نظرة التمريض الى تأثير شهادة الإعتماد الدولي للجودة على جودة الخدمات الصحية و سلامة المريض في مستشفى المُطّلع
Date
2015-12-30
Authors
جهاد خليل الياس خير
Jehad Khalil Elias Khair
Journal Title
Journal ISSN
Volume Title
Publisher
AL-Quds University
جامعة القدس
جامعة القدس
Abstract
This study was held at Augusta Victoria Hospital (AVH) between July and August
2015. AVH is a specialized cancer and dialysis care center in East Jerusalem. It is
considered the only radiotherapy center and pediatric dialysis center present in
Palestine. In May, 2013, AVH became the first Palestinian institution with multiple
specialties to hold the accreditation from the Joint Commission. The Joint
Commission International (JCI) accreditation is an international evaluation process
used to assess and to improve the quality, the efficiency and the effectiveness of
health care organizations and guarantees efficient and effective quality of patient
care and patient safety. The complexity of the nursing practice has increased at AVH
and the nursing roles have expanded in order to respond to the new strategic, highly
specialized services at the hospital and to maintain the high quality of care based on
the JCI standards and evidence based practices. On the other hands, the perception of
nurses towards the JCI accreditation process and its impact on the patients' safety
and the quality of care are still unclear and not studied.
The aims of this study are: 1) to assess the nurses’ perceptions towards the impact of
JCI accreditation on the quality of care and patients' safety at AVH. 2) to assess the
relationship between the nurses’ perceptions towards the impact of accreditation on
the patients’ safety and quality of care and selected demographic and organizationalfactors.
A quantitative descriptive cross-sectional design was used. The researcher adopted a
validated self-administered questionnaire from previous studies, and the
questionnaire distributed to the total of 125 nurses working at the inpatient and
outpatient departments in AVH. The nurses were asked to put the filled
questionnaires in sealed envelope in a special box labeled research questionnaires at
the reception area in AVH without putting their names or the department they work
in. Descriptive and inferential statistics were applied using SPSS 18.The response rate of participants in this study was 72.8%. The majority of
participants were males (60.4%), young below 40 years of age and has Bachelor’s
degrees in nursing. The majority of nurses (86.6%) were trained in quality and
mainly about policies and procedures within the JCI standards. The overall
percentage mean scores (PMS) for the nurses’ perceptions towards the accreditation
impact on quality of care was (71%) and on patients' safety was (77.5%), reflecting
the fact that they have positive perception to accreditation impact and that the
accreditation benefits the patient, the staff and the hospital with a percentage of
(74.25%). There was a significant positive relationship among the nurses'
perceptions on the bases of the organizational factors (α ≤ 0.05) which include
leadership commitment and support, strategic quality planning, human resources
utilization, quality management, use of data and staff involvement, with the highest
correlation in leadership, commitment and support (r = 0.583 , α = 0.001) and the
lowest correlation in human resources utilizations (r = 0.227 , α = 0.009).
JCI accreditation is a good tool for improving quality of care and patients' safety.
Health care organizations need strategies to reinforce the quality improvement
planning,human resources utilizations, quality management, use of data and staff involvement
in order to improve the quality of health care. However, there is a need to ensure
effective quality and safety improvements based on measuring other patient outcome
indicators. activities including leadership commitment and support, strategic quality
Description
Keywords
السياسات والاداره الصحية , Policies & Health Management