Azimi Hamideh, Momeni Maryam
Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
BMC Nurs. 2025 Jul 1;24(1):747. doi: 10.1186/s12912-025-03363-8.
Despite the existence of various crisis management frameworks in hospitals, challenges related to the shortages of nurses and patient care equipment continue to plague health centers. The occurrence of unpredictable and new events in any crisis can make implementing the recommended solutions in the framework challenging. This study aimed to explain the solutions to mitigate the impact of the challenges of shortages of nurses and patient care equipment at the moment of crisis to complete or redesign crisis management frameworks to make them more effective.
In this qualitative study, which was conducted with the content analysis method in 2024, participants were selected via purposive sampling. The data were collected via semi-structured individual in-depth interviews. All interviews were recorded and transcribed and then inductively analyzed via the constant comparison method and the Graneheim and Lundman method.
Data analysis revealed that there are numerous practical opportunities among the threats and limitations of the crisis, some of which have been ignored even in crisis management frameworks. Therefore, the main theme of the data is employing opportunities. Solutions for employing opportunities were also identified in four subcategories, including completing team (including conscientious encouragement, volunteer nurses motivated by seeking God's satisfaction, and invitations), maintaining team integrity (including preventing physical exhaustion and preventing soul exhaustion), overcoming equipment bottlenecks (including the formation of logistics headquarters, nurse initiatives, and nurse sacrifices) and increasing hospitalization spaces (including freeing occupied spaces and annexation of other spaces).
Given that the solutions identified in the present study are the result of the participants' experiences, their applicability in crisis management is undeniable. Therefore, by paying attention to the identified solutions, more effective crisis management programs and frameworks can be developed.
尽管医院存在各种危机管理框架，但护士短缺和患者护理设备不足相关的挑战仍持续困扰着医疗中心。在任何危机中，不可预测的新事件的发生都会使在框架中实施推荐的解决方案具有挑战性。本研究旨在解释在危机时刻减轻护士短缺和患者护理设备不足挑战影响的解决方案，以完善或重新设计危机管理框架，使其更有效。
在这项于2024年采用内容分析法进行的定性研究中，通过目的抽样选择参与者。数据通过半结构化的个人深度访谈收集。所有访谈都进行了录音和转录，然后通过持续比较法以及格兰海姆和伦德曼法进行归纳分析。
数据分析表明，在危机的威胁和限制中存在许多实际机会，其中一些甚至在危机管理框架中也被忽视了。因此，数据的主题是利用机会。利用机会的解决方案也在四个子类别中得到确定，包括组建团队（包括认真鼓励、受寻求上帝满意激励的志愿护士以及邀请）、保持团队完整性（包括防止身体疲惫和防止精神疲惫）、克服设备瓶颈（包括组建后勤总部、护士倡议和护士牺牲）以及增加住院空间（包括腾出占用空间和 annexation of other spaces）。
鉴于本研究中确定的解决方案是参与者经验的结果，其在危机管理中的适用性不可否认。因此，通过关注所确定的解决方案，可以制定更有效的危机管理计划和框架。
