Organising and managing patient and public involvement to enhance quality improvement—Comparing a Swedish and a Dutch hospital

Bergerum, Carolina; Wolmesjö, Maria; Thor, Johan

doi:10.1016/j.healthpol.2022.04.002

Cited by 2 publications

(10 citation statements)

References 35 publications

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“…The development managers also indicated that using the patient involvement approach for QI further complicated the study assignment for QI leaders because patient involvement is neither well defined nor fully applied in hospital organisations 42. The feedback from the development managers corroborates earlier research that indicates current measurements and monitoring are problematic to apply and enact in complex healthcare settings 32. Consequently, hospital organisations do not maximise their potential for QI.…”

Section: Discussionsupporting

confidence: 70%

“…Moreover, major influencing factors relate to the organisational and societal levels of healthcare. National regulations, programmes and accreditations significantly impact the prioritising of QI interventions 32. Obviously, a gap exists in understanding the role of the patient and the public in QI interventions, monitoring and follow-up of outcomes at all levels 10 13 32 40.…”

Section: Discussionmentioning

confidence: 99%

“…National regulations, programmes and accreditations significantly impact the prioritising of QI interventions 32. Obviously, a gap exists in understanding the role of the patient and the public in QI interventions, monitoring and follow-up of outcomes at all levels 10 13 32 40. Even though patient involvement in QI interventions may be a complex activity in practice, knowledge regarding QI is necessary and requires supervision and management 32.…”

Section: Discussionmentioning

confidence: 99%

“…Obviously, a gap exists in understanding the role of the patient and the public in QI interventions, monitoring and follow-up of outcomes at all levels 10 13 32 40. Even though patient involvement in QI interventions may be a complex activity in practice, knowledge regarding QI is necessary and requires supervision and management 32. This ‘black box’ must be opened if healthcare is to become more participative and co-produced, equitable and suitable for the public’s purposes 14 16.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, there lacks explicability and timeliness of the patient-reported measures as well as structure, support and guidance in the transformation process 1 31. Research also highlights problems with identifying the monitoring systems that can be applied in practice and the patient-reported measures that provide the relevant input for each QI context when organising and managing patient involvement in hospital QI interventions 32. Thus, the objectives of this study were to identify the national and local monitoring systems containing patient-reported measures that are available in hospital departments and to investigate how they are applied to QI.…”

Section: Introductionmentioning

confidence: 99%

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‘We are data rich but information poor’: how do patient-reported measures stimulate patient involvement in quality improvement interventions in Swedish hospital departments?

et al. 2022

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ObjectiveThis study aimed to investigate if and how patient-reported measures from national and local monitoring stimulate patient involvement in hospital quality improvement (QI) interventions. We were also interested in the factors that influence the level and degree of patient involvement in the QI interventions.MethodsThe study used a qualitative, descriptive design. Inspired by the Framework Method, we created a working analytical framework. Four hospital departments participated in the data collection. Collaborating with a QI leader from each department, we identified the monitoring systems for the patient-reported measures that were used to initiate or evaluate QI interventions. Thereafter, the level and degree of patient involvement and the factors that influenced this involvement were analysed for all QI interventions. Data were mapped in an Excel spreadsheet to analyse connections and differences.ResultsDepartments used patient-reported measures from both national and local monitoring systems to initiate or evaluate their QI interventions. Thirty-one QI interventions were identified and analysed. These interventions were mainly conducted at the direct care and organisational levels. By participating in questionnaires, patients were involved to the degree of consultation. Patients were not involved to the degree of partnership and shared leadership for the identified QI interventions.ConclusionsOverall, hospital departments have limited knowledge regarding patient-reported measures and how they are best applied in QI interventions and how they support improvements. Applying patient-reported measures to hospital QI interventions does not enhance patient involvement beyond the degree of consultation.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

‘We are data rich but information poor’: how do patient-reported measures stimulate patient involvement in quality improvement interventions in Swedish hospital departments?

et al. 2022

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Learning and development needs for successful staff and consumer partnerships on healthcare quality improvement committees: a co-produced cross-sectional online survey

et al. 2023

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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.

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Organising and managing patient and public involvement to enhance quality improvement—Comparing a Swedish and a Dutch hospital

Cited by 2 publications

References 35 publications

‘We are data rich but information poor’: how do patient-reported measures stimulate patient involvement in quality improvement interventions in Swedish hospital departments?

‘We are data rich but information poor’: how do patient-reported measures stimulate patient involvement in quality improvement interventions in Swedish hospital departments?

Learning and development needs for successful staff and consumer partnerships on healthcare quality improvement committees: a co-produced cross-sectional online survey

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