Azienda USL - IRCCS di Reggio Emilia, viale Umberto I, 50, 42123, Reggio Emilia, Italy.
Istituto Ortopedico Rizzoli - IRCCS, Via Giulio Cesare Pupilli, 1, 40136, Bologna, Italy.
BMC Health Serv Res. 2021 May 11;21(1):446. doi: 10.1186/s12913-021-06466-5.
A quality accreditation program (AP) is designed to guarantee predefined quality standards of healthcare organizations. Evidence of the impact of quality standards remains scarce and somewhat challenging to document. This study aimed to investigate the accreditation of a cancer research hospital (Italy), promoted by the Organization of European Cancer Institutes (OECI), by focusing on the individual, group, and organizational experiences resulting from the OECI AP.
A focused ethnography study was carried out to analyze the relevance of participation in the accreditation process. Twenty-nine key informants were involved in four focus group meetings, and twelve semistructured interviews were conducted with professionals and managers. Inductive qualitative content analysis was applied to examine all transcripts.
Four main categories emerged: a) OECI AP as an opportunity to foster diversity within professional roles; b) OECI AP as a possibility for change; c) perceived barriers; and d) OECI AP-solicited expectations.
The accreditation process is an opportunity for improving the quality and variety of care services for cancer patients through promoting an interdisciplinary approach to care provision. Perceiving accreditation as an opportunity is a prerequisite for overcoming the barriers that professionals involved in the process may report. Critical to a positive change is sharing the values and the framework, which are at the basis of accreditation programs. Improving the information-sharing process among managers and professionals may limit the risk of unmet expectations and prevent demotivation by future accreditation programs. Finally, we found that positive changes are more likely to happen when an accreditation process is considered an activity whose results depend on managers' and professionals' joint work.
质量认证计划 (AP) 旨在保证医疗保健组织的既定质量标准。关于质量标准的影响的证据仍然很少，并且在记录方面有些具有挑战性。本研究旨在通过关注欧洲癌症研究所组织 (OECI) 促进的癌症研究医院 (意大利) 的认证所产生的个人、团体和组织经验，调查该认证。
进行了一项重点民族志研究，以分析参与认证过程的相关性。29 名主要知情人参加了四次焦点小组会议，12 名专业人员和管理人员接受了半结构化访谈。应用归纳定性内容分析来检查所有转录本。
出现了四个主要类别：a) OECI AP 作为促进专业角色多样性的机会；b) OECI AP 作为变革的可能性；c) 感知障碍；和 d) OECI AP 引发的期望。
认证过程是通过促进提供护理的跨学科方法来提高癌症患者护理服务的质量和多样性的机会。将认证视为机会是克服参与该过程的专业人员可能报告的障碍的前提。对积极变革至关重要的是分享认证计划基础的价值观和框架。改善管理人员和专业人员之间的信息共享过程可以降低对未满足期望的风险，并防止未来的认证计划导致动力不足。最后，我们发现，当认证过程被视为一项活动时，积极的变化更有可能发生，其结果取决于管理人员和专业人员的共同努力。
