Evaluating a questionnaire to measure improvement initiatives in Swedish healthcare

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Evaluating a questionnaire to measure improvement initiatives in Swedish healthcare

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Publication Article, peer reviewed scientific
Title Evaluating a questionnaire to measure improvement initiatives in Swedish healthcare
Author(s) Andersson, Ann-Christine ; Elg, Mattias ; Perseius, Kent-Inge ; Idvall, Ewa
Date 2013
English abstract
Background: Quality improvement initiatives have expanded recently within the healthcare sector. Studies have shown that less than 40% of these initiatives are successful, indicating the need for an instrument that can measure the progress and results of quality improvement initiatives and answer questions about how quality initiatives are conducted. The aim of the present study was to develop and test an instrument to measure improvement process and outcome in Swedish healthcare. Methods: A questionnaire, founded on the Minnesota Innovation Survey (MIS), was developed in several steps. Items were merged and answer alternatives were revised. Employees participating in a county council improvement program received the web-based questionnaire. Data was analysed by descriptive statistics and correlation analysis. The questionnaire psychometric properties were investigated and an exploratory factor analysis was conducted. Results: The Swedish Improvement Measurement Questionnaire consists of 27 items. The Improvement Effectiveness Outcome dimension consists of three items and has a Cronbach’s alpha coefficient of 0.67. The Internal Improvement Processes dimension consists of eight sub-dimensions with a total of 24 items. Cronbach’s alpha coefficient for the complete dimension was 0.72. Three significant item correlations were found. A large involvement in the improvement initiative was shown and the majority of the respondents were satisfied with their work. Conclusions: The psychometric property tests suggest initial support for the questionnaire to study and evaluate quality improvement initiatives in Swedish healthcare settings. The overall satisfaction with the quality improvement initiative correlates positively to the awareness of individual responsibilities.
DOI http://dx.doi.org/10.1186/1472-6963-13-48 (link to publisher's fulltext)
Link http://www.biomedcentral.com/1472-6963/13/48 (external link to publication)
Publisher BioMed Central
Host/Issue BMC Health Services Research;48
Volume 13
ISSN 1472-6963
Pages 11 p.
Language eng (iso)
Subject(s) Questionnaire development
Psychometric test
Improvement measurements
Improvement program
Questionnaire assessment
Healthcare setting
Humanities/Social Sciences
Research Subject Categories::SOCIAL SCIENCES
Handle http://hdl.handle.net/2043/15274 (link to this page)

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