Current studentsExisting staffContact us
 

How, why and under what circumstances does a quality improvement collaborative build knowledge and skills in clinicians working with people with dementia? A realist informed process evaluation

Simple item page
dc.contributor.authorde la Perrelle, L.
dc.contributor.authorCations, M.
dc.contributor.authorBarbery, G.
dc.contributor.authorRadisic, G.
dc.contributor.authorKaambwa, B.
dc.contributor.authorCrotty, M.
dc.contributor.authorFitzgerald, J.A.
dc.contributor.authorKurrle, S.
dc.contributor.authorCameron, I.
dc.contributor.authorWhitehead, C.
dc.contributor.authorThompson, J.
dc.contributor.authorLaver, K.
dc.date.issued2021
dc.description.abstractIn increasingly constrained health and aged care services, strategies are needed to improve quality and translate evidence into practice. In dementia care, recent failures in quality and safety have led the WHO to prioritise the translation of known evidence into practice. While quality improvement collaboratives have been widely used in healthcare, there are few examples in dementia care. We describe a recent quality improvement collaborative to improve dementia care across Australia and assess the implementation outcomes of acceptability and feasibility of this strategy to translate known evidence into practice. A realist-informed process evaluation was used to analyse how, why and under what circumstances a quality improvement collaborative built knowledge and skills in clinicians working in dementia care. This realist-informed process evaluation developed, tested and refined the programme theory of a quality improvement collaborative. Data were collected pre-intervention and post-intervention using surveys and interviews with participants (n=28). A combined inductive and deductive data analysis process integrated three frameworks to examine the context and mechanisms of knowledge and skill building in participant clinicians. A refined program theory showed how and why clinicians built knowledge and skills in quality improvement in dementia care. Six mechanisms were identified: motivation, accountability, identity, collective learning, credibility and reflective practice. These mechanisms, in combination, operated to overcome constraints, role boundaries and pessimism about improved practice in dementia care. A quality improvement collaborative designed for clinicians in different contexts and roles was acceptable and feasible in building knowledge, skills and confidence of clinicians to improve dementia care. Supportive reflective practice and a credible, flexible and collaborative process optimised quality improvement knowledge and skills in clinicians working with people with dementia.
dc.description.statementofresponsibilityLenore de la Perrelle, Monica Cations, Gaery Barbery, Gorjana Radisic, Billingsley Kaambwa, Maria Crotty, Janna Anneke Fitzgerald, Susan Kurrle, Ian Cameron, Craig Whitehead, Jane Thompson, Kate Laver
dc.identifier.citationBMJ Open Quality, 2021; 10(2):e001147-1-e001147-13
dc.identifier.doi10.1136/bmjoq-2020-001147
dc.identifier.issn2399-6641
dc.identifier.issn2399-6641
dc.identifier.urihttps://hdl.handle.net/2440/135418
dc.language.isoen
dc.publisherBMJ Publishing Group
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT9100000
dc.rights© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
dc.source.urihttps://doi.org/10.1136/bmjoq-2020-001147
dc.subjectHumans
dc.subjectDementia
dc.subjectMotivation
dc.subjectAged
dc.subjectDelivery of Health Care
dc.subjectQuality Improvement
dc.subjectSurveys and Questionnaires
dc.subject.meshHumans
dc.subject.meshDementia
dc.subject.meshMotivation
dc.subject.meshAged
dc.subject.meshDelivery of Health Care
dc.subject.meshQuality Improvement
dc.subject.meshSurveys and Questionnaires
dc.titleHow, why and under what circumstances does a quality improvement collaborative build knowledge and skills in clinicians working with people with dementia? A realist informed process evaluation
dc.typeJournal article
pubs.publication-statusPublished

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
hdl_135418.pdf
Size:
400.33 KB
Format:
Adobe Portable Document Format
Description:
Published version
Download

Collections

Psychology publications