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
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
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Keywords
السياسات والاداره الصحية , Policies & Health Management
Citation