-
Revista Brasileira de Enfermagem 2021to analyze and compare levels of stress and resilience in nurses before and after the assessment for maintenance of the Hospital Accreditation Certification.
OBJECTIVES
to analyze and compare levels of stress and resilience in nurses before and after the assessment for maintenance of the Hospital Accreditation Certification.
METHODS
quantitative, observational, and longitudinal research, with 53 nurses from a philanthropic hospital, in the Rio Grande do Sul. Data collected in two stages, March, and July 2019, before the assessment visit and 60 days after, using the Bianchi Stress Scale and Resilience Scale. Descriptive and analytical statistics were employed.
RESULTS
the majority of participants showed an average stress level before and after the evaluation. The highest stress scores were related to Domains E (coordination of unit activities) and C (activities related to personnel administration). In both moments of the study, the participants had medium and high resilience.
CONCLUSIONS
managing people, processes, and assistance are stressful activities in the Accreditation process and increase the nurses' stress levels.
Topics: Accreditation; Brazil; Hospitals; Humans; Nurses; Nursing Staff, Hospital; Resilience, Psychological; Surveys and Questionnaires
PubMed: 34852118
DOI: 10.1590/0034-7167-2020-1341 -
Human Resources For Health May 2021Accreditation systems in medical education aim to assure various stakeholders that graduates are ready to further their training or begin practice. The purpose of this...
BACKGROUND
Accreditation systems in medical education aim to assure various stakeholders that graduates are ready to further their training or begin practice. The purpose of this paper is to explore the current state of medical education accreditation around the world and describe the incidence and variability of these accreditation agencies worldwide. This paper explores trends in agency age, organization, and scope according to both World Bank region and income group.
METHODS
To find information on accreditation agencies, we searched multiple online accreditation and quality assurance databases as well as the University of Michigan Online Library and the Google search engine. All included agencies were recorded on a spreadsheet along with date of formation or first accreditation activity, name changes, scope, level of government independence, accessibility and type of accreditation standards, and status of WFME recognition. Comparisons by country region and income classification were made based on the World Bank's lists for fiscal year 2021.
RESULTS
As of August 2020, there were 3,323 operating medical schools located in 186 countries or territories listed in the World Directory of Medical Schools. Ninety-two (49%) of these countries currently have access to undergraduate accreditation that uses medical-specific standards. Sixty-four percent (n = 38) of high-income countries have medical-specific accreditation available to their medical schools, compared to only 20% (n = 6) of low-income countries. The majority of World Bank regions experienced the greatest increase in medical education accreditation agency establishment since the year 2000.
CONCLUSIONS
Most smaller countries in Europe, South America, and the Pacific only have access to general undergraduate accreditation, and many countries in Africa have no accreditation available. In countries where medical education accreditation exists, the scope and organization of the agencies varies considerably. Regional cooperation and international agencies seem to be a growing trend. The data described in our study can serve as an important resource for further investigations on the effectiveness of accreditation activities worldwide. Our research also highlights regions and countries that may need focused accreditation development support.
Topics: Accreditation; Curriculum; Education, Medical; Europe; Humans; Schools, Medical
PubMed: 34016122
DOI: 10.1186/s12960-021-00588-x -
Journal of Educational Evaluation For... 2020Currently, accreditation in medical education is a priority for many countries worldwide. The World Federation for Medical Education’s (WFME) launch of its 1st trilogy... (Review)
Review
Currently, accreditation in medical education is a priority for many countries worldwide. The World Federation for Medical Education’s (WFME) launch of its 1st trilogy of standards in 2003 was a seminal event promoting accreditation in basic medical education (BME) globally. In parallel, the WFME also actively spearheaded a project to recognize accrediting agencies within individual countries. The introduction of competency-based medical education (CBME), with the 2 key concepts of entrusted professional activity and milestones, has enabled researchers to identify the relationships between patient outcomes and medical education. The recent data-driven approach to CBME has been used for ongoing quality improvement of trainees and training programs. The accreditation goal has shifted from the single purpose of quality assurance to balancing quality assurance and quality improvement. Although there are many types of postgraduate medical education (PGME), it may be possible to accredit resident programs on a global scale by adopting the concept of CBME. It will also be possible to achieve accreditation alignment for BME and PGME, which center on competency. This approach may also make it possible to measure accreditation outcomes against patient outcomes. Therefore, evidence of the advantages of costly and labor-consuming accreditation processes will be available soon, and quality improvement will be the driving force of the accreditation process.
Topics: Accreditation; Curriculum; Education, Medical; Humans; Quality Improvement
PubMed: 33085997
DOI: 10.3352/jeehp.2020.17.30 -
The Journal of Thoracic and... Mar 2021
Topics: Accreditation; Education, Medical, Graduate; Humans; Thoracic Surgery
PubMed: 33419549
DOI: 10.1016/j.jtcvs.2020.11.116 -
BMC Medical Education Jun 2023Making accreditation results easily accessible has become a worldwide essential issue, especially after international standards were created for medical education. The... (Review)
Review
BACKGROUND
Making accreditation results easily accessible has become a worldwide essential issue, especially after international standards were created for medical education. The Egyptian Society for Medical Education (ESME) expects Egyptian medical schools to be more open about their accreditation results to build trust with students, families, and the community. This will help ensure newly graduated doctors are of high quality. Our literature review found almost no information on how transparent Egyptian medical school websites are with posting their accreditation results. Students and families use these websites to choose schools and be confident in the quality of education, so accreditation results should be easily accessible.
METHODS
This study was conducted to estimate the information transparency of Egyptian medical colleges' websites regarding their accreditation process. Twenty-five official websites of Egyptian medical colleges, as well as official website of the National Authority for Quality Assurance and Accreditation of Education (NAQAAE) were reviewed. The websites' search considers two main criteria for transparency. Each criterion is further divided into several information items. Data was recorded and analyzed using Research Electronic Data Capture software (REDCap). The authors excluded, from the data analysis, newly established schools of less than five years of age that were not required to apply for accreditation yet.
RESULTS
The results of the research showed that only thirteen colleges registered their credentials on their websites. However, the amount of data available about the process, dates, and documents was very limited. Accreditation information for these thirteen schools is confirmed by information on the NAQAAE website. Other information on other important elements such as accountability and future plans was almost completely missing.
CONCLUSION
The authors concluded that due to the lack of basic information on the websites of Egyptian medical schools about their institutional accreditation status, serious steps should be taken by medical schools and the National Accreditation Authority to encourage openness and ensure transparency towards institutional accreditation.
Topics: Humans; Egypt; Schools, Medical; Educational Status; Accreditation; Credentialing
PubMed: 37391816
DOI: 10.1186/s12909-023-04464-1 -
Science & Justice : Journal of the... Nov 2022Forensic science in UK Higher Education involves a constellation of subdisciplines, each with a biography shaped by a colonial past. Deeper examinations of the...
Forensic science in UK Higher Education involves a constellation of subdisciplines, each with a biography shaped by a colonial past. Deeper examinations of the structures of curriculum design allow educators to address where colonial assumptions may reside and the impact of these legacies on the present. One process to assist this endeavour is Decolonising the Curriculum (DtC), which seeks to question and dismantle colonial structures of knowledge and support contextualisation to broaden, rather than narrow, the curricula. DtC toolkits, like those developed at the University of Winchester in the south of England, may provide practical support to programme teams to reflect on how colonial attitudes shape new and existing curricula. DtC may be seen as supporting existing quality processes that are part of the reflection cycle and tested through institutional and other accreditation quality procedures. Toolkits support programme teams to identify existing good practices and areas requiring further reflection and development. We offer perspectives on areas that would benefit from critical evaluation when teaching subjects with foundations in race science, colonial attitudes, and social injustice. The paper focuses on three main approaches to support decolonial discourse: sustained historical inquiry, questioning ethnic classifications and identity, and the presentation of international forensic work. Rather than seeing DtC as a threat to educational quality, it may be more constructively seen as an integral part of quality processes in curriculum design to support more diverse, inclusive, and authentic learning in forensic Higher Education.
Topics: Humans; Curriculum; Forensic Medicine; Accreditation; Forensic Sciences
PubMed: 36400501
DOI: 10.1016/j.scijus.2022.06.003 -
BMC Health Services Research Aug 2021Hospital accreditation (HA) is an external evaluation of a hospital's structures, processes and results by an independent professional accreditation body using... (Review)
Review
BACKGROUND
Hospital accreditation (HA) is an external evaluation of a hospital's structures, processes and results by an independent professional accreditation body using pre-established optimum standards. The Iranian hospital accreditation system faces several challenges. The overall aim of this study was to develop a model for Iran national hospital accreditation program.
METHODS
This research uses the modified Delphi technique to develop and verify a model of hospital accreditation. The first draft of the HA model was introduced through a critical review of 20 pioneer accreditation models and semi-structured interviews with 151 key informants from Public, private, semi-public, charity and military hospitals in Iran. Three rounds of Delphi were conducted with 28 experts of hospital accreditation to verify the proposed model. Panel members were selected from authors of research articles and key speakers in the area of hospital accreditation, senior managers of the country's health system, university professors in the fields of health policy and management across the country.
RESULTS
A comprehensive model for hospital accreditation was introduced and verified in this study. The HA model has ten constructs of which seven are enablers ("Management and leadership", "Planning", "Education and Research", "employee management", "patient management", "resource management", and "process management") and three are the results ("employee results", "patient and society results" and "hospital results"). These constructs were further broken into 43 sub-constructs. The enablers and results scored 65 and 35% of the model's total scores respectively. Then, about 150 accreditation standards were written and verified.
CONCLUSIONS
A comprehensive hospital accreditation model was developed and verified. Proper attention to structures, processes and outcomes and systemic thinking during the development of the model is one of the advantages of the hospital accreditation model developed in this study. Hospital accreditation bodies can use this model to develop or revise their hospital accreditation models.
Topics: Accreditation; Delphi Technique; Health Policy; Hospitals, Military; Humans; Iran; United States
PubMed: 34445975
DOI: 10.1186/s12913-021-06904-4 -
Human Resources For Health Oct 2020Regulation of the health workforce and accreditation of educational institutions are intended to protect the public interest, but evidence of the impact of these...
Regulation of the health workforce and accreditation of educational institutions are intended to protect the public interest, but evidence of the impact of these policies is scarce and occasionally contradictory. The body of research that does exist primarily focuses on policies in the global north and on the major health professions. Stress on accreditation and regulatory systems caused by surges in demand due to the COVID-19 pandemic, privatization of education, rising patient expectations, and emergence of new health worker categories has created urgency for innovation and reform. To understand and evaluate this innovation, we look forward to receiving manuscripts which contribute to the evidence base on the implementation, management, and impact of health worker education and practice regulation, including the intersection of education accreditation and workforce regulation policy. We particularly look forward to manuscripts from underrepresented parts of the globe and underrepresented health workforce sectors that address policy effectiveness, explore different models of regulation, and present innovations that we can all learn from.
Topics: Accreditation; COVID-19; Coronavirus Infections; Health Occupations; Health Policy; Health Workforce; Humans; Pandemics; Pneumonia, Viral
PubMed: 33076909
DOI: 10.1186/s12960-020-00517-4 -
Human Resources For Health Aug 2022The purpose of this study was to (1) explore evidence provided by Canadian health and social care (HASC) academic programs in meeting their profession-specific...
BACKGROUND
The purpose of this study was to (1) explore evidence provided by Canadian health and social care (HASC) academic programs in meeting their profession-specific interprofessional education (IPE)-relevant accreditation standards; (2) share successes, exemplars, and challenges experienced by HASC academic programs in meeting their IPE-relevant accreditation standards; and (3) articulate the impacts of IPE-relevant accreditation standards on enabling interprofessional learning to the global HASC academic community.
METHODS
Profession-specific (bilingual, if requested) surveys were developed and emailed to the Deans/Academic Program Directors of eligible academic programs with a request to forward to the individual who oversees IPE accreditation. Responses were collated collectively and by profession. Open-ended responses associated with our first objective were deductively categorized to align with the five Accreditation of Interprofessional Health Education (AIPHE) standards domains. Responses to our additional questions associated with our second and third objectives were inductively categorized into themes.
RESULTS/DISCUSSION
Of the 270 HASC academic programs surveyed, 30% (n = 24) partially or completely responded to our questions. Of the 106 IPE-relevant standards where evidence was provided, 62% (n = 66) focused on the Educational Program, 88% of which (n = 58) were either met or partially met, and 47% (n = 31) of which focused on practice-based IPE. Respondents cited various exemplars and challenges in meeting IPE-relevant standards.
CONCLUSIONS
The overall sentiment was that IPE accreditation was a significant driver of the IPE curriculum and its continuous improvement. The array of exemplars described in this paper may be of relevance in advancing IPE implementation and accreditation across Canada and perhaps, more importantly, in countries where these processes are yet emerging.
Topics: Accreditation; Canada; Curriculum; Humans; Interprofessional Education; Interprofessional Relations
PubMed: 36028840
DOI: 10.1186/s12960-022-00759-4 -
BMC Medical Education Nov 2022Accreditation is one of the most important methods of quality assurance and improvement in medical education. In Iran, there are no specific midwifery education... (Review)
Review
BACKGROUND
Accreditation is one of the most important methods of quality assurance and improvement in medical education. In Iran, there are no specific midwifery education accreditation standards. This study was designed to develop accreditation standards for midwifery clinical education in Iran.
METHODS
This study was performed in Iran in 2021. It consisted of two phases. In the first phase, accreditation standards for midwifery education in the United Kingdom, the United States, Australia and the International Confederation of Midwives were thoroughly examined through a narrative review. The domains obtained from this phase were used as a framework for coding in the second phase. In the second phase, a qualitative study was conducted with a directed content analysis approach to determine standards and criteria for clinical midwifery education accreditation in Iran. Participants were policymakers and senior managers of midwifery education, faculty members of midwifery departments with clinical teaching experience, and final year undergraduate midwifery students. The participants were selected by purposive sampling method, and data collection continued until data saturation.
RESULTS
The standards and accreditation criteria of midwifery education from the review study were formed 6 domains: Mission and goals; Curricula; Clinical instructors; Students, Clinical setting; and Assessment. In the second phase, data analysis led to the extraction of 131 codes, which were divided into 35 sub-subcategories, 15 sub-categories, and 6 main categories.
CONCLUSION
Implementing the specific and localized standards of clinical midwifery education in Iran can lead to improved quality of clinical education programs.
Topics: Pregnancy; Humans; United States; Female; Midwifery; Iran; Accreditation; Education, Nursing, Baccalaureate; Curriculum
PubMed: 36320035
DOI: 10.1186/s12909-022-03823-8