Evidence map›Paper›PMID 30425133›Full record

ArticlePostgraduate medical journal2018

Empowering junior doctors: a qualitative study of a QI programme in South West England.

Natasha J Doran, Rob Bethune, Joanne Watson, Katherine Finucane, Andrew Carson-Stevens

Abstract read
In one paragraph

Article in Postgraduate medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Natasha J DoranSouth West Academic Health Science Network, Exeter, UK n.doran@exeter.ac.uk.ORCID http://orcid.org/0000-0003-3243-253X
Rob BethuneSouth West Academic Health Science Network, Exeter, UK.
Joanne WatsonTorbay and South Devon NHS Foundation Trust, Torquay, UK.
Katherine FinucaneNorth Bristol NHS Trust, Bristol, UK.
Andrew Carson-StevensDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo explore how the South-West Foundation Doctor Quality Improvement programme affected foundation year 1 (F1) doctors' attitudes and ability to implement change in healthcare.

methodsTwenty-two qualitative interviews were carried out with two cohorts of doctors. The first F1 group before and after their participation in the QI programme; the second group comprised those who had completed the programme between 1 and 5 years earlier. Qualitative data were analysed using thematic analysis techniques.

resultsPrior to taking part in the QI programme, junior doctors' attitudes towards QI were mixed. Although there was agreement on the importance of QI in terms of patient safety, not all shared enthusiasm for engaging in QI, while some were sceptical that they could bring about any change. Following participation in the programme, attitudes towards QI and the ability to effect change were significantly transformed. Whether their projects were considered a success or not, all juniors reported that they valued the skills learnt and the overall experience they gained through carrying out QI projects. Participants reported feeling more empowered in their role as junior doctors, with several describing how they felt 'listened to' and able to 'have a voice', that they were beginning to see things 'at systems level' and learning to 'engage more critically' in their working environment.

conclusionsJunior doctors are ideally placed to engage in QI. Training in QI at the start of their medical careers may enable a new generation of doctors to acquire the skills necessary to improve patient safety and quality of care.

Indexed as

PhysiciansQuality ImprovementAttitude of Health PersonnelClinical CompetenceEnglandHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicLongitudinal StudiesMentorsPower, PsychologicalProgram EvaluationQualitative Researchmedical education & trainingqualitative researchquality improvement

Identifiers

PMID30425133
PMCPMC6288706

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