Hospital accreditation indicates meeting the highest international standards and requirements in the health care industry .Aims of this study are: 1) to assess nurses‟ perception to JCI accreditation impact, 2) to assess nurses‟ perception to quality of health care (QHC), and 3) to identify the predictive factors for perception to accreditation and QHC at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia.
Methods. An anonymous electronic-based survey of 476 nursing personnel at KAMC was conducted, using two previously validated tools of different domains, to assess accreditation impact and QHC, as perceived by nurses. Data on demographic characteristics such as; age, gender, nationality, education, job position, and specialty were collected. A scoring system was applied and percentage mean scores (PMS) were calculated for each domain, and for overall perceptions. Descriptive and analytic statistics were applied. Logistic regression analysis was conducted to identify the significant predictors of nurses‟ perception to accreditation and QHC. Significance limits were set at P <0.05.
Results. Of 751 nursing personnel surveyed, 476 (60%) responded. Their mean of age was 40.7+9.2 years, the majority were females 426 (89.5%), expatriates (95%), BSN graduate (72%), with mean 13.04+9.6 years of work experience, with medical (62%), surgical (31%), and administrative /education (7%) specialties. Overall percentage mean scores (PMS) for perception of accreditation impact was 71.13±17.85, reflecting neutral perception, and 66.87±17.71 for perception to QHC, reflecting an average QHC. Older (p=0.043) and less educated nurses (p=0.042) were significantly more likely to report positive perception to accreditation impact. Nurses‟ perception to accreditation impact was a significant predictor of perception of QHC (p<0.001). Higher QHC was more likely to be perceived by the less educated (p<0.001), and less experienced (p=0.047) nurses, and nurses with direct patient care (p=0.041).
Conclusion. This study addresses the impact of perception to accreditation on other hospital duties while preparing for accreditation such as the continuity and quality of patient care during the preparation process. Strategies are required to reinforce the way accreditation might lead to improved quality of care, strengthen leadership, culture and climate, and how these factors in turn might mediate accreditation performance.