Co-produced capability framework for successful patient and staff partnerships in healthcare quality improvement: results of a scoping review

Abstract

BackgroundInternationally, patient and public involvement (PPI) is core policy for health service quality improvement (QI). However, authentic QI partnerships are not commonplace. A lack of patient and staff capability to deliver successful partnerships may be a barrier to meaningful QI collaboration.ObjectivesThe research questions for this scoping review were: What is known regarding the capabilities required for healthcare staff and patients to effectively partner in QI at the service level?; and What is known regarding the best practice learning and development strategies required to build and support those capabilities?MethodsA six-stage scoping review was completed. Five electronic databases were searched for publications from January 2010 to February 2020. The database searches incorporated relevant terms for the following concepts: capabilities for PPI in healthcare QI; and best practice learning and development strategies to support those capabilities. Data were analysed using descriptive statistics and qualitative content analysis.ResultsForty-nine papers were included. Very little peer-reviewed literature focused explicitly on capabilities for QI partnerships and thus implicit paper content was analysed. A Capability framework for successful partnerships in healthcare quality improvement was developed. It includes knowledge, skills and attitudes across three capability domains: Personal Attributes; Relationships and Communication; and Philosophies, Models and Practices, and incorporates 10 capabilities. Sharing power and leadership was discussed in many papers as fundamental and was positioned across all of the domains. Most papers discussed staff and patients’ co-learning (n=28, 57.14%). Workshops or shorter structured training sessions (n=36, 73.47%), and face-to-face learning (n=34, 69.38%) were frequently reported.ConclusionThe framework developed here could guide individualised development or learning plans for patient partners and staff, or could assist organisations to review learning topics and approaches such as training content, mentoring guidelines or community of practice agendas. Future directions include refining and evaluating the framework. Development approaches such as self-reflection, communities of practice, and remote learning need to be expanded and evaluated.

Refining a capability development framework for building successful consumer and staff partnerships in healthcare quality improvement: A coproduced eDelphi study

“…This eDelphi study advances CCI practice by refining a capability framework for successful partnerships in QI which was based on a co‐produced scoping review. 22 International consensus has been established on the content and structure of the framework which is now entitled: Building successful partnerships in healthcare QI: A capability development framework for service users, families, communities, and staff . The International Expert Panel and Research Advisory Group, who were highly experienced in CCI for QI, endorsed the framework and its summary ‘house’ diagram as valuable resources to support the growth of authentic and meaningful CCI in QI across healthcare contexts, conditions, and countries.…”

“…Consistent with the aims of this study, it was important to recruit International Expert Panel members who had diverse perspectives including people from culturally and linguistically diverse, disability, LGBTIQ+, and indigenous backgrounds. Recruitment was limited to participants from high‐income countries, in keeping with the parameters of the original scoping review 22 . The invitation list was developed from research team networks and reviewing relevant publication author details.…”

“…Two rounds, rather than three were justified because an initial exploratory round was not required as this eDelphi was based on the previously co‐produced capability framework. 22 There were approximately three weeks between survey rounds. A systematic review of 100 Delphi studies reported a median consensus level of 75%.…”

“…Recruitment was limited to participants from high‐income countries, in keeping with the parameters of the original scoping review. 22 The invitation list was developed from research team networks and reviewing relevant publication author details. These strategies resulted in limited consumer contacts.…”

“…Given the utility of capability frameworks to guide learning and development and the apparent lack of literature addressing capabilities for successful staff and consumer partnerships in QI, the current research team, inclusive of two consumers, coproduced a scoping review on the topic. 22 This led to the development of a Capability framework for successful partnerships in healthcare QI . The papers in that review originated from nine countries and spanned the healthcare continuum, different health conditions, and a diversity of CCI stakeholders.…”