Embedding continuous quality improvement processes in multidisciplinary teams in cancer care: exploring the boundaries between quality and implementation science.

Objective. The aim of the present study was to identify key enabling factors for engaging multidisciplinary teams (MDTs) in cancer care across the spectrum of translational research and quality improvement (QI) projects. Methods. The study was conducted in two large Sydney metropolitan hospitals. Qu...

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Publicado en:Australian Health Review Vol. 41; no. 3; pp. 291 - 297
Autores principales: Robinson, Tracy E., Janssen, Anna, Harnett, Paul, Museth, Kylie E., Provan, Pamela J., Hills, Danny J., Shaw, Tim
Formato: research tables/charts Journal Article
Publicado: CSIRO Publishing 2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2017
      vid: 41
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      pub: CSIRO Publishing
      place: Canberra ACT, <Blank>
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        atl: Embedding continuous quality improvement processes in multidisciplinary teams in cancer care: exploring the boundaries between quality and implementation science.
      aug:
        au:
          Robinson, Tracy E.
          Janssen, Anna
          Harnett, Paul
          Museth, Kylie E.
          Provan, Pamela J.
          Hills, Danny J.
          Shaw, Tim
        affil: Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Level 1, 43-51 Kanooka Grove, Clayton, Vic. 3168, Australia
      sug:
        subj:
          Oncologic Care
          Multidisciplinary Care Team
          Quality Improvement
          Program Implementation
          Human
          Australia
          Qualitative Studies
          Semi-Structured Interview
          Attitude of Health Personnel
          Leadership
          Meetings
          Teamwork
          Quality of Health Care
          Health Care Delivery
          Outcomes (Health Care)
      ab: Objective. The aim of the present study was to identify key enabling factors for engaging multidisciplinary teams (MDTs) in cancer care across the spectrum of translational research and quality improvement (QI) projects. Methods. The study was conducted in two large Sydney metropolitan hospitals. Qualitative methods, including structured observations of MDT meetings and semi-structured interviews with MDT leaders and champions, were used to identify how teams interact with and generate research and implementation initiatives. Enabling factors for and barriers to the engagement of MDTs in translational research and QI were identified. Results. Four key enabling factors emerged from the analysis of data generated from observing 43 MDT meetings and 18 semi-structured interviews: (1) access to high-quality data around individual and team performance; (2) researchactive team leaders; (3) having experts, such as implementation scientists, embedded into teams; and (4) having dedicated research or QI-focused meetings. Barriers included a lack of time, administrative support, research expertise and access to real-time data. Conclusions. The identification of enabling factors for and barriers to translational research and QI provides evidence for how multidisciplinary cancer care teams may best be engaged in research and QI that aims to improve service and care outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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