Definitions of health and social care standards used internationally: A narrative review

Kelly, Yvonne; O’Rourke, Niamh; Flynn, Rachel; Hegarty, Josephine; O’Connor, Laura

doi:10.1002/hpm.3573

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…Health and social care standards (referred to as standards hereafter) typically consist of evidence-based statements (based on evidence of all grades from expert consensus to meta-analyses) that describe an outcome or process of providing safe, high-quality, person-centred care. 6 Implementation of standards promotes quality assurance, guides delivery of appropriate care, reduces variation in service provision, and sets out the care that service-users can expect to receive. 7 Health systems globally adopt different approaches to setting standards whereby standards vary from statutory requirements to supportive quality improvement approaches.…”

Section: Introductionmentioning

confidence: 99%

Factors that influence the implementation of (inter)nationally endorsed health and social care standards: a systematic review and meta-summary

Kelly¹,

O’Rourke²,

Flynn³

et al. 2023

BMJ Qual Saf

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BackgroundHealth and social care standards have been widely adopted as a quality improvement intervention. Standards are typically made up of evidence-based statements that describe safe, high-quality, person-centred care as an outcome or process of care delivery. They involve stakeholders at multiple levels and multiple activities across diverse services. As such, challenges exist with their implementation. Existing literature relating to standards has focused on accreditation and regulation programmes and there is limited evidence to inform implementation strategies specifically tailored to support the implementation of standards. This systematic review aimed to identify and describe the most frequently reported enablers and barriers to implementing (inter)nationally endorsed standards, in order to inform the selection of strategies that can optimise their implementation.MethodsDatabase searches were conducted in Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature), SocINDEX, Google Scholar, OpenGrey and GreyNet International, complemented by manual searches of standard-setting bodies’ websites and hand searching references of included studies. Primary qualitative, quantitative descriptive and mixed methods studies that reported enablers and barriers to implementing nationally or internationally endorsed standards were included. Two researchers independently screened search outcomes and conducted data extraction, methodological appraisal and CERQual (Confidence in Evidence from Reviews of Qualitative research) assessments. An inductive analysis was conducted using Sandelowski’s meta-summary and measured frequency effect sizes (FES) for enablers and barriers.Results4072 papers were retrieved initially with 35 studies ultimately included. Twenty-two thematic statements describing enablers were created from 322 descriptive findings and grouped under six themes. Twenty-four thematic statements describing barriers were created from 376 descriptive findings and grouped under six themes. The most prevalent enablers with CERQual assessments graded as high included: available support tools at local level (FES 55%); training courses to increase awareness and knowledge of the standards (FES 52%) and knowledge sharing and interprofessional collaborations (FES 45%). The most prevalent barriers with CERQual assessments graded as high included: a lack of knowledge of what standards are (FES 63%), staffing constraints (FES 46%), insufficient funds (FES 43%).ConclusionsThe most frequently reported enablers related to available support tools, education and shared learning. The most frequently reported barriers related to a lack of knowledge of standards, staffing issues and insufficient funds. Incorporating these findings into the selection of implementation strategies will enhance the likelihood of effective implementation of standards and subsequently, improve safe, quality care for people using health and social care services.

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Section: Introductionmentioning

confidence: 99%

Factors that influence the implementation of (inter)nationally endorsed health and social care standards: a systematic review and meta-summary

Kelly¹,

O’Rourke²,

Flynn³

et al. 2023

BMJ Qual Saf

Self Cite

View full text Add to dashboard Cite

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Definitions of health and social care standards used internationally: A narrative review

Kelly

O’Rourke

Flynn

et al. 2022

Health Planning & Management

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Setting standards is a quality improvement mechanism and an important means for shaping the provision of health and social care services. Standards comprise statements describing a process or outcome of care. Setting standards is a global practice. It would be useful to have an understanding of the underpinning definitions of standards used internationally. Therefore, the aim of this review was to examine definitions of health and social care standards used internationally and identify similarities and differences. A targeted grey literature search of standard-setting bodies' websites and related health legislation was conducted to retrieve explicit definitions of standards. Of 15 standard-setting bodies that were searched, 12 definitions of standards were narratively synthesised. Terms that appeared in two or more of the definitions were extracted. Counts and percentages were calculated for these terms to determine magnitude of use. The commonalities among definitions included 'quality' (n = 6, 50%), 'statements' (n = 5, 42%), 'performance' (n = 5, 42%), and 'measureable' (n = 4, 33%). The less commonly used terms were 'processes' (n = 3, 25%), 'set' (n = 3, 25%), 'evidence based' (n = 2, 17%), 'outcome' (n = 2, 17%), 'safe' (n = 2, 17%), and 'guidance' (n = 2, 17%). Explicit definitions of standards were not retrieved from health legislation documents. Standard-setting bodies develop standards in

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Reflective Approaches to Professionalisation Through Legislation, Structures and Cultures: Example from Czech Social and Health Services

Lejsal,

Krejčí

2023

Enhancing Professionality Through Reflectivity in Social and Health Care

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Definitions of health and social care standards used internationally: A narrative review

Cited by 4 publications

References 14 publications

Factors that influence the implementation of (inter)nationally endorsed health and social care standards: a systematic review and meta-summary

Factors that influence the implementation of (inter)nationally endorsed health and social care standards: a systematic review and meta-summary

Definitions of health and social care standards used internationally: A narrative review

Reflective Approaches to Professionalisation Through Legislation, Structures and Cultures: Example from Czech Social and Health Services

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