Development and testing of the Stakeholder Quality Improvement Perspectives Survey (SQuIPS).

Autor:	Fris E; Internal Medicine, McGovern Medical School at the University of Texas Health Science Center Houston, Houston, Texas, USA.; UT Houston - Memorial Hermann Center for Healthcare Quality and Safety, Houston, Texas, USA., Sedlock E; UT Houston - Memorial Hermann Center for Healthcare Quality and Safety, Houston, Texas, USA., Etchegaray J; RAND Corporation, Santa Monica, California, USA., Ottosen MJ; UT Houston - Memorial Hermann Center for Healthcare Quality and Safety, Houston, Texas, USA., Pucio R; Memorial Hermann Texas Medical Center, Houston, Texas, USA., Mistry T; Internal Medicine, McGovern Medical School at the University of Texas Health Science Center Houston, Houston, Texas, USA., Saunders T; Surgery, McGovern Medical School at the University of Texas Health Science Center Houston, Houston, Texas, USA., Tomoaia-Cotisel A; RAND Corporation, Santa Monica, California, USA., Thomas EJ; Internal Medicine, McGovern Medical School at the University of Texas Health Science Center Houston, Houston, Texas, USA Eric.Thomas@uth.tmc.edu.; UT Houston - Memorial Hermann Center for Healthcare Quality and Safety, Houston, Texas, USA.
Jazyk:	angličtina
Zdroj:	BMJ open quality [BMJ Open Qual] 2021 Dec; Vol. 10 (4).
DOI:	10.1136/bmjoq-2020-001332
Abstrakt:	Background: To create a theory-informed survey that quality improvement (QI) teams can use to understand stakeholder perceptions of an intervention. Method: We created the survey then performed a cross-sectional survey of QI stakeholders of three QI projects. The projects sought to: (1) reduce unplanned extubations in a neonatal intensive care unit; (2) maintain normothermia during colorectal surgery and (3) reduce specimen processing errors for ambulatory gastroenterology procedures. We report frequencies of responses to survey items, results of exploratory factor analysis, and how QI team leaders used the results. Results: Overall we received surveys from 319 out of 386 eligible stakeholders (83% response rate, range for the three QI projects 57%-86%). The QI teams found that the survey results confirmed existing concerns (eg, the intervention would not make work easier) and revealed unforeseen concerns such as lack of consensus about the overall purpose of the intervention and its importance. The results of our factor analysis indicate that one 7-item scale (Cronbach's alpha 0.9) can efficiently measure important aspects of stakeholder perceptions, and that two additional Likert-type items could add valuable information for leaders. Two QI team leaders made changes to their project based on survey responses that indicated the intervention made stakeholders' jobs harder, and that there was no consensus about the purpose of the intervention. Conclusions: The Stakeholder Quality Improvement Perspectives Survey was feasible for QI teams to use, and identified stakeholder perspectives about QI interventions that leaders used to alter their QI interventions to potentially increase the likelihood of stakeholder acceptance of the intervention. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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