The Library

Introducing service improvement to the initial training of clinical staff

Tools

Johnson, N. (Neil), Penny, Jean, Robinson, Dilys, Cooke, Matthew, MB ChB, Fowler-Davis, Sally, Janes, Gillian and Lister, Sue. (2010) Introducing service improvement to the initial training of clinical staff. Quality and Safety in Health Care, Vol.19 (No.3). pp. 205-207. ISSN 1475-3898

PDF
WRAP_Cooke_2007_024984_johnson_-_revised_2_(2).pdf - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Download (120Kb)

Official URL: http://dx.doi.org/10.1136/qshc.2007.024984

Abstract

It is well recognised in healthcare settings that clinical staff have a major influence over change in how services are provided. If a culture of systematic service improvement is to be established it is essential that clinical staff have an understanding of what is required and their role in its application. This paper describes the development of short educational interventions (a module of 6-8 contact hours or a longer module of 18-30 hours) for inclusion in the initial training of future clinical staff (nursing, medicine, physiotherapy, occupational therapy, dietetics, social work, operating department practice, public health and clinical psychology) and presents the results of an evaluation of their introduction. Each module included teaching on process/systems thinking, initiating and sustaining change, personal and organisational development, and public and patient involvement. Over 90% of students considered the modules relevant to their career. Nearly 90% of students felt that they could put their learning into practice although the actual rate of implementation of changes during the pilot period was much lower. The barriers to implementation most commonly cited were blocks presented by existing staff, lack of time, and lack of status of students within the workforce. This pilot demonstrates that short educational interventions focused on service improvement are valued by students and that those completing them feel ready to contribute. Nevertheless the rate of translation into practice is low. Whilst this may reflect the status of students in the health service, further research is needed to understand how this might be enhanced.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School > Institute of Clinical Education (ICE) Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Medical care -- Quality control, Medical education -- Great Britain, Medical personnel -- Study and teaching, Medical personnel -- In-service training -- Great Britain
Journal or Publication Title:	Quality and Safety in Health Care
Publisher:	BMJ Group
ISSN:	1475-3898
Date:	8 June 2010
Volume:	Vol.19
Number:	No.3
Page Range:	pp. 205-207
Identification Number:	10.1136/qshc.2007.024984
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	NHS Institute for Innovation and Improvement (Great Britain) (NHSIII)
References:	1. Tomson CRV, Berwick DM. What can the UK learn from the USA about improving the quality and safety of healthcare? Clinical Medicine 2006;6(6):551-8. 2. Berwick DM, Leape LL. Reducing errors in medicine.[see comment]. BMJ 1999;319(7203):136-7. 3. Berwick DM. A primer on leading the improvement of systems. BMJ 1996;312(7031):619-622. 4. Bate P, Robert G, Bevan H. The next phase of healthcare improvement: what can we learn from social movements? Quality & Safety in Health Care 2004;13(1):62-6. 5. Silvester K, Lendon R, Bevan H, Steyn R, Walley P. Reducing waiting times in the NHS: is lack of capacity the problem? Clinician in Management 2004;12(3):105-9. 6. Clarke CL, Reed J, Wainwright D, McClelland S, Swallow V, Harden J, et al. The discipline of improvement: something old, something new? Journal of Nursing Management 2004;12(2):85-96. 7. Amalberti R, Auroy Y, Berwick D, Barach P. Improving patient care. Five system barriers to achieving ultrasafe health care. Annals of Internal Medicine 2005;142:756-764. 8. National Curriculum for Clinical Systems Improvement. Coventry: University of Warwick, 2007. 9. Department of Health. Delivering the NHS Improvement Plan: the workforce contribution. London.: Department of Health, 2004:8. 10. Kirkpatrick DI. Evaluation of training. . In: Craig R, Bittel I, editors. Training and development handbook. New York: McGraw Hill, 1967. 11. Jorm C, Kam P. Does medical culture limit doctors' adoption of quality improvement? : lessons from Camelot. Journal of Health Services Research and Policy 2004;9:248-251. 12. Degeling PJ, Hill M, Kennedy J. Change implications of clinical governance. Clinician in Management 1999;8:220-226.
URI:	http://wrap.warwick.ac.uk/id/eprint/3165