Cultural Change of Applying User Involvement for Improving Healthcare Quality: A Review of the Impact on Attitudes, Values and Assumptions among Healthcare Professionals and Users

Jonas Boström, Helene Hillborg, Johan Lilja

Abstract


Purpose: The purpose of this study is to provide a review of the impact on culture (attitudes, values and assumptions) among both healthcare professionals, as well as users, when involving users for improving quality in healthcare.

Methodology/Approach: The paper is based on an extensive, narrative literature review considering studies that included professional’s and users experiences of user involvement in quality improvement. The included articles were analyzed using an interpretive, along with a deductive, approach according to a theoretical framework.

Findings: The results indicate that there is currently limited research focusing on the impact of user involvement in quality improvement processes regarding professionals’ and users’ attitudes, values and/or assumptions. The articles identified during the study provides situations and statements, during the process of development, which can be interpreted as change in the culture. Although few articles specifically draw conclusions on user involvement as a “tool” for cultural change, the authors interpret several findings which strengthens that theory.

Research Limitation/implication: Research published in other databases could have been missed. The authors have tried to avoid this by using a snowball method reading references in identified articles.

Originality/Value of paper: The review provides a platform for both future research and the development of current practice within the area. There have been literature reviews showing obstacles and enablers when using patients, users and relatives in quality improvement work, but few which investigates cultural change.

Keywords


patient involvement; quality improvement; professionals; culture; service design

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References


Armstrong, N., Herbert, G., Aveling, E.L., Dixon-Woods, M. and Martin, G., 2013. Optimizing patient involvement in quality improvement. Health Expectations, 16(3), pp.36-47.

Arnstein, S.R., 1969. A ladder of citizen participation. Journal of the American Institute of Planners, 35(4), pp.216-224.

Bergman, B. and Klefsjö, B., 2007. Kvalitet från behov till användning (Quality from need to use). Lund: Studentlitteratur AB.

Brooks, F., 2008. Nursing and public participation in health: an ethnographic study of a patient council. International Journal of Nursing Studies, 45(1), pp. 3-13.

Bryman, A., 2011. Social Research Methods. 3rd ed. Malmö: Liber AB.

Burke, W., 1994. Organisational Development: A process of learning and changing. Boston: Addison-Wesley Publishing Company.

Cotterell, P., Harlow, G., Morris, C., Beresford, P., Hanley, B., Sargeant, A., Sitzia, J. and Staley, K., 2011. Service user involvement in cancer care: the impact on service users. Health Expectations, 14(2), pp.159-69.

Crawford, M.J., Rutter, D., Manley, C., Weaver, T., Bhui, K., Fulop, N. and Tyrer, P., 2002. Systematic review of involving patients in the planning and development of health care. British Medical Journal, 325(7375), pp. 1263.

Elg, M., Engström, J., Witell, L. and Poksinska, B.B., 2012. Co‐creation and learning in health‐care service development. Journal of Service Management, 23(3), pp.328-343.

Forbat, L., Cayless, S., Knighting, K., Cornwell, J. and Kearney, N., 2009. Engaging patients in health care: An empirical study of the role of engagement on attitudes and action. Patient Education and Counseling, 74(1), pp.84-90.

French, W.L. and Bell, C.H., 1999. Organization development: behavioral science interventions for organization improvement. New Jersey: Prentice-Hall, Upper Saddle River.

Gagliardi, A.R., Lemieux-Charles, L., Brown, A.D., Sullivan, T. and Goel, V., 2008. Barriers to patient involvement in health service planning and evaluation: an exploratory study. Patient Education and Counseling, 70(2), pp.234-241.

Glouberman, S. and Mintzberg, H., 2001a. Managing the care of health and cure of disease – Part I: Differentiation. Health Care Management Review, 26(1), pp.56-59.

Glouberman, S. and Mintzberg, H., 2001b. Managing the care of health and cure of disease – Part II: Integration. Health Care Management Review, 26(1), pp.70-84.

Groene, O., Lombarts, M.J.M.H., Klazinga, N., Alonso, J., Thompson, A. and Suñol, R., 2009. Is patient-centeredness in European hospitals related to existing quality improvement strategies? Analysis of a cross-sectional survey (MARQuIS study). Quality and Safety in Health Care, 18(1), pp.44-50.

Gustavsson, S., Gremyr, I. and Sarenmalm, E.K, 2016. Designing quality of care - contributions from parents: Parents' experiences of care processes in pediatric care and their contribution to improvements of the care process in collaboration with healthcare professionals. Journal of Clinical Nursing, 25(5-6), pp.742-751.

Hellsten, U. and Klefsjö, B., 2000. TQM as a management system consisting of values, techniques and tools. TQM Magazine, 12(4), pp.238-244.

Hofstede, G., Hofstede, G.J. and Minkov, M., 2010. Cultures and Organizations: software of the mind: intercultural cooperation and its importance for survival. 3rd ed. London: McGraw-Hill.

Lavoie-Tremblay, M., O' Connor, P., Harripaul, A., Biron, A., Ritchie, J., Mac Gibbon, B. and Cyr, G. 2014. The Perceptions of Health Care Team Members About Engaging Patients in Care Redesign. American Journal of Nursing, 114(7), pp. 38-48.

Locock, L., Robert, G., Boaz, A., Vougioukalou, S., Shuldham, C., Fielden, J., Ziebland, S., Gager, M., Tollyfield, R. and Pearcey, J., 2014. Using a national archive of patient experience narratives to promote local patient-centered quality improvement: an ethnographic process evaluation of 'accelerated' experience-based co-design. Journal of Health Services Research & Policy, 19(4), pp. 200-207.

Luxford, K., Safran, D.G. and Delbanco, T., 2011. Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience. International Journal for Quality in Health Care, 23(5), pp.510-515.

Martin, G.P. and Finn, R., 2011. Patients as team members: opportunities, challenges and paradoxes of including patients in multi-professional healthcare teams. Sociology of Health & Illness, 33(7), pp.1050-1065.

Nordgren, L. 2009. Value creation in health care services – developing service productivity: Experiences from Sweden. International Journal of Public Sector Management, 22(2), pp.114-127.

Patton, M.Q., 2014. Qualitative research & evaluation methods. 4th ed. Thousand Oaks, CA: Sage Publications Inc.

Piper, D., Iedema, R., Gray, J., Verma, R., Holmes, L. and Manning, N., 2012. Utilizing experience-based co-design to improve the experience of patients accessing emergency departments in New South Wales public hospitals: an evaluation study. Health Services Management Research, 25(4), pp. 162-172.

Quist, J. and Fransson, M., 2014. Tjänstelogik för Offentlig förvaltning - en Bok för Förnyelsebyråkrater (Servicelogic for Public administration – a Book for Renewalbureaucrats). Stockholm: Liber AB.

Roberts, J.P., Fisher, T.R., Trowbridge, M.J. and Bent, C., 2015. A design thinking framework for healthcare management and innovation. Healthcare, 4(1), pp.11-14.

Schein, E.H., 2010. Organizational Culture and Leadership. San Francisco: Jossey-Bass, CA.

Tari, J.J. and Sabater, V., 2004. Quality tools and techniques: are they necessary for quality management?. International journal of production economics, 92(3), pp.267-280.

The Swedish Agency for Health and Care Services Analysis, 2014. VIP i vården? – Om utmaningar i vården av personer med kronisk sjukdom (VIP in healthcare? – About challenges in care of individuals with chronic diseases). [pdf] Stockholm: Vårdanalys. Available at: < http://www.vardanalys.se/Global /Rapporter%20pdf-filer/2014/2014-2-VIP%20i%20v%C3%A5rden.pdf > [Accessed 22 March 2016].

The Swedish Association of Local Authorities and Regions (SALAR), 2010. Patient och brukarmedverkan- Positionspapper – för ökad kvalitet och effektivitet I hälso- och sjukvård och socialtjänst (Patient and user involvement – Letter of Intent – for increased quality and effiency in healthcare and social services). [pdf] Stockholm: The Swedish Association of Local Authorities and Regions. Available at: < https://skl.se/download/18.59311cdd145ac7ef71c7a945/1399972804500SKL+Positionspapper+Patient-+och+brukarmedverkan.pdf > [Accessed 23 March 2016].




DOI: http://dx.doi.org/10.12776/qip.v21i3.922

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Copyright (c) 2017 Jonas Boström, Helene Hillborg, Johan Lilja

ISSN 1335-1745 (print)
ISSN 1338-984X (online)
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