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Nurses’ perspectives of the impact of hospital accreditation on quality of care
Thesis (MNur)--Stellenbosch University, 2021.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2021
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| _version_ | 1867614107217166336 |
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| access_status_str | Open Access |
| author | Mustafa, Ahmed |
| author2 | Young, Cornelle |
| author_browse | Mustafa, Ahmed Young, Cornelle |
| author_facet | Young, Cornelle Mustafa, Ahmed |
| author_sort | Mustafa, Ahmed |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MNur)--Stellenbosch University, 2021. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/123670 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:46:46.943Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/123670 Nurses’ perspectives of the impact of hospital accreditation on quality of care Mustafa, Ahmed Young, Cornelle Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery. Hospitals -- Accreditation -- Saudi Arabia Nurses -- Attitudes -- Saudi Arabia Medical care -- Evaluation -- Saudi Arabia UCTD Thesis (MNur)--Stellenbosch University, 2021. ENGLISH SUMMARY : Worldwide, accreditation is considered an important tool to improve quality care and patient safety in healthcare organizations, where in Saudi Arabia, hospitals are mandated to comply with the national accreditation standards. Although nurses have a major role in implementing the accreditation standards, little is known about their perception of the impact of hospital accreditation on quality of care. Methods: The aim of the study was to explore and describe nurses` perception on the quality of care related to national and international accreditation in an armed forces hospital in Saudi Arabia. The objectives of the study were to: 1) to explore and describe nurses` perspectives on the impact of the hospital accreditation on improving quality care and patient safety and 2) to make recommendations about the perspectives of the nurses as stakeholders to maximize the process of accreditation. The structure, process, and outcome domains of Donabedian’s conceptual model for quality care provision were employed to explore the nurses’ perception of national and international accreditation on quality of care in an armed forces hospital in Saudi Arabia. This study used a quantitative cross-sectional descriptive survey design. Data was collected using a self-administered questionnaire survey instrument which included nine sections and sub-sections rated on five-point Likert response scale. A systematic random sampling method was used to select the participants of this study. Results: A total of 116 respondents participated in this study, with an effective response rate of 94%, of which most of the respondents were female at (n=111) 95.5%. The survey tool presented a strong internal consistency, demonstrated by the subscales’ Cronbach‘s alpha values of more than 0.83. The Pearson correlation measurement indicated that the relationship between the quality process variables and the quality outcomes variable were all positive. The correlation with the quality results was the strongest with the variable of ‘use of data’, and the lowest with the variable ‘quality measurement and analysis’. A stepwise regression model indicated that the accreditation quality process aspect of ‘use of data’ had the most significant association with better quality outcomes. However, no significant impact resulted from the other quality process variables of ‘quality measurement and analysis’, ‘leadership commitment and support’, and ‘benefits of accreditation’ on quality results. Conclusion: Nurses in this study perceived the accreditation quality process variables of ‘use of data’, ‘staff involvement’, ‘human resources education and training’, and ‘quality management’ to be significantly associated with better quality outcomes. However, quality outcomes were not associated with the accreditation quality process variables of ‘leadership commitment and support’, ‘quality measurement and analysis’, and ‘benefits of accreditation’. This could indicate the value of sustaining the improvement after hospital accreditation recognition by the continuous use of data, staff involvement in the accreditation process, human resources education and training to help with quality management, to maintain quality outcomes post accreditation. AFRIKAANSE OPSOMMING : Agtergrond: Akkreditasie word wêreldwyd beskou as ‘n belangrike instrument om gehaltesorg en pasiëntveiligheid in gesondheidsorgorganisasies te verbeter, maar in Saudi Arabië word hospitale verplig om ook aan nasionale akkreditasiestandaarde te voldoen. Alhoewel verpleegkundiges ‘n belangrike rol speel in die implementering van die akkreditasiestandaarde, is min inligting beskikbaar oor hul persepsie van die impak van hospitaal akkreditasie op die gehalte van sorg. Metodes: Die doel van hierdie studie was om verpleegkundiges se perspektiewe oor die kwaliteitsorg met betrekking tot nasionale en internasionale akkreditasie in ‘n militêre hospitaal in Saudi Arabië te ondersoek. Die doelwitte van die studie was om: 1) verpleegkundiges se perspektiewe met betrekking tot die impak van hospitaal akkreditasie op die verbetering van kwaliteitsorg en pasiëntveiligheid te ondersoek, en 2) om aanbevelings te doen oor die perspektiewe van verpleegkundiges as belanghebbendes om die proses van akkreditasie te verbeter. Donabedian se konsepsuele model domeine van struktuur, proses en uitkomste is gebruik om die verpleegkundiges se perspektiewe van die gehalte van sorg as ‘n gevolg van akkreditasie in ‘n internasionaal sowel as nasionaal geakkrediteerde.militêre hospitaal in Saudi Arabië te ondersoek. ‘n Kwantitativiewe deursnit opname, en beskrywende ontwerp is gebruik in die studie. Data is versamel met ‘n self-toegediende vraelys met nege afdelings en sub-afdelings, gemeet op ‘n vyf-punt Likert antwoordskaal. ‘n Sistematiese, ewekansige proefsteek metode is gebruik om die deelnemers aan hierdie studie te kies. Resultate: ‘n Totaal van 116 respondente het aan die studie deelgeneem, met ‘n antwoord persentasie van 94%, met meeste van die respondente wat ‘n vroulike status aangedui het teen (n=111) 95.5%. Die opname instrument het ‘n sterk interne konsekwentheid getoon soos gedemonstreer deur die subskaal Cronbach alpha waardes van meer as 0.83. Die Pearson korrelasie meting het aangedui dat die verhouding tussen die gehalte proses veranderlikes en die gehalte uitkomste veranderlikes alles positief was. Die korrelasie met die gehalte uitkomste was die sterkste met die veranderlike ‘gebruik van data’, en die laagste met die veranderlike ‘gehalte meting en analise’. Die stapsgewyse regressiemodel het aangedui dat die akkreditasie gehalte proses aspek van ‘gebruik van data’ die mees beduidende verband het met die beter gehalte uitkomste. Daar is egter geen beduidende verband tussen ander gehalte proses veranderlikes van ‘gehalte meting en analise’, ‘leierskap toewyding’ en ‘voordele van akkreditasie’ met gehalte uitkomste nie Gevolgtrekking: Verpleegkundiges in hierdie studie het die akkreditasie gehalte proses veranderlikes van ‘gebruik van data’, personeelbetrokkenheid’, ‘menslike hulpbrononderrig en -opleiding’ en ‘gehaltebestuur’ beduidend geassosieer met beter gehalte uitkomste as gevolg van die akkreditasieproses. Gehalte uitkomste is egter nie geassosieer met die akkreditasie gehalte proses veranderlikes van ‘leierskap verbintenis en ondersteuning’ en ‘voordele van akkreditasie’ nie. Hierdie bevindinge kan die waarde aandui van (h)erkenning van die volhouding van gehaltesorg na hospitaal akkreditasie, deur middel van die toepassing van akkreditasie data, personeelbetrokkenheid, menslike hulpbrononderrig en opleiding en gehaltebestuur. Masters 2021-07-21T06:13:31Z 2021-12-22T14:15:03Z 2021-07-21T06:13:31Z 2021-12-22T14:15:03Z 2021-12 Thesis http://hdl.handle.net/10019.1/123670 en_ZA Stellenbosch University 85 pages ; illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Hospitals -- Accreditation -- Saudi Arabia Nurses -- Attitudes -- Saudi Arabia Medical care -- Evaluation -- Saudi Arabia UCTD Mustafa, Ahmed Nurses’ perspectives of the impact of hospital accreditation on quality of care |
| title | Nurses’ perspectives of the impact of hospital accreditation on quality of care |
| title_full | Nurses’ perspectives of the impact of hospital accreditation on quality of care |
| title_fullStr | Nurses’ perspectives of the impact of hospital accreditation on quality of care |
| title_full_unstemmed | Nurses’ perspectives of the impact of hospital accreditation on quality of care |
| title_short | Nurses’ perspectives of the impact of hospital accreditation on quality of care |
| title_sort | nurses perspectives of the impact of hospital accreditation on quality of care |
| topic | Hospitals -- Accreditation -- Saudi Arabia Nurses -- Attitudes -- Saudi Arabia Medical care -- Evaluation -- Saudi Arabia UCTD |
| url | http://hdl.handle.net/10019.1/123670 |
| work_keys_str_mv | AT mustafaahmed nursesperspectivesoftheimpactofhospitalaccreditationonqualityofcare |