Brazilian Nurses' Perspective on the Impact of Hospital Accreditation

Authors

  • Carmen Silvia Gabriel Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo
  • Denise Franzé Bogarin Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo
  • Sabrina Mikael Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo
  • Greta Cummings Faculty of Nursing at University of Alberta, Edmonton, Canada
  • Andrea Bernardes Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo
  • Larissa Gutierrez Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo
  • Graziela Caldana Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo
DOI: https://doi.org/10.6018/eglobal.17.1.283981
Keywords: Accreditation, Quality Assurance Health Care, Nursing

Abstract

This study aimed to identify the impact of hospital accreditation programs from the nurses' perspective. This quantitative, descriptive, exploratory study was performed in a private general hospital. This institution is accredited with Excellence (Level III, the highest) by the Brazilian National Accreditation Organization. Data collection was conducted using a Likert-type questionnaire consisting of seven scales related to: quality results; human resources utilization; strategic quality planning; quality management; use of data related to patient satisfaction; staff involvement; and benefits of accreditation. The results show that nurses perceived improvements as outcome of the accreditation process in the following areas: strategic quality planning; quality management; use of data related to patient satisfaction; and staff involvement with hospital quality. Inversely, the accreditation process have not result in developments in relation to the time given to nurses to plan for and test quality improvements, and also in relation to human resources utilization, especially concerning rewards and recognition strategies. We concluded that nurses have a key role in accomplishment of the accreditation process and therefore rewards and recognition strategies need to be better developed and implemented, and nurses need to be given adequate time for performing activities related to the accreditation process.

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References

Shaw CD, Braithwaite J, Moldovan M, Nicklin W, Grgic I, Fortune T, Whittaker S. Profilling health-care accreditation organizations: an international survey. Int J Qual Health Care. [Internet]. 2013 [Access Jul 25 2016]; 25(3):222-31. Available from: http://intqhc.oxfordjournals.org/content/intqhc/25/3/222.full.pdf

Montagu D. Accreditation and other external quality assessment systems for healthcare: Review of experience and lessons learned. London: Department for International Development Health Systems Resource Centre. [Internet] 2003. [Access May 12 2015]. Available from: http://www.heart-resources.org/wp-content/uploads/2012/10/Accreditation-and-other-external-quality-assessments.pdf

Greenfield D, Pawsey M, Naylor J, Braithwaite J. Are healthcare accreditation surveys reliable? Int J Health Care Qual Assur. [Internet] 2009. [Access Jul 12 2016]; 22(2): 105-16. Available from: http://dx.doi.org/10.1108/09526860910944601

Grepperud S. Is the hospital decision to seek accreditation an effective one? Int J Health Plann Manage. [Internet] 2015. [Access Jun 10 2016]; 30(1): E56-68. Available from: http://onlinelibrary.wiley.com/doi/10.1002/hpm.2263/full

Accreditation. The National Accreditation Organization (ONA) [internet]. Acreditação; 2014 [Access 22 Jun 2015]. Available from: https://www.ona.org.br/Pagina/33/Acreditacao

Brazilian Accreditation Consortium (CBA) [internet]. 2015 [Access 10 Sep 2015]. Available from: http://www.cbacred.org.br/site/

The National Accreditation Organization (ONA) [internet]. Certificações Válidas; 2015 [Access 10 Sep 2015]. Available from: https://www.ona.org.br/OrganizacoesCertificadas

Instituto Qualisa de Gestã. Instituições Certificada. [internet] 2015. [Access 20 Oct 2015]. Available from: http://www2.iqg.com.br/site/principal

Novaes HM. O processo de acreditação dos serviços de saúde. Revista de Administração em Saúde. [internet] 2007. [Access 10 May 2016]. 37(9): 133-140. Available from: http://www.cqh.org.br/portal/pag/doc.php?p_ndoc=218

Alkhenizana A, Shawb C. Impact of Accreditation on the Quality of Healthcare Services: a Systematic Review of the Literature. Ann Saudi Med. [internet] 2011. [Access 10 May 2016]. 31(4): 407–416. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3156520/

Braithwaite J, Greenfield D, Westbrook J, et al. Health service accreditation as a predictor of clinical and organizational performance: a blinded, random, stratified study. Qual Saf Health Care. [internet] 2010. [Access 10 May 2016] 19(1): 14-21. Available from: http://www.hadassahmed.com/media/2021782/healthserviceaccreditationasapredictorofclinicalan%20(1).pdf

Pomey MP, Lemieux-Charles L, Champagne F, Angus D, Shabah A, Contandriopoulos AP. Does accreditation stimulate change? A study of the impact of the accreditation process on Canadian healthcare organizations. Implement Sci. [internet] 2010. [Access 10 May 2016]; 26, 5:31. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2882897/

Manzo BF, Ribeiro HCTC, Brito MJM, Alves M. Nursing in the hospital accreditation process: practice and implications in the work quotidian. Rev Lat Am Enfermagem. [internet] 2012. [Access 10 jun 2016]; 20(1): 151-8.Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S010411692012000100020&lng=en&nrm=iso&tlng=en

Jardali F, Jamal D, Dimassi H, Ammar W, Tchaghchaghian V. The impact of hospital accreditation on quality of care: perception of Lebanese nurses. Int J Qual Health Care. [internet] 2008. [Access 10 May 2016]; 20(5): 363-71. Available from: http://intqhc.oxfordjournals.org/content/20/5/363.long

Al Awa B, Jacquery A, Almazrooa A, Habib H, Al-Noury K, El Deek B. Comparison of patient safety and Quality of care Indicators between Pre and Post Accreditation Periods in King Abdulaziz University Hospital. Res J Med Sc. [internet] 2011. [Access 20 Jun 2016]; 5(1); 61-66. Available from: http://docsdrive.com/pdfs/medwelljournals/rjmsci/2011/61-66.pdf

El-Jardali F, Alameddine M, Dumit N, Dimassi H, Jamal D, Maalouf S. Nurses’ work environment and intent to leave in Lebanese hospitals: Implications for policy and practice. Int J Nurs Stud. [internet] 2011. [Access 22 Jun 2015]; 48(2): 204-14. Available from: http://www.sciencedirect.com/science/article/pii/S0020748910002208

Parker S, Hyratus K. Priorities in nursing management. J Nurs Manag. [internet] 2011. [Access 14 Jun 2016]; 19(5): 567-71. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2834.2011.01285.x/epdf

Ernst ME, Messmer PR, Franco M, Gonzalez JL. Nurses’ job satisfaction, stress, and recognition in a pediatric setting. Pediatr Nurs. [internet] 2004. [Access 20 Jul 2016]; 30(3): 219-27. Available from: https://www.ncbi.nlm.nih.gov/pubmed/15311648

Elkins G, Cook T, Dove J, Markova D, Marcus J D, Meyer T, Rajab M H, Perfect M. Perceived stress among nursing and administration staff related to accreditation. Clin Nurs Res. [internet] 2010. [Access 12 jul 2016]; 19(4): 376-86. Available from: http://cnr.sagepub.com/content/19/4/376.long

Su SF, Boore J, Jenkins M, Liu PE, Yang MJ. Nurses' perceptions of environmental pressures in relation to their occupational stress. J Clin Nurs. [internet] 2009. [Access 08 jul 2015]; 18 (22): 3172-80. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2008.02771.x/full

Nicklin W, Dickson S. The value and impact of accreditation in health care: a review of the literature. Accreditation Canada. [internet] 2008. [Access 08 jul 2015]; Published 2008, updated: April 2015. Available from: https://accreditation.ca/sites/default/files/value-and-impact-en.pdf

Araújo MV, Simões C, Silva CL. Auditoria em enfermagem. Rev Bras Enferm. [internet] 1998. [Access 12 jul 2016] 31(4): 466-77. Available from: http://www.scielo.br/pdf/reben/v31n4/0034-7167-reben-31-04-0466.pdf

Published
30-12-2017
How to Cite
[1]
Gabriel, C.S. et al. 2017. Brazilian Nurses’ Perspective on the Impact of Hospital Accreditation. Global Nursing. 17, 1 (Dec. 2017), 381–419. DOI:https://doi.org/10.6018/eglobal.17.1.283981.
Issue
Section
ORIGINAL RESEARCH