Showing 6 results for Resilience
Zahra Jalilibal, Mahyar Kianpour, Fariborz Jolai,
Volume 14, Issue 4 (1-2016)
Abstract
Background: Health care systems especially hospitals often encounter several risks which has weaken efficiency and hospitals performance entirely. Resilience engineering (RE) enables to remain high risk systems stable faced to sudden changes or minimizes negative effects of changes.
Materials and Methods: This study considered a new hybrid framework concept regarding the non-value added waiting time and resilience engineering indices as efficiency indices to evaluate private and public hospitals performance. With the intention of evaluating the hospitals performance, a hybrid framework including simulation and MADM methods utilized. Output-oriented Data Envelopment Analysis (DEA) approach used as MADM method.
Results: The results revealed that RE factors play a significant role in hospitals performance's promotion; also the private hospitals had better performance compared to the public ones.
Conclusions: Study results indicated that teamwork efficiency index compare to other efficiency indices had more effect on hospitals performance. Health system managers should be considered improved performance and efficiency policies and focus more on other RE indices parallel team work index.
Afsaneh Khademi Jolgehnejad, Dr Reza Ahmadi Kahnali, Dr Ali Heyrani,
Volume 18, Issue 2 (8-2019)
Abstract
Background: The complexity and intensity of environmental fluctuations combined with unexpected accidents and dangers have increased the probability of hospital supply chain disruptions. Supply chain resilience has been suggested as a strategy for dealing with such challenges and for continued provision of appropriate and efficient services in hospital at the time of disaster. The present study intends to identify the factors influencing hospital supply chain resilience.
Methods and Materials: This qualitative study was based on the content analysis of semi-structured interviews with 14 experts in the university hospitals in Bandar Abbas in 2018. Participants were selected through purposive and snowball sampling. The interviews continued until data saturation was reached. The obtained data from interviews were coded and analyzed using MAXQDA Software.
Results: After analyzing the data, the factors influencing hospital supply chain resilience were identified and classified into six main components and 30 themes. The main components included: staffs’ attendance, suitability, infrastructures safety, disaster management, support and capacity systems, and external factors.
Conclusion: Based on the obtained results, it can be concluded that staff training, disaster management planning, command system, and surge capacity are the key factors influencing hospital supply chain resilience. Therefore, they should be taken into consideration while planning to promote hospital supply chain resilience.
Afsaneh Khademi Jolgehnejad, Reza Ahmadi Kahnali, Ali Heyrani,
Volume 19, Issue 3 (11-2020)
Abstract
Background: Scenario planning is one of the most crucial future study methods in uncertain and complex situations. Hospital supply chain resilience also requires an understanding of future events due to the complexity of relationships and exposure to unexpected circumstances. The purpose of this study is to formulate scenarios for the future development of hospital supply chain resilience.
Materials & Methods: This research is the second stage of research with a mixed approach, and it is in the category of normative scenarios based on intuitive logic. Participants in this study were purposefully selected from the experts of two hospitals. In the first phase, the impact-uncertainty questionnaire and the effect-uncertainty diagram were used to determine the critical uncertainties. After forming the scenario team, based on the impact diagram and the scenario matrix, The cause and effect relationships of the variables were determined in the second phase.
Results: Drivers of Hospital supply chain resilience were clustered into 14 main categories, and the results of the impact-uncertainty diagram showed that "people's culture" and "accident nature" play a more significant role in scenario development as critical uncertainties. Four scenarios were developed based on the opinion of experts for these two drivers.
Conclusion: four scenarios, "compatible," "turbulent," "broken," and "combative," were developed based on the critical drivers in supply chain hospital resilience. Use the inspirational feature of these scenarios can help managers in health and crisis management be more prepared to face the crisis. Scenarios based on intuitive logic can be used for futures studies in other areas of the health system.
Farzaneh Fouladi, Masoumeh Fouladi,
Volume 20, Issue 4 (12-2021)
Abstract
Background: Covid-19 pandemic peak put additional strains on healthcare system. In this crisis, the resilience of nursing staff is critical. This study aimed to investigate the relationship between burnout and resilience in frontline nursing staff working in high-risk areas during the outbreak of Covid-19 pandemic.
Materials and Methods: The present study is a Descriptive-analytical survey, and the target group is Iranian nurses. According to the Ministry of Health statistics, 125369 people are participated in this study. information is collected from 384 people by cluster distribution using questionnaire. The statistical analysis in this study is performed by SPSS and SMART-PLS software
Results: According to the study, all the collected information is normal. Based on factor analysis, there is an inverse significant relationship between resilience and burnout, and also, the sense of success has a significant effect on resilience as part of burnout.
Conclusion: In order to increase the resilience of nursing staff in such conditions, it is necessary to pay more attention to the factors affecting their burnout and plan to minimize it. Developing educational programs and adding diversity in service delivery might be useful to enhance personal feelings and also reduce burnout.
Homa Azadi, Ahmad Ghazanfari, Maryam Chorami, Tayebeh Sharifi,
Volume 21, Issue 3 (12-2022)
Abstract
Purpose: Considering the problems of nursing profession, it is very important to find the best method to improve the resilience of nurses. The purpose the present study was to compare the effectiveness and durability of treatment based on acceptance and commitment and paradoxical time schedule of resilience of emergency department nurses.
Methodology: To perform this quasi-experimental research, which was carried out with a pre-test-post-test design with a control group and a follow-up stage, 45 nurses working in the 5 emergency departments of Isfahan hospitals in the second half of 2019 were selected using convenience sampling method. They were randomly divided into three groups of 15 subjects: treatment based on acceptance and commitment, paradoxical schedule treatment and control. Subjects in the acceptance and commitment treatment experimental group participated in 8 sessions and the paradoxical schedule treatment group in 6 90-minute sessions but for the control group, there was no intervention. Participants completed the resilience scale by Connor and Davidson (2003) in three steps. The research data were analyzed using the variance analysis method with repeated measurements in SPSS-26 software.
Results:The results showed that there is a significant difference between the resilience score in three stages of pre-test, post-test and follow-up measurements. It was also found that there was a significant difference between scores of two experimental groups and control group, but there was no significant difference between the scores of the two experimental groups.
Conclusion: According to the results, it is recommended that the authorities use these two types of treatment programs under expert supervision to improve the resilience of nurses.
Mohammad Hossein Sadeghian, Morteza Abdolvand,
Volume 21, Issue 3 (12-2022)
Abstract
Background: Since the health and treatment staff are constantly exposed to critical and stressful situations during the outbreak of the Covid-19 pandemic, the present study aims to investigate the relationship between spiritual health and resilience in the personnel of hospitals accepting patients with the corona virus affiliated to Tehran University of medical Sciences.
Materials and Methods: The current study is a descriptive and analytical study that was conducted cross-sectionally in 2019. The study population included medical staff, including doctors, nurses, paramedics, and service personnel who participated in the fight against Covid-19. In order to measure resilience, Connor and Davidson's questionnaire was used, and Polotzin and Ellison's spiritual health questionnaire was used to measure spiritual health. 145 questionnaires were included in the study. Statistical tests of mean, standard deviation, Pearson correlation coefficient, analysis of variance and independent t were used to analyze the data.
Results: The average resilience score among the subjects was 64.3. The results showed that resilience in the field of spiritual effects with an average of 3.07 was the highest and in the field of tolerance of negative effects and strength against stress with an average of 2.33 had the lowest average. Spiritual health in 55.9% of the studied units was at a moderate level and none of them had a low level of spiritual health. Resilience and all its domains had a statistically significant positive correlation with spiritual health and its domains.
Conclusion: Managers' attention to the spiritual health of health center staff can reduce stress and pressures caused by work in critical situations and be an effective step towards greater productivity of human resources.
