Executives' perceptions of total quality improvement.
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Biomedical subjects
Publications and source records attributed to S J Gentling.
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Total quality management (TQM) is certainly a hot topic in health care today. The Department of Veterans Affairs is not alone in launching the quality movement in their hospitals. The question is, can it succeed. The success of total quality lies in the commitment of the organizations' leaders. Nursing leadership has yet to be studied regarding TQM implementation. Nursing performs a vital role in hospitals, and if nursing leaders are opposed to total quality, then it is highly unlikely that the philosophy will succeed. This study is designed to measure the attitudes and perceptions of VA nursing chiefs regarding the total quality improvement (TQI) process.
A national survey of all Veterans Affairs Medical Centers' (N = 167) directors and Quality Assurance (QA) coordinators was conducted. The survey solicited feedback of respondents' attitudes and perceptions toward the implementation of Total Quality Improvement (TQI) in their facilities. A Likert scale type of responses was collected and further analyzed to measure the degree of agreement or disagreement of the respondents to the survey statements. The following sections were proposed: (a) attitudes and perceptions; (b) rankings; and (c) demographics of respondents and their facilities. The results of the survey indicate an overwhelming agreement on the implementation methodologies, impact on other programs, objectives, and philosophies of TQI. Both the directors and QA coordinators responded positively on the future of TQI in health care.
A national survey of United States Veterans Affairs (VA) Medical Centers (n = 167) chiefs of staff was conducted. The survey solicited feedback of the attitudes and perceptions of respondents toward planning, implementation, and monitoring of the Total Quality Management (TQM) process in their facilities. A Likert scale type of responses were collected and analyzed to measure the degree of agreement or disagreement of the respondents to survey statements on TQM. The survey included responses to three sections of the questionnaire: 25 statements on TQM, information on the TQM process status in the facility, and demographics of respondents and their facilities. The results of the survey indicate a considerable involvement of responding chiefs of staff in the TQM process and indicated their willingness to support it. Respondents agreed that TQM requires time and commitment of top management, and, again, they indicated their willingness to devote the time necessary for the process to succeed. They were, however, cautious in endorsing the statement that TQM will decrease health care costs (fiscal and human). The survey provides information that should prove valuable to administration in planning TQM and Continuous Quality Improvement efforts.