Electronic Thesis and Dissertation Repository


Master of Health Information Science


Health Information Science


Harris, Dr. Stewart

2nd Supervisor

Sibbald, Dr. Shannon



Clinical quality improvement (QI) teams from First Nations communities across Canada participated in an 18-month QI collaborative program called the TransFORmation of IndiGEnous Primary HEAlthcare Delivery (FORGE AHEAD) clinical QI initiative. Community-based participatory research and multiple case study methodologies were utilized to explore the experience of two clinical QI teams from diverse primary care settings in First Nations communities as they engaged in developing and implementing changes in practice to improve the quality of diabetes care. This study provides insight into how clinical QI teams drew upon multiple sources of knowledge and information to inform their QI activities, the importance of strengthening relationships and building partnerships with the community, and the factors that support or hinder QI within First Nations communities in Canada. The knowledge generated may help inform community action and future development and implementation of QI programs in First Nations communities in Canada.