Fagprofessionelle og akkreditering: Krig eller kærlighed?

Helle Rabing

Student thesis: Master executive thesis


How the accreditation process in the Department of Medicine can be governed in a way that motivates the professionals? The project is motivated by the experience of a growing critical debate among professionals about the purpose and implications of accreditation. Doctors have initiated a petition against the load of administrative work resulting from the accreditation process, and nurses discuss and question the effects of the many types of screenings carried out on hospitalized patients among other issues. As the accreditation strategy has been decided by the Capital Region of Denmark, it is obligatory that the requirements for accreditation are met. In consequence, it is an objective in the Department of Medicine to meet the standards of the Danish Healthcare Quality Programme (DDKM). In order to plan and direct the process towards the next accreditation in the spring 2015 in a way that ensures the professionals’ engagement and support, it is significant to learn how they have experienced this process and to gain insight into the factors that either increase or reduce their motivation both in regard to the accreditation process specifically and in relation to their work in general. As a means of approaching this objective, three doctors and three nurses working in the department of Medicine have been interviewed. Through these interviews the following three questions are covered: 1. What do the professionals regard as the purpose of accreditation? 2. How do the professionals experience the accreditation process? 3. What motivates the professionals in the Department of Medicine? Through an analysis of the six interviews, the following main conclusions are reached: First of all, the professionals do not agree on the question whether accreditation is necessary or not. However, they share a primary focus upon health quality. It is also concluded that knowledge about accreditation as well as skills required for the accreditation process are acquired accidentally, and that nobody knows the method which is the very foundation of the Danish Healthcare Quality Programme. Furthermore, the professionals experience much time waste, and they express a strong wish for dialogue about the accreditation process. With regard to the question of motivation, the professionals are driven by their wish to help their patients and their involvement in decision making, just as the acknowledgement and appreciation from their leaders work as motivating factors. Based on the analysis of the interviews and Kotter’s governance methodology, an implementation plan for the motivational management of the accreditation process is constructed. It includes the following elements:  Clarify the meaning of accreditation by including the perspective of the patients  Develop and spread the vision and strategy of the quality work in the Department of Medicine  Spread the knowledge and purpose of existing tools as well as their employment in a way that challenges the professionals  Involve and appreciate the professionals and their ideas and remove time waste  Support the leaders of the wards in the process of maintaining results and moving forward towards a feedback and improvement culture  Leadership

EducationsMaster of Public Governance, (Executive Master Programme) Final Thesis
Publication date2013
Number of pages43