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Success Factors for Quality and Safety of Intensive Care Unit Transitional Care – Listening to the Sharp End
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0002-9936-8395
Mid Sweden University, Faculty of Science, Technology and Media, Department of Communication, Quality Management, and Information Systems (2023-).ORCID iD: 0000-0001-5610-2944
Mid Sweden University, Faculty of Science, Technology and Media, Department of Communication, Quality Management, and Information Systems (2023-).
Mid Sweden University, Faculty of Science, Technology and Media, Department of Communication, Quality Management, and Information Systems (2023-).ORCID iD: 0000-0001-7621-2649
2023 (English)In: Quality Innovation Prosperity, ISSN 1335-1745, E-ISSN 1338-984X, Vol. 27, no 1, p. 1-20Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this paper was to present success factors for increasing quality and safety of intensive care unit (ICU) transitional care as described by co-workers at the sharp end using the core values of total quality management (TQM) as a theoretical lens.

Methodology/Approach: The study had a qualitative design, with data from nine interdisciplinary focus group discussions, including co-workers from the intensive care and general wards. Data were sorted into TQM core values and analysed using qualitative content analysis.

Findings: Quality and safety in transfer processes requires a holistic view, avoiding silos, shared arenas for collaboration, and evidence-based methodologies and tools for safe transfers.

Research Limitation/Implication: A limitation of this study is that it only portrays the challenges encountered by two hospitals during the process of transitional care in the ICU.

Originality/Value of paper: By using TQM core values as a theoretical lens, we could present a usable, holistic picture of success factors and how to improve the transfer process.

Place, publisher, year, edition, pages
2023. Vol. 27, no 1, p. 1-20
Keywords [en]
Quality of care, Safe care, patient transfer, patient safety, ICU
National Category
Medical and Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy Nursing Reliability and Maintenance
Identifiers
URN: urn:nbn:se:miun:diva-48088DOI: 10.12776/qip.v27i1.1789ISI: 000961860100001OAI: oai:DiVA.org:miun-48088DiVA, id: diva2:1749030
Funder
The Kamprad Family Foundation, 20170084Available from: 2023-04-05 Created: 2023-04-05 Last updated: 2023-10-25Bibliographically approved
In thesis
1. A Deeper Understanding of Real Teamwork and Sustainable Quality Culture
Open this publication in new window or tab >>A Deeper Understanding of Real Teamwork and Sustainable Quality Culture
2023 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Today's organisations are faced with increasingly complicated and complex challenges. To master these challenges, organisations need to work more together, both within their own organisations and in collaboration with others. Working as a ‘real’ team, while also creating a sustainable quality culture, can be one way to address these challenges. The top management team within the organisation will play a crucial role in determining the organisation's success. 

The purpose of this thesis was to contribute to a deeper understanding of real teamwork and how real teamwork relates to a sustainable quality culture. The purpose was also to describe perceived success factors in creating real teamwork and sustainable quality culture, aiming at increasing an organisation’s performance. 

Conclusions drawn from this research can be summarised into seven overarching proposals or recommendations on how to increase the abilities for real teamwork alongside with creating a sustainable quality culture: 

  • Embrace the heart and develop ‘emotional commitment’: this involves ‘touching the hearts’ of individuals in the organisation, both when it comes to ‘real’ teamwork and in creating sustainable quality culture. 
  • Balance between structure and culture: structure and culture should go ‘hand in hand’ and harmoniously complement each other. 
  • Apply a systems view: this entails considering ‘real’ teamwork within the broader context and viewing core values as a system. 
  • Foster a culture of continuous improvement: improvement is achieved through reflexivity and the adoption of novel perspectives. Continuous improvement is fundamental for both ‘real’ teamwork and the development of sustainable quality culture. 
  • Apply a customer perspective on value creation: this is critical for practicing ‘real’ teamwork, as well as in developing a sustainable quality culture aiming to increase organisational performance.
  • Apply long-term and sustainable thinking: as a part of practicing ‘real’ teamwork and when creating a sustainable quality culture. Both the presence and the future should be built into the system.
  • Measuring and assessing ‘real’ teamwork and sustainable quality culture is valuable in establishing the prerequisites and abilities necessary for ‘real’ teamwork, as well as for advancing the development of a sustainable quality culture within an organisation.

The research has also led to practical suggestions on how the participating organisations can enhance their abilities for real teamwork and strengthen the culture of quality within their organisations.

Place, publisher, year, edition, pages
Sundsvall: Mid Sweden University, 2023. p. 165
Series
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 398
Keywords
ICU transitional care, QM, quality management, real team, real teamwork, sustainable quality culture, TMT, team, teamwork, top management team
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-49650 (URN)978-91-89786-36-3 (ISBN)
Public defence
2023-11-29, Q221, Akademigatan 1, 831 40 Östersund, Östersund, 13:00 (Swedish)
Opponent
Supervisors
Note

Vid tidpunkten för disputationen var följande delarbete opublicerat: delarbete 7 inskickat.

At the time of the doctoral defence the following paper was unpublished: paper 7 submitted.

Available from: 2023-11-07 Created: 2023-10-24 Last updated: 2023-10-25Bibliographically approved

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Häggström, MarieIngelsson, PernillaSten, Lilly-MariBäckström, Ingela

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Quality Innovation Prosperity
Medical and Health SciencesHealth Care Service and Management, Health Policy and Services and Health EconomyNursingReliability and Maintenance

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