Rehabilitation Department, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle Upon Tyne, UK
Rehabilitation Department, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle Upon Tyne, UK.
BMJ Open Qual. 2023 Jan;12(1). doi: 10.1136/bmjoq-2022-002039.
Despite growing enthusiasm for quality improvement (QI), the complexities of modern healthcare continue to create gaps in our ability to consistently deliver the most effective and efficient care for patients, and improvement activities often fail to achieve widespread uptake even when there is robust evidence of their benefits.
We undertook a novel, mixed methods evaluation and planning project using group concept mapping (GCM) methodology to identify and prioritise the ways in which our recently established Quality Improvement Network (QIN) could support allied health professionals, psychological therapists and administrative staff in their daily work to improve patient outcomes and experience. Mid-level leaders across our therapy services department contributed towards a statement generation activity and individually sorted these statements into themes. Each statement was rated for perceived importance and current success. Multidimensional scaling and hierarchical cluster analysis were applied to the sorted data to produce themed clusters of ideas within concept maps. Priority values were applied to these maps to identify key areas for future QIN activity.
Overall, 34 participants took part in ideas generation, 20 in sorting and 30 in the rating activity. A five-item cluster map was agreed on, containing the following named clusters: data support; practical skills and training; time and resources; embedding a QI culture; and sharing ideas and working together. Statements contained within each of the five clusters highlight the importance of supporting a range of activities spanning the technical and human aspects of QI at an individual, group/team, organisation and wider systems level.
GCM provided a structured and systematic approach for identifying the perceived support needs of allied health professionals, psychological therapists and administrative support staff in relation to QI. The findings from this project provide a useful benchmark from which to track targeted QI support in an applied healthcare setting.
尽管人们对质量改进（QI）越来越感兴趣，但现代医疗保健的复杂性仍然导致我们在为患者提供最有效和最有效的护理方面存在差距，而且即使有确凿的证据证明改进活动的益处，这些活动也往往未能广泛采用。
我们采用了一种新颖的混合方法评估和规划项目，使用群体概念映射（GCM）方法来确定和优先考虑我们最近成立的质量改进网络（QIN）如何支持联合健康专业人员、心理治疗师和行政人员在日常工作中改善患者的结果和体验。我们的治疗服务部门的中层领导参与了一个陈述生成活动，并将这些陈述单独分类为主题。每个陈述都被评定为感知的重要性和当前的成功。多维标度和层次聚类分析被应用于排序数据，以在概念图中生成主题思想簇。优先级值被应用于这些地图，以确定未来 QIN 活动的关键领域。
共有 34 名参与者参与了想法生成，20 名参与者参与了分类，30 名参与者参与了评分活动。同意了一个包含五个项目的聚类图，其中包含以下命名聚类：数据支持；实用技能和培训；时间和资源；嵌入 QI 文化；以及分享想法和共同工作。每个聚类中的陈述强调了支持一系列活动的重要性，这些活动涵盖了 QI 的技术和人为方面，涉及个人、小组/团队、组织和更广泛的系统层面。
GCM 为确定联合健康专业人员、心理治疗师和行政支持人员在 QI 方面的感知支持需求提供了一种结构化和系统的方法。该项目的结果为在应用医疗保健环境中跟踪有针对性的 QI 支持提供了一个有用的基准。
