Learning From Excellence in a Hospital Unit

Resilience Clinical Trial

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

Status Active, not recruiting

Clinical Trial 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.

Clinical Trial 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. ;

Related Conditions & MeSH terms

• Health Personnel
• Learning
• Patient Safety
• Quality Improvement
• Resilience

• NCT number: NCT05794490
• Study type: Observational
• Source: University Hospital, Akershus
• Status: Active, not recruiting
• Start date: November 14, 2022
• Completion date: June 30, 2024