Assessment of level of knowledge, attitude and performance of surgical technologists regarding the accreditation principles of teaching hospitals of Iran University of Medical Sciences: A cross-sectional study in 1402

Document Type : Original article

Authors

1 Department of Operating Room Technology, School of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran

2 MSc Student, Department of Operating Room Technology, School of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran

3 Assistant Professor of Nursing, Department of Operating Room, Iran University of Medical Sciences, Tehran, Iran

4 Assistant Professor, Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran

10.22038/nnj.2025.87561.1485

Abstract

Background and Aims: Hospital accreditation is one of the key indicators for evaluating the quality of healthcare services, and its successful implementation depends on the awareness, positive attitudes, and appropriate performance of healthcare staff, particularly surgical technologists. This study aimed to assess the levels of awareness, attitudes, and performance of surgical technologists in teaching hospitals affiliated with Iran University of Medical Sciences, and to identify their educational needs.
Materials and Methods: This descriptive cross-sectional study was conducted with the participation of 183 randomly selected surgical technologists from nine hospitals. Awareness and attitude data were collected using a standardized questionnaire, and performance data were obtained through a researcher-developed checklist. Data were analyzed using SPSS version 20, employing descriptive statistical methods including frequency, percentage, mean, and standard deviation.
Results: The findings indicated that 89.88% of hospitals had a good level of awareness regarding accreditation principles, with the highest mean scores observed in Motahari (37.85) and Ali Asghar (36.71) hospitals. However, 77.77% of participants had negative attitudes, with the lowest scores recorded in Firoozgar Hospital. Overall performance was rated as poor to moderate (mean score 17.33±6.96), with five hospitals classified as moderate and four as poor. No significant association was observed between awareness or attitudes and gender, although higher education was associated with greater awareness, and associate degree holders exhibited more positive attitudes than those with bachelor's or master’s degrees. Age and work experience showed no significant associations.
Conclusion: Given the results, the mismatch between knowledge, attitudes, and performance may negatively impact the quality of surgical services and patient safety. Therefore, the development of educational programs, attitude modification, and the establishment of supervisory guidelines are essential to improve performance.

Keywords

References

[1]        Lupo TJASC. A fuzzy framework to evaluate service quality in the healthcare industry: An empirical case of public hospital service evaluation in Sicily. 2016;40:468-78.
[2]        Atinga RA, Abekah‐Nkrumah G, Domfeh KAJIJoHCQA. Managing healthcare quality in Ghana: a necessity of patient satisfaction. 2011.
[3]        Araujo CA, Siqueira MM, Malik AMJIJfQiHC. Hospital accreditation impact on healthcare quality dimensions: a systematic review. 2020;32(8):531-44.
[4]        Tashayoei N, Raeissi P, Nasiripour AAJJotEPHA. Challenges of implementation of hospital accreditation in Iran: an exploratory factor analysis. 2020;95(1):1-10.
[5]        Agarwal RJQDM. A guideline for quality accreditation in hospitals. 2010:88-95.
[6]        El-Jardali F, Jamal D, Dimassi H, Ammar W, Tchaghchaghian VJIJfQiHC. The impact of hospital accreditation on quality of care: perception of Lebanese nurses. 2008;20(5):363-71.
[7]        Vatankhah S, Salemi A. A study on evaluation system of hospitals affiliated to Iran University of Medical Sciences using balance score cards, Tehran, Iran. 2010.
[8]        Greenfield D, Braithwaite JJIjfqihc. Health sector accreditation research: a systematic review. 2008;20(3):172-83.
[9]        Park I, Jung Y, Suk SJJoHA. The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea. 2017;6(6):20-7.
[10]      Numminen O, Leino‐Kilpi H, Van der Arend A, Katajisto JJInr. Nursing students and teaching of codes of ethics: an empirical research study. 2009;56(4):483-90.
[11]      Vahidi R, Kaffashi S, Narimani M, Sadeghifar J, Raadabadi M, Nazari A, et al. Correlation between knowledge and satisfaction of patients from patient-physician relationship. 2013;2(3):66-73.
[12]      Mir-Habibi F, Salsali M, Nasrabadi TJIJoN. “Short Comunication” The Effect of Clinical Nursing Services Accreditation Training on the Knowledge and Attitude of Nurses. 2017;30(109):80-7.
[13]      Mousavi S, Zaeemipour M, Zali MJJoN, War Pw. Evaluate Nurses' Capability Based on Accreditation Standards by Nursing Administrators at AJA-Military Hospitals During 2011. 2012;19:14-9.
[14]      Tabrizi JS, Azami-Aghdash S, Abdollahi L, Daemi A, Fard KY, Valizadeh S, et al. Required Infrastructures to Implement Accreditation in Iran: The Perspective of Top Managers of the Teaching Hospitals in Tabriz and Ardabil University of Medical Sciences. 2013;4(2):29-34.
[15]      Bahmani J KM, et al. Examining the knowledge and attitude of the executive management team of Abadan and Khorramshahr hospitals regarding hospital accreditation in 2017 [In Persian]. ElmNet Scientific Journal/Conference Proceedings. 2017.
[16]      Chaghary M, Ameryoun A, Ebadi A, Saffari M. Training and Motivational Needs of Nursing Staffs about the Hospital Accreditation Standards. 2015.
[17]      Azami S, Tabrizi J, Abdollahi L, Yari Fard K, Kabiri N, Valizadeh S, et al. Knowledge and attitude of top managers toward accreditation in Tabriz and Ardabil teaching hospitals. 2012;3(2):7-15.
[18]      Sadeghi T, Gholamhoseinni N, Khoshab H, Karami M, Nouhi E, Sabzevari SJQJoNM. Assessment managers’ and hospital staff knowledge and attitude to accreditation. 2016;5(2):9-17.
[19]      Hinchcliff R, Greenfield D, Moldovan M, Westbrook JI, Pawsey M, Mumford V, et al. Narrative synthesis of health service accreditation literature. 2012;21(12):979-91.
[20]      Hadi L LS, et al. . Knowledge, attitude, and perspectives of nurses regarding hospital accreditation and its effect on quality of patient care in Imam Khomeini Hospital, Sarab. [In Persian]. Sabzevar University of Medical Sciences Journal. 2015.
[21]      Azami Aghdash S ea. Impact of hospital accreditation on service quality from the perspective of senior hospital managers. [In Persian]. Journal of Health Care Management and Technology, University of Medical Sciences, Urmia. 2015.
[22].     Kakemam E, Rajabi MR, Raeissi P, Ehlers LH. Attitudes Towards Accreditation and Quality Improvement Activities Among Hospital Employees in Iran: A Quantitative Study. J Multidiscip Healthc. 2020;13:799-807.
[23]     Hussein M, Pavlova M, Ghalwash M, Groot W. The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Serv Res. 2021;21(1):1057.
[24]     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. Journal of Client-Centered Nursing Care. 2023;9(2):157-66.
[25]     Mirhabibi S, Salsali M, Mahvash S, Nasrabadi AN. Short report: The effect of accreditation training of clinical nursing services on nurses’ knowledge and attitude. Iranian Journal of Nursing. 2017;30(109):80 7
[26]     Raeisi A, Shoarbaghchi Z, Mohammadi M. Challenges of the third generation hospital accreditation program from the perspective of accreditation executives in Isfahan city. Health Information Management. 2021;18(2):53 9
[27].     Ghodsi Z, Hojjatoleslami SJP-S, Sciences B. Knowledge of students about Patient Rights and its relationship with some factors in Iran. 2012;31:345-8.
[28]    Karimyar Jm, Hojat M, Karami Z. Evaluation Students Awareness Of Patients’rights In Clinical Students Of Jahrom Medical University. 2015.
[29]     Khalaf SK, Al-Asadi JN, Abed AH, Shami S, Al-Shamry HJIJMPS. Knowledge and attitudes towards patient’s rights among health care providers in primary care health centers in Basrah. 2014;4:7-14.
[30]    Basiri Moghadam K, Basiri Moghadam M, Moslem A, Ajam Zibad H, Jamal FJTHoMS. Health providers and patients' awarness on patient bill of rights and its observing rate in 22 Bahman Hospital. 2011;17(1):45
Navid No
Volume 28, Issue 95
November 2025
Pages 36-51

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