Organizational Culture Quality improvement Quality improvement methodologies. However, high-quality studies are needed to prove its effects. I work to support Harvard College students in their residential and co-curricular lives on campus. It is, therefore, worthy of consideration when trying to deliver improvements in care. However, the qualitative and observational evidence suggests that Appreciative Inquiry may have a positive impact on clinical care, leading to improved patient and organisational outcomes. There is minimal empirical evidence to support the effectiveness of Appreciative Inquiry in improving healthcare. Patient outcomes were reported in eight studies, six of which reported positive changes and two of which showed no change. Organisational change occurred in all 23 studies that reported it. Behaviour change occurred in 12 of the 13 studies reporting it. Knowledge/skills changed in the 14 studies that reported it, although in one it was not universal. Attitudes changed in the seventeen studies that reported them. Participant reaction was positive in the 16 studies reporting it. Studies report that Appreciative Inquiry impacts outcomes at all Kirkpatrick levels. Study quality was generally poor, with most having significant risk of bias. One randomised controlled trial, 9 controlled observational studies, 4 qualitative studies and 19 non-controlled observational reports. Data extraction, in duplicate, grouped outcomes into an adapted Kirkpatrick model: participant reaction, attitudes, knowledge/skills, behaviour change, organisational change and patient outcomes.
KATIE O DAIR FULL
Two authors identified reports of Appreciative Inquiry in clinical settings by screening study titles, abstracts and full texts. Major electronic databases and grey literature were searched.
This review seeks to evaluate whether Appreciative Inquiry can improve healthcare.
Its effects in healthcare are poorly understood.
It encourages organisations to focus on the positive and investigate the best of 'what is' before thinking of 'what might be', deciding 'what should be' and experiencing 'what can be'. Appreciative Inquiry is a motivational, organisational change intervention, which can be used to improve the quality and safety of healthcare.
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