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Strategies for implementing Sustainability in Quality Improvement (SusQI) education: educator perspectives
Victoria Stanford1, Kathleen Leedham-Green2,3, Alice Clack2
1Centre for Sustainable Healthcare, Oxford, UK victoria.stanford@doctors.org.uk.
BMJ Open Quality
|June 8, 2025
Summary
Sustainability in Quality Improvement (SusQI) education equips healthcare professionals to address climate and ecological emergencies. Successful implementation requires institutional commitment and supported projects, fostering sustainable clinical practice.
Area of Science:
- Environmental Health
- Medical Education
- Healthcare Sustainability
Background:
- Climate and ecological crises pose significant health threats.
- Healthcare significantly contributes to environmental degradation.
- Sustainability in Quality Improvement (SusQI) offers a framework for sustainable healthcare delivery.
Purpose of the Study:
- To explore educators' perspectives on implementing SusQI in diverse health education settings.
- To identify factors influencing successful SusQI integration.
- To understand what works, in which contexts, and why for sustainable clinical transformation.
Main Methods:
- Qualitative study involving interviews with 11 SusQI course leads across 10 UK and Ireland sites.
- Thematic analysis of interview data.
- Tabulation of case study details.
Main Results:
- Four key themes emerged: choosing SusQI, curriculum integration, operationalization, and embedding.
- Implementation success was influenced by educator, student, institutional, and curricular factors.
- Successful programs yielded synergistic benefits for learners and institutions, creating communities of practice.
Conclusions:
- Strong institutional commitment, distributed expertise, and supported project work are crucial for SusQI success.
- These factors create virtuous cycles of engagement, educational impact, and sustainable practice.
- SusQI education empowers healthcare professionals for sustainable clinical transformation.
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