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dc.contributor.authorde la Perrelle, Lenore
dc.contributor.authorCations, Monica
dc.contributor.authorBarbery, Gaery
dc.contributor.authorRadisic, Gorjana
dc.contributor.authorKaambwa, Billingsley
dc.contributor.authorCrotty, Maria
dc.contributor.authorFitzgerald, Janna Anneke
dc.contributor.authorKurrle, Susan
dc.contributor.authorCameron, Ian
dc.contributor.authorWhitehead, Craig
dc.contributor.authorThompson, Jane
dc.contributor.authorLaver, Kate
dc.date.accessioned2021-05-25T02:07:35Z
dc.date.available2021-05-25T02:07:35Z
dc.date.issued2021
dc.identifier.issn2399-6641
dc.identifier.doi10.1136/bmjoq-2020-001147
dc.identifier.urihttp://hdl.handle.net/10072/404646
dc.description.abstractIn increasingly constrained health and aged care services, strategies are needed to improve quality and translate evidence into practice. In dementia care, recent failures in quality and safety have led the WHO to prioritise the translation of known evidence into practice. While quality improvement collaboratives have been widely used in healthcare, there are few examples in dementia care.We describe a recent quality improvement collaborative to improve dementia care across Australia and assess the implementation outcomes of acceptability and feasibility of this strategy to translate known evidence into practice. A realist-informed process evaluation was used to analyse how, why and under what circumstances a quality improvement collaborative built knowledge and skills in clinicians working in dementia care.This realist-informed process evaluation developed, tested and refined the programme theory of a quality improvement collaborative. Data were collected pre-intervention and post-intervention using surveys and interviews with participants (n=28). A combined inductive and deductive data analysis process integrated three frameworks to examine the context and mechanisms of knowledge and skill building in participant clinicians.A refined program theory showed how and why clinicians built knowledge and skills in quality improvement in dementia care. Six mechanisms were identified: motivation, accountability, identity, collective learning, credibility and reflective practice. These mechanisms, in combination, operated to overcome constraints, role boundaries and pessimism about improved practice in dementia care.A quality improvement collaborative designed for clinicians in different contexts and roles was acceptable and feasible in building knowledge, skills and confidence of clinicians to improve dementia care. Supportive reflective practice and a credible, flexible and collaborative process optimised quality improvement knowledge and skills in clinicians working with people with dementia.Trial registration numberACTRN12618000268246.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherBMJ
dc.relation.ispartofpagefrome001147
dc.relation.ispartofissue2
dc.relation.ispartofjournalBMJ Open Quality
dc.relation.ispartofvolume10
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode52
dc.subject.keywordsbreakthrough groups
dc.subject.keywordscollaborative
dc.subject.keywordsdementia
dc.subject.keywordsevaluation methodology
dc.subject.keywordshealthcare quality improvement
dc.titleHow, why and under what circumstances does a quality improvement collaborative build knowledge and skills in clinicians working with people with dementia? A realist informed process evaluation
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationde la Perrelle, L; Cations, M; Barbery, G; Radisic, G; Kaambwa, B; Crotty, M; Fitzgerald, JA; Kurrle, S; Cameron, I; Whitehead, C; Thompson, J; Laver, K, How, why and under what circumstances does a quality improvement collaborative build knowledge and skills in clinicians working with people with dementia? A realist informed process evaluation, BMJ Open Quality, 2021, 10 (2), pp. e001147
dcterms.dateAccepted2021-05-02
dcterms.licensehttps://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated2021-05-25T01:59:39Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© Author(s) (or their employer(s)) 2021. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorBarbery, Gaery J.


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