Effect of Joint Commission International Accreditation on the Nursing Work Environment in a Tertiary Medical Center.
How might a tertiary hospital's nursing staff respond to the huge improvement effort required for external accreditation if they are encouraged to lead the change process themselves? This article reports the results of a concurrent evaluation of the nursing work climate at ward level, before and after accreditation by the Joint Commission International. Physician-nurse relations improved; the involvement of social workers, dieticians, and physiotherapists increased; support services responded more quickly to requests; and management-line staff relations became closer.
Nursing Administration, Rabin Medical Center, Clalit Health Services, Tel Aviv, Israel (Dr Kagan and Mss Farkash-Fink and Fish); and Nursing Department, Steyer School of Health Professions, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel (Dr Kagan).
Ilya
I
Kagan
Naomi
N
Farkash-Fink
Miri
M
Fish
D000068:Accreditation / Q000379:methods* / Q000706:statistics & numerical data; D006761:Hospitals / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D038622:Internationality; D007557:Israel; D007591:Joint Commission on Accreditation of Healthcare Organizations / Q000458:organization & administration; D009726:Nurses / Q000523:psychology / Q000592:standards / Q000706:statistics & numerical data; D010465:Perception; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D014481:United States; D017132:Workplace / Q000523:psychology* / Q000706:statistics & numerical data