The Effects of Implementing an Accreditation Process on Health Care Quality Using Structural Equation Modeling.

Q2 Nursing Health Care Manager Pub Date : 2018-10-01 DOI:10.1097/HCM.0000000000000229

Parisa Pourrabia, Mohammadkarim Bahadori, Seyed Mojtaba Hosseini, Ramin Ravangard

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引用次数: 2

Abstract

This study was undertaken to investigate nurses' perceptions of and attitudes toward the effects of hospital accreditation on their service quality in an eye hospital in Tehran in 2016. This was a cross-sectional and descriptive-analytic study conducted in the second half of 2016. Data of 200 nurses who were selected using a census method were studied. For collecting the required data, a standard questionnaire was used. Data were analyzed using SPSS 21.0 through descriptive statistics, as well as AMOS 18.0 software through the measurement and structural models of structural equation modeling method. The results showed that the independent variables of nurses' participation and the benefits of accreditation had predicted 63% of the variations in the dependent variable of "quality." Also, the results of structural equation modeling showed that the benefits of accreditation (regression weight = 0.22) had a significant effect on quality outcomes (P = .02). Moreover, the participation of nurses (regression weight = 0.61) had an important effect on quality outcomes (P < .001). Finally, the benefits of accreditation had a significant association with the nurses' participation (regression weight = 0.50) (P < .001). According to the results of the present study, the hospital accreditation program had positive effects on the quality of care from the studied nurses' perspective.

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使用结构方程模型实施认证过程对卫生保健质量的影响。

本研究旨在调查2016年德黑兰一家眼科医院护士对医院认证对其服务质量影响的看法和态度。这是一项横断面和描述性分析研究，于2016年下半年进行。采用人口普查方法对200名护士进行调查。为了收集所需的数据，使用了标准问卷。数据分析采用SPSS 21.0进行描述性统计，采用AMOS 18.0软件进行计量和结构模型的结构方程建模方法。结果表明，护士参与和认可的好处的自变量预测了63%的因变量“质量”的变化。此外，结构方程模型的结果显示，认证的收益(回归权重= 0.22)对质量结果有显著影响(P = 0.02)。此外，护士的参与(回归权值= 0.61)对质量结果有重要影响(P < 0.001)。最后，认证的益处与护士的参与有显著的相关性(回归权值= 0.50)(P < 0.001)。根据本研究的结果，从被研究护士的角度来看，医院认可计划对护理质量有积极的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Health Care Manager HEALTH POLICY & SERVICES-

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期刊介绍： The Health Care Manager (HCM), provides practical, applied management information for managers in institutional health care settings. It is a quarterly journal, horizontally integrated and cutting across all functional lines, written for every person who manages the work of others in any health care setting. This journal presents practical day-to-day management advice as well as research studies addressing current issues in health care management. Its intent is the strengthening management and supervisory skills of its readers and increasing their understanding of today"s health care environment. HCM is searchable through PubMed.

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