Effectiveness of an Evidence-Based Quality Improvement Approach to Cultural Competence Training: The Veterans Affairs' 'Caring for Women Veterans' Program
| Autor: | Annie B. Fox, Shannon Wiltsey-Stirman, Yasmin Romodan, Karen M. Goldstein, Elizabeth M. Yano, Alison B. Hamilton, Bevanne Bean-Mayberry, Diane V. Carney, Susan M. Frayne, Brooke A. L. Di Leone, Ellen F. Yee, Dawne Vogt, Anne G. Sadler, Jennifer M Gierisch |
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| Rok vydání: | 2016 |
| Předmět: |
Program evaluation
Adult Male Evidence-based practice Quality management Article Education 03 medical and health sciences 0302 clinical medicine Nursing Health care Medicine Humans 030212 general & internal medicine Cultural Competency Veterans Affairs Qualitative Research Veterans business.industry 030503 health policy & services Teaching General Medicine Focus Groups Middle Aged Focus group Quality Improvement United States United States Department of Veterans Affairs Evidence-Based Practice Female 0305 other medical science business Cultural competence Qualitative research Program Evaluation |
| Zdroj: | J Contin Educ Health Prof |
| ISSN: | 1554-558X |
| Popis: | INTRODUCTION: Although providing culturally sensitive healthcare is vitally important, there is little consensus regarding the most effective strategy for implementing cultural competence trainings in the healthcare setting. Evidence-based quality improvement (EBQI), which involves adapting evidence-based practices to meet local needs, may improve uptake and effectiveness of a variety of healthcare innovations. Yet, to our knowledge EBQI has not yet been applied to cultural competence training. To evaluate whether EBQI could enhance the impact of an evidence-based training intended to improve Veterans Affairs (VA) healthcare staff gender sensitivity and knowledge (Caring for Women Veterans; CWV), we compared the reach and effectiveness of EBQI delivery versus standard web-based implementation strategies of CWV and assessed barriers and facilitators to EBQI implementation. METHOD: Workgroups at four diverse VA healthcare sites were randomized to either an EBQI or standard web-based implementation condition (SI). All EBQI sites selected a group-based implementation strategy. Employees (N=84) completed pre- and post-training assessments of gender sensitivity and knowledge, and focus groups/interviews were conducted with leadership and staff before and after implementation. RESULTS: Reach of CWV was greater in the EBQI condition versus the SI condition. Whereas both gender sensitivity and knowledge improved in the EBQI condition, only gender sensitivity improved in the SI condition. Qualitative analyses revealed that the EBQI approach was well-received, although a number of barriers were identified. CONCLUSIONS: Findings suggest that EBQI can enhance the uptake and effectiveness of employee trainings. However, the decision to pursue EBQI must be informed by a consideration of available resources. |
| Databáze: | OpenAIRE |
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