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- Title
Engaging health care professionals in quality improvement: A qualitative study exploring the synergies between projects of professionalisation and institutionalisation in quality improvement collaborative implementation in Denmark.
- Authors
Carstensen, Kathrine; Goldman, Joanne; Kjeldsen, Anne Mette; Lou, Stina; Nielsen, Camilla Palmhøj
- Abstract
Objective: To examine the projects of professionalisation and institutionalisation forming health care professions' engagement in quality improvement collaborative (QIC) implementation in Denmark, and to analyse the synergies and tensions between the two projects given the opportunities afforded by the QICs. Methods: This was a cross-sectional interview study with professionals involved in the implementation of two national QICs in Denmark involving 23 individual interviews and focus group discussions with 75 people representing different professional groups. We conducted a reflexive thematic analysis of the data, drawing on institutional contributions to organisational studies of professions. Results: Study participants engaged widely in QIC implementation. This engagement was formed by a constructive interplay between the professions' projects of professionalisation and institutionalisation, with only few tensions identified. The project of professionalisation relates to a self-oriented agenda of contributing professional expertise and promoting professional recognition and development, while the project of institutionalisation focuses on improving health care processes and outcomes and advancing quality improvement. Both projects were largely similar across professional groups. The interplay between the two projects was enabled by the bottom-up approach to implementation, participation of QI specialists, and a clear focus on developing and delivering high-quality patient care. Conclusions: Future strategies for QIC implementation should position QICs as a framework that promotes the integration of professions' projects of professionalisation and institutionalisation to successfully engage professionals in the implementation process, and thereby optimise the effectiveness of QICs in health care.
- Subjects
DENMARK; PROFESSIONALISM; CROSS-sectional method; PHYSICIAN engagement; INSTITUTIONAL care; INTERPROFESSIONAL relations; HUMAN services programs; QUALITATIVE research; FOCUS groups; OCCUPATIONAL achievement; MEDICAL quality control; STATISTICAL significance; RESEARCH funding; PATIENT care; DESCRIPTIVE statistics; THEMATIC analysis; ATTITUDES of medical personnel; MATHEMATICAL models; CONCEPTUAL structures; PROFESSIONAL employee training; QUALITY assurance; THEORY; DATA analysis software
- Publication
Journal of Health Services Research & Policy, 2024, Vol 29, Issue 3, p163
- ISSN
1355-8196
- Publication type
Article
- DOI
10.1177/13558196241231169