A Systematic Review and Narrative Synthesis: Determinants of the Effectiveness and Sustainability of Measurement-Focused Quality Improvement Trainings

Khurshid, Zuneera; Brún, Aoife De; Martin, Jennifer; McAuliffe, Éilish

doi:10.1097/ceh.0000000000000331

Cited by 9 publications

(5 citation statements)

References 59 publications

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“…In addition, results from an experiential training program in QI for Practicing Professionals, conducted over 10 years, revealed positive changes in clinical practice and benefits to patients. The program was well-received by trainees, who valued the acquired skills [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing the Impact of a Service Excellence Program on Improving Patient Experience at Primary Health Care Centers

Alkahtani,

Abbas,

Bin Rsheed

et al. 2023

Cureus

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Background: Frontline clinical staff play a crucial role in shaping patient experience and, therefore, require adequate training and education to deliver exceptional service. This study aimed to assess the impact of a service excellence and quality training program on frontline clinical staff's knowledge, perception, and attitude toward patient experience and service excellence. We also examined the effect of this intervention on patient experience scores. Methods: This study utilized a pre-post intervention design, where frontline clinical staff completed a questionnaire to establish baseline "knowledge and perception scores" and "attitude scores" related to patient experience. The same questionnaire was administered after the training program to measure any changes in scores. Patient experience scores were collected from existing data, comparing results from different quarters before and after the intervention. The training and education program covered various components, including effective communication, empathy, service standards, and service recovery. Results: A total of 256 staff members, including nurses, physicians, and allied healthcare professionals, participated in the training program. The study found statistically significant improvements in all components of staff knowledge, perception, and attitude. Specifically, there was a median improvement in knowledge and perception scores, which increased from 77.2% to 96.5%. Additionally, attitude scores showed a median improvement from 73.8% to 92.5%. Moreover, the overall patient experience score increased from 62% to 72.4%. Conclusion: The study revealed significant improvements in staff knowledge, perception, and attitude, along with enhanced patient experience scores. These findings suggest a potential role for targeted interventions in enhancing patient experience and supporting ongoing quality improvement in primary healthcare settings.

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Section: Discussionmentioning

confidence: 99%

Assessing the Impact of a Service Excellence Program on Improving Patient Experience at Primary Health Care Centers

Alkahtani,

Abbas,

Bin Rsheed

et al. 2023

Cureus

View full text Add to dashboard Cite

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“…Kurshid et al 17 conducted a systematic review and narrative synthesis in an effort to define the effectiveness and sustainability of quality improvement programs for health care professionals containing a measurement skills component, and to identify barriers and facilitators to effectiveness and sustainability. Quality improvement (QI) is a key constituent in CPD that, nonetheless, has had its share of recent critiques concerning the need for improvement of reporting, methods, and forms of analysis.…”

Section: Adding To the Cpd Evidence Basementioning

confidence: 99%

“…JCEHP has provided some guidance on preparing such studies for publication, and I would encourage authors who intend to submit their CPD intervention studies to JCEHP to carefully follow the advice provided by our past and present expert Editorial Board members. [14][15][16] Kurshid et al 17 conducted a systematic review and narrative synthesis in an effort to define the effectiveness and sustainability of quality improvement programs for health care professionals containing a measurement skills component, and to identify barriers and facilitators to effectiveness and sustainability. Quality improvement (QI) is a key constituent in CPD that, nonetheless, has had its share of recent critiques concerning the need for improvement of reporting, methods, and forms of analysis.…”

Section: Adding To the Cpd Evidence Basementioning

confidence: 99%

Meeting the Immediate Needs of Health Care Practitioners and Building the Evidence for Continuing Professional Development

Kitto

2021

J Contin Educ Health Prof

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“…A more recent realist-inspired review [27] confined itself to a specific type of QI, namely "QI collaboratives" to investigate contexts, mechanisms and outcomes but still included only five (out of 32) primary studies from LMICs. Still, other reviews have confined themselves to 'training and measurement' [28][29][30] and patient safety education [31,32]. No systematic review was found that synthesized literature from LMICs to inform holistic QI policy and practice specifically in PHC.…”

Section: Introductionmentioning

confidence: 99%

Barriers to and enablers of quality improvement in primary health care in low- and middle-income countries: A systematic review

Odhus,

Kapanga,

Oele

2024

PLOS Glob Public Health

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The quality of health care remains generally poor across primary health care settings, especially in low- and middle-income countries where tertiary care tends to take up much of the limited resources despite primary health care being the first (and often the only) point of contact with the health system for nearly 80 per cent of people in these countries. Evidence is needed on barriers and enablers of quality improvement initiatives. This systematic review sought to answer the question: What are the enablers of and barriers to quality improvement in primary health care in low- and middle-income countries? It adopted an integrative review approach with narrative evidence synthesis, which combined qualitative and mixed methods research studies systematically. Using a customized geographic search filter for LMICs developed by the Cochrane Collaboration, Scopus, Academic Search Ultimate, MEDLINE, CINAHL, PSYCHINFO, EMBASE, ProQuest Dissertations and Overton.io (a new database for LMIC literature) were searched in January and February 2023, as were selected websites and journals. 7,077 reports were retrieved. After removing duplicates, reviewers independently screened titles, abstracts and full texts, performed quality appraisal and data extraction, followed by analysis and synthesis. 50 reports from 47 studies were included, covering 52 LMIC settings. Six themes related to barriers and enablers of quality improvement were identified and organized using the model for understanding success in quality (MUSIQ) and the consolidated framework for implementation research (CFIR). These were: microsystem of quality improvement, intervention attributes, implementing organization and team, health systems support and capacity, external environment and structural factors, and execution. Decision makers, practitioners, funders, implementers, and other stakeholders can use the evidence from this systematic review to minimize barriers and amplify enablers to better the chances that quality improvement initiatives will be successful in resource-limited settings. PROSPERO registration: CRD42023395166.

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A Systematic Review and Narrative Synthesis: Determinants of the Effectiveness and Sustainability of Measurement-Focused Quality Improvement Trainings

Cited by 9 publications

References 59 publications

Assessing the Impact of a Service Excellence Program on Improving Patient Experience at Primary Health Care Centers

Assessing the Impact of a Service Excellence Program on Improving Patient Experience at Primary Health Care Centers

Meeting the Immediate Needs of Health Care Practitioners and Building the Evidence for Continuing Professional Development

Barriers to and enablers of quality improvement in primary health care in low- and middle-income countries: A systematic review

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