scholarly journals Paradigmatic perspective for a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (2) ◽  
pp. 89 ◽  
Author(s):  
Hans Justus Amukugo ◽  
Julia Paul Nangombe
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Social Services ◽  
Health Professionals ◽  
Training Programme ◽  
Health Care Facilities ◽  
Ministry Of Health ◽  
Quality Health Care ◽  
Health And Social Services ◽  
Quality Health

This article focuses on the paradigmatic perspective facilitate the development of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia. The study of this nature requires a paradigmatic perspective; this is a collection of logically linked concepts and propositions that provide a theoretical perspective or orientation that tends to guide the research approach to a specific. Assumptions are useful in directing research decisions during the research process.The study adopted a constructivism and interpretivism approach, since it involved understand the current situation of quality health care/service delivery at health care facilities, and explore and describe the of the health professionals; experiences at the health care facilities. The study was based on the specific information that was accepted as true, as obtained from those lived the experiences of challenges and constraints of providing quality health care at the health care facilities.The paradigm perspectives in this study include Meta – theoretical assumption which consisted ontological, epistemological, axiological, methodological and rhetorical assumptions. Theoretical basis of the study includes Dickoff (1968), Practice Oriented Theory; Programme development by Meyer and Van Niekerk; Kolb’s Theory of experiential learning; Demining’s model of quality improvement, Quality improvement policy of the Ministry of Health and Social Services (MoHSS) and Centre for Diseases control (CDC) framework for programme education.

scholarly journals Development of the conceptual framework for a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 46
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Quality Improvement ◽  
Conceptual Framework ◽  
Social Services ◽  
Health Professionals ◽  
Care Delivery ◽  
Training Programme ◽  
Health Facilities ◽  
Ministry Of Health ◽  
Quality Health Care ◽  
Health And Social Services

This article describe the process followed by the researcher in the development of the conceptual framework for a quality improvement training programme for health professionals in the Ministry of Health and Social Services in Namibia. The conceptual framework of this study was based on the Practice Orientated Theory of Dickoff (1968) that assisted with explaining the concepts used in developing the quality improvement training programme for health professionals at the health facilities. Dickoff’ s (1968) practice orientated theory consists of the agent, recipients, context, procedure, dynamics, and the terminus. In this study, the agent was a quality specialist, the recipients were health professionals, the context was the health facilities, the dynamics were challenges that health professionals were experiencing; the procedure was the training programme, while the terminus was knowledgeable and skillful health professionals in quality health care delivery.

scholarly journals Guidelines for implantation of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 54
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Social Services ◽  
Health Professionals ◽  
Care Delivery ◽  
Training Programme ◽  
Health Care Facilities ◽  
Successful Implementation ◽  
Quality Health Care ◽  
Care Facilities

This paper is focuses on the description of the guidelines for implantation of a quality improvement training programme for health professionals. The formulation of the guidelines also borrowed the CDC (2001) steps and UNFPA phases of developing the guidelines for successful implementation of the training programme at the health care facilities in the MoHSS. The facilitator(s) and implementers of the training programme are advised to first understand the background and the development process of the training programme for successful implementation. These guidelines have been developed to assist quality manager(s) and facilitator(s) with the implementation of the quality improvement training programme for health professionals at the health care facilities (MoHSS).The guidelines enhance consistency in steps and methods to be followed during the implementation of the programme. The guidelines were derived from the conceptual framework that was developed during the exploratory and situation analysis of quality health care delivery at the health care facilities. Two prominent theories were adapted in developing these guidelines. Firstly, Deming’s PDSA model of quality improvement and secondly, Kolb’s experiential learning theory. These theories were used to understand the teaching and learning styles. The guidelines outlined the process, activities, and elements required to implement the such programme.

scholarly journals Description of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 66
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Quality Improvement ◽  
Conceptual Framework ◽  
Social Services ◽  
Health Professionals ◽  
Training Programme ◽  
Research Process ◽  
Educational Programme ◽  
Successful Implementation ◽  
Ministry Of Health ◽  
Health And Social Services

The aim of this paper is to describe the quality improvement training programme for health professionals in the Ministry of Health and Social Services in Namibia. The Practice Oriented Theory of Dickoff (1968) was used as practical guidelines to develop the conceptual framework. This framework was employed during the research and the educational programme development process. During the research process, the agent was the researcher; recipients (Managers/leadership and health professionals); the context (MoHSS head office and healthcare facilities); dynamics (findings for objective one and two); Procedure (research process) and terminus (foundations for development of educational programme). For the educational programme developing process, agent (quality specialist), recipients (health professional), context (health facilities), procedure (training programme for health professionals), dynamics, (challenges hampering successful implementation of the programme) and the terminus (knowledge, skills and abilities acquired through the training programme). During the development of the quality improvement training programme, two main theories were adapted. The most prominent one was a model by Meyer and Van Niekerk (2008), which was adapted to guide the process of developing the training programme. Kolb’s experiential learning theory was used to explain the learning process and styles of developing knowledge through experiences.The content of the training programme was derived from five main themes, 17 sub-themes and the conceptual framework based on the situation analysis about challenges faced by the health care facilities. The five themes were lack of implementation of policies and guidelines; inadequate resources; lack of interpersonal relationships; inadequate understanding of quality assurance and quality improvement; and inadequate research to provide evidence-based information during treatment and patient care.The educational programme consisted of the purpose / aim, objectives, structure / design, facilitation process, implementation process, and evaluation of the programme.

scholarly journals Strengthening Capacities of Ward Development Committees to Promote Health in Nigeria: A Case Study of Osun State

2021 ◽  
Vol 9 (3) ◽  
pp. 149-158
Author(s):  
Helen U. Ekpo
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Services ◽  
Capacity Building ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Quality Health Care ◽  
Roles And Responsibilities ◽  
Quality Health ◽  
Quality Health Services

Unsatisfactory health indices characterize Osun State Nigeria Primary Health Care facilities and poor operational conditions. Residents patronize private health facilities with attendant payment of huge out-of-pocket medical bills. Implementation of the Basic Health Care Provision Fund (BHCPF), a mechanism to increase access to quality health care for all its citizens initiated by the state government, commenced in 2018. The study sought to determine the extent to which capacity building/training of Ward development committees (WDC) in BHCPF supported PHCs has contributed to the provision of quality health services in the BHCPF supported facilities. The study was qualitative in design and used three focus group discussions held in three BHCPF implementing LGAs with thirty-five (27males, 8 females) consenting trained WDC members. Prior to the BHCPF training, the majority of the WDCs were not actively involved in the management of their PHCs, as political appointees and were unclear about their roles and responsibilities to the health facilities in their wards. After the training, most of the trained WDCs engaged with their PHC staff to debrief, review the quality improvement plans for their health facilities, identified immediate needs to address, approached influential people in the community, and mobilized local resources to address identified gaps. Electricity and water supply were restored in most of the facilities, hospital beds and basic equipment for were procured for PHCs, building, and equipping of the laboratory were completed. Building the capacity of the WDC on their roles and responsibilities strengthened them to contribute to the provision of quality health services in their communities. Keywords: Access, capacity building, quality improvement, Universal Health Coverage, Ward development committees.

scholarly journals Development for a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 40
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Professionals ◽  
Care Delivery ◽  
Medical Science ◽  
Training Programme ◽  
Health Care Facilities ◽  
Situational Analysis ◽  
Programme Development ◽  
Five Phases

The paper describes the steps followed in the development of a quality improvement training programme for health professionals. This was echoed by the facts that the health professionals are facing in their quest for quality health care delivery. In Namibia, most health care facilities have not been yielding good results in response to patients’ health care needs. Health care dynamics are complex and inundated with several factors; among others new methods, speed of improving medical science and technology, as well as increasing demands of the clients to address emerging and re-emerging diseases.In order to achieved that the five phases of programme development by Meyer and Van Niekerk (2008) were modified to facilitate the programme development. Quality improvement training for health professionals. Those five phases were situational analysis; conceptual framework; developing of the training programme; development of the guidelines for the implementation; and Evaluation of training programme.

scholarly journals Quality indicators of dental health care in Serbia

2019 ◽  
Vol 66 (1) ◽  
pp. 36-42
Author(s):  
Svetlana Jovanović ◽  
Maja Milošević ◽  
Irena Aleksić-Hajduković ◽  
Jelena Mandić
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health System ◽  
Quality Indicators ◽  
Health Care Quality ◽  
Care Quality ◽  
System Quality ◽  
Quality Health Care ◽  
Quality Health

Summary Health care has witnessed considerable progresses toward quality improvement over the past two decades. More precisely, there have been global efforts aimed to improve this aspect of health care along with experts and decision-makers reaching the consensus that quality is one of the most significant dimensions and features of health system. Quality health care implies highly efficient resource use in order to meet patient’s needs in terms of prevention and treatment. Quality health care is provided in a safe way while meeting patients’ expectations and avoiding unnecessary losses. The mission of continuous improvement in quality of care is to achieve safe and reliable health care through mutual efforts of all the key supporters of health system to protect patients’ interests. A systematic approach to measuring the process of care through quality indicators (QIs) poses the greatest challenge to continuous quality improvement in health care. Quality indicators are quantitative indicators used for monitoring and evaluating quality of patient care and treatment, continuous professional development (CPD), maintaining waiting lists, patients and staff satisfaction, and patient safety.

Quality 101: What Every Audiologist and Speech-Language Pathologist Should Know But Is Afraid to Ask

2011 ◽  
Vol 7 (1) ◽  
pp. 4-7
Author(s):  
Tamala S. Bradham
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Quality Management ◽  
The United States ◽  
Management Program ◽  
Market Place ◽  
Improvement Program ◽  
Quality Health Care ◽  
Speech Language Pathologist ◽  
Quality Health

The United States has the highest per capita health care costs of any industrialized nation in the world. Increasing costs are reducing access to care and constitute an increasingly heavy burden on employers and consumers. Yet as much as 20 to 30 percent of these costs may be unnecessary, or even counterproductive, to improved health (Wennberg, Brownless, Fisher, Skinner, & Weinstein, 2008). Addressing these unwanted costs is essential in the survival of providing quality health care. This article reviews 11 dimensions that should be considered when starting a quality improvement program as well as one quality improvement tool, the Juran model, that is commonly used in the healthcare and business settings. Implementing a quality management program is essential for survival in today’s market place and is no longer an option. While it takes time to implement a quality management program, the costs are too high not to.

Application of Quality Management in Promoting Patient Safety and Preventing Medical Errors

2017 ◽  
pp. 91-112
Author(s):  
Ali Mohammad Mosadeghrad ◽  
Abraha Woldemichael
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Quality Management ◽  
Medical Errors ◽  
Health Professionals ◽  
Quality Health Care ◽  
Near Misses ◽  
Management Framework ◽  
Quality Health ◽  
Health Institutions

The combination of healthcare professionals, processes and technologies bring significant benefits for patients. However, it also involves an inevitable risk of adverse events. Patients receiving health care in health institutions have the potential to experience some forms of medical errors. The word medical error commonly encompasses terms such as mistakes, near misses, active and latent errors. This signifies the complexity and multidimensional nature of the error. The consequences can be costly to the patients, the health professionals, the health care institutions, and the entire health care system. The costs may involve human, economic, and social aspects. Thus, ensuring quality health care can contribute to patients' safety by reducing potential medical errors in practice. This chapter aims to introduce a quality management framework for improving the quality and effectiveness of services, reducing medical errors and making the healthcare system safer for patients.

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