A framework and a measurement instrument for sustainability of work practices in long-term care.

ABSTRACT:

Background

In health care, many organizations are working on quality improvement and/or innovation of their care practices. Although the effectiveness of improvement processes has been studied extensively, little attention has been given to sustainability of the changed work practices after implementation. The objective of this study is to develop a theoretical framework and measurement instrument for sustainability. To this end sustainability is conceptualized with two dimensions: routinization and institutionalization.

Methods

The exploratory methodological design consisted of three phases: a) framework development; b) instrument development; and c) field testing in former improvement teams in a quality improvement program for health care (N teams = 63, N individual = 112)

SUBMITTER: Slaghuis SS 

PROVIDER: S-EPMC3234291 | biostudies-literature | 2011 Nov

REPOSITORIES: biostudies-literature