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Theorizing Factors Mediating With the Implementation of a Patient Feedback on Safety Intervention Implemented in the Primary Care Setting
journal contribution
posted on 2021-10-01, 00:00 authored by Hannah BeksHannah Beks, Andrea HernanAndrea Hernan, S Giles, Mary MalakellisMary Malakellis, Kevin Mc NamaraKevin Mc Namara, Vincent VersaceVincent VersaceDeveloping safety interventions using patient feedback is valuable for creating safer systems of health care. A qualitative process evaluation of a patient feedback on safety intervention was undertaken in six primary care practices. The purpose was to theorize factors mediating with the implementation of the intervention using existing theories. The intervention required practices to obtain patient feedback on safety using a validated tool and respond using quality improvement methods. Multiple methods of qualitative data collection were used, including interviews and overt observation. Abductive reasoning informed the iterative process of analysis that examined theories relevant to the intervention and setting. A theoretical framework was developed, which encompassed mediating factors grouped under three concepts: practice readiness, utilization of problem-solving skills, and agency. Theorizing mediating factors was necessary to understand the complexities of primary care practices, and to identify the essential components for implementation of the intervention on a larger scale.
History
Journal
Qualitative Health ResearchVolume
31Issue
12Article number
ARTN 10497323211028829Pagination
2260 - 2273Publisher
SAGE PUBLICATIONS INCLocation
United StatesPublisher DOI
ISSN
1049-7323eISSN
1552-7557Language
EnglishPublication classification
C1 Refereed article in a scholarly journalUsage metrics
Categories
Keywords
Science & TechnologySocial SciencesLife Sciences & BiomedicineTechnologyPublic, Environmental & Occupational HealthInformation Science & Library ScienceSocial Sciences, InterdisciplinarySocial Sciences, BiomedicalSocial Sciences - Other TopicsBiomedical Social Sciencespatient safetyquality improvementprocess evaluationgeneral practicequalitativeabductive reasoningtheorizingVictoriaAustraliaETHNOGRAPHYEXPERIENCESCONTEXTVictoria, Australia