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Iran national hospital accreditation was initiated as a government and mandatory program in 2012. The aim of this study was to examine the impact of accreditation on nurses' perceptions of quality of care and to determine those barriers and facilitators needed for effective implementation of accreditation.

A cross‐sectional survey conducted in 43 tertiary public hospitals in 5 metropolises, Iran, which successfully passed national accreditation surveys. Participants included nurses with at least 5‐year work experience. Overall response rate was 76%, with 1312 of 1706 valid responses included in the data analysis. A questionnaire was applied using a 5‐point Likert scale ranging from 1 “strongly disagree” to 5 “strongly agree”. In addition, the questionnaire included 2 open‐ended questions allowing the respondent to identify barriers and facilitators to the process of for improving accreditation …