Abstract
BackgroundClinical services evaluation with specific indicators are very helpful to identify improvable points. This study was conducted to analyze the factors affecting the quality of clinical nursing services and offer practical solutions for accreditation of clinical nursing services.MethodsThe present study was conducted using Delphi method with two rounds. At the beginning of the study a questionnaire was prepared using results of another project (clinical nursing services audit). This questionnaire was sent to 47 nursing and accreditation professionals. After the first round, causes and solutions were categorized. Then participants were asked to comment on the significance of each strategy on the prepared questionnaire.ResultsIn the first round of Delphi in response to the question about the main causes and solutions of low quality of nursing clinical services, 394 causes and 212 solutions were mentioned by the participants. In the second round, considering moralists and specialization in the selection of nursing managers, staffing according to workload and attendance in comprehensive exam after graduation and before entering clinical fields attained the most importance.ConclusionMismatch of human resources with workload and lack of clarity with regard to duties have maximum correlation with poor quality of care. Organizational structure and communication program categories gained the highest and lowest importance respectively. This information could be used by nursing managers and policy makers to plan programs in order to improve the quality of clinical nursing services.
Highlights
Clinical services evaluation with specific indicators are very helpful to identify improvable points
Nurses have a major role in health care quality provided to clients, quality improvement in nursing is the most important issue among the factors associated with the growth and survival of a health care center [13]
In this study, Delphi method was used in order to achieve the objectives of the analysis for the factors affecting the quality of clinical nursing services and to provide practical solutions to accreditation of clinical nursing services
Summary
Clinical services evaluation with specific indicators are very helpful to identify improvable points. The increased demand for delivering right, proper and effective health care, need for standardization and control of differences and divergences, necessity for application of ideas in the field of quality control and standardization, desire to introduce the organization and strive for excellence and ethical considerations are important factors for quality improvement in health sector services [3,4,5]. As the largest group of health care providers play a key role in the continuity and quality of care and health promotion at different levels of health system [6]. Nurses have a major role in health care quality provided to clients, quality improvement in nursing is the most important issue among the factors associated with the growth and survival of a health care center [13]
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