Challenges of implementation of hospital accreditation in Iran: an exploratory factor analysis

Tashayoei, Narges; Raeissi, Pouran; Nasiripour, Amir Ashkan

doi:10.1186/s42506-019-0033-6

Cited by 16 publications

(28 citation statements)

References 35 publications

(61 reference statements)

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“…Crucially, the impact of accreditation programmes can be mediated by organisational dynamics occurring within individual hospitals. Environmental features, such as organisational culture and leadership, can increase the likelihood of hospitals embracing accreditation programmes (Hinchcliff et al, 2013;Tashayoei et al, 2020). Future evaluations of accreditation programmes in the Middle East should be designed carefully to account for the unique organisational dynamics within individual hospitals, as well as the broader regulatory structures implemented within specific health systems, as factors related to both areas have the potential to confound evaluation results.…”

Section: Discussionmentioning

confidence: 99%

The impact of hospital accreditation in selected Middle East countries: a scoping review

Khan

Yousefinezhadi

Hinchcliff

2021

JHOM

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PurposeThere is conflicting evidence concerning the impact of hospital accreditation programmes, including across the Middle East Region, where such programmes have been most recently implemented in Iran, Jordan and Saudi Arabia. This paper maps available evidence regarding the impact of hospital accreditation in these three countries and draws attention to knowledge gaps for consideration.Design/methodology/approachThis scoping review was conducted in 2020, using the Arksey and O'Malley framework. Five research databases were searched, along with five government and accreditation agency websites. Searches were complemented by citation chaining. English and Arabic publications evaluating hospital accreditation in the selected countries were included. Commentaries and articles not based on primary data collection and reviews of existing registry data were excluded. There were no exclusions based on study design or methods. A descriptive numerical summary and thematic analysis were used to synthesise the literature.Findingsstudies were included. The majority (n = 35) were published since 2014 and conducted in Saudi Arabia (n = 16). Four themes emerged: organisational impacts, patient safety, quality of care, and patient satisfaction and experience. The literature generally highlights positive impacts of accreditation, but most studies were based solely on health professionals' subjective perceptions. “Organisational impacts” had the largest, and strongest body of supporting evidence, while “patient safety” had the least and most variable evidence.Originality/valueOpportunities to strengthen the design and evaluation of hospital accreditation programmes in the selected countries are highlighted. Additional experimental, mixed-method research is recommended to strengthen the evidence base and inform practical enhancements to hospital accreditation programmes in the region.

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Section: Discussionmentioning

confidence: 99%

The impact of hospital accreditation in selected Middle East countries: a scoping review

Khan

Yousefinezhadi

Hinchcliff

2021

JHOM

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“…Total Quality Management in Jordanian hospitals has helped clinical settings to increase organisational capacity 7. Increasing capacity regarding the good, product quality, nurse performance and revenue may improve the hospitals’ overall performance 2 4 6 7. More specifically, accreditation in Jordan focuses on increasing resources to enhance opportunity and revenues for the organisation 7 8.…”

Section: Introductionmentioning

confidence: 99%

“…Accreditation practices also emphasise improving motivation among the hospital staff 2 4. Motivation among physicians and nurses directly impacts the quality of care in hospitals 9 10.…”

Section: Introductionmentioning

confidence: 99%

“…A hospital's accreditation is defined as the procedures explicitly designed to monitor, assess and improve the quality of care. [1][2][3][4] The accreditation process is an ongoing and developing quality improvement process that needs continuing attention from all healthcare professionals, especially nurses, as they are in the frontline when it comes to patients' and quality care. 5 Applying accreditation is a vital component in developing contemporary quality management.…”

Section: Introductionmentioning

confidence: 99%

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Understanding the factors influencing the implementation of accreditation in Jordanian Hospitals: the nurses’ view

Algunmeeyn

Mrayyan

2022

BMJ Open Qual

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BackgroundAccreditation practices are influenced by many variables, resulting in positive outcomes, such as enhanced motivation among the hospital staff. Motivation among the physician and nurses directly impacts the service quality of the hospitals. Accreditation increases organisational capacity, which may improve hospitals’ overall performance. This study aimed at assessing the factors influencing the implementation of accreditation in Jordanian hospitals.MethodThis study employed a qualitative approach. As a result, 40 nurses were recruited from two public hospitals with varying experience and specialties. Data were gathered through face-to-face interviews. Interviews were conducted with a total of 40 hospital nurses, who were selected based on convenience and purposeful sampling.ResultsCommunication, recruiting qualified and effective hospital directors, patient involvement and engagement and teamwork influenced the implementation of accreditation in Jordanian hospitals.ConclusionThe implementation of the accreditation process is influenced by many factors. Therefore, focusing more on these factors while using the views and experiences of nurses involved in this process will significantly impact the implementation of the accreditation process in various clinical settings, particularly hospitals.

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“…5 Literature identifies a range of accreditation challenges like too many standards, accreditation infrastructure, financial issues, time constraints, documentation, shortage of staff, added workload, poor survey instrument, quality of evaluators, accreditation sustainability and legal support. 6,7 Pakistan Medical Commission (PMC), as the sole regulatory body carries the responsibility of accreditation for over 150 medical and dental colleges in the country. The country requires a robust accreditation system to cater the needs of such a large number of medical and dental colleges.…”

Section: Introductionmentioning

confidence: 99%

Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan

Gul

Mahboob

Wajid³

et al. 2022

Pak J Med Sci

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Objectives: To explore the challenges faced by medical colleges and coping strategies used in implementing accreditation standards by Pakistan Medical Commission during accreditation inspection 2019. Methods: In this qualitative case study, four medical colleges and their affiliated hospitals from three cities in Khyber Pakhtunkhwa province of Pakistan were selected through purposive sampling. Data was collected through focus group discussions (FGD) through Open-ended questions, based on CIPP (context, input, process, and product) model. Each focus group comprised of Dean, the Director Department of Medical Education (DME) and the Medical Director of the hospital. Data were thematically analyzed and results were based on the CIPP model. Results: Three themes identified were administrative challenges, accreditation challenges and resource challenges. The administrative challenges theme was further explained under subthemes of rules and regulation challenges, documentation and record challenges, and DME-related challenges. The accreditation-related challenges theme was explored in-depth with subthemes of accreditation process-related challenges, accreditation standards-related challenges and curriculum-related challenges. The resource challenges theme was described under sub-themes of infrastructure-related challenges, human resources and financial challenges. The commonest coping strategies adopted by medical colleges were establishing DME, emergency preparatory meetings of staff, and hiring staff on an emergency basis, to overcome administrative, accreditation and resource challenges respectively. Future suggestions for improving the accreditation process in the local context were highlighted. Conclusion: Main challenges identified were administrative challenges, accreditation challenges and resource challenges. Coping strategies by the medical colleges for these challenges are highlighted. The accreditation body should harmonize the process of accreditation with medical colleges and other stakeholders. doi: https://doi.org/10.12669/pjms.38.7.6121 How to cite this:Gul F, Mahboob U, Wajid G, Sherin A. Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan. Pak J Med Sci. 2022;38(7):---------. doi: https://doi.org/10.12669/pjms.38.7.6121 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Challenges of implementation of hospital accreditation in Iran: an exploratory factor analysis

Cited by 16 publications

References 35 publications

The impact of hospital accreditation in selected Middle East countries: a scoping review

The impact of hospital accreditation in selected Middle East countries: a scoping review

Understanding the factors influencing the implementation of accreditation in Jordanian Hospitals: the nurses’ view

Medical colleges’ challenges and coping strategies in implementing accreditation standards in Pakistan

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