scholarly journals Exploration of contextual factors in a successful quality improvement collaborative in E nglish ambulance services: cross‐sectional survey

2015 ◽  
Vol 22 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Viet‐Hai Phung ◽  
Nadya Essam ◽  
Zahid Asghar ◽  
Anne Spaight ◽  
Aloysius N. Siriwardena
Keyword(s):  
Quality Improvement ◽  
Contextual Factors ◽  
Quality Improvement Collaborative ◽  
Cross Sectional Survey ◽  
Cross Sectional

Improvement of individual performance in the public sector

2017 ◽  
Vol 5 (3) ◽  
pp. 344-360 ◽  
Author(s):  
Raffaela Palma ◽  
Alessandro Hinna ◽  
Gianluigi Mangia
Keyword(s):  
Public Sector ◽  
Public Service ◽  
Structural Equation ◽  
Contextual Factors ◽  
Individual Performance ◽  
Equation Modeling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Reported Data

Purpose The purpose of this paper is to explore whether a pro-social motivation called user orientation (UO), which aims at helping specific others, may affect performance of public sector employees in addition to public service motivation (PSM), and whether any personal, and/or contextual factors affect this relationship (age, tenure, role, and context). Design/methodology/approach Utilizing cross-sectional survey data obtained from 618 Italian public teachers, PLS-structural equation modeling is used to investigate the relationship between PSM, UO, and performance, along with the moderating effects of individual/contextual factors. Findings Findings show positive relationships between the two levers (PSM/UO) and individual performance (IP), depending on job and organizational tenure, role, and the social environment of the areas the schools are located in. Research limitations/implications There might be problems related to causal inference and common method variance, due to the use of the cross-sectional self-reported data. Practical implications Managers should be aware of the crucial role UO and PSM play in order to improve IP in contexts where there is direct contact with the service beneficiaries. Originality/value The paper contributes to a clearer understanding of which motives are involved in the process that leads public service employees to enhance their performance.

Development of quantitative model to investigate the strategic relationship between information quality and e-government benefits

2015 ◽  
Vol 9 (3) ◽  
pp. 324-351 ◽  
Author(s):  
Hussain Alenezi ◽  
Ali Tarhini ◽  
Sujeet Kumar Sharma
Keyword(s):  
Quality Improvement ◽  
Conceptual Model ◽  
Information Quality ◽  
Stepwise Multiple Regression ◽  
Quantitative Methodology ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
And Performance ◽  
Government Benefits

Purpose – This paper aims to investigate the relationship between improvements in information quality and the benefits and performance of e-government organizations. As information quality is multi-dimensional measure, it is very crucial to determine what aspects of it are critical to organizations to help them to devise effective information quality improvement strategies. These strategies are potentially capable of changing government organizational structures and business processes. It examines the nature, direction and strength of the connections between information quality and the success of e-government initiatives. A conceptual model by means of which organizations performance and information quality research can be viewed is proposed and validated in Kuwait. Design/methodology/approach – The study used a quantitative methodology to investigate the causal paths. A cross-sectional survey was completed by 268 employees positioned in the Kuwait Government ministries. Each of the main effect hypotheses was analyzed using stepwise multiple regression with stepwise selection. Findings – It was found that the relationships between information quality and strategic benefits along with institutional value were in upright agreement. Our statistical analysis highlighted that improvement in different aspects of information quality can lead to a better organizational image. Specifically, usability and usefulness attributes of information quality came on the top of the key influencers on both strategic benefits and institutional value. Originality/value – This is the first study which adequately covers the relationships between information quality and organizations performance in Kuwait. Based on our evaluation, the authors propose a conceptual model to assist in studying the effects of information quality improvement on e-government benefits and performance.

scholarly journals Supporting the Implementation of Connected Care Technologies in the Veterans Health Administration: Cross-Sectional Survey Findings from the Veterans Engagement with Technology Collaborative (VET-C) Cohort

10.2196/21214 ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. e21214
Author(s):  
Bella Etingen ◽  
Daniel J Amante ◽  
Rachael N Martinez ◽  
Bridget M Smith ◽  
Stephanie L Shimada ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Veterans Health Administration ◽  
Advanced Degree ◽  
Patient Portal ◽  
Veterans Health ◽  
Health Administration ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Clinical Records

Background Widespread adoption, use, and integration of patient-facing technologies into the workflow of health care systems has been slow, thus limiting the realization of their potential. A growing body of work has focused on how best to promote adoption and use of these technologies and measure their impacts on processes of care and outcomes. This body of work currently suffers from limitations (eg, cross-sectional analyses, limited patient-generated data linked with clinical records) and would benefit from institutional infrastructure to enhance available data and integrate the voice of the patient into implementation and evaluation efforts. Objective The Veterans Health Administration (VHA) has launched an initiative called the Veterans Engagement with Technology Collaborative cohort to directly address these challenges. This paper reports the process by which the cohort was developed and describes the baseline data being collected from cohort members. The overarching goal of the Veterans Engagement with Technology Collaborative cohort is to directly engage veterans in the evaluation of new VHA patient-facing technologies and in so doing, to create new infrastructure to support related quality improvement and evaluation activities. Methods Inclusion criteria for veterans to be eligible for membership in the cohort included being an active user of VHA health care services, having a mobile phone, and being an established user of existing VHA patient-facing technologies as represented by use of the secure messaging feature of VHA’s patient portal. Between 2017 and 2018, we recruited veterans who met these criteria and administered a survey to them over the telephone. Results The majority of participants (N=2727) were male (2268/2727, 83.2%), White (2226/2727, 81.6%), living in their own apartment or house (2519/2696, 93.4%), and had completed some college (1176/2701, 43.5%) or an advanced degree (1178/2701, 43.6%). Cohort members were 59.9 years old, on average. The majority self-reported their health status as being good (1055/2725, 38.7%) or very good (524/2725, 19.2%). Most cohort members owned a personal computer (2609/2725, 95.7%), tablet computer (1616/2716, 59.5%), and/or smartphone (2438/2722, 89.6%). Conclusions The Veterans Engagement with Technology Collaborative cohort is an example of a VHA learning health care system initiative designed to support the data-driven implementation of patient-facing technologies into practice and measurement of their impacts. With this initiative, VHA is building capacity for future, rapid, rigorous evaluation and quality improvement efforts to enhance understanding of the adoption, use, and impact of patient-facing technologies.

scholarly journals Relationship Between Internationalization and Eco-Innovation Strategies: a Brazilian chemical industry study

2019 ◽  
Vol 17 (46) ◽  
pp. 6-24
Author(s):  
Marlete Beatriz Maçaneiro ◽  
Patrícia Stafusa Sala Battisti ◽  
Débora Andrea Liessem Vigorena ◽  
Pedro José Steiner Neto ◽  
Sieglinde Kindl da Cunha
Keyword(s):  
Manufacturing Sector ◽  
Contextual Factors ◽  
Top Management ◽  
Environmental Standards ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
General Terms ◽  
Industry Study ◽  
Innovation Strategies ◽  
Reputation Effects

This study investigates the association of contextual factors with the adoption of eco-innovation strategies, comparing groups of internationalized and not internationalized companies. It also analyzes the average values of the adoption of these contextual factors and eco-innovation strategies in these two groups of companies. Research methodology follows a quantitative approach, being performed a cross-sectional survey in 124 Brazilian companies of chemicals manufacturing sector. Main results of the analysis showed better association between the contextual factors of support from top management, technological competence, environmental standards and proactive eco-innovation strategies, concerning not internationalized companies. Results also reveal that internationalized companies do not differ from those not internationalized, regarding the adoption of environmental regulatory factors, reputation effects, support from top management, reactive strategies and proactive strategies. In general terms, this outcome may indicate that the surveyed companies have been concerned about eco-innovation, regardless of the scope of their market.

scholarly journals Organisational context of hospitals that participated in a multi-site mentored medication reconciliation quality improvement project (MARQUIS2): a cross-sectional observational study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e030834
Author(s):  
Deonni P Stolldorf ◽  
Jeffrey L Schnipper ◽  
Amanda S Mixon ◽  
Mary Dietrich ◽  
Sunil Kripalani
Keyword(s):  
Quality Improvement ◽  
Medication Reconciliation ◽  
Contextual Factors ◽  
Team Cohesion ◽  
Cross Sectional ◽  
Team Members ◽  
Implementation Team ◽  
Organisational Capacity ◽  
Leadership Support ◽  
Hospital Characteristics

ObjectivesMedication reconciliation (MedRec) is an important patient safety strategy and is widespread in US hospitals and globally. Nevertheless, high quality MedRec has been difficult to implement. As part of a larger study investigating MedRec interventions, we evaluated and compared organisational contextual factors and team cohesion by hospital characteristics and implementation team members’ profession to better understand the environmental context and its correlates during a multi-site quality improvement (QI) initiative.DesignWe conducted a cross-sectional observational study using a web survey (contextual factors) and a national hospital database (hospital characteristics).SettingHospitals participating in the second Multi-Centre Medication Reconciliation Quality Improvement Study (MARQUIS2).ParticipantsImplementation team members of 18 participating MARQUIS2 hospitals.OutcomesPrimary outcome: contextual factor ratings (ie, organisational capacity, leadership support, goal alignment, staff involvement, patient safety climate and team cohesion). Secondary outcome: differences in contextual factors by hospital characteristics.ResultsFifty-five team members from the 18 participating hospitals completed the survey. Ratings of contextual factors differed significantly by domain (p<0.001), with organisational capacity scoring the lowest (mean=4.0 out of 7.0) and perceived team cohesion and goal alignment scoring the highest (mean~6.0 out of 7.0). No statistically significant differences were observed in contextual factors by hospital characteristics (p>0.05). Respondents in the pharmacy profession gave lower ratings of leadership support than did those in the nursing or other professions group (p=0.01).ConclusionsHospital size, type and location did not drive differences in contextual factors, suggesting that tailoring MedRec QI implementation to hospital characteristics may not be necessary. Strong team cohesion suggests the use of interdisciplinary teams does not detract from cohesion when conducting mentored QI projects. Organisational leaders should particularly focus on supporting pharmacy services and addressing their concerns during MedRec QI initiatives. Future research should correlate contextual factors with implementation success to inform how best to prepare sites to implement complex QI interventions such as MedRec.

scholarly journals Development and testing of the Stakeholder Quality Improvement Perspectives Survey (SQuIPS)

2021 ◽  
Vol 10 (4) ◽  
pp. e001332
Author(s):  
Eric Fris ◽  
Emily Sedlock ◽  
Jason Etchegaray ◽  
Madelene J Ottosen ◽  
Ronald Pucio ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Quality Improvement ◽  
Neonatal Intensive Care ◽  
Stakeholder Perceptions ◽  
Team Leaders ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stakeholder Perspectives ◽  
Unplanned Extubations ◽  
Survey Responses

BackgroundTo create a theory-informed survey that quality improvement (QI) teams can use to understand stakeholder perceptions of an intervention.MethodWe created the survey then performed a cross-sectional survey of QI stakeholders of three QI projects. The projects sought to: (1) reduce unplanned extubations in a neonatal intensive care unit; (2) maintain normothermia during colorectal surgery and (3) reduce specimen processing errors for ambulatory gastroenterology procedures. We report frequencies of responses to survey items, results of exploratory factor analysis, and how QI team leaders used the results.ResultsOverall we received surveys from 319 out of 386 eligible stakeholders (83% response rate, range for the three QI projects 57%–86%). The QI teams found that the survey results confirmed existing concerns (eg, the intervention would not make work easier) and revealed unforeseen concerns such as lack of consensus about the overall purpose of the intervention and its importance. The results of our factor analysis indicate that one 7-item scale (Cronbach’s alpha 0.9) can efficiently measure important aspects of stakeholder perceptions, and that two additional Likert-type items could add valuable information for leaders. Two QI team leaders made changes to their project based on survey responses that indicated the intervention made stakeholders’ jobs harder, and that there was no consensus about the purpose of the intervention.ConclusionsThe Stakeholder Quality Improvement Perspectives Survey was feasible for QI teams to use, and identified stakeholder perspectives about QI interventions that leaders used to alter their QI interventions to potentially increase the likelihood of stakeholder acceptance of the intervention.

scholarly journals ATTITUDE AND PREFERENCE OF REHAB SCIENCES STUDENTS ON PATIENT SAFETY AND QUALITY IMPROVEMENT EDUCATION

2021 ◽  
Vol 10 (1) ◽  
pp. 47-52
Author(s):  
Iqra Rani
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Occupational Therapy ◽  
Current Knowledge ◽  
Sampling Technique ◽  
Undergraduate Curriculum ◽  
Undergraduate Medical Students ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Good Communication

BACKGROUND AND AIMS Patient safety has been neglected in the rehabilitation as per many of the studies, there is a surge demand to get acquainted with the knowledge of patient safety for quality and reliable care. This study aimed to explore the attitude and preferences of rehab sciences students about patient safety and quality improvement education to overcome the gaps in practice regarding patient safety. METHODOLOGY A cross-sectional survey was conducted on undergraduate medical students of physical and occupational therapy, on convenience sampling technique. Data was collected through WhatsApp and e-mail on self-administered questionnaire formulated on google document, based on attitude and preferences of patient safety and quality improvement education. RESULTS A total number of 134 responses received out of which 56.7% were occupational therapy (OT) and rest physical therapy (PT) student. 67.9% OT and 79.9% PT have rated their current knowledge of patient safety and quality improvement as an average. Moreover, students believe that 97.8% good communication, 98.5% patient participation and motivation and 96.3%multidisciplinary teamwork plays a vital role in reducing risk of error. Consecutively, 95.5% of students encourage the safety measurement and quality practice should be an objective of undergraduate curriculum. CONCLUSION The curriculum must include objectives that introduce clinical guidelines to devise a standardized protocol for safety and quality work concepts in order to reduce the risk of errors in practicing and promote patient safety. Patient, Rehab Sciences, Healthcare, Safety, Quality, Education, risk

Does Being a Visible Minority Matter? Predictors of Internationally Educated Nurses’ Workplace Integration

2020 ◽  
pp. 084456212093979
Author(s):  
Christine L. Covell ◽  
Shamel Rolle Sands
Keyword(s):  
Contextual Factors ◽  
Visible Minority ◽  
Minority Status ◽  
Internationally Educated Nurses ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Managerial Support ◽  
Visible Minorities ◽  
Nurses Perceptions ◽  
The Individual

Study Background Nurses continue to migrate to Canada. Majority are visible minorities. Once employed, internationally educated nurses can struggle to integrate into their workplaces. A comprehensive understanding of factors that support internationally educated nurses’ workplace integration is lacking, limiting our ability to design appropriate policies and practices. Purpose The aim is to (1) examine internationally educated nurses’ perceptions of the extent to which they have integrated in their workplaces and the individual and contextual factors that supported their workplace integration, (2) explore whether internationally educated nurses’ perceptions differed by visible minority status, and (3) identify the key factors that predict internationally educated nurses’ workplace integration. Methods Cross-sectional survey of 1215 internationally educated nurses. All were immigrants, permanent residents, and employed as regulated nurses. Multiple linear regression was used to examine the influence of individual and contextual factors on perceived degree of workplace integration. Results Visible minority status had a large, statistically significant negative association with workplace integration ( ß = −0.236, p <  .001). Good relationships with coworkers ( ß =0.043, p <  .005), and continuing to develop nursing knowledge and skills ( ß =0.178, p <  .003), had statistically significant, positive associations with workplace integration. Conclusions Internationally educated nurses’ visible minority status can influence their workplaces. Providing education, managerial support, and mentorship fosters internationally educated nurses’ workplace integration.

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