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Development and testing of the Stakeholder Quality Improvement Perspectives Survey (SQuIPS)
Eric Fris1,2, Emily Sedlock2, Jason Etchegaray3
1Internal Medicine, McGovern Medical School at the University of Texas Health Science Center Houston, Houston, Texas, USA.
BMJ Open Quality
|December 15, 2021
Summary
A new survey helps quality improvement (QI) teams understand stakeholder perceptions of interventions. The survey identified concerns, leading to project modifications and potentially increasing intervention acceptance.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Health Services Research
Background:
- Quality improvement (QI) initiatives require understanding stakeholder perceptions for successful implementation.
- Existing methods may not adequately capture diverse stakeholder views on healthcare interventions.
- Theory-informed tools are needed to guide QI teams in assessing intervention reception.
Purpose of the Study:
- To develop and validate a theory-informed survey for assessing stakeholder perceptions of QI interventions.
- To provide QI teams with a practical tool to understand potential barriers and facilitators to intervention adoption.
- To evaluate the feasibility and utility of the survey in real-world QI projects.
Main Methods:
- A cross-sectional survey was administered to stakeholders involved in three distinct QI projects.
- Projects focused on reducing unplanned extubations, maintaining surgical normothermia, and minimizing specimen processing errors.
- Survey data underwent frequency analysis, exploratory factor analysis, and thematic review of qualitative feedback.
Main Results:
- An 83% response rate was achieved across three QI projects (range 57%-86%), with 319 stakeholders surveyed.
- Survey results confirmed anticipated concerns (e.g., increased workload) and uncovered unforeseen issues (e.g., lack of consensus on intervention purpose).
- A 7-item scale demonstrated high reliability (Cronbach's alpha 0.9) for measuring stakeholder perceptions; two additional items provided further insights.
Conclusions:
- The Stakeholder Quality Improvement Perspectives Survey is a feasible and valuable tool for QI teams.
- The survey effectively identified critical stakeholder perspectives that informed necessary adjustments to QI interventions.
- Utilizing the survey can enhance the likelihood of stakeholder acceptance and the overall success of QI initiatives.
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