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- Title
Challenges for Hospital Resilience in Emergencies and Disasters: A Qualitative Study in Iran.
- Authors
GHANAATPISHEH, ELHAM; KHANKEH, HAMIDREZA; MASOUMI, GHOLAMREZA
- Abstract
Introduction: Since hospitals provide crucial lifesaving services in societies, hospital resiliency plays an essential role in minimising the impact of disasters on the community. A resilient hospital should be able to resist, absorb, respond to, and recover from the impacts of disasters as well as continues its normal operation. Aim: This study aims to explore the main challenges for providing a resilient hospital in emergencies and disasters in context of Iran. Materials and Methods: This was a qualitative content analysis study. Interviews are in-depth and semi-structured. Each interview begins with open questions and questions become progressively narrowed based on the participants' responses. Six themes were initially formed based on analysing the primary codes. Themes were also composed of 21 categories and 20 sub-categories. Interviews were conducted with 18 experts {9 hospital managers and 3 doctors (Ph.D.) in emergency and disasters, 3 supervisors and 3 matrons} and analysed using qualitative inductive content analysis approach. Finally, an expert panel was conducted by a team of experts including 10 people {3 hospital managers and 2 doctors (Ph.D.) in emergency and disasters, and 5 supervisors}. Results: The main concepts which have been explored in the study include; lack of preparedness, continuity of essential service, non-coherent function, emotional response, developing functionality and non-resilient confrontation. Each concept includes several main categories, and main categories are also divided into several subcategories based on their field and according to their significant characteristics. Conclusion: Exploring the challenges which a hospital faces in emergencies and disasters that affect the normal operation of the hospital helps the disaster managers to improve their plans to handle the disaster situations. Findings show that the challenges of all phases of disaster management (such as prevention, preparedness, response, and recovery) must be considered by the disaster managers together. Since disaster situation is very stressful for both injured peoples and disaster management team, therefore, it is recommended that the psychological challenges of a resilient hospital after a disaster occurs are clarified.
- Subjects
IRAN; DISASTER resilience; EMERGENCY management; QUALITATIVE research; EMOTIONAL conditioning; HOSPITALS
- Publication
Journal of Clinical & Diagnostic Research, 2019, Vol 13, Issue 9, p1
- ISSN
0973-709X
- Publication type
Article
- DOI
10.7860/JCDR/2019/41539.13120