A survey on clinical governance awareness among clinical staff

TY - JOUR

T1 - A survey on clinical governance awareness among clinical staff

T2 - a cross-sectional study

AU - Ravaghi, Hamid

AU - Zarnaq, Rahim Khodayari

AU - Adel, Amin

AU - Badpa, Mahnaz

AU - Adel, Moein

AU - Abolhassani, Nazanin

PY - 2014/6/25

Y1 - 2014/6/25

N2 - OBJECTIVE: Clinical Governance (CG) program has been raised in Iran in order to improve the quality of clinical care. The purpose of this study is to investigate the awareness of clinical governance program among clinical staff working in selected teaching hospitals in Tehran, Iran.METHODS: To investigate the CG awareness, a cross-sectional survey was conducted among 345 clinical staff working in 20 selected public hospitals in Tehran. Data were gathered using the standardized clinical governance awareness questionnaire. Descriptive statistics were used to analyze the data.RESULT: The results showed that the level of staff awareness about the concept of CG was low. They perceived continuous quality improvement, responsibility, medical errors reduction and patient safety as the main concepts of the CG framework. Reaching agreement of standards concepts among staff and positive changes in attitudes were considered as two most observed changes. The main perceived barriers to the implementation of clinical governance included lack of proper management and leadership, lack of full support, inappropriate organizational culture, lack of knowledge, poor communication system and insufficient training.CONCLUSIONS: The concepts and goals of clinical governance have not been effectively conveyed to the staff and despite its implementation in the hospitals, there has been low clinical governance awareness among the staff. Clinical Governance must be implemented through comprehensive management support and participation of all staff and health professionals at both hospital and policy making level.

AB - OBJECTIVE: Clinical Governance (CG) program has been raised in Iran in order to improve the quality of clinical care. The purpose of this study is to investigate the awareness of clinical governance program among clinical staff working in selected teaching hospitals in Tehran, Iran.METHODS: To investigate the CG awareness, a cross-sectional survey was conducted among 345 clinical staff working in 20 selected public hospitals in Tehran. Data were gathered using the standardized clinical governance awareness questionnaire. Descriptive statistics were used to analyze the data.RESULT: The results showed that the level of staff awareness about the concept of CG was low. They perceived continuous quality improvement, responsibility, medical errors reduction and patient safety as the main concepts of the CG framework. Reaching agreement of standards concepts among staff and positive changes in attitudes were considered as two most observed changes. The main perceived barriers to the implementation of clinical governance included lack of proper management and leadership, lack of full support, inappropriate organizational culture, lack of knowledge, poor communication system and insufficient training.CONCLUSIONS: The concepts and goals of clinical governance have not been effectively conveyed to the staff and despite its implementation in the hospitals, there has been low clinical governance awareness among the staff. Clinical Governance must be implemented through comprehensive management support and participation of all staff and health professionals at both hospital and policy making level.

KW - Attitude of Health Personnel

KW - Clinical Governance

KW - Cross-Sectional Studies

KW - Health Services Research

KW - Hospitals, Public

KW - Humans

KW - Iran

KW - Organizational Innovation

KW - Quality Improvement

KW - Surveys and Questionnaires

U2 - 10.5539/gjhs.v6n6p37

DO - 10.5539/gjhs.v6n6p37

M3 - SCORING: Journal article

C2 - 25363112

VL - 6

SP - 37

EP - 42

JO - Global journal of health science

JF - Global journal of health science

SN - 1916-9736

IS - 6

ER -