An improvement project within urological care
Annelie Khatami1, Kristina Rosengren
1Department of Urology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Summary
Staff in urological care improvement projects need better information and support. A holistic view and clear goals are essential for enhancing patient care and addressing organizational complexities.
Area of Science:
- Urology
- Healthcare Improvement
- Qualitative Research
Background:
- Urological improvement projects are scarce.
- Patient care for ureteral stones requires enhancement.
- Staff experiences in improvement initiatives are underexplored.
Purpose of the Study:
- To describe healthcare staff experiences in an ongoing improvement project for patients with ureteral stones.
- To identify challenges and needs within the organization during quality improvement initiatives.
Main Methods:
- Qualitative descriptive study.
- Eight group interviews and 48 narratives were analyzed.
- Qualitative content analysis ensured trustworthiness over six months.
Main Results:
- Identified three key themes: absent comprehensive view, complexity, and organizational vulnerability.
- A holistic perspective across micro-, meso-, and macro-levels is crucial for care planning.
- Staff require information, guidelines, and support for effective improvement work.
Conclusions:
- Evidence-based national guidelines are needed to support improvement efforts.
- Attention to all team members' needs and clear organizational goals are vital for improving urological care.
- This study highlights the importance of addressing gaps in urological improvement projects for better nephrolithiasis patient care.
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