Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project
Abstract Background There is an urgent need to improve quality of care to reduce avoidable mortality and morbidity from surgical diseases in low- and middle-income countries. Currently, there is a lack of knowledge about how evidence-based health system strengthening interventions can be implemented...
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-021-00768-5 |
| _version_ | 1818615858370445312 |
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| author | Nataliya Brima Nick Sevdalis K. Daoh B. Deen T. B. Kamara Haja Wurie Justine Davies Andrew J. M. Leather |
| author_facet | Nataliya Brima Nick Sevdalis K. Daoh B. Deen T. B. Kamara Haja Wurie Justine Davies Andrew J. M. Leather |
| author_sort | Nataliya Brima |
| collection | DOAJ |
| description | Abstract Background There is an urgent need to improve quality of care to reduce avoidable mortality and morbidity from surgical diseases in low- and middle-income countries. Currently, there is a lack of knowledge about how evidence-based health system strengthening interventions can be implemented effectively to improve quality of care in these settings. To address this gap, we have developed a multifaceted quality improvement intervention to improve nursing documentation in a low-income country hospital setting. The aim of this pilot project is to test the intervention within the surgical department of a national referral hospital in Freetown, Sierra Leone. Methods This project was co-developed and co-designed by in-country stakeholders and UK-based researchers, after a multiple-methodology assessment of needs (qualitative, quantitative), guided by a participatory ‘Theory of Change’ process. It has a mixed-method, quasi-experimental evaluation design underpinned by implementation and improvement science theoretical approaches. It consists of three distinct phases—(1) pre-implementation(project set up and review of hospital relevant policies and forms), (2) intervention implementation (awareness drive, training package, audit and feedback), and (3) evaluation of (a) the feasibility of delivering the intervention and capturing implementation and process outcomes, (b) the impact of implementation strategies on the adoption, integration, and uptake of the intervention using implementation outcomes, (c) the intervention’s effectiveness For improving nursing in this pilot setting. Discussion We seek to test whether it is possible to deliver and assess a set of theory-driven interventions to improve the quality of nursing documentation using quality improvement and implementation science methods and frameworks in a single facility in Sierra Leone. The results of this study will inform the design of a large-scale effectiveness-implementation study for improving nursing documentation practices for patients throughout hospitals in Sierra Leone. Trial registration Protocol version number 6, date: 24.12.2020, recruitment is planned to begin: January 2021, recruitment will be completed: December 2021. |
| first_indexed | 2024-12-16T16:40:35Z |
| format | Article |
| id | doaj.art-164b109f10dc4604ad4305558984b04a |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-12-16T16:40:35Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-164b109f10dc4604ad4305558984b04a2022-12-21T22:24:19ZengBMCPilot and Feasibility Studies2055-57842021-01-017111310.1186/s40814-021-00768-5Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type projectNataliya Brima0Nick Sevdalis1K. Daoh2B. Deen3T. B. Kamara4Haja Wurie5Justine Davies6Andrew J. M. Leather7King’s Centre for Global Health & Health Partnerships, School of Population Health & Environmental Sciences, Faculty of Life Sciences and Medicine, King’s College LondonCentre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonConnaught Teaching Hospital ComplexConnaught Teaching Hospital ComplexDepartment of Surgery, College of Medicine and Allied Health Sciences, University of Sierra LeoneFaculty of Nursing, College of Medicine and Allied Health Sciences, University of Sierra LeoneInstitute of Applied Health Research, University of Birmingham, UK; Centre for Global Surgery, Department of Global Health, Stellenbosch UniversityKing’s Centre for Global Health & Health Partnerships, School of Population Health & Environmental Sciences, Faculty of Life Sciences and Medicine, King’s College LondonAbstract Background There is an urgent need to improve quality of care to reduce avoidable mortality and morbidity from surgical diseases in low- and middle-income countries. Currently, there is a lack of knowledge about how evidence-based health system strengthening interventions can be implemented effectively to improve quality of care in these settings. To address this gap, we have developed a multifaceted quality improvement intervention to improve nursing documentation in a low-income country hospital setting. The aim of this pilot project is to test the intervention within the surgical department of a national referral hospital in Freetown, Sierra Leone. Methods This project was co-developed and co-designed by in-country stakeholders and UK-based researchers, after a multiple-methodology assessment of needs (qualitative, quantitative), guided by a participatory ‘Theory of Change’ process. It has a mixed-method, quasi-experimental evaluation design underpinned by implementation and improvement science theoretical approaches. It consists of three distinct phases—(1) pre-implementation(project set up and review of hospital relevant policies and forms), (2) intervention implementation (awareness drive, training package, audit and feedback), and (3) evaluation of (a) the feasibility of delivering the intervention and capturing implementation and process outcomes, (b) the impact of implementation strategies on the adoption, integration, and uptake of the intervention using implementation outcomes, (c) the intervention’s effectiveness For improving nursing in this pilot setting. Discussion We seek to test whether it is possible to deliver and assess a set of theory-driven interventions to improve the quality of nursing documentation using quality improvement and implementation science methods and frameworks in a single facility in Sierra Leone. The results of this study will inform the design of a large-scale effectiveness-implementation study for improving nursing documentation practices for patients throughout hospitals in Sierra Leone. Trial registration Protocol version number 6, date: 24.12.2020, recruitment is planned to begin: January 2021, recruitment will be completed: December 2021.https://doi.org/10.1186/s40814-021-00768-5Surgical patient recordsNursing notesSurgical patientsQuality improvement (QI) interventionImplementation outcomesPDSA |
| spellingShingle | Nataliya Brima Nick Sevdalis K. Daoh B. Deen T. B. Kamara Haja Wurie Justine Davies Andrew J. M. Leather Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project Pilot and Feasibility Studies Surgical patient records Nursing notes Surgical patients Quality improvement (QI) intervention Implementation outcomes PDSA |
| title | Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project |
| title_full | Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project |
| title_fullStr | Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project |
| title_full_unstemmed | Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project |
| title_short | Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project |
| title_sort | improving nursing documentation for surgical patients in a referral hospital in freetown sierra leone protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project |
| topic | Surgical patient records Nursing notes Surgical patients Quality improvement (QI) intervention Implementation outcomes PDSA |
| url | https://doi.org/10.1186/s40814-021-00768-5 |
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