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Evaluation Clinical Practice - 2025 - Kynoch - Development of a Comprehensive Tool to Assess Rigor When Evaluating Quality344.97 kB
Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
Development of a Comprehensive Tool to Assess Rigor When Evaluating Quality Improvement Projects
Journal of Evaluation in Clinical Practice, Vol.31(4), pp.1-8
2025
PMCID: PMC12206485
PMID: 40581969
Abstract
Purpose
The aim of this study was to develop a pragmatic domain-based tool to Comprehensively Assess Rigor when Evaluating Quality Improvement projects (CARE-QI) that can be used by health professionals, researchers, or academics.
Patients and Methods
An expert panel was recruited to provide consensus on the tool. The development of the CARE-QI instrument followed a three-stage methodology. Firstly, a scoping review was used to identify potential items for inclusion. Secondly, using these items, a draft version of the tool was developed by the researchers and finally a Delphi survey was initiated to reach consensus on the final items. Two rounds of surveys were required where participants rated their level of agreement with each item on a Likert scale from 1 not important to 5 very important. The final version was sent out in the third round. Participants could provide free text comments on the tool during all rounds.
Results
A total of 40 experts participated in the first round of the Delphi survey. Members consisted of international multi-disciplinary healthcare professionals including clinicians and researchers with an interest in quality improvement and evidence implementation. The final CARE-QI tool consists of 13 items within four-domains: problem and design, context, intervention and implementation, and evaluation and sustainability.
Conclusion
A pragmatic domains-based tool has been developed, in collaboration with experts within the field, to comprehensively assess rigor when evaluating different types of clinical quality improvement projects. Further testing will confirm validity and reliability of the items within the tool.
Details
- Title
- Development of a Comprehensive Tool to Assess Rigor When Evaluating Quality Improvement Projects
- Authors
- Kathryn Kynoch (Corresponding Author) - Queensland University of TechnologyMary-Anne Ramis - University of the Sunshine Coast, Queensland, School of Health - NursingCaroline de Moel-Mandel - La Trobe UniversityRitin Fernandez - University of Newcastle AustraliaHanan Khalil - La Trobe University
- Publication details
- Journal of Evaluation in Clinical Practice, Vol.31(4), pp.1-8
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2025
- DOI
- 10.1111/jep.70193
- ISSN
- 1365-2753; 1356-1294
- PMID
- 40581969; PMC12206485
- Copyright note
- © 2025 The Author(s). Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
- Data Availability
- The data that support the findings of this study are available from the corresponding author upon reasonable request.
- Organisation Unit
- School of Health - Nursing
- Language
- English
- Record Identifier
- 991144109602621
- Output Type
- Journal article
Metrics
13 Record Views
InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Health Care Sciences & Services
- Medical Informatics
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Source: InCites