Location of Repository

Introducing service improvement to the initial training of clinical staff

By N. (Neil) Johnson, Jean Penny, Dilys Robinson, Matthew (Professor of clinical systems design) Cooke, Sally Fowler-Davis, Gillian Janes and Sue Lister

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.\ud 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.\ud 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.\ud 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

Topics: R1
Publisher: BMJ Group
Year: 2010
OAI identifier: oai:wrap.warwick.ac.uk:3165

Suggested articles

Preview

Citations

  1. A primer on leading the improvement of systems. doi
  2. (1999). Change implications of clinical governance.
  3. Does medical culture limit doctors' adoption of quality improvement? : lessons from Camelot. doi
  4. (1967). Evaluation of training.
  5. (2004). Health. Delivering the NHS Improvement Plan: the workforce contribution. London.: Department of Health,
  6. Improving patient care. Five system barriers to achieving ultrasafe health care. doi
  7. Reducing errors in medicine.[see comment]. doi
  8. (2004). Reducing waiting times in the NHS: is lack of capacity the problem? Clinician in Management
  9. The discipline of improvement: something old, something new? doi
  10. The next phase of healthcare improvement: what can we learn from social movements? doi
  11. What can the UK learn from the USA about improving the quality and safety of healthcare? doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.