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

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An Approach for Quality Improvement Self-Rated
Problems of Residents

• Dr. Zekeriya Aktürk,
• Dr. Nezih Dagdeviren
• Trakya University Faculty of Medicine, Department
  of Family Medicine, Turkey

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Quality to meet the expectations!
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Background

• Quality Improvement is Popular
• Expectations have Increased
• Production standards
• Patient satisfaction
• Performance criteria
• ...
• What about the expectations of residents ?

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Aim

• to explore the perceived problems of residents
• to introduce an approach in the improvement of
  resident satisfaction

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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

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Sample
Our residents are always busy ?

• All 231 residents of Trakya University Medical
  Faculty
• Participation rate 55.8 (129 residents)

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Data Retrieval

• All participants answered the question in a
  comfortable atmosphere
• The questionnaires were returned directly and
  anonymously to the researchers

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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

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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)

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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
...
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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.

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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.

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

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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.