Al-Faouri Ibrahim, Al-Dmour Ahmad, Al-Ali Nahla, AbuALRub Raeda, Abu Moghli Fathieh
Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
The University of Jordan, Faculty of Nursing, Amman, Jordan.
Nurs Forum. 2019 Jan;54(1):30-37. doi: 10.1111/nuf.12294. Epub 2018 Dec 3.
To assess perceived stress levels among healthcare providers in public and private hospitals before and after Health Care Accreditation Council (HCAC) survey site visits.
A cross-sectional, descriptive design was used in this study. A convenience sampling technique was used to recruit study participants. A self-administered questionnaire (PSS-10) was used to collect data. Descriptive statistics, dependent sample t test, independent sample t test, and multiple linear regression analysis were used to analyze data.
The results showed that stress levels were higher before a HCAC survey site visit (M = 18.39, SD = 4.3) than after ( M = 14.09, SD = 6.1) ( t(210) = 8.7, P ≤ 0.000) among healthcare providers. Between hospitals, the perceived stress level of healthcare providers was higher in the public hospital ( M = 19.03, SD = 4.3) compared with the private hospital ( M = 17.8, SD = 4.2) ( t(209) = 2.16, P = 0.031) before the HCAC survey site visit. In contrast, there were no differences in perceived stress level for the public and private hospitals ( t(209) = 0.001, P = 0.999) after the HCAC survey site visit. Finally, the type of hospital was the only sociodemographic characteristic that predicted the perceived stress level before the HCAC survey site visit ( β = -0.157, P = 0.040). In contrast, there were no sociodemographic characteristics that predicted the perceived stress level after the HCAC survey site visit.
The current study indicated that hospital accreditation is a process associated with significant stress (P = 0.000) among healthcare providers in both hospitals before and after an HCAC survey site visit. Moreover, there was a significant level of stress before an HCAC survey site visit in the public hospital ( M = 19.03) compared with the private hospital ( M = 17.8, P = 0.031).
评估医疗保健评审委员会(HCAC)现场考察前后,公立和私立医院医护人员的感知压力水平。
本研究采用横断面描述性设计。采用便利抽样技术招募研究参与者。使用自填式问卷(PSS-10)收集数据。采用描述性统计、配对样本t检验、独立样本t检验和多元线性回归分析进行数据分析。
结果显示,医护人员在HCAC现场考察前的压力水平(M = 18.39,SD = 4.3)高于考察后(M = 14.09,SD = 6.1)(t(210) = 8.7,P ≤ 0.000)。在医院之间,HCAC现场考察前,公立医院医护人员的感知压力水平(M = 19.03,SD = 4.3)高于私立医院(M = 17.8,SD = 4.2)(t(209) = 2.16,P = 0.031)。相比之下,HCAC现场考察后,公立和私立医院的感知压力水平没有差异(t(209) = 0.001,P = 0.999)。最后,医院类型是预测HCAC现场考察前感知压力水平的唯一社会人口学特征(β = -0.157,P = 0.040)。相比之下,没有社会人口学特征能够预测HCAC现场考察后的感知压力水平。
当前研究表明,医院评审是一个在HCAC现场考察前后,都会给两家医院的医护人员带来显著压力(P = 0.000)的过程。此外,HCAC现场考察前,公立医院(M = 19.03)的压力水平显著高于私立医院(M = 17.8,P = 0.031)。