Development of a tool for identifying and addressing prioritised determinants of quality improvement initiatives led by healthcare professionals: a mixed-methods study

Table 3 Facilitators and barriers with a priority score ≥ 20, grouped by category

	Priority score^a
Facilitators
*External environment*
Incentives or pressure (financial, legal or politica)	64
*Organisation*
Sufficient support of expertise in the field of quality improvement	95
Culture of improvement	60
Sense of urgency^b	42
Sufficient available time	90
*Department*
Sufficient support of management	288
Employee support^b	203
Bottom-up project approach^b	96
Enthusiastic and supportive department head^b	76
Workforce is motivated about the improvement initiative	33
*Quality improvement team*
Sufficient participation in the decision-making process by team members	24
*Intervention of the initiative*
Intervention fits in with current workflow	120
Barriers
*Organisation*
Insufficient available time	767
Data infrastructure	120
Insufficient support of the Executive Board for the initiative	110
Opponents of the initiative	30
Other organisational changes (reorganisation, merger)	27
Insufficient integration of quality improvement	27
*Intervention*
Lack of evidence in literature of the effects of intervention	24
*Department*
Insufficient motivation among the workforce	21
Experiencing one’s competencies needed for the intervention as insufficient	20

^aThe priority score consists of (1) the sum of the ranking in the top five (i.e. a determinant ranked first place in the top five got 5 points, while a determinant ranked fifth place in the top five received 1 point) multiplied by (2) the number of times a determinant was placed in the top five by professionals
^bSelf-experienced determinant listed by professionals (not included in the pre-specified list of determinants used in the survey)

ISSN: 2662-2211