From: Challenges of implementation of hospital accreditation in Iran: an exploratory factor analysis
Code | Variables | Mean | Standard deviation |
---|---|---|---|
1 | The tastes of the evaluators and the unanimity of their opinions | 3.56 | 0.944 |
2 | The presence of insight and inspect mentality among evaluators and lack of counseling mentality | 3.34 | 0.970 |
3 | The existence of biases in accreditation assessments | 2.95 | 0.981 |
4 | Lack of adequate knowledge and assessment skills in some evaluators | 3.18 | 0.986 |
5 | The interest of the evaluator and its effect on the results (no outsourcing) | 2.74 | 1.057 |
6 | An inappropriate approach to assessors’ approach | 2.32 | 0.972 |
7 | Compact assessment period and insufficient number of days (evaluation within 1–2 days) | 2.92 | 1.188 |
8 | The reality of hospital evaluation scores in some cases | 3.45 | 1.120 |
9 | Too much emphasis on documenting and the possibility of obtaining a great deal only through the provision of documentation | 4.35 | 0.878 |
10 | A large number of measures and confusion of the staff | 4.37 | 0.771 |
11 | There is ambiguity in some measurements | 3.99 | 0.962 |
12 | Failure to pay attention to results and attention is paid to structures | 3.65 | 0.956 |
13 | Inappropriate scoring scale (e.g., 0–1–2) and lack of medium score | 3.63 | 0.921 |
14 | Imbalance and proportionality in measures | 3.72 | 0..973 |
15 | Disregarding communication between departments and interactions between units | 3.22 | 0.983 |
16 | Patient’s dissatisfaction with disregard for them because of the high amount of time required to be documented by nurses and physicians | 4.22 | 0.959 |
17 | Neglecting the spiritual needs of patients and need to treat them with dignity and respect | 3.49 | 1.084 |
18 | The lack of actual completion of forms and documentation by nurses and doctors due to their large volume | 3.82 | 1.060 |
19 | Reduce the duration of direct clinical care by nurses | 3.98 | 0.995 |
20 | Endangering occupational safety in the event of a low privilege in accreditation | 3.14 | 1.185 |
21 | Creating stress and anger in the staff from the pre-evaluation to the announcement of the results | 4.30 | 0.828 |
22 | Creating mental and physical fatigue in the staff | 4.30 | 0.862 |
23 | Lack of time to implement standards | 4.39 | 0.801 |
24 | The existence of idealistic and disproportionate standards with the current conditions of hospitals | 4.23 | 0.880 |
25 | Creating incentives to purchase unnecessary equipment through higher scores | 3.41 | 1.131 |
26 | Establishing a tunnel in the hospital and paying attention only to issues that affect the credibility of a higher score | 3.74 | 1.010 |
27 | Concealment and unrealistic display of hospital facilities | 3.51 | .1220 |
28 | Forced to deceive the assessors | 2.40 | 1.236 |
29 | Mandatory implementation of hospital accreditation standards | 3.92 | 1.039 |
30 | The temptation and time compression in implementation and implementation of the program | 3.99 | 0.946 |
31 | The lack of staffing of the process and the reasons for the program | 3.55 | 0.971 |
32 | The lack of cultural infrastructures necessary for the implementation of accreditation (organizational culture, staff attitudes) | 3.96 | 1.056 |
33 | Shortage of human resources and increased staff turnover | 4.15 | 1.111 |
34 | Lack of financial resources for implementation of accreditation | 3.81 | 1.188 |
35 | Lack of back up resources such as books and sites to learn how to implement accreditation requirements | 3.26 | 1.024 |
36 | Lack of physical resources required for the implementation of standards, including equipment and physical space | 3.65 | 1.098 |
37 | Non-commitment and participation of some senior managers and physicians | 3.83 | 1.077 |
38 | Integration of the quality improvement and evaluation system with the payment system | 3.42 | 1.048 |
39 | Lack of proper feedback from surveys results and lack of financial incentives | 3.83 | 1.031 |
40 | The unequal competition between hospitals with different facilities and resources | 3.92 | 1.104 |
Total | 3.64 | 0.558 |