Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Science, Tehran, Iran (the Islamic Republic of).
Nursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran (the Islamic Republic of).
BMJ Open. 2024 Nov 18;14(11):e089054. doi: 10.1136/bmjopen-2024-089054.
Hospitals are vital infrastructures that provide health services during emergencies and disasters. However, in recent years, disasters have led to hospital losses and interruptions in medical services. Consequently, the concept of resilience has garnered significant attention. Despite extensive research, the lack of clarity in explaining hospital resilience poses challenges in effective assessment and identifying key priorities for enhancing disaster risk management. Recently, the WHO's Eastern Mediterranean Regional Office (EMRO) introduced a conceptual framework for the conceptualisation of hospital resilience, defining it through six interconnected components and four resilience capacities. Identifying specific indicators and characteristics for hospital resilience components based on the EMRO framework. This protocol outlines the method for conducting a scoping review to identify such indicators and characteristics to develop a comprehensive hospital resilience assessment tool.
This scoping review will adhere to the six-step protocol proposed by Arksey and O'Malley. It aims to comprehensively understand current knowledge about resilient hospital characteristics and identify effective components and indicators for assessing hospital resilience. The review will encompass available articles indexed in PubMed, Scopus and Web of Science. Additionally, searches will explore the grey literature on Google Scholar, the WHO's website and regional offices. There will be no publication date restrictions applied to the search. Quantitative and qualitative content analyses will assess and categorise the study results. Our protocol was drafted using the Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols extension for scoping reviews.
This protocol describes a scoping review within a doctoral thesis focused on health in emergencies and disasters, specifically hospital resilience. The study, associated with ethics code number (IR.USWR.REC.1402.120), aims to develop a comprehensive assessment tool for hospital resilience. Once peer-reviewed and published, the findings will inform experts, policymakers and relevant organisations in emergency and disaster management.
医院是提供紧急和灾难期间医疗服务的重要基础设施。然而，近年来，灾害导致医院损失和医疗服务中断。因此，弹性概念引起了广泛关注。尽管进行了广泛的研究，但由于缺乏对医院弹性的清晰解释，在进行有效评估和确定增强灾害风险管理的关键重点方面存在挑战。最近，世卫组织东地中海区域办事处（EMRO）引入了一个医院弹性概念化的概念框架，通过六个相互关联的组成部分和四个弹性能力来定义它。根据 EMRO 框架确定医院弹性组成部分的具体指标和特征。本方案概述了进行范围综述以确定此类指标和特征的方法，以开发全面的医院弹性评估工具。
本范围综述将遵循 Arksey 和 O'Malley 提出的六步方案。它旨在全面了解有关有弹性的医院特征的现有知识，并确定评估医院弹性的有效组成部分和指标。综述将包括在 PubMed、Scopus 和 Web of Science 中索引的可用文章。此外，还将在 Google Scholar、世卫组织网站和区域办事处的灰色文献中进行搜索。搜索不会对日期进行限制。定量和定性内容分析将评估和分类研究结果。我们的方案是使用针对范围综述的系统评价和荟萃分析协议扩展的首选报告项目起草的。
本方案描述了一项范围综述，该综述是关于博士论文的一部分，重点是紧急情况和灾害中的健康问题，特别是医院弹性。该研究与伦理代码编号（IR.USWR.REC.1402.120）相关，旨在开发一个全面的医院弹性评估工具。一旦经过同行评审和发表，研究结果将为紧急情况和灾害管理方面的专家、政策制定者和相关组织提供信息。
