ArticleBMC health services research2025
Improving healthcare quality in Sudan: situation and factors influencing healthcare professionals' engagement.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundQuality improvement (QI) projects depend on the active involvement of healthcare professionals. However, their engagement remains suboptimal, specially in humanitarian settings such as Sudan. Our study aimed to describe healthcare professionals' engagement and to identify facilitators and barriers to conducting QI projects.
methodsAn online-based cross-sectional survey was conducted in Sudan between July and November 2024 using convenience sampling. The survey was distributed to healthcare professionals through different social media platforms. Data were manually cleaned in Excel sheet and analysed using Statistical Package for the Social Sciences Version 20 (SPSS 20). Chi Square test, Mann Whitney U test and Kruskal Walis test were used to identify factors associated with experience and self-efficacy in QI.
resultsA total of 1007 healthcare professionals were included in the study; the mean age was 27 ± 5 years, and the majority (67.9%) were females. Most of the participants (74.7%) were physicians, and (15.7%) were nurses. Only (18%) of participants reported that they have prior experience with QI projects. Older age, male gender and increased years of experience were found to be significantly associated with QI experience (p value < 0.05). Factors that influence self-efficacy in conducting QI projects were older age groups and increased years of experience, in addition to professional development opportunities such as formal training in QI, professional workshops in QI, and QI organisational membership. Barriers to conducting QI projects were lack of organisational support (59.1%), no access to QI content (48.6%), lack of time (39.8%), and lack of mentorship (31.5%).
conclusionThe study reveals low engagement of healthcare professionals in QI projects. Organisational support and professional development opportunities are essential to ensure effective healthcare professionals' engagement in QI projects, thereby enhancing the quality of care and ensuring favourable outcomes.
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