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19-Sep-2022
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Arch Hellen Med, 39(5),September-October 2022, 687-695 ORGINIAL PAPER Investigation of the clinical governance climate of a military and a public general hospital
in Attica, Greece: M. Gamvrouli,1 E. Kornarou,2 C. Economou,3 V. Papanikolaou2 |
ΟBJECTIVE Investigation the attributes of clinical governance (CG) incorporated in the current organizational climate of one military and one public general hospital in the Attica Basin, and to identify differences between the two hospitals.
METHOD The Clinical Governance Climate Questionnaire (CGCQ) was used as a tool for measuring the organizational climate of the CG in the two hospitals. The questionnaire consists of 60 questions related to the attitude of health professionals towards CG, with a lower score corresponding to a more supportive CG climate. A total of 224 questionnaires were distributed to the staff in one military and one public general hospital in the Attica Basin, specifically, 28 questionnaires to each of the following categories of health professionals of the two hospitals: medical, nursing, administrative and technical staff. Data analysis was performed with the Statistical Package for Social Sciences (SPSS), version 25.0.
RESULTS Of the 224 questionnaires shared between the staff of the two hospitals, 210 questionnaires were completed (response rate 93.75%). According to the responses, the CG climate of neither hospital was particularly supportive. The overall mean scores on the dimensions "Quality improvement", "Clinical risk management", "Opportunities for education and development" and "Organizational learning", were lower in the military than in the public hospital (3.66 versus 3.70, 3.07 versus 3.32, 3.37 versus 3.43, and 2.95 versus 3.26, respectively), while "Fair penalty" and "Partner co-operation" were lower in the public than in the military hospital (3.65 versus 3.53, and 3.99 versus 3.44, respectively). Lower age of the respondents was associated with statistically significantly higher scores in all dimensions, apart from "Opportunities for education and development".
CONCLUSIONS There is room for improvement in the CG in both hospitals that participated in the study, which could be achieved by implementation of targeted interventions related to the methods of hospital administration, and to education, organizational issues, fair management, and strengthening the climate of solidarity.
Key words: Clinical governance, Clinical Governance Climate Questionnaire, CGCQ, Military hospital, Public general hospital.
