Morassaei Sara, Campbell Mikki, Di Prospero Lisa
Ms. Morassaei: Program Manager, Practice-Based Research and Innovation, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada, and PhD candidate and Teaching Fellow, School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada. Ms. Campbell: Strategic Initiatives Manager, Radiation Treatment Program, Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada, and Assistant Professor, Department of Radiation Oncology, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. Ms. Di Prospero: Director, Practice-Based Research and Innovation, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada, and Assistant Professor, Department of Radiation Oncology, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
J Contin Educ Health Prof. 2021 Oct 1;41(4):247-252. doi: 10.1097/CEH.0000000000000405.
The value of engaging patients and families in health care quality improvement (QI) initiatives is to help align health care system efforts with patient priorities. Meaningful evaluation of engaging with patients and families within QI may promote future collaboration. The aim of this study was to identify the experiential impact of patient engagement from the perspective of health professionals who were leading health care QI projects.
Point-of-care health professionals who completed a fellowship capacity building program between 2014 and 2018 that provided an opportunity to learn about patient engagement concepts and to engage patients, families, and caregivers in their QI projects were invited to participate in the study. The Most Significant Change technique was used as a participatory approach to obtain qualitative evaluative data from semistructured interviews with health professional fellows. Significant change stories were curated from self-narratives grounded in the experiences of health professional fellows.
The stories demonstrated that gaining new knowledge on concepts related to patient engagement as part of a structured curriculum is effective in both supporting engagement in practice and cultivating the importance of patient engagement among health professionals. The early and ongoing involvement of patients was a key factor in shaping the project while fostering a patient-centered focus. Seeking out the patient voice throughout the QI project led to improvements in patient care experiences.
The findings of this study can inform programs seeking to promote patient engagement in health care QI. The positive changes that stem from aligning capacity building programs with patient-oriented priorities support the vision that patient engagement should be at the foundation of health care QI.
让患者及其家属参与医疗质量改进（QI）举措的价值在于使医疗系统的努力与患者的优先事项保持一致。对QI中患者及其家属参与情况进行有意义的评估可能会促进未来的合作。本研究的目的是从领导医疗QI项目的卫生专业人员的角度确定患者参与的体验影响。
邀请在2014年至2018年期间完成了一项奖学金能力建设项目的现场医疗专业人员参与研究，该项目提供了了解患者参与概念并让患者、家属和护理人员参与其QI项目的机会。最显著变化技术被用作一种参与式方法，以从与卫生专业人员奖学金获得者的半结构化访谈中获取定性评估数据。重大变化故事是从基于卫生专业人员奖学金获得者经历的自我叙述中整理出来的。
这些故事表明，作为结构化课程的一部分，获得与患者参与相关概念的新知识在支持实践中的参与以及培养卫生专业人员对患者参与的重视方面都是有效的。患者的早期和持续参与是塑造项目的关键因素，同时促进以患者为中心的关注点。在整个QI项目中寻求患者的声音带来了患者护理体验的改善。
本研究的结果可为寻求促进患者参与医疗QI的项目提供参考。将能力建设项目与以患者为导向的优先事项相结合所带来的积极变化支持了患者参与应成为医疗QI基础的愿景。
