Multistrategic approach to improve quality of care of people with diabetes at the primary care level: Study design and baseline data

2017 ◽  
Vol 11 (2) ◽  
pp. 193-200 ◽  
Author(s):  
Mariana Prestes ◽  
María Angelica Gayarre ◽  
Jorge Federico Elgart ◽  
Lorena Gonzalez ◽  
Enzo Rucci ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Study Design ◽  
Baseline Data ◽  
Improve Quality ◽  
Care Level ◽  
Primary Care Level

Using mHealth strategies in a Diabetes Management Program to improve the quality of care in Argentina: Study design and baseline data

2018 ◽  
Vol 12 (6) ◽  
pp. 510-516 ◽  
Author(s):  
Marilina Santero ◽  
Daniela Morelli ◽  
Analía Nejamis ◽  
Luz Gibbons ◽  
Vilma Irazola ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Study Design ◽  
Diabetes Management ◽  
Management Program ◽  
Baseline Data ◽  
Diabetes Management Program

scholarly journals Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Nataliya Brima ◽  
Nick Sevdalis ◽  
K. Daoh ◽  
B. Deen ◽  
T. B. Kamara ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Sierra Leone ◽  
Referral Hospital ◽  
Audit And Feedback ◽  
Health System Strengthening ◽  
Theory Of Change ◽  
Improve Quality ◽  
Nursing Documentation

Abstract Background There is an urgent need to improve quality of care to reduce avoidable mortality and morbidity from surgical diseases in low- and middle-income countries. Currently, there is a lack of knowledge about how evidence-based health system strengthening interventions can be implemented effectively to improve quality of care in these settings. To address this gap, we have developed a multifaceted quality improvement intervention to improve nursing documentation in a low-income country hospital setting. The aim of this pilot project is to test the intervention within the surgical department of a national referral hospital in Freetown, Sierra Leone. Methods This project was co-developed and co-designed by in-country stakeholders and UK-based researchers, after a multiple-methodology assessment of needs (qualitative, quantitative), guided by a participatory ‘Theory of Change’ process. It has a mixed-method, quasi-experimental evaluation design underpinned by implementation and improvement science theoretical approaches. It consists of three distinct phases—(1) pre-implementation(project set up and review of hospital relevant policies and forms), (2) intervention implementation (awareness drive, training package, audit and feedback), and (3) evaluation of (a) the feasibility of delivering the intervention and capturing implementation and process outcomes, (b) the impact of implementation strategies on the adoption, integration, and uptake of the intervention using implementation outcomes, (c) the intervention’s effectiveness For improving nursing in this pilot setting. Discussion We seek to test whether it is possible to deliver and assess a set of theory-driven interventions to improve the quality of nursing documentation using quality improvement and implementation science methods and frameworks in a single facility in Sierra Leone. The results of this study will inform the design of a large-scale effectiveness-implementation study for improving nursing documentation practices for patients throughout hospitals in Sierra Leone. Trial registration Protocol version number 6, date: 24.12.2020, recruitment is planned to begin: January 2021, recruitment will be completed: December 2021.

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