Table 2 ‘Picture-Understanding-Approach’... | Emerald Publishing

Table 2

‘Picture-Understanding-Approach’ mapped onto Deming's system of profound knowledge

Components of system of profound knowledge	‘Picture-understanding-action’ corresponding elements
Appreciation of a system	The approach assumes that the system is sum of different parts comprising of people, processes, equipment, relationships and interactions. Performance is being monitored at all levels across the system. The board quality agenda is based on the select few measures that best represent the priority areas and have the most impact for system improvement
Understanding variation	Using statistical process control methods to present data over time to visualise patterns and understand variation due to common and special causes to take actions accordingly
Theory of knowledge	Using PDSA cycles to skilfully build knowledge so that board members gain knowledge through the use of data, supported by just-in-time training on measurement and data. The iterative PDSA approach to improve the indicators and their presentation also contributed to theory of knowledge
Psychology of change	Understanding how board members interact with each other, acknowledging the differences in preferences, backgrounds and motivations of board members and including and involving them in the process through co-design

Components of system of profound knowledge	‘Picture-understanding-action’ corresponding elements
Appreciation of a system	The approach assumes that the system is sum of different parts comprising of people, processes, equipment, relationships and interactions. Performance is being monitored at all levels across the system. The board quality agenda is based on the select few measures that best represent the priority areas and have the most impact for system improvement
Understanding variation	Using statistical process control methods to present data over time to visualise patterns and understand variation due to common and special causes to take actions accordingly
Theory of knowledge	Using PDSA cycles to skilfully build knowledge so that board members gain knowledge through the use of data, supported by just-in-time training on measurement and data. The iterative PDSA approach to improve the indicators and their presentation also contributed to theory of knowledge
Psychology of change	Understanding how board members interact with each other, acknowledging the differences in preferences, backgrounds and motivations of board members and including and involving them in the process through co-design