A standardized curriculum to introduce novice health professional students to practice-based learning and improvement: a multi-institutional pilot study

Qual Manag Health Care. 2009 Jul-Sep;18(3):174-81. doi: 10.1097/QMH.0b013e3181aea218.

Abstract

Background: Practice-based learning and improvement (PBLI) combines the science of continuous quality improvement with the pragmatics of day-to-day clinical care delivery. PBLI is a core-learning domain in nursing and medical education. We developed a workbook-based, project-focused curriculum to teach PBLI to novice health professional students.

Purpose: Evaluate the efficacy of a standardized curriculum to teach PBLI.

Design: Nonrandomized, controlled trial with medical and nursing students from 3 institutions.

Methods: Faculty used the workbook to facilitate completion of an improvement project with 16 participants. Both participants and controls (N = 15) completed instruments to measure PBLI knowledge and self-efficacy. Participants also completed a satisfaction survey and presented project posters at a national conference.

Results: There was no significant difference in PBLI knowledge between groups. Self-efficacy of participants was higher than that of controls in identifying best practice, identifying measures, identifying successful local improvement work, implementing a structured change plan, and using Plan-Do-Study-Act methodology. Participant satisfaction with the curriculum was high.

Conclusion: Although PBLI knowledge was similar between groups, participants had higher self-efficacy and confidently disseminated their findings via formal poster presentation. This pilot study suggests that using a workbook-based, project-focused approach may be effective in teaching PBLI to novice health professional students.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Controlled Clinical Trials as Topic
  • Curriculum*
  • Health Personnel / education*
  • Humans
  • Pilot Projects*
  • Problem-Based Learning*
  • Quality of Health Care*