An improvement project within urological care

Abstract

Urological improvement projects, generally, are lacking, which is why this study is important to improve nephrolithiasis patient care.

Person-centred care: A qualitative study on first line managers’ experiences on its implementation

“…In addition, it is also important to improve cooperation within a multiprofessional team by having common goals that are followed by all staff members. 2–4,27,28 Other important factors for implementation are the values and norms of the team in relation to patients and staff. Therefore, knowledge of the difference between evidence-based care in theory and practice, 15 i.e.…”

“…1,2 As a consequence of changes within the healthcare sector, collaboration is described as a key factor in quality improvement. 3,4 The trends of consumer choice and contracting are highlighted within healthcare, 5,6 and person-centred care (PCC) is an up-and-coming care model built on partnership between patients and professional caregivers. 7,8 There is a lack of knowledge regarding the implementation of PCC from a managerial perspective, and the current study intends to contribute to this area of research.…”

Quality improvement in physiotherapy services

“…However, the interventions had different effects in different services -possibly owing to differences in how the changes were introduced and implemented, and contextual factors, such as C's increasing referrals. Two key principles, already established elsewhere, were borne out in our sites: (i) changes require clinician support if they are to be effective (Abdallah, 2014;Sanders et al, 2014); and (ii) outcomes are influenced by context (Khatami and Rosengren, 2015;Walshe, 2007). The most critical conditions for success in our research were that there was buy-in and action from clinicians, that patients were willing to cooperate and that the communication systems were able to support the change.…”

“…Two key principles, established elsewhere, were borne out in our sites: changes require clinician support if they are to be effective (Abdallah, 2014; Sanders et al , 2014); and outcomes are influenced by the context (Khatami and Rosengren, 2015; Walshe, 2007). The most critical conditions for success in our research were that there was buy-in and action from clinicians, that patients were willing to cooperate and that the communication systems could support the change.…”

“…Although process and quality improvements often appear to emphasise tools that can be applied to solve problems in several contexts (Al-Balushi et al , 2014), studies indicate that applying these tools in healthcare settings is not straightforward (Drotz and Poksinska, 2014; Walshe, 2007). Researchers working in this area argue the need to understand the ways in which approaches are adopted and implemented in specific social contexts (Joosten et al , 2009; Khatami and Rosengren, 2015; Langley and Denis, 2011; Øvretveit, 2004; Powell et al , 2009; Waring and Bishop, 2010). Walshe (2007, p. 58) argues that it is important to “unpick the complex relationship between context, content, application and outcomes, and to develop a necessarily contingent and situational understanding of effectiveness”.…”