Understanding the impact of accreditation on quality in healthcare: A grounded theory approach

Desveaux, Laura; Mitchell, Jonathan; Shaw, James; Ivers, Noah

doi:10.1093/intqhc/mzx136

Cited by 51 publications

(31 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Deconinck et al [ 58 ] Atun’s Conceptual Framework for Analysing Integration of Targeted Health Interventions into Health Systems To identify mechanisms promoting or hindering integration of acute malnutrition interventions into a national health system Niger Secondary Care 15. Desveaux et al [ 59 ] Normalisation Process Theory (NPT) To explore how organizations respond to and interact with an accreditation process and the mechanisms through quality is influenced. NPT constructs used to categories and synthesized the themes emerging from the data Canada Multiple Settings 16.…”

Section: Resultsmentioning

confidence: 99%

“…Commonly, studies were undertaken within one country, but a small proportion (4%, 3/68) took place across multiple countries. While multiple study designs were found, qualitative methods were the most common, with 59% (40/68) of the studies employing methods such as interviews, focus groups and participant observation; this included four case studies [ 52 , 54 , 110 , 112 ], two grounded theory approaches [ 59 , 105 ] and one ethnography [ 85 ]. In total 28% (19/68) were mixed-method studies and 13% (9/68) were quantitative study designs using questionnaires, regression analyses or weighted scales.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Making change last? Exploring the value of sustainability approaches in healthcare: a scoping review

Lennox

Linwood-Amor

Maher

et al. 2020

Health Res Policy Sys

View full text Add to dashboard Cite

Background Numerous models, tools and frameworks have been produced to improve the sustainability of evidence-based interventions. Due to the vast number available, choosing the most appropriate one is increasingly difficult for researchers and practitioners. To understand the value of such approaches, evidence warranting their use is needed. However, there is limited understanding of how sustainability approaches have been used and how they have impacted research or practice. This review aims to consolidate evidence on the application and impact of sustainability approaches in healthcare settings. Methods A systematic scoping review was designed to search for peer-reviewed publications detailing the use of sustainability approaches in practice. A 5-stage framework for scoping reviews directed the search strategy, and quality assessment was performed using the Mixed Method Appraisal Tool. Searches were performed through electronic citation tracking and snowballing of references. Articles were obtained through Web of Science, PubMed and Google Scholar. Six outcome variables for sustainability were explored to ascertain impact of approaches. Results This review includes 68 articles demonstrating the application of sustainability approaches in practice. Results show an increase in the use of sustainability approaches in peer-reviewed studies. Approaches have been applied across a range of healthcare settings, including primary, secondary, tertiary and community healthcare. Approaches are used for five main purposes, namely analysis, evaluation, guidance, assessment and planning. Results outline benefits (e.g. improved conceptualisation of sustainability constructs and improved ability to interpret sustainability data) and challenges (e.g. issues with approach constructs and difficulty in application) associated with using a sustainability approach in practice. Few articles (14/68) reported the sustainability outcome variables explored; therefore, the impact of approaches on sustainability remains unclear. Additional sustainability outcome variables reported in retrieved articles are discussed. Conclusions This review provides practitioners and researchers with a consolidated evidence base on sustainability approaches. Findings highlight the remaining gaps in the literature and emphasise the need for improved rigour and reporting of sustainability approaches in research studies. To guide future assessment and study of sustainability in healthcare settings an updated list of sustainability outcome variables is proposed. Trial Registration This review was registered on the PROSPERO database CRD 42016040081 in June 2016.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Making change last? Exploring the value of sustainability approaches in healthcare: a scoping review

Lennox

Linwood-Amor

Maher

et al. 2020

Health Res Policy Sys

View full text Add to dashboard Cite

show abstract

“…This includes organizational commitment to accreditation standards, educational capabilities and infrastructure that is strengthened through accreditation, and sufficient time to work toward those shared goals. 11 That some specialties experience greater challenges in compliance with duty hour standards echoes findings from the United States, suggesting that surgical specialties in particular find it more difficult to reduce duty hours for their trainees. 14 A limitation of this analysis is the relatively small sample sizes of programs.…”

Section: Discussionmentioning

confidence: 99%

“…6 It may also be that the impact of accreditation is most powerful when accrediting bodies specify and emphasize quality improvement processes, such as data collection, oversight, and monitoring of outcomes. [7][8][9][10][11][12][13] In the United States, the Accreditation Council for Graduate Medical Education (ACGME) emphasizes quality improvement for residency programs in its accreditation process across several areas: curricula, educational goals and objectives, teaching and supervision, a robust evaluation system, increased opportunities for learning, an enhanced focus on quality and patient safety, and opportunities to work in interprofessional teams.…”

Section: Introductionmentioning

confidence: 99%

The Positive Effects of Accreditation on Graduate Medical Education Programs in Singapore

Holt

Miller

Byrne

et al. 2019

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Background There is worldwide interest in assessing the impact of accreditation systems to quantify their benefits to medical education and, through this, health care at the local and global levels. Objective We analyzed ACGME-I Resident Survey data from Singapore for 2011-2018 to assess the impact of accreditation on residents' evaluations of their programs. Methods We focused on 7 questions from the annual Resident Survey, which would be affected by accreditation compliance, along with a single global rating of respondents' overall perception of their program. We assessed for differences among specialty groupings (medical, surgical, and hospital-based) and Singapore's 3 health care systems. Repeated measures analysis of variance procedures was used to assess trends across time for the combined 8 items and each individual item. Results Analysis of the combined items showed significant improvement over the 7 years Singaporean programs had accreditation. There were no effects for specialty type or sponsoring institution. Analyses of individual questions showed 6 of 8 were significant for improvement. For the individual question related to duty hour compliance, there was a significant interaction between time and specialty, suggesting medical specialties showed greater improvement across time compared to surgical and hospital-based specialties. Conclusions Implementation of accreditation in Singapore provided educational and clinical learning environment infrastructure not present prior to 2010, with the benefits of this reflected in residents' perceptions of their learning environment. Future assessments of the effects of accreditation might add stakeholder interviews to more fully describe its value and impact.

show abstract

“…Consistency is observed in this strategy when an organization and its team realize that Accreditation aligns with their beliefs, context and service delivery model; the improvement actions are proposed in response to observations, feedback or self-reflection in light of the current scenario; there is alignment in the concepts influenced by individual characteristics, internal and external factors. 4 On the other hand, the Accreditation process, is not simple, but it is of great significance for a health institution, employees and users of the service, since its results can promote more assertiveness in decision-making, monitoring and contribute to the development of strategies for the implementation of improvements in health services. 5 For Nursing, the Accreditation process has great value since it standardizes the care and administrative processes, facilitates and guides the team at the moment of carrying out the procedures, as well as improving communication, training for continuous improvement, the valuation of professionals and the humanization of the caring process.…”

mentioning

confidence: 99%

O que significa trabalhar em hospital acreditado? Percepções da equipe de enfermagem

Braga

Pena

Pinhel

2018

Rev enferm UFPE on line.

View full text Add to dashboard Cite

RESUMOObjetivo: conhecer a percepção acerca do processo de Acreditação no cotidiano da equipe de Enfermagem de um hospital universitário nas dimensões avaliativas de estrutura, processo e resultado. Método: estudo quantitativo, exploratório e descritivo, com 563 profissionais. Para a coleta de dados, utilizou-se a Escala de Likert e o tratamento dos dados foi realizado por meio de estatística descritiva e o teste Alpha de Cronbach. Resultados: na análise dos resultados, observou-se que a equipe de Enfermagem demonstrou percepção com maior grau de favorabilidade para a dimensão de processo, com escore médio 0,7463 (dp±0,1466); seguida pelas dimensões resultado, com 0,7256 (dp±0,1804), e estrutura, com 0,6800 (dp±0,1714), evidenciando que os benefícios derivados da Acreditação Hospitalar são reconhecidos pelos membros da equipe de Enfermagem. Conclusão: os escores menos favoráveis residiram na dimensão estrutura, requerendo maior atenção dos gestores, tendo em vista que uma estrutura mais adequada aumenta a probabilidade de uma assistência de melhor qualidade. O estudo permitiu compreender o contexto da Acreditação Hospitalar no ambiente da prática sugerindo possíveis intervenções para a melhoria desse processo. Descritores: Acreditação Hospitalar; Qualidade, Acesso e Avaliação da Assistência à Saúde; Garantia da Qualidade dos Cuidados de Saúde; Qualidade da Assistência à Saúde; Segurança do Paciente; Enfermagem.ABSTRACTObjective: to get to know the perception about the Accreditation process in the routine of the Nursing team of a university hospital in the evaluative dimensions of structure, process and outcome. Method: a quantitative, exploratory and descriptive study, with 563 professionals. For the data collection, the Likert Scale was used and data treatment was carried out using descriptive statistics and the Cronbach Alpha test. Results: in the analysis of the results, it was observed that the Nursing team showed a perception with a higher degree of favorability for the process dimension, with a mean score of 0.7463 (sd ± 0.1466); followed by the result dimensions, with 0.7256 (sd ± 0.1804), and structure, with 0.6800 (sd ± 0.1714), showing that the benefits derived from Hospital Accreditation are recognized by the members of the Nursing team. Conclusion: less favorable scores resided in the structure dimension, requiring more attention from managers, since a more adequate structure increases the probability of better quality care. The study allowed for the understanding on the context of Hospital Accreditation in the environment of the practice suggesting possible interventions to improve this process. Descriptors: Hospital Accreditation; Quality, Access and Evaluation of Health Care; Quality Assurance of Health Care; Quality of Health Care; Patient safety; Nursing. Descriptors: Hospital Accreditation; Health Care Quality, Access, and Evaluation; Quality of Health Care; Quality Assurance Health Care; Patient Safety; Nursing.RESUMENObjetivo: conocer la percepción acerca del proceso de Acreditación en el cotidiano del equipo de Enfermería de un hospital universitario en las dimensiones evaluativas de estructura, proceso y resultado. Método: estudio cuantitativo, exploratorio y descriptivo, con 563 profesionales. Para la recolección de datos, se utilizó la Escala de Likert y el tratamiento de los datos fue realizado por medio de estadística descriptiva y la prueba Alpha de Cronbach. Resultados: en el análisis de los resultados, se observó que el equipo de Enfermería demostró percepción con mayor grado de favorabilidad para la dimensión de proceso con puntaje medio 0,7463 (dp ± 0,1466); seguido por las dimensiones resultado, con 0,7256 (dp ± 0,1804), y estructura, con 0,6800 (dp ± 0,1714), evidenciando que los beneficios derivados de la Acreditación Hospitalaria son reconocidos por los miembros del equipo de Enfermería. Conclusión: los puntajes menos favorables residían en la dimensión estructura, requiriendo una mayor atención de los gestores, teniendo en vista que una estructura más adecuada aumenta la probabilidad de una asistencia de mejor calidad. El estudio permitió comprender el contexto de la Acreditación Hospitalaria en el ambiente de la práctica, sugiriendo posibles intervenciones para la mejora de ese proceso. Descriptores: Acreditación de Hospitales; Calidad, Acceso y Evaluación de la Atención de Salud; Calidad de la Atención de Salud; Garantía de la Calidad de Atención de Salud; Seguridad del Paciente; Enfermería.

show abstract

Understanding the impact of accreditation on quality in healthcare: A grounded theory approach

Cited by 51 publications

References 30 publications

Making change last? Exploring the value of sustainability approaches in healthcare: a scoping review

Making change last? Exploring the value of sustainability approaches in healthcare: a scoping review

The Positive Effects of Accreditation on Graduate Medical Education Programs in Singapore

O que significa trabalhar em hospital acreditado? Percepções da equipe de enfermagem

Contact Info

Product

Resources

About