Influence of hospital Accreditation on professional satisfaction of the nursing team: mixed method study

Abstract

Objective:to analyze the influence of Accreditation on the professional satisfaction of nursing workers. Method:multicentric, cross-sectional research, outlined by the sequential explanatory mixed method. In the first preponderant, quantitative step, the validated Brazilian version of the Index of Work Satisfaction was applied to a sample (n = 226) representative of nursing professionals from three hospitals. One hospital was private and certified by Accreditation; another hospital was private and non-certified; and another was public and non-certified. By connection, the second step (qualitative) complemented the quantitative analysis. In this step, interviews (n = 39) were carried out and summarized through the method of Discourse of the Collective Subject. Descriptive and inferential statistical analyses were applied to the quantitative data connected to the qualitative support, as well as a joint presentation of part of the information in a joint display. Results:workers of the certified hospital had a better overall job satisfaction score. There were more statistical associations among workers in private hospitals. The comparison of the three groups investigated in the two steps of the mixed study confirmed Accreditation as a positive factor for professional satisfaction. The public hospital excelled in relation to the certified hospital in terms of salary, job requirements and interaction. Conclusion:Accreditation positively influenced the professional satisfaction of the nursing teams investigated.

Organizational culture, authentic leadership and quality improvement in Canadian healthcare facilities

“…Human dimensions are important because they increase individuals' engagement with accreditation and other quality activities; they foster the involvement of teams in promoting learning, overcoming organizational limitations, and improving services (15) (Greenfield et al, 2011). Brazilian study carried out in the south of Parana State addresses that accreditation mediates better job satisfaction, especially in terms of professional status and organizational norms (16) .…”

Estresse ocupacional em equipes saúde da família certificadas e não certificadas com selo de qualidade assistencial

“…The absence of difference in autonomy reported by the professionals in disparate management processes can be related to the fact that the public service is stable and that the protocols and the assistance provided to people are stable. 28 The coexistence of high psychological demands with low control over work is called job strain, 12 in which prevalence was higher in the certified FHS units, indicating that these units, when compared to non-certified ones, have a greater chance of presenting professionals with high wear out and low autonomy in decision-making, with little use of their creativity in the health work process. These aspects generate demotivation and are more likely to have harmful health effects, such as the development of depression.…”

Clima de segurança do paciente em centro cirúrgico: avaliação pela equipe multidisciplinar

“…Esta é considerada um fator importante para melhorar a qualidade na assistência prestada, diminuindo a possibilidade de adoecimento no local de serviço 17 . Portanto, a satisfação no trabalho é um indicador de qualidade na gestão de recursos humanos, pois reflete os modelos de organização da atividade profissional, interferindo na percepção do trabalhador sobre o seu labor, o que, especialmente no caso da enfermagem, que lida diretamente com o cuidado humano, repercute na qualidade da assistência 18 .…”