Exploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during COVID-19

Abstract Background COVID-19 has impacted the context in which healthcare staff and teams operate and this has implications for quality improvement (QI) work. Contrary to the usual ambivalent relationship staff have with QI work, there have been examples of unprecedented staff engagement in implemen...

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Autores principales:	Zuneera Khurshid, Eilish McAuliffe, Aoife De Brún
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Quality Improvement QI COVID-19 Healthcare quality Qualitative research Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/69d5ac79c0354f8ab815bf20c0968216
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spelling	oai:doaj.org-article:69d5ac79c0354f8ab815bf20c09682162021-11-28T12:07:48ZExploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during COVID-1910.1186/s12913-021-07297-01472-6963https://doaj.org/article/69d5ac79c0354f8ab815bf20c09682162021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07297-0https://doaj.org/toc/1472-6963Abstract Background COVID-19 has impacted the context in which healthcare staff and teams operate and this has implications for quality improvement (QI) work. Contrary to the usual ambivalent relationship staff have with QI work, there have been examples of unprecedented staff engagement in implementing rapid changes during the pandemic indicating a change in important underlying factors that impact staff involvement in QI. The purpose of this study is to explore staff perspectives about how experience and skills of QI methods supported them in implementing innovative practices during COVID-19. Methods This is a qualitative narrative study based on narrative interviews to collect healthcare staff stories of implementing rapid change. The stories were identified through social media (Twitter) and a national health magazine issued by the Irish health service. Twenty staff members participated in the interviews. Interviews were audio recorded, transcribed, and anonymised. A four-step thematic analysis was conducted. Results The analysis revealed the transformational journey of healthcare staff from the initial shock and anxiety caused by COVID-19 to making sense of the situation, implementing rapid changes, and acknowledging COVID as a learning experience. Six themes were evident from the analysis: COVID anxiety and fear, emotional supports and coping mechanisms, person-centric changes, COVID as a ‘forcing function’ for change, a collective way of working and looking back and thinking ahead. Conclusions While most rapid changes during COVID-19 did not represent a systematic and explicit QI application, QI principles were evident throughout the stories and actions taken, including making small changes, testing changes, learning, reflecting as a team, and improving. Many staff members were able to retrospectively identify the relevance of QI principles. COVID-19 eliminated some traditional barriers to change leading to efficient solutions, thus highlighting a need to sustain these positive changes into routine practice to develop an adaptive healthcare system receptive to QI.Zuneera KhurshidEilish McAuliffeAoife De BrúnBMCarticleQuality ImprovementQICOVID-19Healthcare qualityQualitative researchPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Quality Improvement QI COVID-19 Healthcare quality Qualitative research Public aspects of medicine RA1-1270
spellingShingle	Quality Improvement QI COVID-19 Healthcare quality Qualitative research Public aspects of medicine RA1-1270 Zuneera Khurshid Eilish McAuliffe Aoife De Brún Exploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during COVID-19
description	Abstract Background COVID-19 has impacted the context in which healthcare staff and teams operate and this has implications for quality improvement (QI) work. Contrary to the usual ambivalent relationship staff have with QI work, there have been examples of unprecedented staff engagement in implementing rapid changes during the pandemic indicating a change in important underlying factors that impact staff involvement in QI. The purpose of this study is to explore staff perspectives about how experience and skills of QI methods supported them in implementing innovative practices during COVID-19. Methods This is a qualitative narrative study based on narrative interviews to collect healthcare staff stories of implementing rapid change. The stories were identified through social media (Twitter) and a national health magazine issued by the Irish health service. Twenty staff members participated in the interviews. Interviews were audio recorded, transcribed, and anonymised. A four-step thematic analysis was conducted. Results The analysis revealed the transformational journey of healthcare staff from the initial shock and anxiety caused by COVID-19 to making sense of the situation, implementing rapid changes, and acknowledging COVID as a learning experience. Six themes were evident from the analysis: COVID anxiety and fear, emotional supports and coping mechanisms, person-centric changes, COVID as a ‘forcing function’ for change, a collective way of working and looking back and thinking ahead. Conclusions While most rapid changes during COVID-19 did not represent a systematic and explicit QI application, QI principles were evident throughout the stories and actions taken, including making small changes, testing changes, learning, reflecting as a team, and improving. Many staff members were able to retrospectively identify the relevance of QI principles. COVID-19 eliminated some traditional barriers to change leading to efficient solutions, thus highlighting a need to sustain these positive changes into routine practice to develop an adaptive healthcare system receptive to QI.
format	article
author	Zuneera Khurshid Eilish McAuliffe Aoife De Brún
author_facet	Zuneera Khurshid Eilish McAuliffe Aoife De Brún
author_sort	Zuneera Khurshid
title	Exploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during COVID-19
title_short	Exploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during COVID-19
title_full	Exploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during COVID-19
title_fullStr	Exploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during COVID-19
title_full_unstemmed	Exploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during COVID-19
title_sort	exploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during covid-19
publisher	BMC
publishDate	2021
url	https://doaj.org/article/69d5ac79c0354f8ab815bf20c0968216
work_keys_str_mv	AT zuneerakhurshid exploringhealthcarestaffnarrativestounderstandtheroleofqualityimprovementmethodsininnovativepracticesduringcovid19 AT eilishmcauliffe exploringhealthcarestaffnarrativestounderstandtheroleofqualityimprovementmethodsininnovativepracticesduringcovid19 AT aoifedebrun exploringhealthcarestaffnarrativestounderstandtheroleofqualityimprovementmethodsininnovativepracticesduringcovid19
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Exploring healthcare staff narratives to understand the role of quality improvement methods in innovative practices during COVID-19

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