 表明 MOOC 可以在推动卫生和保健领域的改进方面发挥重要作用。这些计划可能作为未来 MOOC 的模型具有实用性，无论是在 QI 还是其他主题方面，都有助于推动卫生和保健领域的进一步改进。
