Evaluating Nurses Satisfaction with Joint Commission International Accreditation Preparatory Training and Implementation Challenges in Palestine رسالة ماجستير

Abstract

Background: A hospital is a complicated, multi-functional, professional, and bureaucratic institution. Accreditation is defined as evaluating a healthcare organization's performance against predetermined standards and putting strategies for continuous improvement into action. Nursing staff play a crucial role in the development of high-quality programs in hospitals because of their large population, direct and ongoing service delivery, active participation in strategies and practices, and their actions have an impact on accreditation procedures. Nurses, however, face certain difficulties in this area. Aim: To assess the nurses' perspectives of satisfaction with training for and barriers that they faced in the Joint Commission International (JCI) accreditation implementation. Methodology: A quantitative, cross-sectional descriptive methodology was conducted at the West Bank hospitalsthat have a JCI accreditation (Istishari Arab Hospital (IAH) in Ramallah, An-Najah National University Hospital (NNUH) in Nablus, and Ibn Sina Hospital (ISH) in Jenin). The study population included IAH, NNUH, and ISH nurses. According to the sample size calculator, a convincing sample would consist of 233 samples. The data collection tool was self-developed, and the questionnaire contained five parts. Result: Overall satisfaction with JCI training among 208 Palestinian nurses was moderate to moderately high (mean = 3.53/5), with 60.5% expressing enhanced patient safety knowledge and 57.7% reporting increased confidence in compliance. Poor interdepartmental cooperation (58.2%), low staff enthusiasm (54.3%), language challenges (53.9%), unreliable documentation technology (52.4%), and a lack of leadership support (52.4%) were the main obstacles. There was a somewhat positive correlation between perceived barriers and satisfaction (r = 0.307, p < 0.001). To enhance training and execution, nurses suggested follow-up evaluations (70.2%), management participation (57.7%), hospital-specific scenarios (56.7%), and mentorship programs (51%). Conclusion: This study examined the perceived barriers to accreditation implementation, the impact of professional and sociodemographic characteristics on these outcomes, and the satisfaction of Palestinian nurses with JCI training in West Bank hospitals that have received JCI accreditation. The data revealed a moderate level of satisfaction with JCI training, with younger and less experienced nurses frequently expressing higher levels of satisfaction.