liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Progress of unit based quality improvement: An evaluation of a support strategy
Linköping University, Faculty of Health Sciences. Linköping University, Department of Welfare and Care (IVV), Science in Nursing.
Show others and affiliations
2002 (English)Article in journal (Refereed) Published
Abstract [en]

Objective: To evaluate a strategy for supporting nurses to work with quality improvement (QI). Design: Post-intervention evaluation. Study participants and intervention: 240 nurses participated in a uniformly designed 4 day basic training course in applying a model for QI. Of these, 156 nurses from over 50 healthcare institutions constituted the generic education (GE) group while 84 nurses from 42 neonatal units took part in a project to develop national guidelines, constituting the targeted intervention (TI) group. Method: Postal questionnaire 4 years after the training courses. Results: The response rate was 80% in the TI group and 64% in the GE group. Nurses in the TI group had a significantly higher rate in completing all phases of the QI cycle (p=O.O002). With no differences between the groups, 39% of ali nurses were still involved in QI work 4 years after the training courses. Three factors were significantly related to nurses continuing their involvement in QI projects: remaining employed on the same unit (OR 11.3), taking courses in nursing science (OR 4.1), and maintenance of the same QI model (OR 3.1). Reported motives for remaining active in QI work were the enhancement of knowledge, influence over clinical practice, and development as a nurse. Reasons for discontinuation were organisational restructuring, a lack of facilitation and knowledge, and change of workplace. Conclusions: Participation in a national guideline project, including a common focus for improvement, facilitation and opportunities for networking, seems to have enhanced the ability to carry out the process of QI, but not to sustain the QI work over a longer period.

Place, publisher, year, edition, pages
2002. Vol. 11, no 4, 308-314 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-28121Local ID: 12932OAI: diva2:248672
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2011-01-13

Open Access in DiVA

No full text

Search in DiVA

By author/editor
Wiklblad, Karin
By organisation
Faculty of Health SciencesScience in Nursing
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 17 hits
ReferencesLink to record
Permanent link

Direct link