ABSTRACT
The aim of this study was to identify the different groups that can affect or be affected by an agency charged with the promoting and guaranteeing of health care quality in Andalusian region (Spain) and to provide a framework with the stakeholders included in different categories. The study adopted a cross-sectional research design. A case study with structured interviews among Andalusian Agency for Healthcare Quality Steering Committee members was carried out in 2010 to define stakeholders' categories and map the interest groups using 5 attributes: influence, importance, legitimacy, power, and urgency. After identification and categorization, stakeholders were weighted qualitatively according to the attributes of importance and influence using 4 possible levels. A matrix was made with the collected data relating both attributes. Furthermore, 8 different types of stakeholders were identified according to attributes power, legitimacy, and urgency. The study concludes that identifying and classifying stakeholders are fundamental to ensuring the success of an organization that must respond to needs and expectations, especially those of its clients. Moreover, knowing stakeholder linkages can contribute to increase organizational worth. This is essential for organizations basically directed to the provision of services in the scope of health care.
Subject(s)
Administrative Personnel , Government Agencies , Professional Role , Quality Assurance, Health Care , Advisory Committees , Organizational Case Studies , Public Sector , Qualitative Research , SpainABSTRACT
PURPOSE: This paper aims to describe the participation of health professionals as key agents for the successful definition of skills manuals supporting professional accreditation in Andalusia (Spain). DESIGN/METHODOLOGY/APPROACH: The increasing extent to which different stakeholders are recognized reflects the importance they hold in all decision-making processes. The Andalusian Agency for Healthcare Quality's commitment to this process has facilitated the healthcare professionals' participation when professional skills manuals are designed for their respective specialities. FINDINGS: The process involved over 400 healthcare professionals from 58 disciplines between March 2005 and January 2008. Results were conditioned by several factors, some acting as drivers while others represented a barrier. RESEARCH LIMITATIONS/IMPLICATIONS: The experience relates to a specific geographical context. Healthcare professionals eligible to participate had to be in active employment and working for the Andalusian Public Health Service. There was an overrepresentation of members from scientific associations. PRACTICAL IMPLICATIONS: Co-operation based on mutual trust is the essential ingredient accounting for the success of participative involvement. ORIGINALITY/VALUE: The paper incorporates all categories of personnel and specialities in a regional healthcare system that covers eight million inhabitants and employs over 90,000 professionals, includes 33 public hospitals, more than 1,500 primary care centres and other healthcare units.
Subject(s)
Accreditation/organization & administration , Health Personnel , Manuals as Topic , Humans , Quality of Health Care/organization & administrationABSTRACT
INTRODUCTION: Through the Andalusian Agency for Healthcare Quality's Skills Accreditation Model, professionals observe and recognize the proximity that exists between their real skills and those defined in their Skills Manuals. This article describe the elements contained in these Manuals, referred to the Best Professionals Practices which promote the fulfilment of the Patient's Safety strategies. MATERIALS AND METHODS: Cross-sectional descriptive analysis of the elements contained in the Skills Manuals which refer to the Safety strategies. RESULTS: 38 elements related to the Safety were identified in the Skills Manuals. Currently 618 nurses have obtained their accreditation in the Andalusian Public Health System. The Best Practices and/or Evidence, related to the Safety and that are shown up during these Accreditation Processes more frequently are related to "Implementing continuous improvement activities in relation to their results evaluation" and training in "Life Support". DISCUSSION AND CONCLUSIONS: The submission of the evidence related to Safety made by accredited nurses shows their Skills level, offers the opportunity to identify areas for improvement and professional development and enables a safer practice, preventing damage and minimizing the healthcare risks.
Subject(s)
Accreditation , Nursing/standards , Safety ManagementABSTRACT
Introducción. A través del Modelo de Acreditación de Com-petencias de la Agencia de Calidad Sanitaria de Andalucía, los profesionales observan y reconocen la proximidad existente entre sus competencias reales y las definidas en su Manual de Competencias. Este trabajo describe los elementos contenidos en dichos manuales, referidos a las buenas prácticas profesionales que promueven el cumplimiento de las estrategias para la seguridad del paciente. Material y métodos. Análisis descriptivo transversal de los elementos contenidos en los manuales de competencias que hacen referencia a las estrategias para la seguridad del paciente. Resultados. Se identificaron 38 elementos relacionados con la seguridad. Actualmente, se han acreditado 618 enfermeras del Sistema Sanitario Público de Andalucía. Las buenas prácticas y/o evidencias, relacionadas con la seguridad y puestas de manifiesto con mayor frecuencia durante estos procesos de acreditación, corresponden a la «Realización de actividades de mejora continua en relación con la evaluación de sus resultados» y a la formación en «Soporte vital». Discusión y conclusiones. La aportación de evidencias relacionadas con la seguridad, por parte de las enfermeras acreditadas, pone de manifiesto su nivel de competencia, ofrece la oportunidad de identificar áreas de mejora y de desarrollo profesional y hace posible una práctica más segura, previniendo daños y minimizando los riesgos derivados de la atención sanitaria(AU)
Introduction. Through the Andalusian Agency for Healthcare Qualitys Skills Accreditation Model, professionals observe and recognize the proximity that exists between their real skills and those defined in their Skills Manuals. This article describe the elements contained in these Manuals, referred to the Best Professionals Practices which promote the fulfilment of the Patients Safety strategies. Materials and methods. Cross-sectional descriptive analysis of the elements contained in the Skills Manuals which refer to the Safety strategies. Results. 38 elements related to the Safety were identified in the Skills Manuals. Currently, 618 nurses have obtained their accreditation in the Andalusian Public Health System. The Best Practices and/or Evidence, related to the Safety and that are shown up during these Accreditation Processes more frequently, are related to «Implementing continuous improvement activities in relation to their results evaluation» and training in «Life Support». Discussion and conclusions. The submission of the evidence related to Safety made by accredited nurses shows their Skills level, offers the opportunity to identify areas for improvement and professional development and enables a safer practice, preventing damage and minimizing the healthcare(AU)
Subject(s)
Humans , Male , Female , Accreditation/organization & administration , Accreditation/standards , Accreditation , Competency-Based Education/methods , Competency-Based Education/trends , Education, Professional/ethics , Education, Professional/methods , Ethics, Professional/education , Accreditation/methods , Accreditation/trends , Professional Competence/statistics & numerical data , Competency-Based Education/ethics , Competency-Based Education/organization & administration , Cross-Sectional Studies/methodsABSTRACT
Desde el año 2004, la Agencia de Calidad Sanitaria ha desarrollado un modelode acreditación, propio y singular, que pretende reconocer la excelenciade los profesionales y que se caracteriza por ser voluntario y basado enla autoevaluación que el profesional hace de su práctica real y diaria. Estemodelo de acreditación ha sido desarrollado con la participación tanto dela administración sanitaria como de las sociedades científicas. En la actualidad,309 enfermeras han obtenido su acreditación a través de este proceso.El presente trabajo pretende describir dicho modelo de acreditación, asícomo difundir los resultados obtenidos hasta la fecha por los profesionalesde Enfermería dentro del Programa de Acreditación de Competencias Profesionalesdel Sistema Sanitario de Andalucía (AU)
Since 2004, the Healthcare Quality Agency has developed its own particularaccreditation model, which aims to acknowledge professional excellenceand is characterized by being of voluntary nature and based on the self-assessmentthat is carried out by the professional in real and daily practice.This accreditation model has been developed with the participation of thehealthcare administration as well as scientific societies. This work aims todescribe this accreditation model, as well as to disseminate the results obtainedup until now by nursing professionals within the Competences AccreditationProgramme of the Healthcare System of Andalucía (AU)
Subject(s)
Humans , Hospitals, Public , Accreditation , Professional Competence , Nursing Process/organization & administration , Evidence-Based NursingABSTRACT
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