exploring the hospital accreditation challenges from nursing managers’ experiences: a qualitative study

Context: hospital accreditation (ha) is the systematic evaluation of the accepted standards by an independentorganization, which consists of specialized and skilled people to improve the safety and quality of health‑careproviders.aims: this study was conducted to explore ha challenges from nursing managers’ viewpoints.settings and design: this qualitative study was conducted by a content analysis approach.subjects and methods: twelve nursing managers of one hospital were recruited by the purposive samplingmethod. data were collected through focus group discussions and also unstructured and deep interviewsstatistical analysis used: conventional content analysis was performed. rigor‘s study was done throughcredibility and confirmability, transferability, and dependability.results: during the analyzing process, the 3 main themes and 11 sub‑themes including “negative emotionstoward the process of evaluation (stress on staff, ignoring the staff, and “evaluator’s negative view),”“inappropriate evaluation procedure (nonprofessional performance of evaluators and inappropriate metricsscoring),” and “increased workload (lack of personnel and overdocumentation)” emerged.conclusions: nursing managers experienced some enhancement over three courses of ha but theirexperiences revealed some barriers, which are thought‑provoking. considering these challenges bythe ministry of health and accreditation units of medical universities can facilitate the implementationof ha.