Hospitals’ Readiness for Clinical Governance Implementation in Educational Hospitals of Yazd, Iran

Authors

  • Razieh Montazeralfaraj Hospital ManagementResearch Center, Shahid Sadoughi Hospital, Yazd, Iran

Keywords:

clinical governance, organizational climate, hospital

Abstract

Introduction: Clinical governance is a systematic approach to maintaining and improving the quality of patient care. This study aimed to assess some Iranian educational hospitals’ readiness for clinical governance implementation through the organizational climate. 

Methods: It was a cross-sectional study that used the Clinical Governance Climate Questionnaire (CGCQ) in three educational hospitals in Yazd, a city in central Iran, in 2012. A total of 186 personnel contributed to the study. Data were analyzed using SPSS version 16. Descriptive statistics and the Kruskal-Wallis test were used for data analyses.

Results: The mean scores of the clinical governance climate in Shahid Sadoughi, Shahid Rahnemoon and Afshar hospitals were 2.63±0.29, 2.58±0.32, and 2.68±0.29. The mean scores of quality improvement planning and change, quality improvement integration and motivation, clinical risk management and climate of blame and punishment, organizational learning, and training and development (T&D) opportunities for learning in the studied hospitals were 2.21±0.49, 2.80±0.40, 2.76±0.40, 2.91±0.54 and 3.06±0.72, respectively. 

Conclusion: The results of this study showed that the educational hospitals’ climate should be more supportive for successful implementation of clinical governance. 

References

Alhatmi YS. Quality audit experience for excellence in healthcare. Clinical Governance: An InternationalJournal. 2010; 15(2): 113-127.DOI:http://dx.doi.org/10.1108/147772710110363642.Zwanenberg TV. Clinical governance in primary care:from blind-eye to no-blame culture in one shortleap?. British Journal of Clinical Governance.2001; 6(2): 83-5.DOI:http://dx.doi.org/10.1108/146641001108154143.Karassavidou E, Glaveli N, Zafiropoulos K. Assessing hospitals’ readiness for clinical governance qualityinitiatives through organizational climate. Journal of Health Organization and Management. 2011; 25(2):214-40.PubmedPMid:218459924.Freedman DB. Clinical governance: bridging management and clinical approaches to quality in the UK.Clinica Chimica Acta. 2002; 319: 133–41.DOI:http://dx.doi.org/10.1016/S0009-8981(02)00034-75.Som VC. Clinical governance: a fresh look at its definition. Clinical Governance: An International Journal.2004; 9(2): 87-90.DOI:http://dx.doi.org/10.1108/147772704105363586.Greenfield D, Nugus P, Fairbrother G, Milne J, Debono D. Applyingand developing health service theory:an empirical study into clinical governance. Clinical Governance: An International Journal. 2011; 6(1): 8-19.DOI:http://dx.doi.org/10.1108/147772711111045477.Lugon M. Clinical governance: from rhetoric to reality?. Current Paediatrics. 2005; 15: 460–465.DOI:http://dx.doi.org/10.1016/j.cupe.2005.07.0038.Chandraharan E. Clinical governance. Obstetrics, Gynecology and Reproductive Medicine. 2007; 17(7):222-4.DOI:http://dx.doi.org/10.1016/j.ogrm.2007.05.0039.Elliott C. Clinical governance in gynaecological surgery (I). Best Practice & Research Clinical Obstetricsand Gynaecology. 2006; 20(I): 189-204.Pubmed PMid:16469666, DOI:http://dx.doi.org/10.1016/j.bpobgyn.2005.10.00110.Hackett MCh. Implementing clinical governance in Trusts. International Journal of Health Care QualityAssurance. 1999; 12(5): 210-3.DOI:http://dx.doi.org/10.1108/09526869910280384

Campbell S, Roland M, Leese M. Progress in clinical governance:findings from the first NPCRDCNational Tracker survey of Primary Care Groups/ Trusts. British Journal of Clinical Governance. 2001;6(2): 90-3.DOI:http://dx.doi.org/10.1108/1466410011039732212.Webb V, Cutts A, Tait S. One model of healthcare provision lessons learnt through clinical governance.Journal of Forensic and Legal Medicine. 2010; 17: 368-73.Pubmed PMid:20851355, DOI:http://dx.doi.org/10.1016/j.jflm.2010.05.01113.Donaldson L, Halliganw A, Wallz D. Improving the child’s experience of healthcare: the implementationof clinical governance. Current Paediatrics. 2003; 13; 298—302.DOI:http://dx.doi.org/10.1016/S0957-5839(03)00047-214.Beaumont D. Developing a combined baby record: Using clinical governance to overcome the barriers.Journal of Neonatal Nursing. 2005; 11: 22-7.DOI:http://dx.doi.org/10.1016/j.jnn.2005.04.00915.Plochg T, Klazinga NS. Talking towards excellence: a theoretical underpinning of the dialogue betweendoctors and managers. Clinical Governance: An International Journal. 2005; 10(1): 41-8.DOI:http://dx.doi.org/10.1108/1477727051057928816.Bahrami MA, Montazeralfaraj R, Chalak M, Dehghani Tafti A, Ahmadi Tehrani GR, Entezarian ArdakaniS. Patient Safety Culture Challenges: Survey Results of Iranian Educational Hospitals. Middle-East Journalof Scientific Research. 2013; 14 (5): 641-9.17.Amiresmaili M, Tourani S, Barati O. Measuring Safety Culture and Setting Priorities for Action at anIranian Hospital. Al Ameen J Med Sci. 2010; 3(3):237-45.18.Zarei A, Safarzadeh Sh, Abbasi S, Rezae N. Organizational climate for clinical governanceimplementation: The study and comparison of viewpoints of clinical and non-clinical managers’ of Alzahraeducational center. Tasvir-e-Salamat Journal. 2012;1(4): 235.19.Arulkumaran S. Clinical governance and standards in UK maternity care to improve quality and safety.Midwifery. 2010; 26: 485–7.Pubmed PMid:20708829, DOI:http://dx.doi.org/10.1016/j.midw.2010.08.002

Downloads

Published

2022-03-08