Learning From Excellence in a Hospital Unit

Study Overview
=================
Brief Summary
-----------------
This study is based on the implementation of the method named Learning-from-excellence, see methodology www.learningfromexcellence.com. The project is a longitudinal cohort study based on data from both qualitative and quantitative data, presented in two different research articles, one qualitative and one quantitative, using : an electronic questionnaire on work-engagement, team collaboration and patient safety climate before and after implementing Learning from Excellence. focus group interviews to explore experiences with the method of Learning from excellence from the view of healthcare professionals.

Detailed Description
-----------------
One measure to improve patient safety, is to focus on improvements based on learning from errors (Safety-I). However, it is advocated that learning also should be based on situations where work goes well (Safety-II). Learning from Excellence (LfE) is an English initiative to learn from what works well and provide positive feedback to staff to increase resilience. LfE was implemented in a unit of a South-eastern Norwegian hospital trust between November 2022 and May 2023, using readily available resources from www.learningfromexcellence.com. The qualitative data will be derived from five semi-structured focus group interviews, with nurses, physicians and change team representants. A descriptive design will be applied, and the data will be analysed using a more deductive, reflexive thematic analysis. Data from the focus group interviews will be taped on a recorder and stored at a secured computerised research place at Akershus University Hospital. The quantitative part consist of aggregated data reports derived from the annual Norwegian hospital survey, which is a measure to explore connections between working environment, patient safety and Health-Environment-Safety in Norwegian hospitals, with a 5-point Likert response scale. From this report we derive answers from 18 questions, submittet on two occasions (March 2022 and 2023), regarding the themes: Work engagement (n= 6), Team-collaboration (n=5) Patient safety climate (n=6), Follow-up (n=1). The gained knowledge from the focus group interviews in this study may provide in-depth knowledge on healthcare professionals' experiences in the novel field of learning from excellence, regarding the outcomes: learning, quality improvement work and resilience and culture in the workplace. The gained knowledge from the surveys may provide information if and how the method of Learning from excellence method impact the perceived patient safety climate, work engagement, team-collaboration and follow-up on patient safety improvement.

Official Title
-----------------
Continuous Learning to Increase Patient Safety - A Multi-method Study

Conditions
-----------------
Health Personnel, Resilience, Patient Safety, Learning, Quality Improvement

Intervention / Treatment
-----------------
* Behavioral: Learning from excellence


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria Qualitative study: Nurses who had been working for at least six months on the premises Physicians who had either received or captured and reported peer excellence Inclusion Criteria Quantitative study: All nurses working on the premises who have answered questions in the annual hospital survey, between March 2022 and March 2023. Exclusion Criteria: -

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 72 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Learning from excellence|Health care professionals´ experiences of learning from excellence in a hospital unit|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Qualitative: Focus group interviews | Health care professionals´ experiences of learning from excellence in a hospital unit | 6 months after implementation of Learning from Excellence, May 2023 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quantitative: Survey from the nurses unit | Aggregated data from the annual Norwegian hospital survey, which is a measure to explore connections between working environment, patient safety and Health-Environment-Safety in Norwegian hospitals | From March 2016 to March 2023 | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
resilience, learning from excellence, healthcare quality improvement, safety culture, patient safety