Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study

Objective Inspections and other forms of external assessment may contribute to positive changes in the health services, but the mechanisms of such change remain unclear. We did a study to explore how external inspections may foster clinical improvement in hospitals.Design Focus group study.Setting S...

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Main Authors: Jan C Frich, Einar Hovlid, Gunnar Husabø, Gunnar Tschudi Bondevik, Inger Lise Teig
Format: Article
Language:English
Published: BMJ Publishing Group 2020-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/11/e041997.full
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spelling doaj-84cafeee04aa4c979f22ddb7435e7ddb2021-06-25T12:34:23ZengBMJ Publishing GroupBMJ Open2044-60552020-11-01101110.1136/bmjopen-2020-041997Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group studyJan C Frich0Einar Hovlid1Gunnar Husabø2Gunnar Tschudi Bondevik3Inger Lise Teig4Institute of Health and Society, Universitetet i Oslo, Oslo, NorwayDepartment of Social Science, Høgskulen på Vestlandet, Sogndal, NorwayDepartment of Social Science, Høgskulen på Vestlandet, Sogndal, NorwayDepartment of Global Public Health and Primary Care, Universitetet i Bergen, Bergen, NorwayDepartment of Global Public Health and Primary Care, Universitetet i Bergen, Bergen, NorwayObjective Inspections and other forms of external assessment may contribute to positive changes in the health services, but the mechanisms of such change remain unclear. We did a study to explore how external inspections may foster clinical improvement in hospitals.Design Focus group study.Setting Statutory inspections of sepsis treatment in hospital emergency departments in Norway.Participants Clinicians, managers and inspection teams involved with the inspections of sepsis treatment in emergency departments at four different hospitals. Twelve focus group interviews were carried out, with a total of 47 participants.Results Three themes emerged as central for understanding how the inspections could contribute to clinical improvement in the emergency departments: (1) increasing awareness about the need to improve the quality of care by providing data on clinical performance, (2) building acceptance for improvement through professional credibility and focus on clinical practice, and (3) fostering leadership commitment.Conclusion Our findings suggest that the inspections have the potential to enhance hospital management and staff’s understanding of complicated care processes and help strengthen the organisational commitment to bring about systemic quality improvements.https://bmjopen.bmj.com/content/10/11/e041997.full
collection DOAJ
language English
format Article
sources DOAJ
author Jan C Frich
Einar Hovlid
Gunnar Husabø
Gunnar Tschudi Bondevik
Inger Lise Teig
spellingShingle Jan C Frich
Einar Hovlid
Gunnar Husabø
Gunnar Tschudi Bondevik
Inger Lise Teig
Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study
BMJ Open
author_facet Jan C Frich
Einar Hovlid
Gunnar Husabø
Gunnar Tschudi Bondevik
Inger Lise Teig
author_sort Jan C Frich
title Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study
title_short Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study
title_full Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study
title_fullStr Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study
title_full_unstemmed Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study
title_sort promoting leadership and quality improvement through external inspections of management of sepsis in norwegian hospitals: a focus group study
publisher BMJ Publishing Group
series BMJ Open
issn 2044-6055
publishDate 2020-11-01
description Objective Inspections and other forms of external assessment may contribute to positive changes in the health services, but the mechanisms of such change remain unclear. We did a study to explore how external inspections may foster clinical improvement in hospitals.Design Focus group study.Setting Statutory inspections of sepsis treatment in hospital emergency departments in Norway.Participants Clinicians, managers and inspection teams involved with the inspections of sepsis treatment in emergency departments at four different hospitals. Twelve focus group interviews were carried out, with a total of 47 participants.Results Three themes emerged as central for understanding how the inspections could contribute to clinical improvement in the emergency departments: (1) increasing awareness about the need to improve the quality of care by providing data on clinical performance, (2) building acceptance for improvement through professional credibility and focus on clinical practice, and (3) fostering leadership commitment.Conclusion Our findings suggest that the inspections have the potential to enhance hospital management and staff’s understanding of complicated care processes and help strengthen the organisational commitment to bring about systemic quality improvements.
url https://bmjopen.bmj.com/content/10/11/e041997.full
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