The impact of accreditation on nurses' perceptions of quality of care in Iran and its barriers and facilitators

Reisi, Nahid; Raeissi, Pouran; Sokhanvar, Mobin; Kakemam, Edris

doi:10.1002/hpm.2642

Cited by 30 publications

(62 citation statements)

References 25 publications

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“…Therefore, most hospitals produce fake documentation [30]. Different studies have shown that paying more attention to documentation is one of the barriers to effective implementation of accreditation [1,24,29,30]. Bahadori et al reported that focusing too much on documentation is one criticism leveled against the Iranian accreditation process [34].…”

Section: Discussionmentioning

confidence: 99%

“…Insufficient nursing is a key challenge being faced by hospitals in Iran [38,40]. Staff shortages were previously reported as potential barriers to accompany accreditation in hospitals in Iran [1,25,34] and other countries [23,36]. Nekoei-Moghadam et al's study demonstrated that the Iranian accreditation system is not proportionate to the number of existing personnel, and this could cause the program to fail [30].…”

Section: Discussionmentioning

confidence: 99%

“…Accreditation is the process of self-assessment and external evaluation by professional counterparts on the basis of optimal standards, with the aim of accurately assessing and continuously improving the performance of health organizations [1]. This approach seeks to provide quality and safe healthcare services and subsequently improve health outcomes [8].…”

Section: Introductionmentioning

confidence: 99%

“…One of these excellences can be the comprehensiveness and multiplicity of the evaluation, the conformity of assessment methods with the specific nature of the health system, attention to promotion as the main objective of evaluation, and the use of expert evaluators [12]. The studies show the positive impact of accreditation in enhancing effectiveness, efficiency, quality, safety, leadership, teamwork, and communication, as well as satisfaction and service providers [1,13,14]. Also, accreditation could provide an opportunity for increasing funding [15] or reducing costs [16].…”

Section: Introductionmentioning

confidence: 99%

“…The first standards were tested in 2011. The second phase launched in 2012 and all public and private hospitals have been accredited [1].…”

Section: Introductionmentioning

confidence: 99%

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

Tashayoei

Raeissi

Nasiripour

2020

J. Egypt. Public. Health. Assoc.

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Background: Today, accreditation is considered as the most commonly used health assessment approach. Considering the importance and application of the process of this approach in the hospital, this study aimed to investigate the challenges of implementation of hospital accreditation in Iran using exploratory factor analysis. Methods: A cross-sectional study design was carried out from July to December 2017, consisting of 200 managers in the seven hospitals accredited by the MOH in Tehran, Iran. Samples were selected through the purposive sampling method, and data were collected using a structured questionnaire in which validity and reliability were confirmed. Likert's five-choice range was used for the rating of items. Exploratory factor analysis was used to categorize the identified challenges and extract the mathematical model on them. Results: Exploratory factor analysis identified six dimensions (implementation, evaluation, content, structural, psychological, and managerial) with 40 items using a 5-point Likert scale. Each dimension accounted for greater than 63.20% of the total variance. The scale had strong content validity (indices = 0.84). Each dimension of Cronbach's alpha ranged from 0.74 to 0.94. Implementation, evaluation, content, structural, psychological, and managerial components also formed the final identified areas. Conclusion: The present study showed that there were major challenges in the path to successful deployment of Iranian hospital accreditation, requiring serious action by managers and policymakers in this field.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The first standards were tested in 2011. The second phase launched in 2012 and all public and private hospitals have been accredited [1].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Tashayoei

Raeissi

Nasiripour

2020

J. Egypt. Public. Health. Assoc.

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Iran hospital accreditation standards: challenges and solutions

Ghazanfari

Mosadeghrad

Pooyan

et al. 2021

Health Planning & Management

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Objective: The purpose of this study was to identify the challenges of Iranian hospital accreditation standards and provide solutions. Design: A qualitative research design was used in this study. Open and semi-structured interviews were conducted in 2018. Thematic analysis was used to analyse qualitative data. Setting: Public, private, semi-public, charity and military hospitals in Tehran, Iran. Participants: A pluralistic evaluation approach was employed and 151 participants including policy makers, hospital management and staff, accreditation surveyors and university professors participated in this study. Results: Challenges of hospital accreditation standards were grouped into two groups: standards development process and standards content. Lack of an independent standards development committee, insufficient expertise of committee members, inconsistencies among the standards' constructs, inappropriate standard classification, ambiguity of standards, unmeasurable standards, vague and inflexible scoring system, and inability to use some standards were the main challenges of Iran hospital accreditation standards. Establishing a scientific committee consisting of representative from hospitals, health insurance companies, professional and scientific associations and universities for standard development, training the committee members,

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Accreditation as a quality-improving policy tool: family planning, maternal health, and child health in Egypt

2020

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Accreditation of healthcare providers has been established in many high-income countries and some low- and middle-income countries as a tool to improve the quality of health care. However, the available evidence on the effectiveness of this approach is limited and of questionable quality, especially in low- and middle-income countries. We exploit the interventions introduced under Egypt’s health sector reform program between 2000 and 2014 to estimate the effect of health facility accreditation on family planning, maternal health, and child health outcomes. We use difference-in-differences fixed-effects and propensity score matching difference-in-differences models. To do so, we spatially link women to their nearest mapped health facilities using their global positioning system coordinates. We find that accreditation had multiple positive effects, especially on delivery care and child morbidity prevalence. The effects appear to weaken over time though. Our findings suggest that facility accreditation can be effective in improving family planning, antenatal care, delivery care, and child health, but stress the need to study how the effects can be sustained.

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The impact of accreditation on nurses' perceptions of quality of care in Iran and its barriers and facilitators

Abstract: The findings of this study provide valuable information to policymakers and hospital managers on which to base the process of accreditation and its requirements, and to help reap its benefits.

Cited by 30 publications

References 25 publications

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

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

Iran hospital accreditation standards: challenges and solutions

Accreditation as a quality-improving policy tool: family planning, maternal health, and child health in Egypt

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