Alsaedi Abdulaziz Rashed, Haddad Maisam Elfaki, Alshelaly Safaa Eid, Alsadei Manal Mohammed, Alharbi Abdulaziz Jameel, Alkhurais Abdullah Ahmad, Almajnoni Fahad Rashid, Alneami Nada Abdullah
College of Management, Midocean University, Fujairah, United Arab Emirates.
Medical Serviced Division, Prince Mohammed Bin Abdulaziz Hospital, National Guard Health Affairs, Madinah, Saudi Arabia.
J Multidiscip Healthc. 2025 Apr 28;18:2349-2360. doi: 10.2147/JMDH.S515427. eCollection 2025.
Clinical governance has been developed as a comprehensive approach to enhance the quality of care. As a new methodology, clinical governance is increasingly adopted by Saudi Arabian hospitals.
This study aims to assess the awareness level of clinical governance among healthcare professionals in King Salman Medical City, Madinah, Saudi Arabia.
This is a cross-sectional survey study that used a proportionate stratified sampling technique from July to October 2024. Data collection was done using a pre-developed questionnaire involving 65 items, measuring healthcare professionals' awareness of the seven domains of clinical governance. Descriptive analysis was employed using frequencies, means, and standard deviation. Meanwhile, the one-way -test and one-way ANOVA were used in the inferential analysis.
A total of 403 professionals responded to the survey with a response rate of 58%. Quantitative analysis revealed a notably high level of clinical governance implementation across all assessed areas in the hospital. Public and patient involvement stands out as the strongest area, with a mean difference of 0.846 and a t-value of 22.400, while risk management has a relatively lower mean difference of 0.578 with a t-value of 13.549. The descriptive statistics for public and patient involvement reveal slight variations in perceptions of involvement across different staff roles in the hospital. Doctors report the highest mean involvement level at 3.96 (SD = 0.74), with a 95% confidence interval ranging from 3.80 to 4.12. Laboratory specialists have the lowest mean at 3.60, with the largest variability (SD = 1.20), and their confidence interval (2.80 to 4.41) is wider.
The study revealed a strong foundation in patient engagement, audit processes, and data management. Decision-makers need to encourage the culture of risk management and clinical effectiveness. Future researchers might shed light on the impact of clinical governance on patients' outcomes.
临床治理已发展成为一种提高医疗质量的综合方法。作为一种新方法，沙特阿拉伯的医院越来越多地采用临床治理。
本研究旨在评估沙特阿拉伯麦地那国王萨勒曼医疗城医护人员对临床治理的认知水平。
这是一项横断面调查研究，于2024年7月至10月采用按比例分层抽样技术。数据收集使用了一份预先制定的包含65个条目的问卷，测量医护人员对临床治理七个领域的认知。描述性分析采用频率、均值和标准差。同时，在推断性分析中使用单样本t检验和单因素方差分析。
共有403名专业人员回复了调查，回复率为58%。定量分析显示，医院所有评估领域的临床治理实施水平显著较高。公众和患者参与是最强的领域，平均差异为0.846，t值为22.400，而风险管理的平均差异相对较低，为0.578，t值为13.549。公众和患者参与的描述性统计显示，医院不同工作人员角色对参与的认知存在细微差异。医生报告的平均参与水平最高，为3.96（标准差=0.74），95%置信区间为3.80至4.12。实验室专家的平均水平最低，为3.60，变异性最大（标准差=1.20），其置信区间（2.80至4.41）更宽。
该研究揭示了在患者参与、审核流程和数据管理方面有坚实基础。决策者需要鼓励风险管理和临床有效性文化。未来的研究人员可能会阐明临床治理对患者结局的影响。
