Factors influencing change in clinical practice: A qualitative evaluation of the implementation of the quality improvement in colonoscopy study

International Journal of Health Care Quality Assurance
Praveen T RajasekharSally Brown

Abstract

The quality improvement in colonoscopy study was a region wide service improvement study to improve adenoma detection rate at colonoscopy by implementing evidence into routine colonoscopy practice. Implementing evidence into clinical practice can be challenging. The purpose of this paper is to perform a qualitative interview study to evaluate factors that influenced implementation within the study. Semi-structured interviews were conducted with staff in endoscopy units taking part in the quality improvement in colonoscopy study, after study completion. Units and interviewees were purposefully sampled to ensure a range of experiences was represented. Interviews were conducted with 11 participants. Key themes influencing uptake of the quality improvement in colonoscopy evidence bundle included time, study promotion, training, engagement, positive outcomes and modifications. Areas within themes were increased awareness of quality in colonoscopy (QIC), emphasis on withdrawal time and empowerment of endoscopy nurses to encourage the use of quality measures were positive outcomes of the study. The simple, visible study posters were reported as useful in aiding study promotion. Feedback sessions improved engagement. Challenges include...Continue Reading

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Citations

Jun 9, 2017·Current Opinion in Gastroenterology·Megan A AdamsJohn I Allen
Jun 3, 2017·International Journal of Health Care Quality Assurance·Christian Gadolin, Thomas Andersson
Nov 12, 2018·Preventive Medicine·Mercedes Vanaclocha-EspiUNKNOWN CRIBEA Group

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