Assessment of Healthcare Quality Improvement Projects Sustainability in Regional Hospitals in Addis Ababa, Ethiopia
| dc.contributor.advisor | Bahran Asrat (PhD) | |
| dc.contributor.author | Abemelek Zegeye | |
| dc.date.accessioned | 2024-01-29T11:37:55Z | |
| dc.date.available | 2024-01-29T11:37:55Z | |
| dc.date.issued | 2023-09 | |
| dc.description.abstract | Sustainability of Healthcare quality improvement projects refers to the ability of healthcare initiatives to maintain and build upon their positive changes over time, ensuring that improvement becomes ingrained in organizational practice. However, many of these projects fail to achieve long-term sustainability, wasting resources and suboptimal patient outcomes. Understanding the factors contributing to the sustainability of quality improvement projects is crucial for healthcare organizations to achieve lasting improvements in patient outcomes, safety, and experience. The main purpose of this project work was to assess the sustainability of healthcare quality improvement projects and identify factors that influence their sustainability in regional hospitals in Addis Ababa, Ethiopia. Institution-based cross-sectional study descriptive type, with a quantitative approach, was conducted among 63 participants who fulfilled the inclusion criteria; Census was adopted. Participants were selected using a purposive sampling technique. A structured and standard questionnaire was used to collect data. The sustainability of quality improvement teams was assessed using the National Health Service Institute for Innovation and Improvement Sustainability Model self-assessment tool. The data was entered into SPSS version 25 for analysis. Mean, standard deviation, frequency, percentage and independent sample t test were used to present the result. The main findings revealed that the mean sustainability scores for all six hospitals were 55.815 (95% CI: 52.579-52.579). Three main factors that were perceived to negatively affect the sustainability of hospital QI teams across all six hospitals were), inadequate engagement of senior hospital leadership 6.047 (95% CI: 5.041-7.052), inadequate involvement of clinical leadership 7.013 (95% CI: 5.960-8.067) and weak infrastructures for sustainability 2.858 (95% CI: 2.261-3.456). Moderate-level mean sustainability scores for all six regional hospitals indicate some sustainability in place and ample room for improvement. In assessing domain-level sustainability scores, several factors were identified as promoting sustainability; however, three significant factors negatively affected sustainability: Inadequate engagement of senior hospital leadership, insufficient involvement of clinical leadership, and weak infrastructures for sustainability. By addressing process, staff, and organization domains, such as: enhancing leadership engagement, clinical leadership involvement and investing in infrastructure healthcare organizations can create a holistic approach to quality improvement that leads to long-lasting positive outcomes for patients and the healthcare system | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/1557 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Quality | |
| dc.title | Assessment of Healthcare Quality Improvement Projects Sustainability in Regional Hospitals in Addis Ababa, Ethiopia | |
| dc.type | Thesis |