Journal of Qualitative Research in Health Sciences
Journal of Qualitative Research in Health Sciences

Exploring Managers’ Experiences of Hospital Disaster Preparedness: A Qualitative Study

Document Type : Original Article

Authors

Saeid Mehri 1
Aghil Habibi Soola 2
Mohammad-Ali Mohammadi 1
Gholamreza Hamidkholg 3
Behrooz Dadkhah 1

1 PhD in Nursing, Department of Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran

2 PhD in Health Education and Health Promotion, Department of Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran

3 MD, Emergency Medicine, Department of Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran

10.34172/jqr.2022.02
Abstract
Background: Preparedness is one of the important and effective pre-crisis management stages and involves all actions and programs that enable the organization to respond quickly and effectively in critical situations. To this end, this study aimed to explore the experiences of crisis managers and experts in hospital disaster preparedness.
Methods: This qualitative study was conducted using conventional content analysis in 2019. The research population included hospital managers and crisis specialists in Ardabil Province. The participants were 14 managers and crisis specialists who were selected using purposive sampling. The data were collected through semi-structured interviews and analyzed using Griesheim and Landman’s qualitative content analysis approach.
Results: The analysis of the data revealed four main categories including management and planning, infrastructural development, human resources, and intersectoral coordination.
Conclusion: The findings of the present study highlighted the significance of preparedness for emergencies, management and planning, having codified instructions, and implementation and evaluation to increase the preparedness of hospitals to deal with emergencies.

Keywords

Emergencies
Disasters
Hospitals
Preparedness
  1. Sharififar S, Jahangiri K, Zareiyan A, Khoshvaghti A. Factors affecting hospital response in biological disasters: a qualitative study. Med J Islam Repub Iran. 2020;34:21. doi: 34171/mjiri.34.21.
  2. Ghomian Z, Khodadadizadeh A, Jahangiri K, Yousef Nezhad S. Bam, Iran, earthquake experiences, life suddenly collapse in a few seconds: a qualitative study. J Qual Res Health Sci. 2017;6(4):414-26. [Persian].
  3. Ojaghi S, Nourizad S, Mahboubi M, Khazaei M, Najafi G. Disaster crisis handling preparedness level of hospitals in Kermanshah. J Kermanshah Univ Med Sci. 2009;13(3):267-74. [Persian].
  4. Vahedparast H, Ravanipour M, Hajinezhad F, Kamali F, Gharibi T, Bagherzadeh R. Assessing hospital disaster preparedness of Bushehr province. Iran South Med J. 2013;16(1):69-76. [Persian].
  5. Amerion A, Delaavari A, Teymourzadeh E. Rate of preparedness in confronting crisis in three selected border hospitals. J Mil Med. 2010;12(1):19-22.
  6. Li X, Huang J, Zhang H. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan. BMC Public Health. 2008;8:319. doi: 1186/1471-2458-8-319.
  7. Narayanan N, Lacy CR, Cruz JE, Nahass M, Karp J, Barone JA, et al. Disaster preparedness: biological threats and treatment options. Pharmacotherapy. 2018;38(2):217-34. doi: 1002/phar.2068.
  8. Naser WN, Ingrassia PL, Aladhrae S, Abdulraheem WA. A study of hospital disaster preparedness in South Yemen. Prehosp Disaster Med. 2018;33(2):133-8. doi: 1017/s1049023x18000158.
  9. Abbasi S, Shooshtari S, Tofighi S. Developing a conceptual model of the hospital incident command system (HICS) via quality improvement models in Iran. J Res Med Dent Sci. 2018;6(2):257-68. doi: 5455/jrmds.20186240.
  10. Karimiyan A, Khankeh H, Dalvandi A, Farzin Nia B. The effect of teaching principles of hospital preparedness according to the national program on preparedness of Shahid Motahari burns hospital of Tehran in response to disasters. Health in Emergencies and Disasters Quarterly. 2016;2(1):25-32. doi: 18869/nrip.hdq.2.1.25.
  11. Saeid M, Khankeh H, Habibisoola A, Mohammadali M, Hamidkolg G, Dadkhah B. Investigating hospital preparedness in Ardabil province against unexpected accidents. Health in Emergencies and Disasters Quarterly. 2019;4(3):127-34. doi: 32598/hdq.4.3.12.
  12. Mohammadi S, Aminisaman J, Karimpour H, Kaviannezhad R, Ezzati E. Assessing of preparedness for disasters and crisis in centers of trauma and accidents of Kermanshah University of Medical Sciences in 2016. J Clin Nurs Midwifery. 2017;6(2):69-80. [Persian].
  13. Kardan Moghadam V, Moasheri BN, Khazaee M, Kardan Moghadam H, Abolhasan Nejad V, Goharimehr M, et al. Assessment of hospital disaster preparedness in the city of Birjand, Iran, in 2011. J Manage Med Inform Sch. 2014;2(1):10-9. [Persian].
  14. Liang SY, Chuang YH, Wu SF. [Preliminarily application of content analysis to qualitative nursing data]. Hu Li Za Zhi. 2012;59(5):84-90. doi: 6224/jn.59.5.84.
  15. Campos CJ, Turato ER. Content analysis in studies using the clinical-qualitative method: application and perspectives. Rev Lat Am Enfermagem. 2009;17(2):259-64. doi: 1590/s0104-11692009000200019.
  16. Razaghi N, Abdolrahimi M, Salsali M. Memo and memoing in qualitative research: a narrative review. J Qual Res Health Sci. 2015;4(2):206-17. [Persian].
  17. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. doi: 1016/j.nedt.2003.10.001.
  18. Lincoln YS, Lynham SA, Guba EG. Paradigmatic controversies, contradictions, and emerging confluences, revisited. In: The SAGE Handbook of Qualitative Research. 4th ed. SAGE Publications; 2011. p. 97-128.
  19. Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. Lippincott Williams & Wilkins; 2008.
  20. Parsaei M, Khankeh H, Habibi Saravi R, Hosseini SH. Hospital disaster preparedness in Mazandaran province, Iran 2017. J Mazandaran Univ Med Sci. 2019;28(168):108-17. [Persian].
  21. Mohammadi E. Study the readiness of state hospitals in Ilam province in the face of natural disasters. J Ilam Univ Med Sci. 2018;26(3):125-33. [Persian].
  22. Mansouri H, Mousavi S. The survey of preparedness and performance of a military hospital against earthquake disaster. Journal of Nurse and Physician Within War. 2018;5(17):55-9. [Persian].
  23. Abedi M, khanjankhani K, Kiani MM, Mousavi Rigi SA, Salehi M. Earthquake preparedness in teaching hospitals: a cross-sectional study in Yazd/Iran. Journal of Health Based Research. 2017;3(1):1-11. [Persian].
  24. Feizolahzadeh S, Vaezi A, Mirzaei M, Khankeh H, Taheriniya A, Vafaeenasab M, et al. Barriers and facilitators to provide continuity of care to dischargeable patients in disasters: a qualitative study. Injury. 2019;50(4):869-76. doi: 1016/j.injury.2019.03.024.
  25. Moosazadeh M, Eybpoosh S, Nasirian M, Molavi Vardanjani H, Sheikhzadeh K, Afshari M, et al. Explanation of the status of nosocomial surveillance system in Iran: a qualitative study. J Qual Res Health Sci. 2016;5(4):406-25. [Persian].
  26. Ghafari S, Khankeh H, Ghanbari V, Ranjbar M. The study of affiliated hospitals preparedness to University of Welfare and Rehabilitation Sciences for unexpected disasters in 2011. Journal of Rescue and Relief. 2012;4(3):21-34. [Persian].
  27. Rahmanian E, Nekoei-Moghadam M, Mardani M. Factors affecting futures Studies in hospitals: a qualitative study. J Qual Res Health Sci. 2020;7(4):361-71. [Persian].
  28. Ardalan A, Kandi Keleh M, Saberinia A, Khorasani-Zavareh D, Khankeh H, Miadfar J, et al. 2015 estimation of hospitals safety from disasters in I.R. Iran: the results from the assessment of 421 hospitals. PLoS One. 2016;11(9):e0161542. doi: 1371/journal.pone.0161542.
  29. Hojat M, Sirati-Nir M, Khaghanizade M, Karimi Zarchi M. A survey of hospital disaster management in medical science universities. Daneshvar Medicine. 2020;15(74):1-10. [Persian].
  30. Keshvari M, Shirdel A, Taheri Mirghaedi M, Yusefi AR. Challenges in the optimal management of human resources in hospitals: a qualitative study. J Qual Res Health Sci. 2019;7(4):349-60. [Persian].

 

 

Journal of Qualitative Research in Health Sciences
Volume 11, Issue 3
Summer 2022
Pages 156-163

  • Receive Date 15 April 2021
  • Revise Date 24 August 2021
  • Accept Date 28 August 2021

Home page

Submit Manuscript

Guide for Reviewers

Contact Us