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首页> 外文期刊>International journal of quality and service sciences >Attitudes toward quality improvement among healthcare professionals: Lessons from a hospital-wide quality initiative
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Attitudes toward quality improvement among healthcare professionals: Lessons from a hospital-wide quality initiative

机译：医护人员对质量改进的态度：全医院质量计划的经验教训

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Purpose - The purpose of this article is to describe how the training of healthcare professionals in improvement work can be performed, and evaluate potential changes in attitude as a result of the initiative. Design/methodology/approach - The study was carried out at a University Hospital in Sweden. There were 443 participants in the study. The response rate before the intervention was 55 per cent (242 respondents) and six months later, it was 43 per cent (190 respondents). A two-day training program about quality improvement was performed on seven different occasions and after the training had been concluded, participants were encouraged to translate their newly acquired knowledge into improvement projects. Surveys on attitudes toward improvement work were completed by the participants right before the training and six months afterwards. The results were analyzed using a Mann-Whitney test. Findings - The analysis showed some statistically significant changes in attitude among the participants. There were also differences between groups of participants based on their profession and the number of years in their current position. Research limitations/implications - A limitation of the study is that it was solely based on attitudes expressed during the survey and did not include any observed changes in behavior. Another limitation is that attitudes after the intervention were only measured once. Originality/value - It is possible to use training to change attitudes toward improvement work. The result differs among groups of participants, which raises the question as to whether training should be tailored to better suit the needs of different groups to create positive change. Further research is needed regarding how to reach and fully implement a quality improvement mindset.
机译：目的-本文的目的是描述如何对医护人员进行改善工作的培训，并评估该计划可能导致的态度变化。设计/方法/方法-这项研究是在瑞典的一家大学医院进行的。该研究有443名参与者。干预前的回应率为55％（242名受访者），六个月后为43％（190名受访者）。在七个不同的场合进行了为期两天的质量改进培训计划，培训结束后，鼓励参与者将他们新获得的知识转化为改进项目。参与者在培训开始之前和之后的六个月就完成了对改进工作态度的调查。使用Mann-Whitney检验分析结果。调查结果-分析显示，参与者的态度发生了一些统计学上的显着变化。根据参加者的专业和当前职位的年限，参加者组之间也存在差异。研究的局限性/含义-研究的局限性在于它仅基于调查期间表达的态度，而不包括任何观察到的行为变化。另一个局限性是，干预后的态度只能测量一次。创意/价值-可以使用培训来改变对改进工作的态度。参与者群体之间的结果各不相同，这引发了一个问题，即是否应针对培训量身定制以更好地适应不同群体的需求，以创造积极的变化。关于如何达到并全面实施质量改进心态，还需要进一步研究。

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