From: Evaluating a questionnaire to measure improvement initiatives in Swedish healthcare
Improvement effectiveness outcome (n=92) | ||||||||
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Not at all (0) | A little (1) | Some (2) | Quite a bit (3) | A lot (4) | Mean (SD) | Median | ||
22. Overall, how satisfied are you with the progress that has been made in the work to develop the improvement idea during the past month | 1 (1) | 5 (6) | 16 (17) | 51 (55) | 19 (21) | 2.9 (0.8) | Quite a bit | |
24. How much does the improvement idea contribute to improving the work at your unit? | 2 (2) | 6 (7) | 32 (35) | 27 (29) | 25 (27) | 2.7 (1.0) / 3 | Quite a bit | |
Far below (0) | Somewhat below (1) | As expected (2) | Somewhat above (3) | Far above (4) | Mean (SD) | Median | ||
23. To what extent is your progress with the improvement idea below or above your original expectations? | 2 (2) | 6 (7) | 45 (49) | 35 (38) | 4 (4) | 2.4 (0.8) | As expected | |
Internal Improvement Processes (8 sub dimensions) | ||||||||
Improvement Uncertainty (n=92) | Very easy (0) | Quite easy (1) | Moderate (2) | Quite difficult (3) | Very difficult (4) | Mean (SD) | Median | |
2. How easy is it for you to know ahead of time what steps are necessary to develop the improvement idea? | 1 (1) | 35 (38) | 45 (49) | 11 (12) | 0 | 1.7 (0.7) | Moderate | |
Not at all (0) | Once (1) | Every other week (2) | Every week (3) | Every day (4) | Mean (SD) | Median | ||
7. How often in the past month did problems arise during development of the improvement idea? | 42 (46) | 27 (29) | 13 (14) | 9 (10) | 1 (1) | 0.917 (1.0) /1 | Once | |
Resource scarcity (n=92) | ||||||||
How much must your improvement idea compete with other activities within your unit, when it comes to | Not at all (0) | Little (1) | Some (2) | Quite a bit (3) | A lot (4) | Mean (SD) | Median | |
35a. Economic resources? | 42 (46) | 23 (25) | 16 (17) | 7 (8) | 4 (4) | 1.0 (1.2) | Little | |
35b. Material, space, and equipment? | 48 (52) | 21 (23) | 16 (17) | 6 (7) | 1 (1) | 0.8 (1.0) | Not at all | |
35c. Attention from the executive level? | 31 (34) | 26 (28) | 16 (17) | 14 (15) | 5 (5) | 1.3 (1.2) | Little | |
35d. Personnel? | 22 (24) | 21 (23) | 23 (25) | 17 (18) | 9 (10) | 1.7 (1.3) | Some | |
35e. Time to work with the improvement idea? | 4 (4) | 16 (17) | 24 (26) | 28 (30) | 20 (22) | 2.5 (1.1) | Quite a bit | |
Standardization of procedures (n=92) | Very little (0) | Little (1) | Moderate (2) | Much (3) | Very much (4) | Mean (SD) | Median | |
3. To what extent is your work on the improvement idea supported by the methods used in the improvement program? | 1 (1) | 8 (9) | 42 (46) | 38 (41) | 3 (3) | 2.4 (0.7) | Moderate | |
Expectations of Rewards and Sanctions (n=92) | ||||||||
How likely is it that the following will occur if the goals of the improvement idea have been achieved: | Not likely (0) | Hardly likely (1) | Likely (2) | Very likely (3) | Totally likely (4) | Mean (SD) | Median | |
15a. Everyone involved, as a group, will be rewarded or recognized for their collective efforts | 9 (10) | 16 (17) | 29 (32) | 27 (29) | 11 (12) | 2.2 (1.2) | Likely | |
15b. Only some participants will be rewarded or recognized for their individual efforts | 42 (46) | 37 (40) | 8 (9) | 5 (5) | 0 | 0.7 (0.8) | Hardly likely | |
How likely is it that the following will occur if the goals of the improvement idea have not been achieved: | ||||||||
16a. Everyone involved, as a group, will be reprimanded or told to “shape up” to improve their efforts. | 27 (29) | 34 (37) | 20 (22) | 9 (10) | 2 (2) | 1.2 (1.0) | Hardly likely | |
16b. Only some participants will be reprimanded or told to “shape up” to improve their efforts | 47 (51) | 37 (40) | 8 (9) | 0 | 0 | 0.6 (0.6) | Not likely | |
Improvement Group Leadership (n=92) | Absolutely do not agree (0) | Mostly do not agree (1) | Neutral (2) | Mostly agree (3) | Absolutely agree (4) | Mean (SD) | Median | |
10. The project leader of the improvement idea encourages the participants to take initiative | 1 (1) | 2 (2) | 18 (20) | 34 (37) | 37 (40) | 3.1 (0.9) | Mostly agree | |
11. The participants involved in the improvement idea are aware of their individual responsibilities | 0 | 1 (1) | 7 (8) | 46 (50) | 38 (41) | 3.3 (0.7) | Mostly agree | |
12. The project leader for the improvement idea places great emphasis on getting the work done. | 1 (1) | 1 (1) | 15 (16) | 36 (39) | 39 (42) | 3.2 (0.8) | Mostly agree | |
13. The project leader has great confidence in the participants involved in the improvement idea | 0 | 1 (1) | 14 (15) | 26 (28) | 51 (55) | 3.4 (0.8) | Absolutely agree | |
Not at all (0) | Little (1) | Some (2) | Quite a bit (3) | A lot (4) | Mean (SD) | Median | ||
21. Do those involved in working with the improvement idea receive feedback from “improvement support”/their supervisor on how they can improve their work? | 2 (2) | 12 (13) | 31 (34) | 29 (32) | 18 (19) | 2.5 (1.0) | Quite a bit | |
Freedom to Express Doubts (n=92) | Absolutely do not agree (0) | Mostly do not agree (1) | Neutral (2) | Mostly agree (3) | Absolutely agree (4) | Mean (SD) | Median | |
14. To avoid causing disharmony I often feel I cannot say what I think about the work on the improvement idea. | 60 (65) | 17 (18) | 7 (8) | 6 (7) | 2 (2) | 0.6 (1.0) | Absolutely do not agree | |
Learning Encouragement (n=92) | Absolutely does not apply (0) | Mostly does not apply (1) | Neutral (2) | Mostly apply (3) | Absolutely applies(4) | Mean (SD) | Median | |
33. If a colleague tries something new and fails, this is viewed as something that could harm her/his future career in the county council. | 31 (34) | 24 (26) | 36 (39) | 1 (1) | 0 | 1.1 (0.1) | Mostly does not apply | |
34. The county council prioritizes experimenting with new ideas. | 5 (5) | 11 (12) | 54 (59) | 20 (22) | 2 (2) | 2.0 (0.8) | Neutral | |
Decision Influence | ||||||||
How much influence have you had on each of the following decisions that might have been made during the past month? | No decision made * (0) | None (1) | Little (2) | Some (3) | Quite a bit (4) | A lot (5) | Mean (SD) | Median |
6a. Preparing goals and measures for the improvement idea? (n=91) | 1 (1) | 0 | 6 (6) | 7 (8) | 43 (47) | 35 (38) | 4.2 (0.8) | Quite a bit |
6b. Deciding which activities should be carried out within the improvement idea? (n=90) | 2 (2) | 0 | 4 (4) | 8 (9) | 42 (46) | 36 (39) | 4.2 (0.8) | Quite a bit |
6c. Deciding on economic funds and resources for the improvement idea? (n=64) | 28 (30) | 39 (42) | 13 (14) | 6 (7) | 2 (2) | 4 (4) | 1.7 (1.2) | None |
6d. Recruiting colleagues to work with the improvement idea? (n=71) | 21 (23) | 21 (23) | 9 (10) | 10 (11) | 18 (20) | 13 (14) | 2.9 (1.5) | Some |