Theorizing Factors Mediating With the Implementation of a Patient Feedback on Safety Intervention Implemented in the Primary Care Setting
Autor: | Andrea Hernan, Kevin Mc Namara, Sally J Giles, Hannah Beks, Mary Malakellis, Vincent L. Versace |
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Rok vydání: | 2021 |
Předmět: |
Quality management
Primary Health Care business.industry Public Health Environmental and Occupational Health Psychological intervention Context (language use) Quality Improvement Feedback Patient feedback Patient safety Nursing SAFER Intervention (counseling) Health care Humans Patient Safety business Psychology Delivery of Health Care |
Zdroj: | Qualitative health research. 31(12) |
ISSN: | 1049-7323 |
Popis: | Developing safety interventions using patient feedback is valuable for creating safer systems of health care. A qualitative process evaluation of a patient feedback on safety intervention was undertaken in six primary care practices. The purpose was to theorize factors mediating with the implementation of the intervention using existing theories. The intervention required practices to obtain patient feedback on safety using a validated tool and respond using quality improvement methods. Multiple methods of qualitative data collection were used, including interviews and overt observation. Abductive reasoning informed the iterative process of analysis that examined theories relevant to the intervention and setting. A theoretical framework was developed, which encompassed mediating factors grouped under three concepts: practice readiness, utilization of problem-solving skills, and agency. Theorizing mediating factors was necessary to understand the complexities of primary care practices, and to identify the essential components for implementation of the intervention on a larger scale. |
Databáze: | OpenAIRE |
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