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Developing the EQUIPED approach to quality management using multi-grounded theory.

Amy Kirkegaard^1,2, Lana Mitchell^1,2, Lauren Ball^1,2

¹Menzies Health Institute of Queensland, Griffith Health, Griffith University, Southport, Queensland, Australia.

Nutrition & Dietetics : the Journal of the Dietitians Association of Australia

|October 24, 2022

Summary

A new theoretical approach provides rules for Australian primary care dietetics services to enhance quality management. This framework, developed using multi-grounded theory, guides improvements in care delivery and client partnerships.

Keywords:

dietetics primary health care qualitative research quality of care

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Area of Science:

Health Services Research
Quality Improvement Science
Dietetics Practice

Background:

Quality management is crucial for dietetics services in primary care.
Existing frameworks may not fully address the complexities of these services.
A theoretical approach is needed to guide quality improvement initiatives.

Purpose of the Study:

To develop a theoretical approach for quality management in Australian primary care dietetics services.
To create a structured set of rules to inform quality management activities.
To integrate empirical and theoretical data for a robust quality framework.

Main Methods:

Multi-grounded theory was employed across three phases.
Empirical data from dietetics services informed a preliminary approach.
Theoretical data from healthcare standards and systems theory were integrated.

Main Results:

A theoretical approach comprising 107 rules was developed.
Rules were organized into six attractors: culture, integrated care, evidence-based care, safe environment and care, client partnerships, and personalized care.
Rules focused on internal, external, client, and system improvements.

Conclusions:

The developed theoretical approach offers actionable rules for primary care dietetics services.
This framework can guide quality management activities and enhance service delivery.
Further investigation of multi-grounded theory in other healthcare settings is recommended.