Impact of Joint Commission International Patient-Centered Standards on Nursing Performance in Sana'a, Yemen Hospitals

Introduction : Yemen’s healthcare system faces challenges such as inadequate training and resource shortages, impacting nursing performance. This study examined the impact of patient-centered standards of the Joint Commission International (JCI) on nursing performance in Sana’a, Yemen, a resource-constrained setting. Methods This cross-sectional study was conducted from August to October 2024 in six hospitals in Sana’a, Yemen. A simple random sample of 526 nurses from emergency, inpatient, intensive care unit, and neonatal units completed a two-part questionnaire assessing JCI standards (42 items) and nursing performance (24 items) on a 7-point Likert scale. Confirmatory factor analysis (CFA) validated the constructs using IBM SPSS AMOS . Regression analyses, t-tests, and descriptive statistics were performed using SPSS 26.0. Results The implementation of JCI standards was moderately high (mean = 4.77, 68.1%), with Access to Care and Continuity highest (mean = 4.95, 70.7%) and International Patient Safety Goals lowest (mean = 4.46, 63.7%). The nursing performance was moderate (mean = 4.64, 66.3%). JCI standards significantly predicted performance (R² = 0.644, p < 0.001) driven by Medication Management and Use (MMU), International Patient Safety Goals (IPSG), and Patient-Centered Care (PCC). Private hospitals outperformed government hospitals in JCI implementation across all standards (p < 0.001), with mean differences ranging from 0.65−0.96. Conclusion JCI standards can enhance the quality of care in Yemen, despite systemic challenges. Targeted training in safety protocols and equitable resource allocation, particularly in governmental hospitals, are recommended to address these gaps and improve healthcare quality.