Healthcare Quality Improvement and 'work engagement'; concluding results from a national, longitudinal, cross-sectional study of the 'Productive Ward-Releasing Time to Care' Programme.
Healthcare Quality Improvement and 'work engagement'; concluding results from a national, longitudinal, cross-sectional study of the 'Productive Ward-Releasing Time to Care' Programme.
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医疗质量改进和“工作投入”；一项针对“高效病房释放时间护理”计划的全国性纵向横断面研究得出的结论。
DOI：
10.1186/s12913-017-2446-2
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发表时间：
2017-08-01
影响因子：
2.8
通讯作者：
Wells JS
中科院分区：
文献类型：
--
作者：
White M;Butterworth T;Wells JS
对患者安全和减少伤害的担忧导致人们特别关注提高医疗质量的举措。然而，质量改进（QI）计划在过去通常会停滞不前，因为它们未能充分吸引医疗保健专业人员，导致这组关键利益相关者之间的冷漠和抵制。生产区：释放护理时间（PW）是一个基于病房的QI计划，旨在帮助基于病房的团队重新设计和简化他们的工作方式;留下更多的时间来照顾病人。PW旨在吸引和授权以病房为基础的团队，以提高护理的安全性，质量和交付。本研究的主要目的是探讨PW是否维持病房为基础的团队的“参与”，通过检查纵向效应，国家QI计划的病房为基础的团队在爱尔兰的“工作参与”。利用乌得勒支工作投入量表问卷（UWES-17），我们调查了9个PW（干预）网站从典型的急性医疗/手术，康复和老年人服务（代表整个队列的PW实施阶段的国家在爱尔兰）和一个队列的匹配对照网站。在T1（项目开始后3个月），PW组的调查人数共计253名病房团队成员，对照组为249名。在T2（12个月后），对来自PW研究中心的233名病房团队成员和来自对照组的236名病房团队成员进行了重复调查。总体结果表明，与对照组相比，那些参与QI计划的人在T1和T2时的“参与度”得分更高。PW组在T1时的总“参与”评分（TES）及其3个维度均显著较高，但在T2时仅活力维度保持显著较高（p = 0.006）。我们的研究结果提供了一些支持的PW倡议本身的断言，并表明，当与对照组相比，病房为基础的团队参与的QI计划更有可能是“从事”它及其相关的改进活动，这是保持随着时间的推移。然而，随着时间的推移，只有“参与”的活力维度在PW中保持显著较高。本文的在线版本（doi：10.1186/s12913-017-2446-2）包含补充材料，可供授权用户使用。
Concerns about patient safety and reducing harm have led to a particular focus on initiatives that improve healthcare quality. However Quality Improvement (QI) initiatives have in the past typically faltered because they fail to fully engage healthcare professionals, resulting in apathy and resistance amongst this group of key stakeholders. Productive Ward: Releasing Time to Care (PW) is a ward-based QI programme created to help ward-based teams redesign and streamline the way that they work; leaving more time to care for patients. PW is designed to engage and empower ward-based teams to improve the safety, quality and delivery of care. The main objective of this study was to explore whether PW sustains the ‘engagement’ of ward-based teams by examining the longitudinal effect that the national QI programme had on the ‘work-engagement’ of ward-based teams in Ireland. Utilising the Utrecht Work Engagement Scale questionnaire (UWES-17), we surveyed nine PW (intervention) sites from typical acute Medical/Surgical, Rehabilitation and Elderly services (representing the entire cohort of a national phase of PW implementation in Ireland) and a cohort of matched control sites. The numbers surveyed from the PW group at T1 (up to 3 months after commencing the programme) totalled 253 ward-team members and 249 from the control group. At T2 (12 months later), the survey was repeated with 233 ward-team members from the PW sites and 236 from the control group. Overall findings demonstrated that those involved in the QI initiative had higher ‘engagement’ scores at T1 and T2 in comparison to the control group. Total ‘engagement’ score (TES), and its 3 dimensions, were all significantly higher in the PW group at T1, but only the Vigour dimension remained significantly higher at T2 (p = 0.006). Our results lend some support to the assertions of the PW initiative itself and suggest that when compared to a control group, ward-based teams involved in the QI programme are more likely to be ‘engaged’ by it and its associated improvement activities and that this is maintained over time. However, only the Vigour dimension of ‘engagement’ remained significantly higher in the PW over time. The online version of this article (doi:10.1186/s12913-017-2446-2) contains supplementary material, which is available to authorized users.
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影响因子：
168.9
作者：
Aiken, Linda H.;Sloane, Douglas M.;Bruyneel, Luk;Van den Heede, Koen;Griffiths, Peter;Busse, Reinhard;Diomidous, Marianna;Kinnunen, Juha;Kozka, Maria;Lesaffre, Emmanuel;McHugh, Matthew D.;Moreno-Casbas, M. T.;Rafferty, Anne Marie;Schwendimann, Rene;Scott, P. Anne;Tishelman, Carol;van Achterberg, Theo;Sermeus, Walter
通讯作者：
Sermeus, Walter
影响因子：
3.8
作者：
Adriaenssens, Jef;De Gucht, Veronique;Maes, Stan
通讯作者：
Maes, Stan
影响因子：
120.7
作者：
Aiken, LH;Clarke, SP;Silber, JH
通讯作者：
Silber, JH
影响因子：
--
作者：
Gollop, R;Whitby, E;Ketley, D
通讯作者：
Ketley, D
影响因子：
6.6
作者：
Lee, Jenny S. Y.;Akhtar, Syed
通讯作者：
Akhtar, Syed