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The impact of data feedback on continuous quality improvement projects in Rwanda: A mixed methods analysis
Helen E Noble1, John W Scott2, Jeanne D Nyinawankusi3
1Virginia Commonwealth University, United States of America.
Summary
Healthcare worker motivation in Rwanda
Area of Science:
- Emergency medicine
- Public health
- Health systems strengthening
Background:
- Injuries are a major global cause of death and disability, disproportionately affecting low- and middle-income countries (LMICs).
- Rwanda's Service d'Aide Medicale Urgente (SAMU) implemented an electronic pre-hospital registry and Continuous Quality Improvement (CQI) project in 2014.
- Understanding healthcare worker (HCW) motivation is crucial for the success of CQI initiatives in pre-hospital settings.
Purpose of the Study:
- To investigate factors influencing healthcare worker motivation within Rwanda's pre-hospital emergency system.
- To assess the relationship between participation in a Continuous Quality Improvement (CQI) project and healthcare worker motivation.
- To compare motivation levels of pre-hospital HCWs in Rwanda with those in other LMICs.
Main Methods:
- A mixed-methods approach combining a 40-question survey on HCW motivation and semi-structured interviews.
- Survey data utilized a Likert scale to compare SAMU staff motivation with other HCWs in LMICs.
- Qualitative data analyzed using constructivist grounded theory to identify key themes in HCW motivation.
Main Results:
- SAMU staff reported 5-21% higher motivation scores compared to other HCW cohorts in LMICs.
- Key themes emerged: improvements in quality of care, evolving job expectations, positive views on research, and beneficial data feedback.
- Disagreement arose regarding reprimands, social standing, and ease of using CQI technology.
Conclusions:
- Continuous Quality Improvement (CQI) projects foster essential communication, collaboration, and personal investment, boosting organizational commitment.
- Regular feedback from CQI initiatives drives personal and professional development by identifying knowledge and care gaps.
- Effective data input within CQI enhances resource allocation and strengthens health systems, improving HCW agency and motivation.
Keywords:
Continuous quality improvementHealthcare worker motivationPre-hospital emergency careRwandaMore Related Videos
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