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Explaining variation in perceived team effectiveness: results from eleven quality improvement collaboratives
Mathilde M H Strating1, Anna P Nieboer
1Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands. strating@bmg.eur.nl
Journal of Clinical Nursing
|May 23, 2012
Summary
Quality improvement collaboratives show varied effectiveness. Organizational support, innovative culture, and commitment to change significantly predict success, aiding patient care improvements.
Area of Science:
- Healthcare quality improvement research
- Organizational behavior in healthcare
- Multilevel modeling in health services research
Background:
- Effectiveness of quality improvement collaboratives remains inconclusive.
- Few studies explore determinants of implementation success.
- Limited cross-topic comparisons in collaborative evaluations.
Purpose of the Study:
- To explore the perceived effectiveness of 11 diverse quality improvement collaboratives.
- To identify collaborative, organizational, and team-level factors associated with effectiveness.
Main Methods:
- Multiple-case cross-sectional study design.
- Postal questionnaires administered to 283 improvement teams across 11 collaboratives.
- Data analyzed using analysis of variance and multilevel regression.
Main Results:
- Perceived effectiveness varied significantly across collaboratives.
- Prevention of Malnutrition and Medication Errors collaboratives reported higher effectiveness.
- Educational level, innovation attributes, organizational support, innovative culture, and commitment to change predicted effectiveness.
Conclusions:
- Innovation attributes, organizational support, team culture, and commitment to change are key to perceived effectiveness.
- A layered approach is crucial for quality of care improvements.
- Understanding success factors can drive breakthrough improvements in patient care.
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