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解释国家冠状病毒总部在工作场所预防和应对大流行病方面的作用和责任:伊朗 COVID-19 经验的定性研究。

Explaining the role and responsibilities of the National Anti-Coronavirus Headquarters in prevention and emergency response to pandemics in the workplace: a qualitative study on COVID-19 experience in Iran.

机构信息

Department of Occupational Health and Safety Engineering, School of Health, Alborz University of Medical Sciences, Karaj, Iran.

Research Center for Health, Safety, and Environment, Alborz University of Medical Sciences, Karaj, Iran.

出版信息

BMC Health Serv Res. 2023 Feb 9;23(1):137. doi: 10.1186/s12913-023-09148-6.

Abstract

BACKGROUND

In recent years, the Coronavirus disease 2019 (COVID-19) have greatly affected the safety of life and the economy. Taking rapid measures to reduce these problems requires effective and efficient decisions by various departments and headquarters in a country. The purpose of this study was to investigate the role and responsibilities of the National Anti-Corona Headquarters (NACH) in the workplace during the pandemic.

METHODS

This study was a qualitative study conducted using a triangulation approach. Data were obtained through semi-structured interviews with 18 participants with a purposive sampling technique as well as the review of related documents and records in response to the COVID-19 pandemic. The inductive and deductive approach was used for the content analysis of data in the Plan-Do-Check-Act (PDCA) model of the ISO45001 management system.

RESULTS

Based on the results, four themes (plan, do, check, and act) were considered as the main domains. Subthemes include understanding the needs and expectations of interested parties; specific policy-making for organizations/workplaces; leadership and organizational commitment; addressing risks and opportunities; providing resources; competence of individuals and organizations; awareness; communication; information documentation; emergency response; monitoring, analyze, and evaluate performance; management review; non-compliance and corrective action; and improvement in pandemic control.

CONCLUSION

To ensure the effectiveness and efficiency of organizations to deal with pandemics, the NACH must implement these responsibilities and play a pivotal role in responding to pandemics and using the participation of other government agencies and society. The findings of this study can be useful from national to local levels.

摘要

背景

近年来,2019 年冠状病毒病(COVID-19)极大地影响了生命安全和经济。采取迅速措施解决这些问题需要国家各部门和总部做出有效和高效的决策。本研究旨在探讨国家反冠总部(NACH)在大流行期间在工作场所的作用和责任。

方法

这是一项使用三角测量方法进行的定性研究。通过对 18 名参与者进行半结构化访谈,以及对与 COVID-19 大流行相关的文件和记录进行审查,获得了数据。采用归纳和演绎方法对数据进行了分析,采用的是 ISO45001 管理体系的计划-执行-检查-行动(PDCA)模式。

结果

根据结果,四个主题(计划、执行、检查和行动)被认为是主要领域。子主题包括了解利益相关者的需求和期望;为组织/工作场所制定具体政策;领导和组织承诺;应对风险和机遇;提供资源;个人和组织的能力;意识;沟通;信息文件;应急响应;监测、分析和评估绩效;管理审查;不符合和纠正措施;以及改善大流行控制。

结论

为了确保组织应对大流行的有效性和效率,NACH 必须履行这些责任,并在应对大流行和利用其他政府机构和社会的参与方面发挥关键作用。本研究的结果从国家到地方各级都可能有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23d4/9912685/6c273020a55e/12913_2023_9148_Fig1_HTML.jpg

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