Papers by Keith Stevenson
Quality in primary care, 2003
This paper discusses the concept of measuring organisational culture in primary care and reports ... more This paper discusses the concept of measuring organisational culture in primary care and reports on the construction and early pilot work surrounding the development of the Practice Culture Questionnaire (PCQ). The PCQ was designed specifically to identify variations in resistance culture to quality improvement activities in UK primary care teams. Questions were derived from a model of clinical governance and from interviews of primary care teams about quality improvement activities. A 25-item measure was devised and piloted with a sample of 21 practices. Response rates were satisfactory and the findings discriminated between primary care teams. Further evaluation of the measure is now required. The value of a measure that identifies resistant culture to quality improvement in primary care teams is discussed.
advice to smokers increasing general practitioners ' antismoking Qualitative study of pilot ... more advice to smokers increasing general practitioners ' antismoking Qualitative study of pilot payment aimed at
Psychology Teaching Review, 2002
Previous research has shown that university students, when asked to rank different methods of lea... more Previous research has shown that university students, when asked to rank different methods of learning and assessment tend to rate student presentations unfavourably. There are though, sound reasons for constructing learning situations around student presentations, resulting in presentations being an integral part of our psychology degree over the last ten years. However, the course has experienced a considerable rise in the number of students during the same period, making it much harder to create meaningful opportunities for student presentations. In spite of this growth, the team considered ways in which presentations can remain within the course and systematically evaluated their effectiveness. Whilst data show that students may find the experience stressful and that they have some concerns about the quality of their learning, these concerns, we believe are more than outweighed by the advantages, which are discussed at length. Students’ retrospective reflections on courses that ...
Http Dx Doi Org 10 1080 03075070050193433, Sep 9, 2010
Open Learning, Jul 7, 2006
Quality in Primary Care, 2012
The Health Service Journal, Feb 1, 2003
There are few models for involving patients in primary care. Research in one primary care group, ... more There are few models for involving patients in primary care. Research in one primary care group, involving 92 patients from nine general practices, established a list of 20 standards most important to patients. When asked to assess themselves against these standards, practices rated their services higher than patients did. The research found considerable resistance to patient involvement from GPs, which needs to be addressed if the government's aims are to be achieved.
Quality in Primary Care, 2009
Quality in Primary Care, Feb 1, 2008
Making Things Happen (MaTH) was devised as a six-module educational programme to support clinical... more Making Things Happen (MaTH) was devised as a six-module educational programme to support clinical governance leads (CGLs) in primary health care. The aim of the programme was to help develop practice CGLs' awareness, understanding and ability to initiate and manage change. The objectives of the training programme were: * to promote an increased and sophisticated understanding of clinical governance by building on knowledge gained already * to develop skills in delivering and sustaining improvements * to improve personal effectiveness in bringing about change. A pilot training programme was planned and delivered twice in 2003/2004 to two separate cohorts of clinical governance leads (n = 30 and n = 15) from two pilot primary care trusts (PCTs). The six training modules were delivered to the two groups by the same staff but at different times and in two separate locations. The effectiveness of the programme was evaluated in both PCTs at three levels. First the content of the programme was evaluated by the CGLs that attended the programme. Secondly, the value of the programme to the PCT was considered by the PCT co-ordinators. Thirdly, the effectiveness of the programme was considered by the presenting team. All three groups felt that the objectives were met, that the principles of MaTH training were sound and that it would be a valuable resource to offer nationally. It was also noted that training for PCT local co-ordinators in how to support clinical governance would be a useful training co-opportunity.
The British journal of general practice : the journal of the Royal College of General Practitioners, 2000
In a randomised trial of the implementation of guidelines for asthma and angina, we sent question... more In a randomised trial of the implementation of guidelines for asthma and angina, we sent questionnaires that included a request for consent to collect data from the patient's clinical records to 5069 patients in 81 general practices. Of these 3429 (67.6%) responded, of whom 335 (9.8% [95%, CI = 8.8%-10.8%]) refused consent. We conclude that consent should always be sought unless a research ethics committee has waived this requirement for pressing reasons.
International Journal of Medical Education, 2010
Objectives: This paper reports first year Caribbean medical students' preferred and least preferr... more Objectives: This paper reports first year Caribbean medical students' preferred and least preferred Communication Skills teaching styles. It also reports their views on assessment and what qualities they valued in a good Communication Skills teacher. Methods: Questionnaires were administered to first year students at the end of Semester One and the data compared with the results of a study using the same questionnaire format in the UK. Results: Caribbean medical students favoured interactive lectures with opportunities for discussion over the didactic formal lecture. The least preferred modes of teaching selected were private study, formal lecture, role play and student presentations. The qualities that students rated highly in their Communication Skills teachers were being a skilled teacher and being knowledgeable and approachable. The preferred assessment style was a 50-50 balance between coursework and exam. Conclusions: First year medical students in the Caribbean studying Communication Skills preferred interactive lectures with opportunities for discussion. Their explanations indicated that interactive lectures provided more stimulation allowing opportunities for learning and greater retention of information. Students also found small group discussions with constructive feedback helpful in developing their own communication skills. Other international faculty may find this approach of establishing students' preferences for teaching style useful in planning their curriculum delivery.
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Papers by Keith Stevenson