A PRACTICAL GUIDE TO QUALITY IMPROVEMENT FOR BURN CARE in Low-Resourced Settings
OVERCOMING CHALLENGES
Every quality improvement project will encounter challenges along the way. These can be all sorts of challenges, from a lack of funding and colleagues who are not supportive to broken equipment or your data not showing any improvement. Whatever the problems are, try to adapt your project where necessary and run another PDSA cycle to see if you can make your change.
Common barriers for sustaining and spreading change:
Watch this video Patricia K reflects on the key things needed for a QI project. That includes not to be discouraged by resistance.’
✔ Idea that it takes too much time or is not important ✔ Considered additional workload for staff ✔ Process is unclear. ✔ Resources are not identified. How to reduce these challenges to change: • Explain why the change is important, e.g. patient outcomes. • Do not make changes that are unnecessary. • Understand and address causes of resistance, e.g. staff time. • Publicise the results. • Show appreciation for the effort made by teammembers. • Expect changing conditions and be prepared. • Balance changes within the system to ensure other processes are not adversely stressed. • Run as many PDSA cycles as necessary to gain confidence in your change!
Example : Patricia lists some challenges that her hand hygiene project faced and what she has done to overcome those:
• Resistance to change among health workers. • Some health workers thought that choosing a team leader each day to assess & record the practices would add more workload.
• This was overcome by reducing the number of days for data collection to 2 per week.
• Myths about hand hygiene (like that some health workers did not wash hands before the procedure or even after the procedure because they would use gloves and thus believed it not necessary).
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