Atighechian Golrokh, Rahimi Alireza, Sattari Mohammad, Mohammadi Mahan
Health Management and Economics Research Centre Isfahan University of Medical Sciences Isfahan Iran.
Health Information Technology Research Centre Isfahan University of Medical Sciences Isfahan Iran.
Health Sci Rep. 2024 Aug 19;7(8):e2300. doi: 10.1002/hsr2.2300. eCollection 2024 Aug.
Hospitals must maintain their effective operations during and after disasters. Due to the current increase in disasters, hospital resilience has drawn scholarly attention. This study aimed to review studies on the changes in the definition of hospital resilience after COVID-19, build a conceptual framework for careful measurement, and identify the main dimensions of hospital resilience emphasized during the COVID-19 pandemic.
The initial phase of this study was a systematic review of articles published before the COVID-19 pandemic to extract the hospital resilience-related dimensions for the second phase. The second phase involved text-mining articles published both before and after the emergence of COVID-19.
In the systematic review phase, 12 databases were searched from 2006 to January 2020, including Scopus, Web of Science, MEDLINE through PubMed, Embase, ERIC, ProQuest, the Cochrane Library, Emerald, Springer, Science Direct/ELSEVIER, Google Scholar, and SID (for Persian language papers). Then, after COVID-19, articles published in these databases between January 2020 and May 2022 were evaluated using text mining.
During the systematic phase, 17 out of 1530 papers published before COVID-19 were synthesized to collect components of hospital disaster resilience. These identified components were the inputs for the text-mining phase. The text mining on pre-COVID papers resulted in six clusters, with the highest weight (0.65) belonging to general resilience and disaster preparedness, while in the post-COVID text mining phase, including 70 papers, 8 clusters have been identified, with the highest weight cluster (0.78) focusing on the mental and psychological aspects of resilience among healthcare workers.
Following the COVID pandemic, scholarly attention has shifted to the more personal dimensions of hospital resilience, including psychological resiliency. It seems necessary for policymakers to focus more on the individual and psychological resilience of hospital staff.
医院必须在灾难期间及之后保持有效运营。由于当前灾难事件增多，医院恢复力已引起学术界关注。本研究旨在回顾新冠疫情后医院恢复力定义的变化，构建审慎测量的概念框架，并确定新冠疫情期间强调的医院恢复力的主要维度。
本研究的初始阶段是对新冠疫情大流行之前发表的文章进行系统综述，以提取用于第二阶段的医院恢复力相关维度。第二阶段涉及对新冠疫情出现之前和之后发表的文章进行文本挖掘。
在系统综述阶段，从2006年到2020年1月搜索了12个数据库，包括Scopus、科学网、通过PubMed的MEDLINE、Embase、教育资源信息中心、ProQuest、考科蓝图书馆、Emerald、施普林格、科学直连/爱思唯尔、谷歌学术和SID（用于波斯语论文）。然后，在新冠疫情之后，使用文本挖掘对2020年1月至2022年5月期间在这些数据库中发表的文章进行评估。
在系统阶段，对新冠疫情之前发表的1530篇论文中的17篇进行了综合分析，以收集医院灾难恢复力的组成部分。这些确定的组成部分是文本挖掘阶段的输入。对新冠疫情之前论文的文本挖掘产生了六个聚类，权重最高的（0.65）属于一般恢复力和灾难准备，而在新冠疫情之后的文本挖掘阶段，包括70篇论文，已确定了8个聚类，权重最高的聚类（0.78）侧重于医护人员恢复力的心理和精神方面。
新冠疫情之后，学术关注已转向医院恢复力更具个人层面的维度，包括心理恢复力。政策制定者似乎有必要更多地关注医院工作人员的个人和心理恢复力。
