Journal of Qualitative Research in Health Sciences
Journal of Qualitative Research in Health Sciences

Challenges and Strengths of Fourth-Generation Accreditation Standards from the Perspective of Nurses at Afzalipour Hospital in Kerman: A Qualitative Study

Document Type : Original Article

Authors

Marzieh Khodaei Goki 1
Hamdollah Manzari Tavakoli 2
Navid Fatehi Rad 2
Zahra Shokoh 2

1 Ph.D. Candidate, Department of Public Administration, Islamic Azad University, Kerman Branch, Kerman, Iran

2 Assistant Professor, Department of Management, Islamic Azad University, Kerman Branch, Kerman, Iran

10.34172/jqr.2022.13
Abstract
Background: Accreditation is a team effort to improve service quality. Nurses, as key members of the care team, play an important role in implementing accreditation standards. This study aimed to explain the challenges and strengths of the implementation of fourth-generation accreditation from the perspective of nurses.
Methods: The present study was a qualitative one conducted using content analysis. The research population included nurses of Afzalipour hospital in Kerman, Iran. Using purposive and snowball sampling, 5 nurses, 5 head nurses, and 3 supervisors were selected for accreditation. The data were collected through semi-structured interviews. The interviews were transcribed, coded, categorized, and analyzed separately. Then, using content analysis, the data obtained from the interviews were reduced and given a structure and system. Data analysis was performed using MAXQDA software (version 10).
Results: The most important challenges in this study were increasing nurses’ workload and working pressure and weakening nurses’ relationship with the patient. Moreover, there was no adequate infrastructure to implement accreditation. The strengths of implementing accreditation standards included increasing nurses’ awareness, improving reporting and documentation, increasing patient safety, and improving organizational processes.
Conclusion: The results of this study emphasized the need to implement accreditation standards to integrate working methods and improve the quality of services and patient safety. Solving the existing challenges is a way to ensure the quality and continuous improvement of nursing services. In general, the results of this study provide useful information to policy makers and senior managers of the health system to reform the structure of hospital accreditation.

Keywords

Challenges
Strengths
Standards
Accreditation

  1.  

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Journal of Qualitative Research in Health Sciences
Volume 11, Issue 4
Autumn 2022
Pages 246-252

  • Receive Date 17 July 2021
  • Revise Date 29 June 2022
  • Accept Date 09 July 2022

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