A multimodal analysis of institutional self-assessment in higher education accreditation processes

Authors

  • Abderrahim Agnaou Al Akhawayn University in Ifrane
  • Hayat El Asri Al Akhawayn University in Ifrane
  • Said Nouamani Al Akhawayn University in Ifrane

DOI:

https://doi.org/10.37870/nphb9913

Keywords:

auto-évaluation institutionnelle, Accréditation, assurance qualité , enseignement supérieur, amélioration organisationnelle

Abstract

Accreditation in higher education plays a crucial role in strengthening accountability, ensuring quality, and aligning institutional practices with international standards. At the heart of this process lies institutional self-assessment, a mechanism designed to promote internal learning and guide external evaluation. However, doubts persist regarding the authenticity and reliability of self-assessment reports, which often reflect strategically constructed narratives rather than institutional realities. This article critically examines the credibility of institutional self-assessment, identifying key success factors such as stakeholder engagement and shared leadership, as well as obstacles such as bias, resource constraints, and compliance pressures. Drawing on various international case studies, the article presents the Reflective Self-Assessment Framework (RSAF), a model that emphasizes transparency, contextual adaptation, and organizational learning. By comparing the CAER (Centre for Academic Evaluation) with existing models such as ESG (Environmental, Social, and Governance) and PDCA (Plan-Do-Check-Act), this article offers theoretical and practical perspectives for strengthening the legitimacy of self-evaluation. The findings contribute to international debates on quality assurance, higher education governance, and the evolving purpose of accreditation.

References

Al-Alawy, K., Moonesar, I., Obaid, H., Gaafar, R., & Bawadi, E. (2021). A mixed-methods study to explore the impact of hospital accreditation. Inquiry: The Journal of Health Care Organization, Provision, and Financing, 58. https://doi.org/10.1177/0046958020981463

Al-Shareef, A., AlQurashi, M., Jabarti, A., Alnajjar, H., Alanazi, A., Al-Moamary, M., … & Alqarni, K. (2023). Perception of the accreditation of the national commission for academic accreditation and assessment at different health colleges in jeddah, saudi arabia. Cureus. https://doi.org/10.7759/cureus.43871

Asgari, N., Hessam, S., Asl, I., & Vahdat, S. (2020). Determining core components in accreditation of limited surgery facilities in iran. Galen Medical Journal, 9, e1729. https://doi.org/10.31661/gmj.v9i0.1729

Brubakk, K., Vist, G., Bukholm, G., Barach, P., & Tjomsland, O. (2015). A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. BMC Health Services Research, 15(1). https://doi.org/10.1186/s12913-015-0933-x

Chen, K. and Hou, A. (2016). Adopting self-accreditation in response to the diversity of higher education: quality assurance in taiwan and its impact on institutions. Asia Pacific Education Review, 17(1), 1-11. https://doi.org/10.1007/s12564-016-9415-z

Coria, M., Deluca, M., & Martínez, M. (2010). Curricular changes in accredited undergraduate programmes in argentina. Quality in Higher Education, 16(3), 247-255. https://doi.org/10.1080/13538322.2010.506708

El‐Jardali, F., Hemadeh, R., Jaafar, M., Sagherian, L., El-Skaff, R., Mdeihly, R., … & Ataya, N. (2014). The impact of accreditation of primary healthcare centers: successes, challenges and policy implications as perceived by healthcare providers and directors in lebanon. BMC Health Services Research, 14(1). https://doi.org/10.1186/1472-6963-14-86

Farrell, M., Hutchisson, M., Lilly, M., Vickery, M., & Gornik, H. (2018). Reasons for delay of accreditation for vascular testing laboratories applying for accreditation by intersocietal accreditation commission. Journal for Vascular Ultrasound, 42(3), 116-119. https://doi.org/10.1177/1544316718794330

Garwe, E., Zunguze, M., & Kanda, M. (2024). Beyond evaluation: improving quality and impact through programme accreditation. Forum Edu. Stud., 2(3), 522. https://doi.org/10.59400/fes.v2i3.522

Ghaffarian, A., Cheraghi, A., & Ferdosi, M. (2024). Accreditation modules according to hospital types: A scoping review. Iranian Journal of Public Health. https://doi.org/10.18502/ijph.v53i9.16454

Gharibi, F., Moshiri, E., Tavani, M., & Dalal, K. (2023). Challenges of implementing an effective primary health care accreditation program: a qualitative study in iran. BMC Primary Care, 24(1). https://doi.org/10.1186/s12875-023-02232-0

Greenfield, D., Pawsey, M., Hinchcliff, R., Moldovan, M., & Braithwaite, J. (2012). The standard of healthcare accreditation standards: a review of empirical research underpinning their development and impact. BMC Health Services Research, 12(1). https://doi.org/10.1186/1472-6963-12-329

Harvey, L., & Newton, J. (2007). Transforming quality evaluation: Moving on. Quality in Higher Education, 13(2), 109–120. https://doi.org/10.1080/13538320701662876

Hinchcliff, R., Greenfield, D., Westbrook, J., Pawsey, M., Mumford, V., & Braithwaite, J. (2013). Stakeholder perspectives on implementing accreditation programs: A qualitative study. BMC Health Services Research, 13(1). https://doi.org/10.1186/1472-6963-13-437

Karegeya, J., Kengere, O., & Bogere, M. (2023). Accreditation and health service delivery in rwanda - a case study of accreditation project of king faisal hospital, kigali. European Journal of Social Sciences Studies, 9(2). https://doi.org/10.46827/ejsss.v9i2.1586

Kayingo, G., Gordes, K., Kulo, V., & Cawley, J. (2022). Accreditation in the health professions: Implications for physician assistant education. The Journal of Physician Assistant Education, 33(4), 318–324. https://doi.org/10.1097/jpa.0000000000000462

Kulo, V., Cawley, J., Fleming, S., Gordes, K., Jun, H., & Kayingo, G. (2023). Physician assistant faculty perceptions regarding ongoing self-assessment and accreditation. The Journal of Physician Assistant Education, 34(4), 271-277. https://doi.org/10.1097/jpa.0000000000000554

Legowo, M., Indiarto, B., & Prayitno, D. (2019). Implementation of scrum work framework in the development of quality assurance information system. Jurnal Penelitian Pos dan Informatika, 9(2), 125–139. https://doi.org/10.17933/jppi.v9i2.277

Lejeune, C., Schultz, M., & Vas, A. (2018). How does accreditation influence the dynamics of organizational identity for business schools?. Management International, 19(3), 83-97. https://doi.org/10.7202/1043004ar

Makhoul, S. (2019). Higher education accreditation, quality assurance and their impact on teaching and learning enhancement. Journal of Economic and Administrative Sciences, 35(4), 235–250. https://doi.org/10.1108/jeas-08-2018-0092

McIntyre, F. and Gilbert, F. (2021). Maintaining aacsb international accreditation: from basics to best practices. Organization Management Journal, 18(5), 199-209. https://doi.org/10.1108/omj-08-2021-1325

Mumford, V., et al. (2013). Economic evaluation of Australian acute care accreditation. BMJ Open, 3(2), e002381. https://doi.org/10.1136/bmjopen-2012-002381

Newton, J. (2002). Views from below: Academics coping with quality. Quality in Higher Education, 8(1), 39–61. https://doi.org/10.1080/13538320220127434

Nguyen, C., Evers, C., & Marshall, S. (2017). Accreditation of viet nam’s higher education. Quality Assurance in Education, 25(4), 475-488. https://doi.org/10.1108/qae-11-2016-0075

Onyura, B., et al. (2023). To prove or improve? Paradoxical tensions in accreditation. Medical Education, 58(3), 354–362. https://doi.org/10.1111/medu.15218

Pavlakis, A. and Kelley, C. (2016). Accreditation in the professions. Journal of Research on Leadership Education, 11(1), 68-90. https://doi.org/10.1177/1942775116641663

Pomey, M., Contandriopoulos, A., François, P., & Bertrand, D. (2004). Accreditation: a tool for organizational change in hospitals?. International Journal of Health Care Quality Assurance, 17(3), 113-124. https://doi.org/10.1108/09526860410532757

Pomey, M., Lemieux‐Charles, L., Champagne, F., Angus, D., Shabah, A., & Contandriopoulos, A. (2010). Does accreditation stimulate change? a study of the impact of the accreditation process on canadian healthcare organizations. Implementation Science, 5(1). https://doi.org/10.1186/1748-5908-5-31

Stensaker, B., Langfeldt, L., Harvey, L., Huisman, J., & Westerheijden, D. (2011). The impact of external quality assurance. Assessment & Evaluation in Higher Education, 36(4), 465–478. https://doi.org/10.1080/02602930903432074

Szécsényi, J., Campbell, S., Broge, B., Laux, G., Willms, S., Wensing, M., … & Goetz, K. (2011). Effectiveness of a quality-improvement program in improving management of primary care practices. Canadian Medical Association Journal, 183(18), E1326-E1333. https://doi.org/10.1503/cmaj.110412

Tabrizi, J. and Gharibi, F. (2021). Developing national functional accreditation model for primary healthcares with emphasis on family practice in iran. Korean Journal of Family Medicine, 42(3), 232-239. https://doi.org/10.4082/kjfm.20.0011

Vanpham, T. and Dangnguyen, L. (2023). Management of self-assessment and quality accreditation activities at vocational colleges in vietnam: policy, practice and some solutions. JETT, 14(3). https://doi.org/10.47750/jett.2023.14.03.040

Published

2026-08-30

How to Cite

Agnaou, A., El Asri, H., & Nouamani, S. (2026). A multimodal analysis of institutional self-assessment in higher education accreditation processes. The Journal of Quality in Education, 16(28), 145-161. https://doi.org/10.37870/nphb9913

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