The content of the quality improvement work: influencing learning climate, resource adequacy and workload
(English)Manuscript (preprint) (Other academic)
Despite the popularity of Quality Improvement Collaboratives, the evidence of their positive impact is limited. However, awareness of the mechanisms underlying such interventional efforts, as well as of their outcomes, is crucial for HRD professionals. Thus, the general purpose of this study was to examine the relation between process and outcome by addressing two specific aims. The first aim was to explore the content of the quality improvement work and, the second aim was to examine how the content chosen influences employees’ psychosocial work environment. A mixed-methods design was used in this study, including observations and written documentation of the quality improvement work and questionnaires, distributed on two occasions, to136 nursing assistants. Results showed that (1) the content of the quality improvement work differed both in nature and flexibility, even though the same method was used, (2) the perceived learning climate, workload, and resource adequacy were influenced differently by the different contents chosen. This study offers insights into understanding the complexity around such interventions – which might be powerful in some situations and less appropriate in others. Choosing the right method and assuring that the method is implemented is not enough to guarantee the success of the quality improvement work. It is of vital importance that employees have achievable targets in relation to the resources available. Quality improvement should not be achieved at the expense of employees’ psychosocial work environment; otherwise, the improvement process may become counterproductive.
quality improvement collaboratives, mixed-methods, content, learning climate, workload, resource adequacy, elderly care
Research subject Psychology
IdentifiersURN: urn:nbn:se:umu:diva-68029OAI: oai:DiVA.org:umu-68029DiVA: diva2:615508
ProjectsLärande och kunskap i äldreomsorgen