Haghighat Mojtaba, Mousavi Seyed Mahdi, Jahadi Naeini Mahsa
Behbahan Faculty of Medical Sciences, Behbahan, Iran.
Student Research Committee, Department of Occupational Health and Safety Engineering, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Heliyon. 2024 Feb 28;10(5):e27241. doi: 10.1016/j.heliyon.2024.e27241. eCollection 2024 Mar 15.
Resilience in a hospital is referred to as the capability to withstand and respond to disasters while maintaining critical functions. The current study aims to identify and prioritize the defining indicators of organizational resilience in dealing with the critical conditions of the COVID-19 pandemic. First, a literature review and semi-structured interviews with experts were performed for the identification of the primary indicators affecting the hospital's organizational resilience in critical conditions caused by the COVID-19 disease. Next, the fuzzy Delphi technique (FDT) was used to determine the effective and final indicators with a 70% agreement level. Finally, the indicators were weighted and prioritized using the FAHP method. The results shows that three indicators of leadership and management (NW = 0.092), preparedness (NW = 0.080), and learning from previous experiences (NW = 0.078) had the greatest impact on the organizational resilience of the hospital, respectively. Three indicators of logistics support, fallibility culture, creativity, and innovation with the final weights of 0.56, 0.054, and 0.053 gained the least importance, respectively. It can be concluded that a higher level of leadership and management, preparedness, and learning from previous experiences in the conditions of the COVID-19 pandemic can help control this crisis.
医院的恢复力是指在维持关键功能的同时抵御和应对灾难的能力。本研究旨在确定应对新冠疫情危急状况时组织恢复力的定义指标,并对其进行优先级排序。首先,通过文献综述和与专家的半结构化访谈,确定在新冠疾病导致的危急状况下影响医院组织恢复力的主要指标。接下来,使用模糊德尔菲技术(FDT)确定达成70%共识水平的有效和最终指标。最后,使用层次分析法(FAHP)对指标进行加权和优先级排序。结果表明,领导与管理(归一化权重=0.092)、准备工作(归一化权重=0.080)和从以往经验中学习(归一化权重=0.078)这三个指标分别对医院的组织恢复力影响最大。后勤支持、容错文化、创造力和创新这三个指标的最终权重分别为0.56、0.054和0.053,重要性最低。可以得出结论,在新冠疫情期间,更高水平的领导与管理、准备工作以及从以往经验中学习有助于控制这场危机。