Volume 9, Issue 2 (Spring 2023)                   JCCNC 2023, 9(2): 157-166 | Back to browse issues page


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Dashti Kalantar R, Asadizaker M, Azizi-Fini I, Yadollahi S. Perceived Stress and Anxiety of Healthcare Providers Before and After a Hospital Accreditation Program in Ahvaz City, Iran. JCCNC 2023; 9 (2) :157-166
URL: http://jccnc.iums.ac.ir/article-1-435-en.html
1- Department of Critical Care Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
2- Nursing Care Research Center in Chronic Diseases, Department of Nursing, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3- Trauma Nursing Research Center, Department of Critical Care Nursing and Emergency, Kashan University of Medical Sciences, Kashan, Iran.
4- Trauma Nursing Research Center, Department of Critical Care Nursing and Emergency, Kashan University of Medical Sciences, Kashan, Iran. , yadollahi.safoura@gmail.com
Abstract:   (1005 Views)
Background: Evaluation and accreditation of hospitals have essential roles in improving the quality, safety, and effectiveness of healthcare services. Nevertheless, this process may cause stress and anxiety among hospital staff. This study aims to determine and compare employees’ anxiety levels and perceived stress before and after the accreditation program in private hospitals in Ahvaz City, Iran.
Methods: This research was a quantitative, observational, and longitudinal study. A total of 456 employees of Ahvaz private hospitals were recruited by convenience sampling. The state-trait anxiety inventory (STAI) and the perceived stress scale-14 (PSS-14) were used to measure the level of anxiety and stress among hospital employees one month before and one month after implementing the hospital accreditation program. The data were analyzed in SPSS software, version 22 using descriptive and inferential statistics, such as the paired t-test, Pearson, and Spearman correlation coefficients. The significance level was set at P<0.05.
Results: The findings showed a significant difference between perceived stress and anxiety before and after implementing the accreditation program (P<0.05). There was a significant relationship between the employees’ perceived stress levels and their age, gender, and work experience. The subjects’ state-trait anxiety was also significantly associated with their sex, work experience, and organizational position (P<0.05).
Conclusion: Although the accreditation program usually improves the quality of healthcare, the employees experienced more stress and anxiety before the implementation of this program than after its completion, which can negatively affect the quality of care. Therefore, policymakers and managers should pay great attention to prevent stress and anxiety among healthcare providers while implementing the accreditation program.
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• Accreditation is a method for evaluating the quality and safety of healthcare services.
• The accreditation process can increase workload, stress levels, and use of resources.
• An increase in anxiety and stress can damage hospital employees’ performance and quality of work. 
• This study showed that the anxiety and stress of healthcare providers increased before the accreditation program implementation. 
• Implementing pre-accreditation training programs and employee support by upper managers are recommended to reduce the adverse effects of this process.
Plain Language Summary 
Accreditation of hospitals plays an important role in improving the quality and safety of health care services. Still, it may also cause problems such as reduced clinical training opportunities, increased workload, and high job stress. This study found that healthcare providers experience more anxiety and stress before participating in accreditation programs than after it. This situation may negatively affect their performance and quality of work. As a result, implementing the hospital accreditation program should be properly managed by the implementers to avoid its adverse effects. 

Type of Study: Research | Subject: Special
Received: 2022/11/5 | Accepted: 2023/01/16 | Published: 2023/05/1

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