医院四个部门员工对 JCI 认证过程的参与和怀疑：文化变革的建议。

Involvement and skepticism towards the JCI Accreditation process among hospital's four sectors employees: suggestions for cultural change.

机构信息

Health Systems Management, The Max Stern Yezreel Valley College, Yezraeel Valley, Israel.

JCI Accreditation, Rambam Health Care Campus, Haifa, Israel.

出版信息

Isr J Health Policy Res. 2021 Dec 14;10(1):74. doi: 10.1186/s13584-021-00507-4.

DOI:10.1186/s13584-021-00507-4

PMID:34906237

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8670208/

Abstract

BACKGROUND

Implementing the JCI Accreditation process as an organizational culture may face resistance. However, the skepticism and involvement of different hospital sectors (medical, nursing, paramedical, and administrative/logistic) in the process may vary. Conducting organizational change needs tools to decrease resistance.

OBJECTIVES

To investigate the attitudes, cultural norms, and satisfaction of the different sectors regarding the accreditation process, and to suggest ways to integrate the process as part of the organizational culture.

MATERIALS AND METHODS

A cross-sectional survey was conducted among 462 respondents (187 nurses, 95 physicians, 92 administrative, 88 paramedical) at Rambam Health Care Campus, a tertiary hospital in Israel. The hospital employees' attitudes, cultural norms, and satisfaction were assessed. ANOVA tests were used to examine the differences among the different sectors. The association between the satisfaction from the process and the preferred type of training was examined using Pearson's correlation coefficient.

RESULTS

Significant differences were found among the sectors in the scores related to attitude, cultural norms, and satisfaction from the accreditation process (F (3, 456) = 17.95, p < 0.001, η = 0.10). Gabriel post-hoc test revealed significantly lower scores between the medical and paramedical sectors. A positive correlation was found between the degree of satisfaction with the process and the satisfaction with the training type. Frontal education and video demonstrations were rated significantly higher among all 10 training types.

CONCLUSIONS

More efforts should be made to increase involvement among physicians and paramedical teams in the accreditation process. Each sector leadership involvement is essential for their involvement too. Early involvement of the Israeli Medical Association in the process might have achieved better physicians' collaboration. Frontal education and video demonstrations may help decrease skepticism and increase positive attitudes.

摘要

背景

将 JCI 认证过程作为一种组织文化来实施可能会面临阻力。然而，不同医院部门（医疗、护理、辅助医疗和行政/后勤）对该过程的怀疑和参与程度可能会有所不同。进行组织变革需要工具来减少阻力。

目的

调查不同部门对认证过程的态度、文化规范和满意度，并提出将该过程整合为组织文化一部分的方法。

材料和方法

在以色列的拉宾医疗保健园区（Rambam Health Care Campus），对 462 名受访者（187 名护士、95 名医生、92 名行政人员、88 名辅助医疗人员）进行了横断面调查。评估了医院员工的态度、文化规范和满意度。使用方差分析（ANOVA）检验来检查不同部门之间的差异。使用 Pearson 相关系数检验过程满意度与首选培训类型之间的关系。

结果

在与态度、文化规范和认证过程满意度相关的得分方面，不同部门之间存在显著差异（F（3, 456）= 17.95，p < 0.001，η= 0.10）。加布里埃尔事后检验显示，医疗和辅助医疗部门之间的得分显著较低。过程满意度与培训类型满意度之间存在正相关。所有 10 种培训类型中，正面教育和视频演示的评分都显著较高。