ArticleJournal of multidisciplinary healthcare2020
Attitudes Towards Accreditation and Quality Improvement Activities Among Hospital Employees in Iran: A Quantitative Study.
Article in Journal of multidisciplinary healthcare, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- JCI Accreditation and Outpatient Surgery: A Scoping Review of Evidence on Healthcare Quality, Risk Management, and Policy.Healthcare (Basel, Switzerland) · 2026Review
- Holistic Nursing Experience of Implementing Hospital Accreditation in Iran: A Qualitative Study.Nursing open · 2026Article
- The relationship between employee's perceptions of the accreditation impact with quality of care and organizational culture in Iranian teaching hospitals: A cross-sectional study.Journal of education and health promotion · 2026Article
- Hospital Accreditation Governance in Afghanistan: Challenges and Solutions.Journal of healthcare leadership · 2026Article
- The compliance of the training program for hospital accreditation surveyors in Iran with the international requirements: a mixed-methods study.BMC health services research · 2025Article
- International models of accreditation and certification for hospitals with a focus on nursing: a scoping review.BMC health services research · 2024Article
- Article
- Perceptions, Attitudes, and Barriers towards the Use of Central Board for Accreditation of Healthcare Institutions (CBAHI) Standards among Saudi Healthcare Providers.Healthcare (Basel, Switzerland) · 2024Article
- Fair Healthcare Practices in Orthopedics Assessed with a New Framework.Healthcare (Basel, Switzerland) · 2023Article
- Perspectives of hospital pharmacists on quality improvement initiatives in patient care: A pilot study from one healthcare system in Canada.Exploratory research in clinical and social pharmacy · 2023Article
- Review
- Involvement and skepticism towards the JCI Accreditation process among hospital's four sectors employees: suggestions for cultural change.Israel journal of health policy research · 2021Article
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Authors and funding
4 authors.
Funding
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Abstract
purposeThe hospital accreditation system in Iran is relatively young, having been introduced in 2012. Therefore, there is a real need for research on the status and impact of hospital accreditation in Iran. The purpose of this study was to evaluate and compare attitudes towards accreditation and quality improvement activities among hospital employees, specifically the attitudes towards the impact of accreditation on the quality of healthcare and its benefits in Iran. MATERIALS AND
methodsA cross-sectional survey was carried out at 23 teaching hospitals in three metropolises in Iran, all of which successfully passed national accreditation surveys. Some 1213 hospital managers, administrative staff, nurses, and para-clinical staff participated in the survey. The main outcome measures were quality results, and the activities related to quality improvement include senior managers' commitment and support, strategic quality planning, education and training, rewards and recognition, quality management, use of data, the involvement of professionals in accreditation, and accreditation benefits. The questionnaire was applied using a 5-point Likert scale ranging from 1 "strongly disagree" to 5 "strongly agree". One-way analysis of variance (ANOVA) was used to compare mean values between respondent groups.
resultsAmong nurses and managers, there was low support for accreditation and even less among para-clinical staff who fail to see accreditation having a positive impact on healthcare quality. Also, nurses' attitudes toward the accreditation benefits were more positive compared with the two other groups. Staff stated that the main reasons for low support were a lack of education and training to act upon the accreditation survey results and a lack of management visibility and support for quality improvement.
conclusionImproving quality through means of hospital accreditation is a complex process with high demands for management and employees. Questionnaires on employees' attitudes and perceptions of the impact of accreditation and quality improvement-related activities in the hospitals can provide valuable information on the current problems of a hospital accreditation program.
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