INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE最新文献

{"title":"Improving pediatric experience of pain during vaccinations: a quality improvement project.","authors":"Terri MacDougall,&nbsp;Shawna Cunningham,&nbsp;Leeann Whitney,&nbsp;Monakshi Sawhney","doi":"10.1108/IJHCQA-07-2018-0185","DOIUrl":"https://doi.org/10.1108/IJHCQA-07-2018-0185","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to share lessons learned from a quality improvement (QI) project that studied pediatric pain assessment scores after implementing additional evidence-based pain mitigation strategies into practice. Most nurses will acknowledge they implement some practices to mitigate pain during injections. Addressing pain during vaccination is important to prevent needle fear, vaccine hesitancy and health care avoidance. The aim of this project was to reduce pain as evidenced by pain scores at the time of vaccination at the North Bay Nurse Practitioner-Led Clinic (NBNPLC).</p><p><strong>Design/methodology/approach: </strong>The design for this study was quasi-experimental utilizing descriptive statistics and QI tools. The NBNPLC utilized the model for improvement to test change ideas. A validated observation tool to assess pain during vaccination with the pediatric population (revised Face Legs Activity Cry and Consolability) was used to test changes. The team deliberately planned improvements according to best practice guidelines to optimize use of strategies to mitigate pain during injections. QI tools and leadership skills were utilized to improve the pediatric experience of pain during vaccinations. Parents and clinicians provided qualitative and quantitative feedback to the project.</p><p><strong>Findings: </strong>Nurses tested pain assessment tools and agreed to use a validated tool to assess pain during vaccinations. Parents agreed to use of topical anesthetic during vaccinations. Improved pain scores during vaccinations were demonstrated with the use of topical anesthetic. Parents agreed to use of standardized sucrose solution during vaccination. Reduced pain scores were observed with the use of standardized sucrose water. To sustain implementation of the guideline, a nursing documentation form was devised with nurses agreeing to ongoing use of the form.</p><p><strong>Research limitations/implications: </strong>This is a QI project that examined the intricacies of moving clinical practice guidelines into clinical practice. The project validates guidelines for pain management during vaccinations. Leaders within clinics who want to improve pediatric pain during vaccinations will find this paper helpful as a guide.</p><p><strong>Practical implications: </strong>Pain management in the pediatric population will be touched on in the context of parental expectations of pain. QI tools, lessons learned and suggestions for nurses will be outlined. Leadership plays an influential role in translating practice guidelines into practice.</p><p><strong>Originality/value: </strong>This paper outlines how organizational supports were instrumental to give clinicians time to deliberately challenge practice to improve quality of care of children during vaccinations.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 6","pages":"1034-1040"},"PeriodicalIF":1.5,"publicationDate":"2019-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-07-2018-0185","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37403427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing staff and patients' length of stay.","authors":"Ioannis Moisoglou,&nbsp;Petros Galanis,&nbsp;Evangelia Meimeti,&nbsp;Angeliki Dreliozi,&nbsp;Petros Kolovos,&nbsp;Panagiotis Prezerakos","doi":"10.1108/IJHCQA-09-2018-0215","DOIUrl":"https://doi.org/10.1108/IJHCQA-09-2018-0215","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to investigate the effect of nurse staffing, nurse education and work experience on patients' length of stay (LOS) in the Greek public hospitals.</p><p><strong>Design/methodology/approach: </strong>A cross-sectional study, with retrospective administrative data, was implemented. From all seven Regional Health Authorities of Greece, 25 general surgical units in 17 public hospitals participated in the study.</p><p><strong>Findings: </strong>All over the hospitals were studied, 32,287 patients ⩾17 years old and 203 nursing staff, who were working in the study units, were included in the analysis. According to the multivariate linear regression model, increased years of experience as a nurse (<i>b</i>= -0.04, 95% CI= -0.06 to -0.02, <i>p</i>=0.001) and increased percentage of registered nurse to the total nursing staff (<i>b</i>= -1.18, CI= -1.88 to -0.47, <i>p</i>=0.03) were associated with decreased patient LOS.</p><p><strong>Originality/value: </strong>This was the first extended study in Greece, which explored the relationship between nurse staffing, nurse education, work experience and the LOS. The role that nurse staffing play together with its characteristics in the provision toward the quality healthcare services has already been recognized worldwide. The findings revealed the great shortage of nursing staff and the significant correlation between the work experience and educational level to patients' LOS.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 6","pages":"1004-1012"},"PeriodicalIF":1.5,"publicationDate":"2019-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-09-2018-0215","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37403423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating power styles and behavioural compliance for effective hospital administration.","authors":"Anjali Pathania,&nbsp;Gowhar Rasool","doi":"10.1108/IJHCQA-02-2018-0059","DOIUrl":"https://doi.org/10.1108/IJHCQA-02-2018-0059","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The purpose of this paper is to examine the use of power tactics by hospital administrators in order to gain employee compliance. It attempts to understand the influence of power bases of hospital administrators on the employee compliance using an analytic hierarchy process (AHP) technique.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design/methodology/approach: &lt;/strong&gt;The study adopted a mixed method technique and was conducted in two phases. In the first phase, qualitative analysis was carried out through content analysis of the anecdotes collected from the employees working in tertiary hospitals. Content analysis of responses aided in obtaining a list of criteria and sub-criteria affecting employee behavioural compliance. In the second phase, quantitative analysis was carried out using the AHP technique. While applying AHP, the issue pertaining to employee behavioural compliance with hospital's policies, procedures and related instructions was formulated in form of a hierarchy of one objective, two criteria, six sub-criteria and five alternatives established through literature review and content analysis. Furthermore, the subject matter experts were asked to conduct pairwise comparison wherein priority rankings were achieved.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;The results indicated that reward power (25 per cent) is the most significant power style exercised by effective hospital administrators in achieving employee behavioural compliance followed by expert (24 per cent), referent (22 per cent) and legitimate powers (17 per cent). As coercive (12 per cent) came out to be the least preferred power style, it should be cautiously exercised by hospital administrators in the present day scenario.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research limitations/implications: &lt;/strong&gt;The major limitation of this study is that the sample was drawn only from three tertiary hospitals in Jammu district that limits the generalizability of the findings in all the hospital settings across different regions. No attempt is made in this study to understand the variations with regard to demographics of the respondents that can be taken as a future research study. This study is cross-sectional in nature and provides the perspective of specific time. A longitudinal study could further provide insights into different time variations and the comparison and henceforth can be more comprehensive, thus supporting the generalizability of this study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Practical implications: &lt;/strong&gt;The study empirically identifies the relative importance of exercising power styles in order to gain employee behavioural compliance. The study helps in understanding the complex problem of behavioural compliance in hospital setting by examining the intensity of each factor affecting employee behavioural compliance. This knowledge is very critical in effective hospital management and getting the work done. The priority rankings obtained for power styles can be used for developing selection batteries and perf","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 6","pages":"958-977"},"PeriodicalIF":1.5,"publicationDate":"2019-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-02-2018-0059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37403425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Japanese surgical resource utilization in 2016.","authors":"Yoshinori Nakata,&nbsp;Yuichi Watanabe,&nbsp;Hiroto Narimatsu,&nbsp;Tatsuya Yoshimura,&nbsp;Hiroshi Otake,&nbsp;Tomohiro Sawa","doi":"10.1108/IJHCQA-07-2018-0170","DOIUrl":"https://doi.org/10.1108/IJHCQA-07-2018-0170","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to examine from the viewpoint of resource utilization the Japanese surgical payment system which was revised in April 2016.</p><p><strong>Design/methodology/approach: </strong>The authors collected data from surgical records in the Teikyo University electronic medical record system from April 1 till September 30, 2016. The authors defined the decision-making unit as a surgeon with the highest academic rank in the surgery. Inputs were defined as the number of medical doctors who assisted surgery, and the time of operation from skin incision to closure. An output was defined as the surgical fee. The authors calculated each surgeon's efficiency score using output-oriented Charnes-Cooper-Rhodes model of data envelopment analysis. The authors compared the efficiency scores of each surgical specialty using the Kruskal-Wallis and the Steel method.</p><p><strong>Findings: </strong>The authors analyzed 2,558 surgical procedures performed by 109 surgeons. The difference in efficiency scores was significant (<i>p</i> = 0.000). The efficiency score of neurosurgery was significantly greater than obstetrics and gynecology, general surgery, orthopedics, emergency surgery, urology, otolaryngology and plastic surgery (<i>p</i><0.05).</p><p><strong>Originality/value: </strong>The authors demonstrated that the surgeons' efficiency was significantly different among their specialties. This suggests that the Japanese surgical reimbursement scales fail to reflect resource utilization despite the revision in 2016.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 6","pages":"1013-1021"},"PeriodicalIF":1.5,"publicationDate":"2019-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-07-2018-0170","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37139262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survey of isolation room equipment and resources in an academic hospital.","authors":"Brittany Telford,&nbsp;Ray Healy,&nbsp;Ellen Flynn,&nbsp;Emma Moore,&nbsp;Akshaya Ravi,&nbsp;Una Geary","doi":"10.1108/IJHCQA-10-2018-0254","DOIUrl":"https://doi.org/10.1108/IJHCQA-10-2018-0254","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper, a point prevalence study, is to quantify the incidence of isolation and identify the type of communicable diseases in isolation. The paper evaluates isolation precaution communication, availability of personal protective equipment (PPE) as well as other equipment necessary for maintaining isolation precautions.</p><p><strong>Design/methodology/approach: </strong>A standardised audit tool was developed in accordance with the National Standards for the Prevention and Control of Healthcare Associated Infections (May 2009). Data were collected from 14 March 2017 to 16 March 2017, through observation of occupied isolation rooms in an academic hospital in Dublin, Ireland. The data were subsequently used for additional analysis and discussion.</p><p><strong>Findings: </strong>In total, 14 per cent (125/869) of the total inpatient population was isolated at the time of the study. The most common isolation precaution was contact precautions (96.0 per cent). In all, 88 per cent of known contact precautions were due to multi-drug resistant organisms. Furthermore, 96 per cent of patients requiring isolation were isolated, 92.0 per cent of rooms had signage, 90.8 per cent had appropriate signs and 93.0 per cent of rooms had PPE available. Finally, 31 per cent of rooms had patient-dedicated and single-use equipment and 2.4 per cent had alcohol wipes available.</p><p><strong>Practical implications: </strong>The audit tool can be used to identify key areas of noncompliance associated with isolation and inform continuous improvement and education.</p><p><strong>Originality/value: </strong>Currently, the rate of isolation is unknown in Ireland and standard guidelines are not established for the evaluation of isolation rooms. This audit tool can be used as an assessment for isolation room compliance.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 6","pages":"991-1003"},"PeriodicalIF":1.5,"publicationDate":"2019-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-10-2018-0254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37403422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural empowerment and nurses' patient identification behaviors: a cross-sectional study.","authors":"Young Mee Kim,&nbsp;Se Young Kim","doi":"10.1108/IJHCQA-03-2018-0077","DOIUrl":"https://doi.org/10.1108/IJHCQA-03-2018-0077","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to identify the relationships between structural empowerment and patient identification behaviors of nurses.</p><p><strong>Design/methodology/approach: </strong>The present study was a descriptive survey using a self-reported questionnaire, following a quality improvement project at a hospital in South Korea. The participants included 984 registered nurses, who administer medication and transfusions to patients in the hospital. Data were analyzed using the <i>t</i>-test, ANOVA, Scheffé's test, Pearson correlation coefficients and multiple regression analysis.</p><p><strong>Findings: </strong>The patient identification behaviors of nurses were significantly correlated with opportunity, support, information, resources, formal power and informal power of structural empowerment. The support, information and informal power of structural empowerment, as well as the age and gender of the participants explained 10.7 percent of the variance in the patient identification behaviors of nurses.</p><p><strong>Research limitations/implications: </strong>The present study has some limitations. Although the data collected by the cross-sectional survey were analyzed, causal analysis could not have been conducted. Nursing managers can promote safety by creating a work environment that facilitates access to the support, information and resources needed for nurses to perform their duties effectively; providing opportunities for nurses to learn and develop professionally; acknowledging the achievements of nurses; and expanding their duties, so that nurses can demonstrate greater work flexibility. Future studies should investigate structural empowerment in multiple nursing organizations, and particularly the organizational characteristics that affect structural empowerment.</p><p><strong>Originality/value: </strong>The present study confirms that structural empowerment influences the patient identification behaviors of nurses.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 5","pages":"832-843"},"PeriodicalIF":1.5,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-03-2018-0077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37328568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploration of how domains of quality of care relate to overall care experience.","authors":"Ashley Jill Shepherd,&nbsp;Julie Cowie,&nbsp;Michelle Beattie","doi":"10.1108/IJHCQA-07-2018-0183","DOIUrl":"https://doi.org/10.1108/IJHCQA-07-2018-0183","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to determine the relative influence of the different domains of healthcare quality from the Care Experience Feedback Improvement Tool (CEFIT) and identify key predictors of healthcare quality from the patients' perspective. Measurement is necessary to determine whether the quality of healthcare is improving. The CEFIT was developed as a brief measure of patient experience. It is important to determine the relative influence of the different domains of healthcare quality to further clarify how the CEFIT can be used and identify key predictors of healthcare quality from the patients' perspective.</p><p><strong>Design/methodology/approach: </strong>In sum, 802 people with a healthcare experience during the previous 12 months were telephoned to complete the CEFIT questions and an additional 11-point global rating of patient experience. To estimate the influence of different domains of healthcare quality on patient overall ratings of quality of healthcare experience, the authors regressed the overall rating of patient experience with each component of quality (safety, effectiveness, timely, caring, enables system navigation and person-centred).</p><p><strong>Findings: </strong>The authors found that all of the domains of the CEFIT influenced patient experience ratings of healthcare quality. Specifically, results show the degree of influence, the impact of demographics and how high scores for overall rating of patient experience can be predicted.</p><p><strong>Originality/value: </strong>The findings suggest that all of the CEFIT domains are important in terms of capturing the wholeness of the patient experience of healthcare quality to direct local quality improvement.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 5","pages":"844-856"},"PeriodicalIF":1.5,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-07-2018-0183","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37328567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The legal, governance and ethical implications of involving service users and carers in research.","authors":"Virginia Minogue,&nbsp;Mary Cooke,&nbsp;Anne-Laure Donskoy,&nbsp;Penny Vicary","doi":"10.1108/IJHCQA-07-2017-0131","DOIUrl":"https://doi.org/10.1108/IJHCQA-07-2017-0131","url":null,"abstract":"<p><strong>Purpose: </strong>Service user and carer involvement in all aspects of the health and care research process, from co-applicant on funding applications to active engagement in a research study, is now a requirement for most research funders. However, as co-production increases and service users and carers take on more responsibilities, this involvement has legal, governance and ethical implications. The purpose of this paper is to raise awareness of the issues and consider potential solutions.</p><p><strong>Design/methodology/approach: </strong>Experiences of engagement as co-applicants in research funding applications, of involvement as research study team members, and as co-researchers were gathered from a range of service user and carer experts. Consultation and a workshop gathered further evidence from a range of stakeholders across the research management community.</p><p><strong>Findings: </strong>Service users and carers, who contribute to the research protocol and process, feel a strong sense of responsibility to ensure the high quality of a research study. However, they may be new to their roles, status and key responsibilities when acting as project team members, co-researchers or co-applicants engaging in funding applications. The responsibility of sponsors, grant holding organisations, funders and other members of the research community is to communicate with and support service users and carers in those roles. More needs to be done to understand the contractual, a legal and governance issues and responsibilities that are specific to service user and carer co-applicants, project team members and co-researchers, from both an organisational and individual service user and carer perspective.</p><p><strong>Practical implications: </strong>The implications of the findings are to raise awareness of the practical, legal and ethical issues arising from this type of involvement and the potential risks arising from lack of cohesion or understanding. The review also highlights the concerns and barriers service users and carers may find in becoming involved.</p><p><strong>Originality/value: </strong>The findings highlight a range of issues for research regulators, sponsors and investigators to consider to ensure service users and carers can fulfil their responsibilities and be supported in doing so.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 5","pages":"818-831"},"PeriodicalIF":1.5,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-07-2017-0131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37328571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience-based co-design to improve a pulmonary rehabilitation programme.","authors":"Sharon Williams,&nbsp;Alice M Turner,&nbsp;Helen Beadle","doi":"10.1108/IJHCQA-04-2018-0094","DOIUrl":"https://doi.org/10.1108/IJHCQA-04-2018-0094","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to investigate patient perspectives on attending pulmonary rehabilitation (PR). This qualitative case study identifies the benefits and challenges to attending PR and presents areas of improvements as recommended by patients.</p><p><strong>Design/methodology/approach: </strong>A qualitative case study of a UK case study based on a PR programme based on undertaking focus groups (<i>n</i>=3) and interviews (<i>n</i>=15) with current and former patients.</p><p><strong>Findings: </strong>The findings report patient perspectives of the challenges and benefits of attending a PR programme along with recommendations on how the service could be improved.</p><p><strong>Research limitations/implications: </strong>The authors focussed solely on a UK PR programme, so the findings might not be applicable to other countries if PR is organised and provided in a unique way or setting.</p><p><strong>Practical implications: </strong>This paper provides valuable insights to patient perspectives offrom patients attending PR programmes, which are useful to those running and designing these services.</p><p><strong>Originality/value: </strong>The findings identify the benefits and challenges for patients attending PR programmes and suggest areas where improvements can be made.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 5","pages":"778-787"},"PeriodicalIF":1.5,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-04-2018-0094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37331922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing organizational health literacy in a rural Missouri clinic: a qualitative case study.","authors":"Ricardo Wray,&nbsp;Nancy Weaver,&nbsp;Prajakta Adsul,&nbsp;Kanak Gautam,&nbsp;Keri Jupka,&nbsp;Stacie Zellin,&nbsp;Kathryn Goggins,&nbsp;Santosh Vijaykumar,&nbsp;Natasha Hansen,&nbsp;Rima Rudd","doi":"10.1108/IJHCQA-05-2018-0131","DOIUrl":"https://doi.org/10.1108/IJHCQA-05-2018-0131","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this paper is to evaluate a collaborative effort between a health care organization and academic institution to strengthen organizational health literacy.</p><p><strong>Design/methodology/approach: </strong>The intervention took place at a rural, federally qualified health clinic in Missouri between May 2009 and April 2011. Qualitative interviews of key informants were conducted before (<i>n</i>=35) and after (<i>n</i>=23) the intervention to examine program implementation and success in effecting organizational change.</p><p><strong>Findings: </strong>Intervention activities helped establish a comprehensive understanding of health literacy. The project achieved moderate, fundamental and sustainable organizational change. The program successfully integrated health literacy practices into clinic systems and garnered leadership and organizational commitment, helped the workforce improve interpersonal communication and embedded practices making health education materials more accessible.</p><p><strong>Originality/value: </strong>The study points to programmatic, conceptual and methodological challenges that must be addressed for organizations to improve health literacy practices, and suggests change management strategies to advance organizational health literacy.</p>","PeriodicalId":47455,"journal":{"name":"INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE","volume":"32 5","pages":"788-804"},"PeriodicalIF":1.5,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/IJHCQA-05-2018-0131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37328570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}