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What is best for Esther? Building improvement coaching capacity with and for users in health and social Care-A case study
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
Department of Medical and Health Sciences, Division of Nursing, Faculty of Medicine and Health Sciences, Linköping University, Sweden.
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.ORCID iD: 0000-0003-1814-4478
2016 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, no 1, 53-60 p.Article in journal (Refereed) Published
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Text
Abstract [en]

While coaching and customer involvement can enhance the improvement of health and social care, many organizations struggle to develop their improvement capability; it is unclear how best to accomplish this. We examined one attempt at training improvement coaches. The program, set in the Esther Network for integrated care in rural Jonkoping County, Sweden, included eight 1-day sessions spanning 7 months in 2011. A senior citizen joined the faculty in all training sessions. Aiming to discern which elements in the program were essential for assuming the role of improvement coach, we used a case-study design with a qualitative approach. Our focus group interviews included 17 informants: 11 coaches, 3 faculty members, and 3 senior citizens. We performed manifest content analysis of the interview data. Creating will, ideas, execution, and sustainability emerged as crucial elements. These elements were promoted by customer focusembodied by the senior citizen trainershared values and a solution-focused approach, by the supportive coach network and by participants' expanded systems understanding. These elements emerged as more important than specific improvement tools and are worth considering also elsewhere when seeking to develop improvement capability in health and social care organizations.

Place, publisher, year, edition, pages
2016. Vol. 25, no 1, 53-60 p.
Keyword [en]
coaching, community health services, community participation, health services for the aged, quality improvement
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-30047DOI: 10.1097/QMH.0000000000000084ISI: 000373535000008PubMedID: 26783868Scopus ID: 2-s2.0-84957795656OAI: oai:DiVA.org:hj-30047DiVA: diva2:931035
Available from: 2016-05-26 Created: 2016-05-26 Last updated: 2017-11-30Bibliographically approved

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