Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study
Objective Inspections and other forms of external assessment may contribute to positive changes in the health services, but the mechanisms of such change remain unclear. We did a study to explore how external inspections may foster clinical improvement in hospitals.Design Focus group study.Setting S...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/11/e041997.full |
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| author | Jan C Frich Einar Hovlid Gunnar Husabø Gunnar Tschudi Bondevik Inger Lise Teig |
| author_facet | Jan C Frich Einar Hovlid Gunnar Husabø Gunnar Tschudi Bondevik Inger Lise Teig |
| author_sort | Jan C Frich |
| collection | DOAJ |
| description | Objective Inspections and other forms of external assessment may contribute to positive changes in the health services, but the mechanisms of such change remain unclear. We did a study to explore how external inspections may foster clinical improvement in hospitals.Design Focus group study.Setting Statutory inspections of sepsis treatment in hospital emergency departments in Norway.Participants Clinicians, managers and inspection teams involved with the inspections of sepsis treatment in emergency departments at four different hospitals. Twelve focus group interviews were carried out, with a total of 47 participants.Results Three themes emerged as central for understanding how the inspections could contribute to clinical improvement in the emergency departments: (1) increasing awareness about the need to improve the quality of care by providing data on clinical performance, (2) building acceptance for improvement through professional credibility and focus on clinical practice, and (3) fostering leadership commitment.Conclusion Our findings suggest that the inspections have the potential to enhance hospital management and staff’s understanding of complicated care processes and help strengthen the organisational commitment to bring about systemic quality improvements. |
| format | Article |
| id | doaj-art-84cafeee04aa4c979f22ddb7435e7ddb |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-84cafeee04aa4c979f22ddb7435e7ddb2025-08-20T02:32:49ZengBMJ Publishing GroupBMJ Open2044-60552020-11-01101110.1136/bmjopen-2020-041997Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group studyJan C Frich0Einar Hovlid1Gunnar Husabø2Gunnar Tschudi Bondevik3Inger Lise Teig4Diakonhjemmet Hospital, Oslo, NorwayDepartment of Global Public Health and Primary Care, Universitetet i Bergen, Bergen, NorwayDepartment of Social Science, Western Norway University of Applied Sciences, Sogndal, NorwayDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, NorwayDepartment of Global Public Health and Primary Care, Universitetet i Bergen, Bergen, NorwayObjective Inspections and other forms of external assessment may contribute to positive changes in the health services, but the mechanisms of such change remain unclear. We did a study to explore how external inspections may foster clinical improvement in hospitals.Design Focus group study.Setting Statutory inspections of sepsis treatment in hospital emergency departments in Norway.Participants Clinicians, managers and inspection teams involved with the inspections of sepsis treatment in emergency departments at four different hospitals. Twelve focus group interviews were carried out, with a total of 47 participants.Results Three themes emerged as central for understanding how the inspections could contribute to clinical improvement in the emergency departments: (1) increasing awareness about the need to improve the quality of care by providing data on clinical performance, (2) building acceptance for improvement through professional credibility and focus on clinical practice, and (3) fostering leadership commitment.Conclusion Our findings suggest that the inspections have the potential to enhance hospital management and staff’s understanding of complicated care processes and help strengthen the organisational commitment to bring about systemic quality improvements.https://bmjopen.bmj.com/content/10/11/e041997.full |
| spellingShingle | Jan C Frich Einar Hovlid Gunnar Husabø Gunnar Tschudi Bondevik Inger Lise Teig Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study BMJ Open |
| title | Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study |
| title_full | Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study |
| title_fullStr | Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study |
| title_full_unstemmed | Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study |
| title_short | Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study |
| title_sort | promoting leadership and quality improvement through external inspections of management of sepsis in norwegian hospitals a focus group study |
| url | https://bmjopen.bmj.com/content/10/11/e041997.full |
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