Measuring Reflection on Participation in Quality Improvement Activities for Maintenance of Certification

被引:5
|
作者
Wittich, Christopher M. [1 ]
Reed, Darcy A. [2 ]
Ting, Henry H. [3 ]
Berger, Richard A. [4 ]
Nowicki, Kelly M. [5 ]
Blachman, Morris J. [6 ]
Mandrekar, Jayawant N. [7 ]
Beckman, Thomas J. [1 ]
机构
[1] Mayo Clin, Dept Internal Med, Div Gen Internal Med, Coll Med, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Internal Med, Div Primary Care Internal Med, Coll Med, Rochester, MN 55905 USA
[3] Mayo Clin, Dept Internal Med, Div Cardiovasc Dis, Coll Med, Rochester, MN 55905 USA
[4] Mayo Clin, Dept Orthoped Surg, Coll Med, Rochester, MN 55905 USA
[5] Mayo Clin, Coll Med, Sch Continuous Profess Dev, Rochester, MN 55905 USA
[6] Univ S Carolina, Sch Med, Columbia, SC USA
[7] Mayo Clin, Dept Hlth Sci Res, Div Biomed Stat & Informat, Coll Med, Rochester, MN 55905 USA
关键词
OF-CARE; TEAM CLIMATE; VALIDATION; RELIABILITY; VALIDITY; EVENTS; NURSES; BOARD; LINK;
D O I
10.1097/ACM.0000000000000323
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Purpose To validate a measure of reflection on participation in quality improvement (QI) activities and to identify associations with characteristics of QI projects, participants, and teams. Method This was a prospective validation study of all Mayo Clinic team participants who submitted QI projects for maintenance of certification (MOC) credit from 2010 to 2012. The authors developed a measure of reflection on participation in QI activities and explored associations between participants' overall reflection scores and characteristics of projects, participants, and teams. Results A total of 922 participants (567 physicians) on 118 teams completed QI projects and reflections. Factor analysis revealed a two-dimensional model with good internal consistency reliabilities (Cronbach alpha) for high (0.85) and low (0.81) reflection. Reflection scores (mean [standard deviation]) were associated with projects that changed practice (yes: 4.30 [0.51]; no: 3.71 [0.57]; P < .0001), changed the health care system (yes: 4.25 [0.54]; no: 4.03 [0.62]; P < .0001), and impacted patient safety (P < .0001). Physicians' reflection scores (4.27 [0.57]) were higher than support staff scores (4.07 [0.55]; P = .0005). A positive association existed between reflection scores and the number of QI roles per participant (P < .0001). There were no associations with participant gender, team size, or team diversity. Conclusions The authors identified associations between participant reflection and the impact of QI projects, participants' professional roles, and participants' involvement with projects. With further study, the authors anticipate that the new measure of reflection will be useful for determining meaningful engagement in MOC.
引用
收藏
页码:1392 / 1397
页数:6
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