Swsan A M Elsharif, Elaf M H Abdelraheem, Hajar Saad Salih, Arwa Nasr, Mohamed Eltayeb Elnour, Reem A A Mohamedelmugadam, Zuhal Yahya Mohammed Omer, Reem Azmi A Yousif, Ayat Abdelbagi Ahmed Mohamed
{"title":"Improving healthcare quality in Sudan: situation and factors influencing healthcare professionals' engagement.","authors":"Swsan A M Elsharif, Elaf M H Abdelraheem, Hajar Saad Salih, Arwa Nasr, Mohamed Eltayeb Elnour, Reem A A Mohamedelmugadam, Zuhal Yahya Mohammed Omer, Reem Azmi A Yousif, Ayat Abdelbagi Ahmed Mohamed","doi":"10.1186/s12913-025-13481-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Quality improvement (QI) projects depend on the active involvement of healthcare professionals. However, their engagement remains suboptimal, specially in humanitarian settings such as Sudan. Our study aimed to describe healthcare professionals' engagement and to identify facilitators and barriers to conducting QI projects.</p><p><strong>Methods: </strong>An online-based cross-sectional survey was conducted in Sudan between July and November 2024 using convenience sampling. The survey was distributed to healthcare professionals through different social media platforms. Data were manually cleaned in Excel sheet and analysed using Statistical Package for the Social Sciences Version 20 (SPSS 20). Chi Square test, Mann Whitney U test and Kruskal Walis test were used to identify factors associated with experience and self-efficacy in QI.</p><p><strong>Results: </strong>A total of 1007 healthcare professionals were included in the study; the mean age was 27 ± 5 years, and the majority (67.9%) were females. Most of the participants (74.7%) were physicians, and (15.7%) were nurses. Only (18%) of participants reported that they have prior experience with QI projects. Older age, male gender and increased years of experience were found to be significantly associated with QI experience (p value < 0.05). Factors that influence self-efficacy in conducting QI projects were older age groups and increased years of experience, in addition to professional development opportunities such as formal training in QI, professional workshops in QI, and QI organisational membership. Barriers to conducting QI projects were lack of organisational support (59.1%), no access to QI content (48.6%), lack of time (39.8%), and lack of mentorship (31.5%).</p><p><strong>Conclusion: </strong>The study reveals low engagement of healthcare professionals in QI projects. Organisational support and professional development opportunities are essential to ensure effective healthcare professionals' engagement in QI projects, thereby enhancing the quality of care and ensuring favourable outcomes.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"25 1","pages":"1237"},"PeriodicalIF":3.0000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482710/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Health Services Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12913-025-13481-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Quality improvement (QI) projects depend on the active involvement of healthcare professionals. However, their engagement remains suboptimal, specially in humanitarian settings such as Sudan. Our study aimed to describe healthcare professionals' engagement and to identify facilitators and barriers to conducting QI projects.
Methods: An online-based cross-sectional survey was conducted in Sudan between July and November 2024 using convenience sampling. The survey was distributed to healthcare professionals through different social media platforms. Data were manually cleaned in Excel sheet and analysed using Statistical Package for the Social Sciences Version 20 (SPSS 20). Chi Square test, Mann Whitney U test and Kruskal Walis test were used to identify factors associated with experience and self-efficacy in QI.
Results: A total of 1007 healthcare professionals were included in the study; the mean age was 27 ± 5 years, and the majority (67.9%) were females. Most of the participants (74.7%) were physicians, and (15.7%) were nurses. Only (18%) of participants reported that they have prior experience with QI projects. Older age, male gender and increased years of experience were found to be significantly associated with QI experience (p value < 0.05). Factors that influence self-efficacy in conducting QI projects were older age groups and increased years of experience, in addition to professional development opportunities such as formal training in QI, professional workshops in QI, and QI organisational membership. Barriers to conducting QI projects were lack of organisational support (59.1%), no access to QI content (48.6%), lack of time (39.8%), and lack of mentorship (31.5%).
Conclusion: The study reveals low engagement of healthcare professionals in QI projects. Organisational support and professional development opportunities are essential to ensure effective healthcare professionals' engagement in QI projects, thereby enhancing the quality of care and ensuring favourable outcomes.
背景：质量改进（QI）项目依赖于医疗保健专业人员的积极参与。然而，他们的参与仍然不够理想，特别是在苏丹等人道主义环境中。我们的研究旨在描述医疗保健专业人员的参与情况，并确定实施QI项目的促进因素和障碍。方法：于2024年7月至11月在苏丹进行了一项基于在线的横断面调查，采用方便抽样。该调查通过不同的社交媒体平台分发给医疗保健专业人员。在Excel表格中手动清理数据，并使用Statistical Package for the Social Sciences Version 20 （SPSS 20）进行分析。采用卡方检验、Mann Whitney U检验和Kruskal Walis检验确定与经验和自我效能感有关的因素。结果：共纳入1007名医护人员；平均年龄27±5岁，以女性居多（67.9%）。其中医生占74.7%，护士占15.7%。只有（18%）的参与者报告说他们以前有过QI项目的经验。年龄较大、男性、工作经验年数增加与QI体验显著相关（p值）。结论：本研究揭示了医护人员对QI项目的低参与度。组织支持和专业发展机会对于确保医疗保健专业人员有效参与QI项目，从而提高护理质量和确保有利的结果至关重要。
期刊介绍：
BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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