Strategies for implementing Sustainability in Quality Improvement (SusQI) education: educator perspectives

The climate and ecological emergencies represent a significant threat to health, and yet healthcare is a major contributor to environmental degradation. Sustainability in Quality Improvement (SusQI) is a framework that enables healthcare professionals to improve how good health is achieved and healt...

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Main Authors: Kathleen Leedham-Green, Ayoma Ratnappuli, Frances Mortimer, Alice Clack, Victoria Stanford, Siobhan Parslow-Williams
Format: Article
Language:English
Published: BMJ Publishing Group 2025-06-01
Series:BMJ Open Quality
Online Access:https://bmjopenquality.bmj.com/content/14/2/e003055.full
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author Kathleen Leedham-Green
Ayoma Ratnappuli
Frances Mortimer
Alice Clack
Victoria Stanford
Siobhan Parslow-Williams
author_facet Kathleen Leedham-Green
Ayoma Ratnappuli
Frances Mortimer
Alice Clack
Victoria Stanford
Siobhan Parslow-Williams
author_sort Kathleen Leedham-Green
collection DOAJ
description The climate and ecological emergencies represent a significant threat to health, and yet healthcare is a major contributor to environmental degradation. Sustainability in Quality Improvement (SusQI) is a framework that enables healthcare professionals to improve how good health is achieved and healthcare delivered in line with social, economic and environmental sustainability goals. SusQI education provides healthcare learners with the knowledge and practical skills for sustainable clinical transformation.We interviewed 11 SusQI course leads at 10 educational sites in the UK and Ireland, exploring educator perspectives on how SusQI can be successfully implemented in diverse health educational contexts. Our aim was to identify what works, in which contexts and why. We thematically analysed the interviews and tabulated case study details.We identified four interlinked themes: choosing SusQI, getting it into the curriculum, making it work and embedding it. Each of these stages was influenced by factors related to the educators themselves, their students and their institution, as well as specific educational or curricular factors. The most successful implementations demonstrated synergistic benefits for both learners and institutions, engendering self-sustaining communities of practice.Strong institutional commitment, distributed expertise and opportunities for supported project work emerge as key success factors. Together, these fostered self-sustaining virtuous cycles of stakeholder engagement, transformative educational impacts and progress towards sustainable clinical practice.
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spelling doaj-art-a3c60f187fc54a4492016ff33a0062302025-08-20T03:09:57ZengBMJ Publishing GroupBMJ Open Quality2399-66412025-06-0114210.1136/bmjoq-2024-003055Strategies for implementing Sustainability in Quality Improvement (SusQI) education: educator perspectivesKathleen Leedham-Green0Ayoma Ratnappuli1Frances Mortimer2Alice Clack3Victoria Stanford4Siobhan Parslow-Williams5Centre for Sustainable Healthcare, Oxford, UKCentre for Sustainable Healthcare, Oxford, UKCentre for Sustainable Healthcare, Oxford, UKCentre for Sustainable Healthcare, Oxford, UKCentre for Sustainable Healthcare, Oxford, UKCentre for Sustainable Healthcare, Oxford, UKThe climate and ecological emergencies represent a significant threat to health, and yet healthcare is a major contributor to environmental degradation. Sustainability in Quality Improvement (SusQI) is a framework that enables healthcare professionals to improve how good health is achieved and healthcare delivered in line with social, economic and environmental sustainability goals. SusQI education provides healthcare learners with the knowledge and practical skills for sustainable clinical transformation.We interviewed 11 SusQI course leads at 10 educational sites in the UK and Ireland, exploring educator perspectives on how SusQI can be successfully implemented in diverse health educational contexts. Our aim was to identify what works, in which contexts and why. We thematically analysed the interviews and tabulated case study details.We identified four interlinked themes: choosing SusQI, getting it into the curriculum, making it work and embedding it. Each of these stages was influenced by factors related to the educators themselves, their students and their institution, as well as specific educational or curricular factors. The most successful implementations demonstrated synergistic benefits for both learners and institutions, engendering self-sustaining communities of practice.Strong institutional commitment, distributed expertise and opportunities for supported project work emerge as key success factors. Together, these fostered self-sustaining virtuous cycles of stakeholder engagement, transformative educational impacts and progress towards sustainable clinical practice.https://bmjopenquality.bmj.com/content/14/2/e003055.full
spellingShingle Kathleen Leedham-Green
Ayoma Ratnappuli
Frances Mortimer
Alice Clack
Victoria Stanford
Siobhan Parslow-Williams
Strategies for implementing Sustainability in Quality Improvement (SusQI) education: educator perspectives
BMJ Open Quality
title Strategies for implementing Sustainability in Quality Improvement (SusQI) education: educator perspectives
title_full Strategies for implementing Sustainability in Quality Improvement (SusQI) education: educator perspectives
title_fullStr Strategies for implementing Sustainability in Quality Improvement (SusQI) education: educator perspectives
title_full_unstemmed Strategies for implementing Sustainability in Quality Improvement (SusQI) education: educator perspectives
title_short Strategies for implementing Sustainability in Quality Improvement (SusQI) education: educator perspectives
title_sort strategies for implementing sustainability in quality improvement susqi education educator perspectives
url https://bmjopenquality.bmj.com/content/14/2/e003055.full
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