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Quality improvement collaboratives (QICs) are a popular approach to improving healthcare services and patient outcomes. This paper evaluates a QIC implemented by a large, integrated healthcare organisation in Wales in the UK.

This evaluation study draws on two well-established evaluation frameworks: Kirkpatrick's approach to gather data on participant satisfaction and learning and Stake's approach to gather data and form judgements about the impact of the intervention. A mixed methods approach was taken which included documentary analysis, surveys, semi-structured interviews, and observation of the QIC programme.

Together the two frameworks provide a rounded interpretation of the extent to which the QIC intervention was fit-for-purpose. Broadly the evaluation of the QIC was positive with some areas of improvement identified.

This study is limited to a QIC conducted within one organisation. Further testing of the hybrid framework is needed that extends to different designs of QICs.

A hybrid framework is provided to assist those charged with designing and evaluating QICs.

Evaluation studies are limited on QICs and if present tend to adopt one framework. Given the complexities of undertaking quality improvement within healthcare, this study uniquely takes a hybrid approach.

Artistic expression is a vessel to define, refine, understand and become. Poetry and dance are tongues and instinctive expressions of my thoughts, feelings, and analyses. Thus, my embodiment, challenges and responses to social inequities often merge in these forms. Yet, artistic expression can be seen as trivial when used as method to illustrate social inequities. Drawing on the works of feminists of color, I offer poetry and dance as a queered performance to name and resist my embodiment of racism, sexism, and heteropatriarchy. Using these methods with my body as the site of struggle and potential, this piece talks back to standards of analysis and demands accountability be taken for the marking, sculpting and appraisal of my black female body.

This study aims to understand the development of Barcelos tourist destination, analyzing the progress of technology in local handcrafts. eTourism is a development alternative for many localities. These alternatives, when they have integrated tourist products and a defined geographical area, form a tourist destination. Focusing on tourism and its evolution, concepts and successes are investigated in the tourist market of Barcelos, proving the increase in the local economy. Before a qualitative study and through the direct observation and semi-structured interviews to some regional handcraftsmen, the forms of the innovation of the technology in the tourism of Barcelos are analyzed and what their contribution to the increase in the tourism in this territory. The study shows that, in this tourist destination, the development of handcrafts had a great social and economic impact, developing the offer and standing out in front of the tourist market. The study also concludes that the new Information and Communication Technologies’ (ICTs’) tools promote new skills, which consequently provide new opportunities as well as great challenges for all users. In the Barcelos handcraft, ICTs will revolutionize the promotion of this tourism offer, through the innovation of networks and the Internet, with all stakeholders, sharing information and knowledge of Barcelos products and services, thus increasing their fluency in tourism demand and developing the market in order to create a greater economic impact on the destination.

Access to the Literature of the Social Sciences and Humanities. Proceedings of the Conference on Access to Knowledge and Information in the Social Sciences and Humanities.