What motivates health professionals to engage in the accreditation of healthcare organisations?
Greenfield, D and Pawsey, M and Braithwaite, J, What motivates health professionals to engage in the accreditation of healthcare organisations?, International Journal for Quality in Health Care, 23, (1) pp. 8-14. ISSN 1353-4505 (2011) [Refereed Article]
Objective. Motivated staff are needed to improve quality and safety in healthcare organizations. Stimulating and engaging
staff to participate in accreditation processes is a considerable challenge. The purpose of this study was to explore the experiences
of health executives, managers and frontline clinicians who participated in organizational accreditation processes: what
motivated them to engage, and what benefits accrued?
Design/participants. The setting was a large public teaching hospital undergoing a planned review of its accreditation status.
A research protocol was employed to conduct semi-structured interviews with a purposive sample of 30 staff with varied
organizational roles, from different professions, to discuss their involvement in accreditation. Thematic analysis of the data
Results. The analysis identified three categories, each with sub-themes: accreditation response (reactions to accreditation and
the value of surveys); survey issues ( participation in the survey, learning through interactions and constraints) and documentation
issues (self-assessment report, survey report and recommendations). Participantsí occupational role focuses their attention
to prioritize aspects of the accreditation process. Their motivations to participate and the benefits that accrue to them
can be positively self-reinforcing. Participants have a desire to engage collaboratively with colleagues to learn and validate their
efforts to improve.
Conclusion. Participation in the accreditation process promoted a quality and safety culture that crossed organizational
boundaries. The insights into worker motivation can be applied to engage staff to promote learning, overcome organizational
boundaries and improve services. The findings can be applied to enhance involvement with accreditation and, more broadly,
to other quality and safety activities.
certificiation/accreditation of hospitals, external quality assessment, quality culture, quality management,