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Cultural Change of Applying User Involvement for Improving Healthcare Quality: A Review of the Impact on Attitudes, Values and Assumptions among Healthcare Professionals and Users
Mid Sweden University, Faculty of Science, Technology and Media, Department of Quality Technology and Management, Mechanical Engineering and Mathematics. Landstinget Västernorrland, Sundsvall.
Landstinget Västernorrland, Sundsvall.
Mid Sweden University, Faculty of Science, Technology and Media, Department of Quality Technology and Management, Mechanical Engineering and Mathematics. (Kvalitetsteknik)ORCID iD: 0000-0002-5431-0392
2017 (English)In: Quality Innovation Prosperity, ISSN 1335-1745, E-ISSN 1338-984X, Vol. 21, no 3, p. 158-172Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this study is to provide a review of the impact on culture (attitudes, values and assumptions) among both healthcare professionals, as well as users, when involving users for improving quality in healthcare.

Methodology/Approach: The paper is based on an extensive, narrative literature review considering studies that included professional’s and users experiences of user involvement in quality improvement. The included articles were analyzed using an interpretive, along with a deductive, approach according to a theoretical framework.

Findings: The results indicate that there is currently limited research focusing on the impact of user involvement in quality improvement processes regarding professionals’ and users’ attitudes, values and/or assumptions. The articles identified during the study provides situations and statements, during the process of development, which can be interpreted as change in the culture. Although few articles specifically draw conclusions on user involvement as a “tool” for cultural change, the authors interpret several findings which strengthens that theory.

Research Limitation/implication: Research published in other databases could have been missed. The authors have tried to avoid this by using a snowball method reading references in identified articles.

Originality/Value of paper: The review provides a platform for both future research and the development of current practice within the area. There have been literature reviews showing obstacles and enablers when using patients, users and relatives in quality improvement work, but few which investigates cultural change.

Place, publisher, year, edition, pages
2017. Vol. 21, no 3, p. 158-172
Keywords [en]
patient involvement, quality improvement, professionals, culture, service design
National Category
Reliability and Maintenance
Identifiers
URN: urn:nbn:se:miun:diva-32529DOI: 10.12776/qip.v21i3.922ISI: 000429615600011Scopus ID: 2-s2.0-85036653505OAI: oai:DiVA.org:miun-32529DiVA, id: diva2:1167961
Available from: 2017-12-19 Created: 2017-12-19 Last updated: 2018-05-08Bibliographically approved

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