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Sinfras > Diet > Determining the skills needed by frontline NHS staff to deliver quality improvement
Diet

Determining the skills needed by frontline NHS staff to deliver quality improvement

Loknath Das
Last updated: 2021/11/22 at 8:40 AM
By Loknath Das 2 Min Read
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A framework of nurses' responsibilities for quality healthcare —  Exploration of content validity - ScienceDirect

Contents
AbstractBackgroundStudy designResultsConclusion

Abstract

Background

Previous studies have detailed the technical, learning and soft skills healthcare staff deploy to deliver quality improvement (QI). However, research has mainly focused on management and leadership skills, overlooking the skills frontline staff use to improve care. Our research explored which skills mattered to frontline health practitioners delivering QI projects.

Study design

We used a theory-driven approach, informed by communities of practice, knowledge-inpractice-in-context and positive deviance theory. We used case studies to examine skill use in three pseudonymised English hospital Trusts, selected on the basis of Care Quality Commission rating. Seventy-three senior staff orientation interviews led to the selection of two QI projects at each site. Snowball sampling obtained a maximally varied range of 87 staff with whom we held 122 semistructured interviews at different stages of QI delivery, analysed thematically.

Results

Six overarching ’Socio-Organisational Functional and Facilitative Tasks’ (SOFFTs) were deployed by frontline staff. Several of these had to be enacted to address challenges faced. The SOFFTs included: (1) adopting and promulgating the appropriate organisational environment; (2) managing the QI rollercoaster; (3) getting the problem right; (4) getting the right message to the right people; (5) enabling learning to occur; and (6) contextualising experience. Each task had its own inherent skills.

Conclusion

Our case studies provide a nuanced understanding of the skills used by healthcare staff. While technical skills are important, the ability to judge when and how to use wider skills was paramount. The provision of QI training and fidelity to the improvement programme may be less of a priority than the deployment of SOFFT skills used to overcome barriers. QI projects will fail if such skills and resources are not accessed.

[“source=health.org”]

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TAGGED: by, Deliver, Determining, frontline, improvement, needed, NHS, Quality, skills, Staff, the, to
Loknath Das November 22, 2021
By Loknath Das
I am a blogger with the main motive of writing articles at my choice of level. I do love to write articles and keep my website updated regularly , if you love my article then be sure to share with your friends as they would love to read my article...
Previous Article Generation and persistence of S1 IgG and neutralizing antibodies in post-COVID-19 patients
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