One step on the QI journey: team perspectives on surveys for improvement.

Background: Surveys are widely used in healthcare to gather knowledge and information about services provided. There is a recognised gap between survey findings and their impact on practice, particularly for standardised surveys conducted at the national or organisational level. Findings are more likely to be acted on where there is a culture and infrastructure supportive of quality improvement (QI), but little is known about the experiences of local QI teams designing and using surveys in practice.

Objective: To understand the experiences of QI teams designing and using surveys within a national QI collaborative, including perceived value and challenges.

Methods: Using an interactive research approach, 14 semistructured interviews were conducted with members of the Cystic Fibrosis Lung Transplant Transition Learning and Leadership Collaborative. Data were analysed through multiple rounds of coding and inductive thematic analysis.

Results: Collaborative participants viewed surveys positively as an improvement tool. The design and use of surveys was a team-based effort, embedded within the structure of the collaborative. Surveys illuminated local, microsystem and mesosystem data and provided patient and staff insights. As one step in the QI journey, surveys helped shape the direction of local QI work, resulting in positive changes in areas such as working relationships, patient interactions, staff education and work processes.Challenges experienced included: response rates and survey design, inability to act on findings, issues of sensitivity and anonymity, expertise to design surveys, time requirements, and survey fatigue.

Conclusions: Surveys played a crucial role in driving QI efforts, leading to impactful changes in practice. Used within a supportive collaborative context, surveys became an essential tool for ongoing learning and improvement, highlighting the distinct needs of surveys used in QI compared with research.