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. 2022 Jun 21;12(6):e061390. doi: 10.1136/bmjopen-2022-061390

Table 1.

Examples of what the students described having learnt after participating in the virtual learning module, categorised by the cognitive processes as defined by Anderson and Krathwohl10

Description Examples of quotes by students
Remember and understand Gaining skills and understanding how to use tools and conduct different steps in a QI process
  • …learning the different steps of an improvement process, from a to z.(2A)

  • Drawing flow chart, I found that really interesting and educative (…) finding that we also needed to define the sub-processes (2C)

  • Defining the stars [dimensions of quality], employing flow chart, looking at Fishbone-diagram and things like that, for me that was really useful. (3A)

Apply Being able to adapt the QI tools and methods to other settings and seeing how digital tools can be used to facilitate QI efforts.
  • learning theories…how to use them. In a way, seeing the improvement process as a whole and helping us to use it in our everyday work later on. (4A)

  • I’ve used the model at my work many times afterwards. It was like a huge Eureka for me to use the digital platform in the way we did (2A)

Analyse Recognising tools and theories, learnt about separately, and seeing how they constitute a coherent method.
  • using the flow chart…How important it is to understand the different steps of the process to know how to affect…how to make decisions (1A)

  • when we analyzed the data we found no improvement (…) What can we do now, how can we design better interventions that will lead to improvement, that changes the practice, you know (4C)

Evaluate Choosing and employing theories and tools to evaluate existing practice for QI at their working place.
  • [the learning activity] stimulated to reflect upon and understand how to apply the theories… because the more we are stuck in our own practice, the more we are restricted by our own blind spots, I believe (2A)

  • I was at work (…) saw how [a colleague presenting a QI project] did many things right, but also many things that could have been done better. (…) when he started to be unclear, mixing things together, you are…I was able to understand because I have the knowledge. (4A)

  • …when writing my assignment, I will use what I’ve learnt and, later on, use it at work. (4A)

Create Adapting theories and tools to define a coherent plan and gaining skills for interprofessional cooperation in a QI team.
  • …learning to be a part of the improvement team which include a set of different roles. (2A)

  • …many things that can be transferred [to own place of working], both practical process improvement and knowledge about what leads to organizational change, what stimulate learning, how to implement new practices, you know…and how to practice this. So, yes, I believe I’ve gained a deeper insight into QI and clinical practice than I had before… (4A)

  • sitting passive and taking notes…a totally different thing to work with it as we did…It is about making it to my own and putting it into a system with what I already understand. (3B)

The quotes are marked with the interview number and a letter representing the participant.

QI, quality improvement.