جستجوی مقالات مرتبط با کلیدواژه « Crisis management » در نشریات گروه « پزشکی »

The present study was conducted with the aim of designing a crisis management model for administrators of Farhangian University of Iran.

This mixed research was conducted in two phases, qualitative (phenomenology) and quantitative (cross-sectional survey). In the first phase, 16 administrators and academic staff members of universities with experience in crisis management were selected and interviewed. Then, data coding, components and quality requirements of crisis management were obtained through theme analysis. In the quantitative phase, a researcher-made questionnaire was designed based on the obtained indicators and using stratified random sampling method, 265 faculty members were studied and analyzed through Structural Equation Modeling (SEM) method and PLS3 software.

According to the findings, the components of crisis management in Farhangian University include level of preparedness to deal with the crisis; preparing a risk management plan; organizational structure; participation of organizations; organization communications; continuous monitoring; leadership of the organization; organizational agility; and university infrastructure. Also, crisis management requirements include quality of trainers, educational facilities, performing relief maneuvers, physical equipment and financial resources.

The results showed that students, professors and administrators should receive the necessary training on crisis management in universities in order to prevent possible damages when facing a crisis.

Preparing hospitals for disasters and accidents is one of the fundamental elements of governmental planning to manage, control, or minimize consequences. This study aims to examine the level of preparedness and awareness of public hospital managers in the western region of Gilan Province in the face of natural disasters.

This applied cross-sectional study was conducted in 2022. The research population consisted of all public hospitals affiliated with Gilan University of Medical Sciences (a total of 8 hospitals and 56 managers). Data were collected using the standard checklist of the hospital preparedness in the face of natural disasters, and a questionnaire to assess managers’ awareness. Data were analyzed with the SPSS version 22 and Spearman's statistical tests were used to analyze the association between managers' awareness and hospital preparedness.

The score mean of managers’ awareness and preparedness of hospitals to deal with disasters were 44.23 (6.69) and 61.73 (12.96), respectively. Among the various managerial groups, nursing managers demonstrated the highest level of awareness (51.62), whereas medical records managers showed the lowest level (37.50). The area focusing on managing unforeseen events had the highest mean score of preparedness 73.11 (18.03), and the area of planning to reduce construction risks had the lowest mean score of preparedness (44.64). Spearman's correlation test revealed a direct and statistically significant relationship between managers' awareness and hospital preparedness in West Gilan (r = 0.586) (p < 0.001).

The level of preparedness and awareness of government managers in the West Gilan hospitals, concerning natural disasters, was at an average level. Enhancing hospital preparedness in the face of natural disasters could be achieved through the standardization of hospital infrastructure, training of all unit officials, and the promotion of equipment safety.

Crisis is one of the issues of human societies; the management of each of its stages requires a crisis management strategy; therefore, the purpose of the present research is to explain a model for the implementation of earthquake crisis management strategy in Bahabad County, Iran.

In this study qualitative- quantitative research, Grounded Theory method was used in qualitative part. The statistical population in the qualitative phase included 12 specialists and experts who were familiar with crisis management. In the quantitative phase, a total of 53 ones were studied by using a researcher-made questionnaire who were responsible in the institutions subject to Articles 2 and 10 of the crisis management law of the country approved by the Islamic Consultative Assembly of Iran. About 47 ones were selected based on Morgan's table. The inferential statistics such correlation coefficient, regression coefficient, and multivariate variance analysis was used to find the relationship between the variables.

In the qualitative part, 21 categories were separated after the theoretical saturation resulting from interviews with specialists and experts and then in the quantitative phase, these categories were divided into questions. The analysis of the neural network indicated that the significance of the components of strategy implementation in predicting the mentioned model in Bahabad County, Iran, so that "leadership" had the most impact and "data production, update, and processing" had the least effect on the model prediction.

Based on the presented model, the strategy implementation components are operationalized in each of the pre-crisis, during-crisis and post-crisis stages correspondingly through the three processes, including "tool-making", "flow-making," and "institution-making." According to the results, by upgrading these processes, the feasibility of the proposed model will increase as well.

Ethical principles and objectives are the standard of professional behavior in all circumstances and are of greater importance and sensitivity in incidents and disasters. The aim of the present study was to investigate the ethical dimensions of community-based crisis management.

In this qualitative-descriptive research, all aid workers of Red Crescent Society (RCS) in Fars province were studied in 2023 and a total of 32 ones was selected through random sampling and participated in a semi-structured interview. After analyzing and coding, the obtained data were checked using Maxqda-2020 in qualitative phase and a researcher-made questionnaire was designed based on the indicators. Then, in the inferential part, the obtained data were analyzed using Lisrel-8.8 software.

According to the results, achieving the dimensions of human ethics in relief work including chastity and integrity, sacrifice and selflessness, confidentiality, trustworthiness, patience and forbearance, benevolence, preservation of human dignity, non-negligence, sense of responsibility, and cooperation with a significant coefficient of 0.000.

According to the results ethical principles are a prerequisite for the performance of aid workers in all crisis situations.

In order to analyze the relative success of countries in combating COVID-19, it is imperative to establish a set of criteria for measuring success in this domain. Subsequently, a consensus must be reached on the specific aspects and indicators that define success. Therefore this disease swiftly escalated into a global pandemic, impacting all facets of society and leaving a lasting historical imprint. This study presents a framework for assessing the performance of various countries in their battle against the COVID-19 crisis across four dimensions: healthcare system, crisis management, societal response, and historical perspective. By comparing indicators within each dimension for individual countries separately, we can assess and compare their respective crisis management capabilities while evaluating overall success. However, it is essential to acknowledge that a dichotomy often exists between health-focused solutions and those about economics and politics. Therefore, instead of pursuing an absolute solution or outcome, striving for an optimal balance point is essential. While cross-sectional assessments are necessary during the COVID-19 crisis evaluation process, comprehensive evaluations of the aforementioned dimensions can ultimately determine success levels and identify countries with superior performance.

After the approval of the country's crisis management law, the upstream documents related to this law, including the preparedness and response programs at the national and provincial levels, are among the tasks assigned to increase the efficiency of the crisis management processes.

This study presents a general framework for developing a provincial crisis response program. The proposed process has been used to develop the crisis response program of Hamadan province. In the phase of understanding the current situation, questionnaires and in-depth interviews were used to collect field data and determine the challenges presented to crisis management in Hamadan province. Moreover, a method for allocating the specialized functions of the response phase to the provincial organizations has been presented using the national crisis documents.

In general, the findings of this research can be assigned to three groups. The first group pertained to the project method, including the stages of understanding the current situation and developing the response program of the provinces. The second group of findings was the summary of the analysis of field data collected regarding the state of preparedness and response in Hamadan province. The third group encompassed determining and allocating specialized crisis response functions in Hamadan province. The functions of the provinces (n=32) and after their compliance with the national functions, the crisis management law, and the capabilities of the existing organization in the province, 56 specialized sub-functions were identified in the provinces, and the responsible, collaborating, and supporting institutions were determined.

As evidenced by the obtained results, in the process of function allocation, some problems have been identified due to the shortage of information in the upstream documents, which are suggested to the crisis management organization for better planning.

Lack of a comprehensive classification of crisis and emergency management in Helal houses has caused many losses in the Red Crescent Society of Iran. Therefore, the root of these problems can be identified and investigated with a thorough investigation.

This applied research was conducted using a hybrid design. In this research, field and library methods were used. The data were collected by using questionnaire and conducting in-depth interviews with managers, specialists, and experts of the country's crisis management organization and professionals until theoretical saturation. In the first stage, 24 interviews were conducted and we reached theoretical saturation in the 20th interview. In the second stage, relying on inferential statistics methods, 422 questionnaires were distributed. The statistical population of the research is the Red Crescent Society of Iran and its time domain is the second half of 2022.

After performing the three stages of open, central, and selective coding, the final research model was obtained in which, 6 general categories, 15 subcategories, and 49 main concepts are mentioned.

The results demonstrated that the categories of human resources, organizational communication, and government policies are among the effective factors on crisis management in Helal houses in the Iranian Red Crescent Society in the critical condition of Covid-19 and the consequences of these categories have a significant impact. There are other problems and crises in the formation.

COVID-19, a rapidly spreading virus, has severely challenged all countries worldwide. Various clinical and public health interventions have been in action since its first report in December 2019. This study thus aims to share the lessons learnt and identify the strengths and weaknesses upon the crisis management of Covid_19 in Iran.

This was a qualitative exploratory research including 22 semi-structured, face-to-face, virtual interviews with key informants and decision makers in the management of current epidemic in Tehran University of Medical Sciences since April to December 2020. Data was analyzed using thematic analysis.

There emerged nine themes representing the key pains and gains experienced by the affected health care organizations. They ranged mainly from the multiplicity in the decisions and policies, unfair distribution of resources across the country, resistance to unexpected changes to imbalance in the provision of medical services. As such, the gains mainly included the provision of quarantine facilities outside of hospitals and creating strong advisory team.

The current unprecedented crisis has affected various aspects of human life. Policy makers and managers, especially in health care, worldwide are struggling to abate the consequences of this nasty virus, though facing tough challenges. Some hands-on and real-time experiences from the fight of a developing and highly affected country against this virus is provided which might be of a high value. Whatever approach adopted, it is key to be multifaceted and support all physical, mental and social aspects of health in crises.

In different crises without any exception, especially sudden emergencies, the role of human effective components (HECs), native human effective components (NHECs) (belonging to a specific space and location), and especially core native human effective components (CNHECs); and among CNHECs, level of management skills, ignorance, and manager’s mind bandwidth are of vital importance in crisis management. These three specified CNHECs can affect crisis management and managers as well as the level of latency in planning, strategy, and management, and as such through a complexity of reactions (i.e. A. affective, B. behavioral, and C. cognitive reactions) to increase resiliency and decrease distress in metropolitan urban areas. The time limitation is also an important issue to be considered. 

The type of review method has been integrative review. For a better review process, 200 articles during an approximately 50-year time (1972-2021) period during 3 years of the review process were studied and for the selection method, the well-known scientific databases and universities, the search terms, and inclusion/exclusion criteria were selected, analyzed, and summarized through a review protocol.

We aim to shed light on HECs preparation of NHECs and CNHECs in disaster management which will generate a good understanding to increase the resiliency and decrease the distress in crisis managers in times of sudden emergencies in metropoles as a sustainable development framework for the future. 

By creating the proposed taxonomy and classification of CNHECs in crisis management (managers), at first a better understanding will be obtained which in times of sudden crisis can increase resiliency and decrease distress generating a sustainable development framework.

The use of resilience engineering principles is a commonly used method for the assessment of crisis management in hospitals as a part of the health system. The present study aimed to evaluate crisis management based on the seven principles of resilience engineering in selected hospitals affiliated to Yazd University of Medical Sciences in 2021.

In this study, a crisis management evaluation questionnaire based on the seven principles of resilience engineering in hospitals was used. The reliability and validity of this questionnaire were confirmed by Azadian et al. in a previous study. The required data were collected from administrative and clinical managers and nurses. The mean score of the seven principles was obtained, making it possible to compare crisis management in all three selected hospitals (Shahid Sadoughi, Afshar, and Shahid Rahnamoun) in Yazd.

The mean score of resilience engineering principles was determined, and the overall crisis management score of each hospital was determined. The mean scores of crisis management were calculated at 136.53, 135.23, and 132.07 out of a total score of 220 in Shahid Sadoughi, Shahid Rahnamoun, and Afshar hospitals. Nonetheless, the mean score in flexibility and preparedness components in some hospitals was below 0.6 of the total score.

The situation of crisis management in all three hospitals was evaluated to be at a good level. However, some corrective measures were required to be implemented in some components to improve crisis management in all three hospitals. It is necessary to take appropriate measures to enhance the preparedness of the three hospitals in different aspects of crisis management, especially flexibility, to arrive at a more favorable level.