Joseph Adrien Emmanuel Demes1, Nathan Nickerson2, Lambert Farand3, Victor Becerril Montekio4, Pilar Torres5, Jean Geto Dube6, Jean Gracia Coq7, Marie-Pascale Pomey8, François Champagne9, Ernst Robert Jasmin10. 1. School of Medicine and Pharmacy (UEH), Haiti; School of Public Health, University of Montreal, C.P. 6128, Succ. Centre-ville, Montréal, Québec, H3C 3J7, Canada. Electronic address: adrien.demes@gmail.com. 2. Konbit Sante, USA. Electronic address: nnickerson@konbitsante.org. 3. School of Public Health, University of Montreal, C.P. 6128, Succ. Centre-ville, Montréal, Québec, H3C 3J7, Canada. Electronic address: lambert.farand@umontreal.ca. 4. National Institute of Public Health / Centre for Health Systems Research, Av. Universidad 655, Col. Santa Mara Ahuacatitlan, Cuernavaca, Morelos CP62100, Mexico. Electronic address: victor.becerril@insp.mx. 5. National Institute of Public Health / Centre for Health Systems Research, Av. Universidad 655, Col. Santa Mara Ahuacatitlan, Cuernavaca, Morelos CP62100, Mexico. Electronic address: pilar.torres@insp.mx. 6. Justinian University Hospital, Cap-Haitian, Haiti. Electronic address: getodubb@yahoo.fr. 7. Justinian University Hospital, Cap-Haitian, Haiti. Electronic address: jeanjeancoq@yahoo.fr. 8. School of Public Health, University of Montreal, C.P. 6128, Succ. Centre-ville, Montréal, Québec, H3C 3J7, Canada. Electronic address: marie-pascale.pomey@umontreal.ca. 9. School of Public Health, University of Montreal, C.P. 6128, Succ. Centre-ville, Montréal, Québec, H3C 3J7, Canada. Electronic address: francois.champagne@umontreal.ca. 10. Northern Health Department, Haiti. Electronic address: dreroja2000@yahoo.fr.
Abstract
BACKGROUND: Quality improvement in Healthcare is the new fashion actually. Rich countries and developing countries alike are trying to implement quality improvement initiatives to improve their performance and the quality of care. There is evidence in the scientific literature that the existence of a "champion" can play an important role in the successful implementation of quality improvement strategies. Most of the time, people get stuck at the implementation level: they know what to do but they fail to execute it in the organizational setting. That's where a champion can be useful to facilitate the success of the change. There is a paucity of research on the link between the champion and the implementation of quality improvement programs. The aim of the study was to investigate the perceptions of stakeholders about the characteristics and qualities of the champion that could facilitate the successful implementation of quality improvement programs in health care settings in Haiti. METHODS: Twenty semi-structured individual interviews and one small group discussion (n = 4) with providers, administrators, directors, and NGO representatives were conducted during a six months period. The total sample size was twenty-four (n = 24). The methods were informed by grounded theory and the data were analyzed using the constant comparative method and thematic content analysis approach. RESULTS: The analysis resulted in eleven themes describing the characteristics and qualities of a successful champion: Communication and persuasion, proactivity, humility, horizontal and collective leadership style, sense of responsibility and accountability, go-ahead type, empathy, dedication and motivation, ability to inspire and motivate people, have a vision, and encourage learning. CONCLUSIONS: It is important to support and encourage champions in the health care systems in developing countries to master and exhibit those qualities and characteristics in order to lead a team for the successful implementation of quality improvement initiatives in the health facilities. More research is needed to understand how to better articulate those qualities in the context of the Haitian health care system.
BACKGROUND: Quality improvement in Healthcare is the new fashion actually. Rich countries and developing countries alike are trying to implement quality improvement initiatives to improve their performance and the quality of care. There is evidence in the scientific literature that the existence of a "champion" can play an important role in the successful implementation of quality improvement strategies. Most of the time, people get stuck at the implementation level: they know what to do but they fail to execute it in the organizational setting. That's where a champion can be useful to facilitate the success of the change. There is a paucity of research on the link between the champion and the implementation of quality improvement programs. The aim of the study was to investigate the perceptions of stakeholders about the characteristics and qualities of the champion that could facilitate the successful implementation of quality improvement programs in health care settings in Haiti. METHODS: Twenty semi-structured individual interviews and one small group discussion (n = 4) with providers, administrators, directors, and NGO representatives were conducted during a six months period. The total sample size was twenty-four (n = 24). The methods were informed by grounded theory and the data were analyzed using the constant comparative method and thematic content analysis approach. RESULTS: The analysis resulted in eleven themes describing the characteristics and qualities of a successful champion: Communication and persuasion, proactivity, humility, horizontal and collective leadership style, sense of responsibility and accountability, go-ahead type, empathy, dedication and motivation, ability to inspire and motivate people, have a vision, and encourage learning. CONCLUSIONS: It is important to support and encourage champions in the health care systems in developing countries to master and exhibit those qualities and characteristics in order to lead a team for the successful implementation of quality improvement initiatives in the health facilities. More research is needed to understand how to better articulate those qualities in the context of the Haitian health care system.
Authors: Joseph Adrien Emmanuel Demes; Nathan Nickerson; Lambert Farand; Victor Becerril-Montekio; Pilar Torres; Jean Geto Dube; Jean Garcia Coq; Marie-Pascale Pomey; Francois Champagne; Ernst Robert Jasmin Journal: Data Brief Date: 2020-04-23
Authors: Joseph Adrien Emmanuel Demes; Victor Becerril-Montekio; Pilar Torres-Pereda; Ernst Robert Jasmin; Jean Geto Dube; Jean Garcia Coq; Nathan Nickerson Journal: Rev Panam Salud Publica Date: 2021-05-26