A quality framework for health services developed through an inclusive approach

Hdl Handle:
http://hdl.handle.net/10147/559270
Title:
A quality framework for health services developed through an inclusive approach
Authors:
Markham, Trish; Butler, Michelle; McNamara, Martin
Affiliation:
Health Service Executive (HSE)
Publisher:
Journal of Nursing Education and Practice
Journal:
Journal of Nursing Education and Practice
Issue Date:
18-Mar-2015
URI:
http://hdl.handle.net/10147/559270
Item Type:
Article
Language:
en
Description:
Objective: This study set out to explore and define the concept of “quality” from the perspective of health service managers and health professionals in Ireland, and to develop a theory to inform the development of a quality framework for the Irish health system. Methods: Design: The study design was based on Strauss and Corbin’s (1990) grounded theory approach. This provided a method of social inquiry with the purpose of developing a theory through a systematic and rigorous approach to examine and advance emerging concepts. Setting and participants: Fifty health service managers and professionals employed by the Health Service Executive (HSE) in Ireland participated in this study. Interventions: In-depth interviews were used to explore with participants their experiences of quality in Irish health services, definitions of quality and the elements necessary for a quality framework. Main outcomes: This study produced a substantive theory that identified the need for a holistic approach to quality across three domains (the patient, workforce and organisation). Results: The quality framework comprises an integrated set of domains, values, approaches, processes and enablers. Across the domains, the approaches and processes provide the mechanisms to achieve quality. These are supported by values (that promote quality) and a set of enablers (which underpin the elements, providing the platform for change). Conclusions: The emergent theory provides the basis for a quality framework for health services for Ireland in the 21st Century. Unlike most extant quality frameworks, the framework was derived empirically through an inclusive approach with key care providers, supporting the relevance and potential utility of the framework.
Keywords:
HEALTH SERVICES AND THEIR MANAGEMENT; QUALITY ASSURANCE

Full metadata record

DC FieldValue Language
dc.contributor.authorMarkham, Trishen
dc.contributor.authorButler, Michelleen
dc.contributor.authorMcNamara, Martinen
dc.date.accessioned2015-07-08T16:00:37Zen
dc.date.available2015-07-08T16:00:37Zen
dc.date.issued2015-03-18en
dc.identifier.urihttp://hdl.handle.net/10147/559270en
dc.descriptionObjective: This study set out to explore and define the concept of “quality” from the perspective of health service managers and health professionals in Ireland, and to develop a theory to inform the development of a quality framework for the Irish health system. Methods: Design: The study design was based on Strauss and Corbin’s (1990) grounded theory approach. This provided a method of social inquiry with the purpose of developing a theory through a systematic and rigorous approach to examine and advance emerging concepts. Setting and participants: Fifty health service managers and professionals employed by the Health Service Executive (HSE) in Ireland participated in this study. Interventions: In-depth interviews were used to explore with participants their experiences of quality in Irish health services, definitions of quality and the elements necessary for a quality framework. Main outcomes: This study produced a substantive theory that identified the need for a holistic approach to quality across three domains (the patient, workforce and organisation). Results: The quality framework comprises an integrated set of domains, values, approaches, processes and enablers. Across the domains, the approaches and processes provide the mechanisms to achieve quality. These are supported by values (that promote quality) and a set of enablers (which underpin the elements, providing the platform for change). Conclusions: The emergent theory provides the basis for a quality framework for health services for Ireland in the 21st Century. Unlike most extant quality frameworks, the framework was derived empirically through an inclusive approach with key care providers, supporting the relevance and potential utility of the framework.en
dc.language.isoenen
dc.publisherJournal of Nursing Education and Practiceen
dc.subjectHEALTH SERVICES AND THEIR MANAGEMENTen
dc.subjectQUALITY ASSURANCEen
dc.titleA quality framework for health services developed through an inclusive approachen
dc.typeArticleen
dc.contributor.departmentHealth Service Executive (HSE)en
dc.identifier.journalJournal of Nursing Education and Practiceen
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