Learning From Excellence in a Hospital Unit
- Conditions
- ResiliencePatient SafetyLearningQuality ImprovementHealth Personnel
- Registration Number
- NCT05794490
- Lead Sponsor
- University Hospital, Akershus
- Brief Summary
This study is based on the implementation of the method named "Learning-from-excellence", see methodology www.learningfromexcellence.com.
The project is a longitudinal cohort study based on data from both qualitative and quantitative data, presented in two different research articles, one qualitative and one quantitative, using :
* an electronic hosptal staff survey on "work-engagement, team collaboration, patient safety climate, and working conditions" before and after implementing Learning from Excellence.
* focus group interviews to explore experiences with the method of Learning from excellence from the view of healthcare professionals.
- Detailed Description
One measure to improve patient safety, is to focus on improvements based on learning from errors (Safety-I). However, it is advocated that learning also should be based on situations where work goes well (Safety-II). Learning from Excellence (LfE) is an English initiative to learn from what works well and provide positive feedback to staff to increase resilience. LfE was implemented in a unit of a South-eastern Norwegian hospital trust between November 2022 and May 2023, using readily available resources from www.learningfromexcellence.com.
The qualitative data will be derived from five semi-structured focus group interviews, with nurses, physicians and change team representants. A descriptive design will be applied, and the data will be analysed using a more deductive, reflexive thematic analysis. Data from the focus group interviews will be taped on a recorder and stored at a secured computerised research place at Akershus University Hospital.
The gained knowledge from the focus group interviews in this study may provide in-depth knowledge on healthcare professionals' experiences in the novel field of learning from excellence, regarding the outcomes: learning, quality improvement work and resilience and culture in the workplace.
The quantitative part consist of aggregated data reports derived from the annual Norwegian hospital survey, which is a measure to explore connections between working environment, patient safety and Health-Environment-Safety in Norwegian hospitals, with a 5-point Likert response scale. From this report we derive answers from 20 questions, submittet before (March 2021 and 2022) and after (March 2023 and 2024), regarding the themes: Work engagement (n= 6), Team-collaboration (n=5) Patient safety climate (n=6) Working conditions (n=3). Thus, the study uses a longitudinal quasi-experimental pre-post intervention design, with a non-equivalent comparison unit.
The gained knowledge from the surveys may provide information if and how the method of Learning from excellence method impact the perceived:
* patient safety climate
* work engagement
* team-collaboration
* working conditions
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 24
Not provided
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Qualitative: Focus group interviews 6 months after implementation of Learning from Excellence, i.e., May 2023 Health care professionals´ experiences of learning from excellence in a hospital unit
- Secondary Outcome Measures
Name Time Method Quantitative: Survey from the nurses unit From March 2021 to March 2024 Aggregated data from the annual Norwegian hospital survey, which is a measure to explore connections between working environment, patient safety and Health-Environment-Safety in Norwegian hospitals
Trial Locations
- Locations (1)
Akershus University Hospital
🇳🇴Lørenskog, Viken, Norway