A PRACTICAL GUIDE TO QUALITY IMPROVEMENT FOR BURN CARE in Low-Resourced Settings
STEP 5: STRATEGIES FOR CHANGE
When you have an idea of something you would like to change, it is tempting to jump straight to this step. But why is it so important not to move straight to thinking about how you are going to make change? The steps before this are SO important to make sure you are making changes based on all the relevant information.
You might think the problems stem from one thing, but after assessing the situation you might find the cause is something else entirely. Every step before this ensures your project will be evidence-based, relevant and specific to the problem in your setting and it helps you to anticipate barriers and facilitators.
What is included in your strategy for change? When you start to think about making a change you may find that you can re-design a current system or you may need to design a completely new system. Either way, your strategy should ensure that:
✔ It addresses your SMART aim.
Patricia N tells us how important having the right resources is. https://www.youtube.com/ watch?v=9QTmXTkAnd0 Watch these videos Patricia N and E hrem reflect on the key aspects that you need in your strategy to have your project succeed.
✔ Everyone knows their role and responsibility within the project.
✔ There are feedback methods in place to see how the project is doing during its progress (e.g. audits; patient outcomes; observations; interviewing). ✔ There is space for adaptation/change within the project after you get feedback (see also the PDSA cycles discussed in Step 7).
✔ There is an evaluation plan.
✔ The change you introduce is sustainable after the project has ended.
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