Nursing Perception towards the Influence of the Joint Commission International Accreditation on the Quality of Health Care in Palestine: Istishari Arab Hospital and An-Najah National University Hospital رسالة ماجستير

Abstract

A health care agency's accreditation shows that it meets the highest international health and health standards. The purpose of this study is to assess nurses' perceptions of the influence of the Joint Commission International Accreditation (JCIA) and the quality of health care at Istishari Arab Hospital IAH) and An-Najah National University

Hospital (NNUH).

In this study, the quantitative method was used, and then primary data were collected by distributing online questionnaires to 220 nurses at both hospitals. The developed questionnaire is divided into two parts. The first seeks demographic information about nurses in IAH and NNUH. The second section is about quality practices and the JCIA, and is divided into six sections representing quality output, quality management, leadership, strategy quality planning, human resource utilization, and the joint commission international accreditation. Descriptive statistics, as well as inferential statistics are used to analyze data. The Statistical Package for the Social Sciences

(SPSS) and Amos version 25 are utilized in the data analysis.

According to the findings, the majority of nurses at IAH and NNUH have a neutral perception toward improving the quality of care after accreditation. Furthermore, some have a neutral perception of organizational factors such as strategic quality planning, human resource utilization, and JCIA, while others have a negative perception of organizational factors such as quality management and leadership commitment. The study also found that the previously mentioned organizational factors were positively related to the quality of care outcomes. On the other hand, these findings indicated that there was no significant relationship between some demographic factors and nurses'

perceptions of quality of care improvement.

Nursing leaders must know the workload in their units to make sure nurses have sufficient time to plan for improvements in quality. Their departments and hospital administration must build an efficient mechanism to enhance quality improvement proposals. Also, nurses and other staff need a motivational system based on their performance evaluations, to provide the JCIA a sense of pleasure and acknowledgment about their efforts and involvement in quality improvements. New metrics to closely monitor personnel and supervisors' quality performance should be developed. In addition, a health committee specialized in quality from various medical specialists is recommended to be formed to monitor Palestinian hospitals that have received a quality

certificate and impose penalties for violations of medical laws.