The difference between research, quality improvement, service evaluation and audit in healthcare
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- Опубліковано 18 лют 2023
- This presentation offers a simple overview of the differences between a research study, quality improvement project, service evaluation and audit. Practical examples are given that are helpful for any healthcare professional preparing for interviews or aspiring to improve quality care in the future. Check out the other videos on my 'Quality Improvement and Change Management' playlist, see link below:
• Quality Improvement an...
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Hello Carol Forde-Johnston,
Thank you for your wonderful overview and insights in UK healthcare system! Even though I am not from the healthcare area, I find your insight into the differentiation of the various terms very helpful!
I am from Germany and taking a graduate course on research and evaluation in education at Arizona State University, USA and we are currently discussing the differences between evaluation and research.
I consider the boundaries to be very fluid and think they are mutually dependent and agree with you, that research and evaluation have strong overlappings in the systematic approach and the use of different methods.
However, I see a fundamental difference in the interest in knowledge and the desired result of research and evaluations and the impact on decisions.
Given your background, do you see a difference in the effectiveness or impact of research or evaluation? Especially in the field of evaluation, there is often the risk of a political influence by e.g. decision makers. Can this experience also be transferred to the health care sector?
I would be very interested in your thoughts!
Best regards
Kim Herms
Hello Kim, thank you for your positive feedback and I wish you all the best on your graduate course. This video is a very simple overview for early career healthcare professionals and it is interesting to look at political influences. I agree, there may be more political influence in the field of evaluation by decision makers in healthcare but it also depend on the context and type of evaluation or research. I would say the effectiveness or impact of research or evaluation are both impacted by political influences. For example, we have lots of research about safe staffing and impact of low registered nurse (RN) numbers impacting on mortality rates, however, UK government is not increasing RN numbers. We have nurse strikes in UK about this. I think research findings are more independently analysed and disseminated though, whereas I think evaluations and the dissemination of results may be more influenced politically by decision makers. I agree with your premise, that this relates to the different interest in knowledge and desired result. Research has more impact when linked to other studies and being set in a wider context. Whereas evaluations have a quicker and more direct impact at the time, perhaps that is what makes evaluations generally more prone to political interference. I hope that these few thoughts help in some way Kim. 😍
@@carolforde-johnston Hello Carol, thanks a lot for your answer and thoughts an insights! It really helped a lot. I think it is quite fascinating, and somehow frightening, to explore how political factors can impact the effectiveness and impact of both research and evaluation. It is really interesting to deal with questions, possibilities and limits of evaluations or research, thank you for the very concrete transfer to health care! Your example regarding the research on safe staffing and the impact of low registered nurse numbers in the UK is particularly compelling. It's unfortunate that despite the abundance of research supporting the need for increased RN numbers, the government has not taken significant action, leading to nurse strikes. This example highlights the real-world consequences of political decisions on healthcare outcomes. Thanks again! Kim
My pleasure Kim, it is fascinating and wonderful that you are exploring these issues too. I wish you every success in the future 😊