Evidence map›Paper›PMID 40484416›Full record

ArticleBMJ open quality2025

Strategies for implementing Sustainability in Quality Improvement (SusQI) education: educator perspectives.

Victoria Stanford, Kathleen Leedham-Green, Alice Clack, Siobhan Parslow-Williams, Ayoma Ratnappuli, Frances Mortimer

Abstract read
In one paragraph

Article in BMJ open quality, 2025. 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

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

6 authors.

Victoria StanfordCentre for Sustainable Healthcare, Oxford, UK victoria.stanford@doctors.org.uk.ORCID 0000-0003-1216-2923
Kathleen Leedham-GreenCentre for Sustainable Healthcare, Oxford, UK.
Alice ClackCentre for Sustainable Healthcare, Oxford, UK.
Siobhan Parslow-WilliamsCentre for Sustainable Healthcare, Oxford, UK.
Ayoma RatnappuliCentre for Sustainable Healthcare, Oxford, UK.
Frances MortimerCentre for Sustainable Healthcare, Oxford, UK.ORCID 0000-0002-1772-2857

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The climate and ecological emergencies represent a significant threat to health, and yet healthcare is a major contributor to environmental degradation. Sustainability in Quality Improvement (SusQI) is a framework that enables healthcare professionals to improve how good health is achieved and healthcare delivered in line with social, economic and environmental sustainability goals. SusQI education provides healthcare learners with the knowledge and practical skills for sustainable clinical transformation.We interviewed 11 SusQI course leads at 10 educational sites in the UK and Ireland, exploring educator perspectives on how SusQI can be successfully implemented in diverse health educational contexts. Our aim was to identify what works, in which contexts and why. We thematically analysed the interviews and tabulated case study details.We identified four interlinked themes: choosing SusQI, getting it into the curriculum, making it work and embedding it. Each of these stages was influenced by factors related to the educators themselves, their students and their institution, as well as specific educational or curricular factors. The most successful implementations demonstrated synergistic benefits for both learners and institutions, engendering self-sustaining communities of practice.Strong institutional commitment, distributed expertise and opportunities for supported project work emerge as key success factors. Together, these fostered self-sustaining virtuous cycles of stakeholder engagement, transformative educational impacts and progress towards sustainable clinical practice.

Indexed as

Health PersonnelQuality ImprovementCurriculumHumansIrelandQualitative ResearchUnited KingdomMedical educationQualitative researchQuality improvementQuality improvement methodologies

Identifiers

PMID40484416
PMCPMC12161363

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.