Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Gold Coast, Qld, Australia; and Occupational Therapy Department, Queen Elizabeth II Jubilee Hospital, Coopers Plains, Qld, Australia.
Acquired Brain Injury Outreach Service and Transitional Rehabilitation Program, Princess Alexandra Hospital, Buranda, Qld, Australia; and School of Health Sciences and Social Work, Griffith University, Meadowbrook, Qld, Australia.
Aust Health Rev. 2023 Aug;47(4):418-426. doi: 10.1071/AH22266.
Objectives This study aimed to conduct a learning and development needs analysis of quality improvement partnership capabilities of staff and consumers on partnership committees at an Australian metropolitan hospital and health service. Objectives were to compare consumer and staff self-rated capability importance, performance, and learning needs; to investigate if years of partnership experience influenced ratings; and to ascertain staff and consumer preferred learning strategies. Methods An online cross-sectional survey was adapted from the Hennessy-Hicks Training Needs Analysis questionnaire. Participants self-rated the importance of, and their performance on, 10 capabilities, across four domains, of an internationally validated co-produced capability development framework. They also rated preferences regarding learning approaches and media. Results A total of 199 members from 41 committees (174 staff; 25 consumers; response rate 35.38%) participated. There was a statistically significant learning and development need across all capabilities (P < 0.01). The highest learning need was for influencing organisational systems and policy (mean = -0.96; s.d. = 1.23), followed by equalising power and leadership (mean = -0.91; s.d. = 1.22), and then implementing partnership best practices (mean = -0.89; s.d. = 1.22). There were no statistically significant differences between consumers and staff on ratings, or correlations between years of partnership experience and ratings (P < 0.01). A combination of learning approaches was preferred, followed by learning through experience. Self-reflection was least preferred, which is concerning given it may promote equalising power and leadership. Face-to-face then videoconferencing were the preferred learning media. Conclusions Continuous co-learning for staff and consumers about QI partnerships is essential. Committee members needed more feedback regarding their influence and to be engaged in innovative co-design practices.
目的 本研究旨在对澳大利亚大都市医院和卫生服务机构的伙伴关系委员会中的员工和消费者的质量改进伙伴关系能力进行学习和发展需求分析。目的是比较消费者和员工自我评估的能力重要性、绩效和学习需求；调查伙伴关系经验是否会影响评分；并确定员工和消费者首选的学习策略。
方法 一项在线横断面调查是从 Hennessy-Hicks 培训需求分析问卷改编而来。参与者自我评估了在国际认可的共同制定能力发展框架的四个领域中的 10 项能力的重要性和绩效。他们还对学习方法和媒体的偏好进行了评分。
结果 共有来自 41 个委员会的 199 名成员（174 名员工；25 名消费者；回应率为 35.38%）参加了此次调查。所有能力都存在显著的学习和发展需求（P<0.01）。最大的学习需求是影响组织系统和政策（平均值=-0.96；标准差=1.23），其次是平等权力和领导力（平均值=-0.91；标准差=1.22），然后是实施最佳伙伴关系实践（平均值=-0.89；标准差=1.22）。消费者和员工在评分方面没有统计学上的显著差异，也没有发现伙伴关系经验与评分之间存在相关性（P<0.01）。混合学习方法是首选，其次是通过经验学习。自我反思是最不受欢迎的，这令人担忧，因为它可能会促进平等权力和领导力。面对面然后视频会议是首选的学习媒体。
结论 员工和消费者需要持续共同学习质量改进伙伴关系。委员会成员需要更多关于他们影响力的反馈，并参与创新的共同设计实践。
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