[Healthcare manager and project management of quality improvement : analysis of managerial action using a professional hands-on training in project management].
Introduction : project management is on the expected proficiencies for head nurses.
Context : The work on the organizations’ improvement carried out by head nurses, is rarely covered in the literature. Objectives : to follow the implementation of actions from projects led by head nurses and to analyze the parameters of success.
Method : for a year, an intervention study has followed 17 projects initiating improvement measures. Semistructured interviews were conducted with health-care teams and managers. All of them reported the results of the implementation of each measure as an operational improvement. A mixed analysis containing a logistic regression investigated associations between the result of the action and the various contextual characteristics. Results : this study involved 111 actions. 71 % of them concluded an operational improvement. The organizational and supporting actions had a high success rate, which decreased when hazards were not managed by healthcare managers.
Discussion : this study highlights the place of strategies through the implementing methods and the chosen actions. Recommendations are made in order to promote a collective assessment. Conclusion : scientific approaches are proposed to discuss the organizational work.
Pierre-Philippe
PP
Dujardin
Thomas
T
Reverdy
Annick
A
Valette
Patrice
P
François
D003695:Delivery of Health Care / Q000458:organization & administration / Q000592:standards; D004502:Education, Medical, Continuing / Q000379:methods / Q000458:organization & administration; D006801:Humans; D007857:Leadership; D011634:Public Health / Q000193:education*; D058996:Quality Improvement / Q000458:organization & administration / Q000592:standards; D000078329:Workforce