An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

1 / 14

An Approach for Quality An Approach for Quality Improvement: Self-Rated Improvement: Self-Rated Problems of Residents Problems of Residents

Dr. Zekeriya Aktürk,

Dr. Nezih Dagdeviren

Trakya University Faculty of Medicine, Department of Family Medicine, Turkey

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

2 / 14

Quality: to meet the expectations!

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

3 / 14

Background

• Quality Improvement is Popular

• Expectations have Increased– Production standards– Patient satisfaction– Performance criteria– ...

• What about the expectations of residents ?

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

4 / 14

Aim

• to explore the perceived problems of residents

• to introduce an approach in the improvement of resident satisfaction

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

5 / 14

Method

• Open-ended question:

• “Please write all problems you perceive as important regarding your educational atmosphere, human relations, health facilities and learning opportunities, including the social and physical conditions”

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

6 / 14

Sample

• All 231 residents of Trakya University Medical Faculty

• Participation rate: %55.8 (129 residents)

Our residents are always busy

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

7 / 14

Data Retrieval

• All participants answered the question in a comfortable atmosphere

• The questionnaires were returned directly and anonymously to the researchers

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

8 / 14

Data Processing

• Three researchers examined all responses and established a problem pool consisting of 103 problems by a tally stick method

Problem 1

Problem 2

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

9 / 14

Problem Pool

• Similar problems were collected under the same heading.

• Eight problems were excluded (they already had been solved by the quality improvement activities, which just had been conducted at the emergency department)

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

10 / 14

Grading of the Problems

• As the second phase of the study, a questionnaire with a five-point Likert scale (0- certainly disagree, 4- certainly agree) containing the 95 problems was distributed to all residents.

0 1 2 3 4

Participation to congresses should be supported

...

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

11 / 14

The Next Step

• Residents were asked to self-complete the questionnaire at an anonymous atmosphere and return to the researchers.

• 149 residents (64.5%) accepted to join the second phase of the study.

• The problems were arranged according to the priority calculated via above-mentioned Likert scale scores.

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

12 / 14

Results

• Top ten problems – related with education: 6

– related with economical problems :2

– other problems: 2

• Individual mean scores for each problem – 67 problems (70.5 %) were rated 3 or higher,

– 25 problems (26.3 %) had a mean score of 2 (agree),

– 3 problems (3.2%) had mean scores of less than 2.

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

13 / 14

• The results have been distributed to the faculty staff for information and possible improving activities.

An Approach for Quality Improvement: Self-Rated Problems of Residents EQuiP Meeting, Heidelberg, 2003

14 / 14

Conclusion

• We suggest this method as a way to determine the problems of residents according to their own perceptions.

• The results will aid as guides for managers for the improvement of total quality.

• The same process should be repeated at regular intervals in order to demonstrate possible improvements and to achieve quality improvement.