Using a quality action cycle improves training outcomes

Laura Morrison1, Liza-Jane McBride2

1Allied Health Professions’ Office of Queensland, Clinical Excellence Division, Department of Health, P O Box 2368 Fortitude Valley QLD 4006,
2Allied Health Professions’ Office of Queensland, Clinical Excellence Division, Department of Health, P O Box 2368 Fortitude Valley QLD 4006,


A key recommendation from the Queensland Ministerial taskforce on health practitioner expanded scope of practice was that the Allied Health Professions’ Office of Queensland (AHPOQ), in partnership with education providers, facilitate access to training to support allied health professionals to expand their scope of practice. Over the past two years, AHPOQ has provided training support for expanded scope models including prescribing for podiatrists, pharmacists and physiotherapists; pathology requesting; image interpretation; primary contact allied health vestibular services; and radiographer commenting.


To support consistent evaluation of training, an evaluation framework examining inputs, reach, outputs, impacts and outcomes was developed. Training impact was measured using standardised surveys immediately post training and at six months.


A total of 350 training places were supported. Participants reported increased knowledge and confidence.  In 2014, intention to change practice following training was lower than anticipated, as was actual change in practice at six months with only 11 % of participants indicating they had implemented expanded scope roles. Training approaches were modified to address barriers. This included better targeting of training and ensuring managerial commitment to, and support for, expanded scope roles. Preliminary results from 2015 participants indicate 30% had implemented expanded scope roles within six months of the training.


Use of a quality action cycle has supported better targeted training resulting in change to practice.


Liza-Jane McBride is a team leader with the Allied Health Professions’ Office of Queensland, with statewide responsibility for allied health clinical education. Liza-Jane has significant experience working in a variety of healthcare settings in Australia and the United Kingdom. She is a registered physiotherapist.

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