جستجوی مقالات مرتبط با کلیدواژه « accreditation » در نشریات گروه « پزشکی »

Appropriate and practical indicators are crucial for evaluating NGO performance. NGOs can understand strengths and weaknesses by determining indicators. They can measure performance conformity and take effective steps for improvement. There was no tool to measure NGO performance in Iran's health system. The present study aims to identify and confirm evaluation indicators. The study will use expert and university manager opinions in 2022.

A cross-sectional study conducted in 2022 on 1000 health NGOs. We designed the model and determined its content validity using the Delphi technique. The Delphi technique involved 3 rounds and the participation of 20 experts. Factor analysis measured the structural validity of the model. It involved exploratory and confirmatory analysis. Cronbach's alpha coefficient determined the reliability of the validation model. Data analysis done with Excel2013, Spss26 and Lisrel8.80 software.

The initial questions of the model confirmed to have content validity based on the CVI = 0.775 index. The exploratory factor analysis results revealed a model with 7 dimensions. These dimensions were “International relations, Communication, Volunteering, Education, Successful models, Transparency and accountability, and Financial”. The model also includes 56 items. Based on the goodness of fit, the obtained model was reliable to measure the performance of NGOs (RMSEA=0.029).

The validation model is reliable. It measures NGOs performance in Iran.

In most developed countries, accreditation programs are implemented based on standards to evaluate and improve medical education. This study aims to evaluate the quality and quantity of the educational system in universities and faculties located in the sixth macro-region of Iran to improve the existing conditions according to society's expectations of higher education.

In this study , by convergent-parallel approach, the effects of institutional accreditation in universities and faculties in the sixth macro-region were examined in 2019 based on the national accreditation project including 66 standards and 351 indicators in 8 areas. A field visit to educational-research facilities and a documentation study were conducted based on the eight areas. After collecting and reviewing the data, the accreditation results were presented. 

Considering the educational-research facilities as well as the achievement of necessary and preferred standards, we saw a significant growth in medical universities and faculties in the region.

Medical universities and faculties in the sixth macro-region should provide the necessary infrastructure to reach the optimal level in all necessary standards and improve the quality of medical education. In addition, familiarizing all university staff with the accreditation standards can help improve the quality of services.

For obtaining accreditation, in addition to creating infrastructures, there is a need to use new management methods and the managers who have the authority, knowledge, capability, motivation to take charge of these centers. The present study aims to investigate the knowledge and attitude of the executive management team of teaching hospitals in Jahrom, Iran, regarding accreditation. 

This descriptive cross-sectional study was conducted in 2023 on 61 members of the executive management team of teaching hospitals affiliated to Jahrom University of Medical Sciences. The data collection tool was a demographic form and the knowledge and attitude scale regarding hospital accreditation. Data analysis was done in SPSS software , version 21 using descriptive and inferential statistics.

The mean scores of knowledge and attitude were 49.57±16.02 and 66.62±21.53, respectively. According to the participants, “Knowledge and awareness about the requirements (infrastructure and necessary conditions)”,”Knowledge and awareness about accreditation standards”, and “Knowledge and awareness about the general principles and concepts of accreditation” had the highest importance. 

The awareness and attitude of the executive management team regarding hospital accreditation can be improved after the implementation of the accreditation process.

The Accreditation program has been increasingly expanding around the world. Implementing the Accreditation program directly affects patients' quality and safety. Also increasing the productivity of the manpower to reach the predetermined goals of the organization, is of the utmost importance. As a result, this research was conducted to assess the effect of the Accreditation program on job productivity from the nurse's point of view.

This descriptive-analytical study was conducted cross-sectionally in 2021. A total of 250 nurses working in a military hospital were included in the study and all subjects completed the questionnaire. To collect the data related to the Accreditation program, the Scholarly inquiry created by Jardali was used the validity and reliability of which were assessed and confirmed. The data related to the productivity of the nurses was collected using the Standard Hersey and Goldsmith inquiry (ACHIEVE). Also, the data was analyzed using analytical statistics in the form of Confirmatory Factor Analysis and the path analysis was done using Structural Equation Modeling based on the Partial Least Squares method with the Smart-PLS3 software.

The results show that Accreditation has a meaningful effect on the productivity of nurses. The average score of the total accreditation and productivity was equal to 3.03±0.75 and 2.47±0.64. From all the different accreditation dimensions the highest score belonged to the qualitative results of accreditation (3.23±0.83) and the lowest score they have belonged to the leadership, commitment, and support dimension (2.80±0.96). Also in the productivity dimensions the highest score belonged to the capability (2.77±0.84) and compatibility (2.75±1.12) dimension and the lowest score belonged to the motivation dimension (2.08±0.86).

The accreditation program has had an impact on the productivity of nurses. Hospital managers can increase their productivity by strengthening dimensions such as leadership, commitment, support of nurses, use of production factors and existing technology, and work better towards achieving organizational goals. Managers and policymakers should provide conditions where nurses can participate in determining the strategies and goals of the organization and consider themselves a part of the organization.

Hospital accreditation is very important for improving the quality of health-related care. As one of the most important members of the health team, nurses actively participate in this process and are considered as one of the main points of evaluation programs. In various literature, the role of nurses in the process of accreditation of medical environments has not been mentioned in a focused way. Considering the importance of the key role of nurses and the numerous challenges raised by them in performing the tasks assigned during the hospital accreditation processes, it is necessary to focus more on the different dimensions of nurses' performance in programs that improve the quality of care. It is expected that such measures will be effective in order to pay more attention to the issues and problems of nurses.

Medical education has special features compared to other educations due to its relationship with public health, and one of the main solutions to improve the quality of education in medical groups is educational accreditation. Therefore the purpose of this study is to identify and rank the effective factors for proper accreditation in the University of Medical Sciences in order to improve the quality of medical education.

The research method was qualitative and data collection was library-field. The statistical sample consisted of 25 experts in related fields who were selected by purposive sampling. Then the dimensions and components extracted from the sources were finalized using the Delphi method and the panel of experts.

After performing three Delphi rounds, the results showed that the dimensions and components affecting accreditation include: University goals (4 components), management (4 components), educating staff (4 components), learners (5 components), organizational structure (5 components), organizational citizenship (3 components), human resources (4 components), financial management (6 components), compulsory educational space (4 components), information technology (3 components), services and facilities (3 components), learning resources (4 components), teaching-learning process (3 components), clinical and clinic education (12 components), research services (4 components), cultural programs (3 components), innovation and entrepreneurship (3 components), international cooperation (3 components), Evaluation and quality assurance (6 components) and validation (10 components).

Considering the joint presentation of medical education with the medical services system and not paying attention to the components of clinical and hospital education, Review of standards and indicators is necessary in order to establish an accreditation system in medical universities

Accreditation is one of the evaluation tools of health care systems, especially hospitals, which is one of the priorities of the Ministry of Health in Iran. Human resources have been seen as the most important resource of the organization in the accreditation of hospitals as a common axis with professional health. The purpose of the current research is to determine the parameters and present the model of the national accreditation program for hospitals with emphasis on the axis of human resource management from the point of view of experts in this field at the country level.

This study was conducted using the qualitative method of content analysis and through the review of related articles and semi-structured interviews with a number of experts and accreditation evaluators at the country level, and 12 scientific and executive experts based on data saturation in a purposeful judgment manner were interviewed.

Accreditation measures of human resources management in five axes: employing employees with six sub-axes, empowering and growing with six sub-axes, supporting employees with six sub-axes, leadership and management with eight sub-axes, and monitoring and control with seven sub-axes.

In accreditation standards with emphasis on human resource management axis, the metrics related to monitoring and control were emphasized more with an average score of 7.39 out of 9. More attention of the compilers of accreditation standards to the metrics related to this axis can lead to more accurate accreditation of the human resources of the country's hospitals.

Family medicine expertise as one of the most important policies have been proposed in the field of education and health system in the last decade.The aim of this study is the accreditation of the family physician residency in  medical sciences universities in Iran.

This is an accreditation and evaluation study that was implemented by the General Medical Council Secretariat of the Ministry of Health and Medical Education (MOHME) in collaboration with the Medical Education Research Center of Guilan University of Medical Sciences and the World Health Organization. The implementation process of this project was in two stages of internal evaluation and external evaluation in 12 universities of medical sciences of the country that were training the specialized course of family medicine and the sampling method was based on the entire research community. The family medicine specialty standards questionnaire designed by WONCA (2013 and 2016 editions) was used for internal evaluation. The translation and localization of the said questionnaire was done using the Backward- Forward method. After translation, the questionnaire was provided to the universities through the correspondence of the secretariat of the General Medical Council with 12 universities of the country. At the beginning of the internal evaluation, the self- evaluation forms were sent to universities.After the internal evaluation by the universities, an external evaluation was conducted. Then the members of the scientific committee determined the external evaluators to monitor the activities of the twelve universities. Data were analyzed in two quantitative and qualitative methods through SPSS. The information obtained from documents and interviews was analyzed qualitatively. In order to match the results of internal and external evaluation as well as the compatibility of documents with reports, a comparative evaluation was done by external evaluators and the research team.

According to the results of the internal and external evaluations and the opinions of the evaluators, the final decision regarding the accreditation of the specialized family medicine residency by universities was issued by the research team. Based on this decision, 2 universities of medical sciences partially approved the program (3 years); 3 University of Medical Sciences partial approval of the program (2 years); 2 University of Medical Sciences partial approval of the program (1 year); And 1 University of Medical Sciences received conditional approval of the program (6 months) and 4 Universities of Medical Sciences received non- approval.

The results of this study are a guide to promote the strengths and eliminate the weaknesses in the implementation of the existing program for universities of medical sciences and a source for decision-making at the macro level and the Ministry of Health, Treatment and Medical Education to grant permission to continue the work, and the activity of the universities is to train the specialized course of family medicine.

Considering the important role of doctors in the implementation of accreditation standards and the necessity of their involvement in this process, this study was conducted in order to identify the views of doctors regarding the challenges of participating in accreditation programs in social security hospitals in Mashhad.

This study is a cross-sectional descriptive-analytical research that was conducted in two hospitals of the Social Security Organization of Mashhad, Iran. in 2022. The participants were 56 full-time working doctors with at least one year of work experience in the hospital. Data analysis was done using SPSS version 26 software.

Among the challenges of doctors' participation in accreditation programs , the dimensions of the motivational mechanism (3.96±0.63) , provision of suitable resources for the implementation of accreditation (3.83±0.78), physician empowerment programs (3.78±0.73) and the role of the quality improvement office in attracting doctors' participation (3.75±0.74) were more important from the doctors' point of view, and  patients' demands (2.90±0.75) and role ambiguity 2.77±0.96), were less important in their opinion.

Managers should consider that employee motivation and resource allocation are necessary for the effective implementation of the accreditation standard. Empowering doctors in the implementation of accreditation standards as well as the participation of quality improvement offices to interact with doctors and attract their participation are very important factors.

It is necessary to evaluate the hospitals with the accreditation model and obtain the opinions and suggestions of the managers of the centers in order to improve the existing models more and more. The present study has been carried out with the aim of the fourth generation pathology of accreditation from the point of view of managers of selected hospitals of Hamedan University of Medical Sciences.

This research is a qualitative study with a content analysis approach, which was done in 2022. In order to collect data, in-depth and semi-structured interviews were used. The research community included 26 senior and middle managers of selected 8 hospitals of Hamadan University of Medical Sciences. Sampling was done purposefully.The data was analyzed by content analysis using MaxQDA 12 software.

According to the results, the challenges related to evaluators, hospitals, evaluation time, the nature of metrics, university staff experts and finally related to the announcement of the results were presented as the main themes of the pathology of the fourth generation of accreditation from the point of view of senior and middle managers. Among the aforementioned factors, the challenges related to hospitals, evaluators and university staff experts had the highest frequency compared to the challenges related to the evaluation time, the nature of the metrics, and the announcement of the results.

According to the findings of this research, after the pathology of the fourth generation accreditation method, it was determined that each of the accreditation areas related to evaluators, hospitals, evaluation time, the nature of metrics, university staff experts and finally the announcement of the results have not been sufficiently considered. Therefore, it is suggested that these cases be included in the future revisions of accreditation standards and criteria by the relevant officials.

The present research was conducted in order to design a family economics curriculum model for Iran's second secondary school.

The approach of this research is mixed exploratory (qualitative-quantitative). The research method in the qualitative part is based on the foundational data theory and in the quantitative part, it is a descriptive survey type. The participants of this research include all experts in this field (professors, specialists and experts in the field of educational planning, educational management, educational research, economics). The selection of participants in the qualitative section was done by non-random sampling method and using the snowball technique. The semi-structured interview continued until the theoretical data saturation level and 30 people were interviewed. Strauss and Corbin method and three-stage coding (open, central and selective) were used to analyze the data in the qualitative part. In the quantitative part of the research, a researcher-made questionnaire was used to examine the current and desirable state of the family economics curriculum model. Sampling was done in the quantitative part by a simple random method among specialists and experts (field of educational planning, educational management, educational research, economics, psychology, sociology and accounting) and 118 people were selected as a sample.

Based on the model obtained, the components of family economics education for students include: family education, explanation of individual factors, economic approach of society, explanation of social factors, suitable educational content for better understanding of economic concepts, suitable educational environment, life skills and teaching concepts. They are economical. The findings of the quantitative part of the research using the chi-square test also showed that the components and items extracted in the qualitative part were of medium to high importance and all the sample people had a positive opinion about the model.

They confirmed its coherence and strength and evaluated it as completely consistent with the literature of activities in the education environment.

Accreditation deals with the systematic evaluation of hospitals with the aim of promoting safety culture and guaranteeing the quality of care provision. Paying attention to management standards can be effective in improving patient safety culture. The purpose of this study was to determine the relationship between patient safety culture and the establishment of national accreditation management standards in a teaching hospital in Ardabil, Iran.

In this descriptive study, 234 of the hospital managers and staff were selected thorough convenience sampling (28 managers and 206 personnel). Data were collected by means of a demographic questionnaire, the establishment of managerial standards scale and the Hospital Survey on Patient Safety Culture (HSOPSC). Data were analyzed using SPSS version 24 with ANOVA, independent t-test and Pearson correlation.

The mean age of the personnel was 33.4±5.5 and the mean age of managers was 39.5±6.3. There was a significant direct relationship between patient safety standards and accreditation management standards (r=0.38, p<0.001). The mean score of organizational safety culture was 130.04±18.29 and the score of establishing management standards was 737.59±87.47. The overall percentage of positive responses to the items of the safety culture questionnaire was 46.7%.

In hospitals the existence of more committed management team, the higher patient safety culture level. In addition, it seems that when a stronger head nurses manage hospital wards, the more patient safety-related activities will be implemented by the staff.

The participation of doctors and clinical leadership in organizational strategies to improve quality performance is a necessary precondition for providing safe and high-quality care, and since improving the quality of health care services and increasing the participation of doctors in accreditation is very necessary, the present study was conducted with the aim of explaining the obstacles of doctors' participation in the accreditation programs of Iranian hospitals with a qualitative approach.

In this study, using the snowball sampling method, interviews were conducted with 11 managers, 9 doctors and 8 officials and experts in the field of quality management (a total of 28 people) in the field of hospital accreditation. Interviewees were selected through purposive snowball sampling. To collect data, unstructured and semi-structured in-depth interviews were conducted. The obtained data were analyzed using the conceptual framework method in ATLAS.ti.

The results of this research extracted 3 main issues including cultural, organizational and behavioral factors. Also, this research found 12 sub-themes and 57 items. Subtopics in the cultural area were motivation, patient demand, mutual trust, and evaluation system. The organizational field included seven sub-topics, including high workload, understanding the role of the quality management unit, unrealistic accreditation, the nature of accreditation, empowering doctors in the field of quality, effective communication, and limited resources. Subthemes in the behavioural dimension were role ambiguity and uncertainty about how to participate in the accreditation program. The most repeated challenges in the interviews were expressed in the field of effective communication and the least in the field of role ambiguity.

Physicians' participation in accreditation programs can be increased through culture building and proper training in accreditation activities in the medical community. By revising the categories of activities performed in the hospital by doctors and including a specific time to perform activities to improve quality and accreditation and create a balance between the quantity and quality of services provided in the hospital, it is possible to increase the participation of doctors in the accreditation program.