Table 3 Analysis of data, identification of actions and wider organisation feedback
From: Impetus to change: a multi-site qualitative exploration of the national audit of dementia
Dimension | Exemplar quote |
|---|---|
Difficulty understanding the report | “Some of it I had to go and ask people. I think I went just by the key recommendations, in the end, to be honest because it summarised it all for me.” (Interview 6, dementia nurse specialist) |
Initially unclear about how to implement improvement | “Obviously we understand all of the questions and the reason why we're doing it, but the process isn't necessarily that clear…Definitely what has changed (since undertaking the first National Audit) is the thought process in terms of before it even starts about who we need on board, why we need them on board, what we want them to find or do or see or look at.” (Interview 6, dementia nurse specialist) |
Relative context is considered | “I had a look at these (results from neighbouring organisations) and I did some comparing. It’s not really fair to compare because the resources in the two Trusts (NHS organisations) are totally different.” (Interview 18, deputy director of nursing) |
Ward-level staff in all participating organisations may not get feedback | “The matrons would get it (committee paper and verbal feedback on national audit) from me at the Matrons’ Forum. Then we would expect the matrons to feed that back down to ground floor level. But I would say that’s the part that doesn’t happen, people on the ward see it. When we start going to introduce new things and when we talk to them about how we’re introducing it, it’s on the back of the audit. …I honestly don’t believe that happens (feedback at ward level). I can’t think of any ward sister, even on our older people’s wards that would not be aware that we do national audits because they get- We’re always on at them about the carers’ one (survey) and the staff one (survey). But in terms of the audit results, I don’t think it goes that far.” (Interview 27, dementia nurse specialist) |
Staff may get information about actions | “Following lower than national average scores for discharge planning and carer rating for communication on round 3 of the National Audit of Dementia an action plan to remedy these shortfalls had been accepted by the executive team.” (Extract from directorate newsletter, document 30) |
Feedback may not alter participants’ understanding of performance | “I don’t know. I suppose they will be fed back, but would they change their practice as a result of it? I don’t know. Really, am I going to change my practice as a result of this audit? No, because I know the deficits anyway,” (Interview 14, dementia nurse specialist) |