Knowledge, Attitudes, and Practices of Quality Management Tools Among Healthcare Workers Before and After Training

OBJECTIVES: To assess changes in healthcare workers' (HCWs) knowledge, attitudes and practices (KAP) regarding quality management tools (QMTs) before and after training and to explore the effectiveness of the training program in enhancing the application of QMTs in clinical practice. METHODS: A single-group pretest-posttest interventional study design was adopted, and data were collected through online surveys before the training and 6 months after its completion. The training included 11 hours of theoretical and practical sessions on QMTs such as Find-Organize-Clarify-Understand-Select-Plan-Do-Check-Act (FOCUS-PDCA) and quality management charts. Valid responses from 66 HCWs were analyzed using descriptive statistics and paired t tests. RESULTS: Significant improvements were observed in HCWs' knowledge (mean score: 50.5-55.2, P < .001), attitudes (38.9-44.5, P < .001), and practices (31.4-36.8, P < .001) posttraining. Notable heterogeneous effects were observed across different QMTs and charts; process- and risk-management-oriented tools achieved substantial improvement, whereas team- and habit-dependent tools showed limited progress. CONCLUSION: A structured, case-based QMTs training program was associated with improvements in HCWs' knowledge, attitudes, and practices, though gains varied by tools. These findings suggest tool-specific strategies may enhance future QMTs education.