Showing 3 results for Resilience
M Etemadi, A Olyaeemanseh, Mm Tadayon, E Rostami, M Shiri, Aa Fazaeli , Mj Kabir, A Mehrabi Bahar, A Vosough Moghadam ,
Volume 16, Issue 1 (6-2020)
Abstract
Background and Objectives: The study aimed to analysis the psychometric properties of the health system resilience scale, assessing it and to introduce a conceptual model for qualitative analysis of Iran health system in the face of the civid-19 crisis.
Methods: In this Mixed-method study, the determination of face and content validity was performed using 8 experts. The structure validity was investigated in a cross-sectional study through an electronic survey of 178 actors in the Iran health system. Resilience has been assessed in five dimensions using 5point Likert scale.
Results: The percentage mean score of the Iranian health system resilience in the face of the Covid19 crisis was 41/08 and in the moderate level. The percentage mean score (standard deviation) for 5 dimension include awareness 39/2 (21), diversity 38/7 (21), self-regulation 36 (20/6), integration 39/9 (21/5) and adaptation 41/2 (21/8). Confirmatory factor analysis indicated the appropriate fit of the information with the five-component structure.
Conclusion: The maximum score of resilience dimension belongs to adaptation and the lowest to the self-regulation indicating that it requires interventions to involve the private sector, and to design a new delivery system for crisis situations. The questionnaire can be used as a standard instrument for assessing the health system resilience.
Sedighe Sadat Tabatabaei Far, Taha Kushki, Mohammad Jamshidi, Sajad Delavari,
Volume 17, Issue 2 (9-2021)
Abstract
Background and Objectives: The health sector will face a shortage of manpower during crises. The sustainability and retention of human resources during these conditions are vital. The purpose of this study was to explain possible policies and strategies to strengthen health workers during the crisis and prevent them from leaving the organizations and hospitals.
Methods: This was a scoping review research to find strategies for retention of human resources during epidemics. English and Persian databases were searched and relevant studies were selected and reviewed. The key pieces of information obtained were then categorized. Finally, suggested efficient policies and strategies were summarized and reported.
Results: A total of 168 different articles were collected. After excluding irrelevant studies, 21 articles were selected and fully reviewed. The results were classified into six main categories of policy-making as well as strategies to implement them.
Conclusion: Considering the epidemic situations, in order to strengthen and support human resources in times of crisis, it is recommended that policymakers and decision-makers of the health sector focus their attention on six major topics including education reform, financial support, psychological support, social and welfare support, professional support, and development of infrastructures in deprived and crisis-stricken areas. The important point about suggested strategies is that they need to be in accordance with the ongoing situation of their target societies, as we know that underdeveloped, developing and developed countries have a different set of circumstances and therefore require different priorities and policies.
Vajihe Armanmehr, Hossein Mirzaei, Abdoljavad Khajavi, Toktam Paykani, Reza Esmaili,
Volume 18, Issue 2 (9-2022)
Abstract
Background and Objectives: Faster than expected, the COVID-19 disease changed people's lives on an unprecedented scale. The present research aimed to shed light on the economic challenges of the pandemic and the efforts made concerning economic resilience. Thus, this study delved into the experience of families residing in a suburban town.
Methods: The present study was qualitative in type. It used a qualitative content analysis with a guided approach conducted through 17 in-depth semi-structured individual interviews with subjects over 15 years of age living in Tawheed Gonabad town. These subjects had lived in the area for at least three years. The interviews were held and audio-recorded in a purposive sampling method after gaining informed consent from the participants in the spring of 2021. In order to estimate the validity of the data, Lincoln and Goba's criteria were used.
Results: The economic resilience of families during the pandemic was marked by three main categories and nine sub-categories. The categories were:
1) changes to the economic dimension of the family (the sub-categories: employment, income, consumption and socioeconomic status),
2) solutions to the economic changes of the family (sub-categories: reliance on internal resources, family and receiving support from outside of the family), and
3) the effectiveness of economic resilience of families at higher levels (sub-categories: macroeconomics, family social capital and regional resilience).
As more detailed results showed, the pandemic has caused a decrease in the income and consumption of essential items in quantity and quality and imposed excessive costs on the target community. The dominant solution to economic problems has been changing consumer’s behavior and income diversification. The lack of supportive plans, poor social networks and the identity of the neighborhood are the significant barriers to the increase of economic resilience.
Conclusion: The families investigated in the present study were vulnerable in many ways and had low economic resilience. In order to improve the families' level of economic resilience, it is necessary to know the context and carry out interventions and support plans based on the families' internal and external capacities, including the neighborhood's empowering conditions.
