Knowledge management infrastructure to support quality improvement: A qualitative study of maternity services in four European hospitals

Autor: Janet Anderson, Naomi Fulop, Alexandra R. Fernandes, Johan M. Sanne, Anette Karltun, Pär J. Höglund, Karina Aase, Boel Andersson-Gäre
Rok vydání: 2019
Předmět:
Hälso- och sjukvårdsorganisation
hälsopolitik och hälsoekonomi
Adult
Multilevel interaction
Improvement science
Knowledge management
Quality management
Ciências Médicas::Ciências da Saúde [Domínio/Área Científica]
Health administration
03 medical and health sciences
0302 clinical medicine
Professionals' action strategies
Hospital Administration
Medisinske Fag: 700 [VDP]
RA0421
Pregnancy
Humans
030212 general & internal medicine
Clinical quality
Obstetrics and Gynecology Department
Hospital
Qualitative Research
Quality of Health Care
Professionals’ action strategies
business.industry
Ciências Médicas::Medicina Clínica [Domínio/Área Científica]
030503 health policy & services
Health Policy
Multilevel model
Health Care Service and Management
Health Policy and Services and Health Economy
Quality Improvement
Hospital management
3. Good health
Europe
Knowledge Management
Healthcare management
Tailored interventions
Clinical staff
HD28
Female
Patient Safety
0305 other medical science
business
Qualitative research
Healthcare system
Zdroj: Repositório Científico de Acesso Aberto de Portugal
Repositório Científico de Acesso Aberto de Portugal (RCAAP)
instacron:RCAAP
Health Policy
ISSN: 1872-6054
Popis: The influence of multilevel healthcare system interactions on clinical quality improvement (QI) is still largely unexplored. Through the lens of knowledge management (KM) theory, this study explores how hospital managers can enhance the conditions for clinical QI given the specific multilevel and professional interactions in various healthcare systems. The research used an in-depth multilevel analysis in maternity departments in four purposively sampled European hospitals (Portugal, England, Norway and Sweden). The study combines analysis of macro-level policy documents and regulations with semi-structured interviews (96) and non-participant observations (193 hours) of hospital and clinical managers and clinical staff in maternity departments. There are four main conclusions: First, the unique multilevel configuration of national healthcare policy, hospital management and clinical professionals influence the development of clinical QI efforts. Second, these different configurations provide various and often insufficient support and guidance which affect professionals’ action strategies in QI efforts. Third, hospital managers’ opportunities and capabilities for developing a consistent KM infrastructure with reinforcing enabling conditions which merge national policies and guidelines with clinical reality is crucial for clinical QI. Fourth, understanding these interrelationships provides an opportunity for improvement of the KM infrastructure for hospital managers through tailored interventions. info:eu-repo/semantics/publishedVersion
Databáze: OpenAIRE
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