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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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[The human dimension, a driver in nurses' approach to quality].

Nathalie Constant1, Jean-Charles Verheye2

  • 1Hôpital Raymond-Poincaré, direction des soins, 104 boulevard Raymond-Poincaré, 92380 Garches, France.

Soins; La Revue De Reference Infirmiere
|March 29, 2021
PubMed
Summary

Healthcare professionals' perceptions of quality, focusing on human and regulatory factors, impact engagement. Training lead nurses can foster a positive quality culture.

Keywords:
démarche qualitéinfirmierlead nurse for qualitymediationmédiationquality approachquality of carequalité de soinsrepresentationreprésentationréférent qualité

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Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Nursing Studies

Background:

  • Healthcare quality is a critical determinant of patient outcomes and system efficiency.
  • Variations in investment towards quality initiatives within healthcare facilities are often linked to staff perspectives.
  • Understanding how health professionals conceptualize quality is essential for effective implementation of quality improvement strategies.

Purpose of the Study:

  • To explore the representations of quality among healthcare caregivers.
  • To identify the key dimensions influencing caregiver engagement in quality initiatives.
  • To propose strategies for fostering a stronger quality culture within healthcare settings.

Main Methods:

  • Conducted documentary research to analyze existing literature and data on quality perceptions.
  • Focused on identifying the human and regulatory dimensions shaping healthcare professionals' views on quality.
  • Analyzed how these dimensions influence the engagement levels of caregivers in quality-related activities.

Main Results:

  • Caregivers' perceptions of quality are significantly influenced by both humanistic (e.g., teamwork, empathy) and regulatory (e.g., compliance, standards) factors.
  • These identified dimensions directly correlate with the level of engagement observed among healthcare professionals.
  • The study highlights a gap between perceived quality and actual investment in quality improvement efforts.

Conclusions:

  • The way healthcare professionals envision quality is a key driver of their engagement and investment in quality improvement.
  • Involving specifically trained lead nurses can facilitate a shift in perspectives and promote the adoption of a robust quality culture.
  • Targeted training for lead nurses is recommended to champion quality initiatives and enhance overall healthcare quality.