A Model for Cultivating a Culture of Continuous Learning and Improvement: An Ethnographic Report
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
The importance of culture is often emphasized for continuous learning and quality improvement within health care organizations. Limited empirical evidence for cultivating a culture that supports continuous learning and quality improvement in health care settings is currently available. The purpose of this report is to characterize the evolution of a large division of physical therapists and occupational therapists in a pediatric hospital setting from 2005 to 2018 to identify key facilitators and barriers for cultivating a culture empowered to engage in continuous learning and improvement. An ethnographic methodology was used including participant observation, document review, and stakeholder interviews to acquire a deep understanding and develop a theoretical model to depict insights gained from the investigation. A variety of individual, social, and structural enablers and motivators emerged as key influences toward a culture empowered to support continuous learning and improvement. Features of the system that helped create sustainable, positive momentum (e.g., systems thinking, leaders with grit, and mindful design) and factors that hindered momentum (e.g., system uncertainty, staff turnover, slow barrier resolution, and competing priorities) were also identified. Individual-level, social-level, and structural-level elements all influenced the culture that emerged over a 12-year period. Several cultural catalysts and deterrents emerged as factors that supported and hindered progress and sustainability of the emergent culture. Cultivating a culture of continuous learning and improvement is possible. Purposeful consideration of the proposed model and identified factors from this report may yield important insights to advance understanding of how to cultivate a culture that facilitates continuous learning and improvement within a health care setting.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A Model for Cultivating a Culture of Continuous Learning and Improvement: An Ethnographic Report
- Date Crossref
- 24/10/2019
- Éditeur
- Emerald Publishing Limited
- Type
- book-chapter
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Cincinnati Children's Hospital Medical Center bProfessor pays non établi dans la noticeÉtablissement de santé
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Nationwide Children's Hospital pays non établi dans la noticeÉtablissement de santé
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The Ohio State University aAssistant Professor pays non établi dans la noticeUniversité ou école supérieure
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Center for Children pays non établi dans la noticeOrganisation à but non lucratif
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cClinical Program Manager pays non établi dans la noticeÉtablissement de santé
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dClinical Manager Inpatient Services pays non établi dans la noticeÉtablissement de santé
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fCincinnati Children’s Department of Human Resources pays non établi dans la noticeInstitution
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gSenior Clinical Director pays non établi dans la noticeÉtablissement de santé
bProfessor — Cincinnati Children's Hospital Medical Center, Nationwide Children's Hospital et aAssistant Professor — The Ohio State University, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.