Hospital challenges and managerial approaches to combat COVID-19 outbreak: a qualitative study in southeastern Iran

BMC Health Services Research

Research

Maryam Jabarpour¹  Mehdi Ahmadinejad²  Zahra Ebrahimi Rigi³  Maryam Ahmadipour⁴  Parvin Mangolian Shahrbabaki⁵  Mahlagha Dehghan⁶  Zakieh Namjoo⁷ 

[1] Clinical research unit, Shahid Bahonar Academic Center, Kerman University of Medical Sciences, Kerman, Iran;Department of Anesthesiology, School of Medicine, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran;Department of Nursing, School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr, Iran;Department of Pediatric, School of Medicine, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran;Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran;Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran;Department of Critical Care Nursing, Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran;Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran;

关键词: Managerial approaches;    Challenges;    Covid-19;    Pandemic;    Qualitative study;   

DOI  :  10.1186/s12913-023-09631-0

 received in 2023-02-17, accepted in 2023-05-31,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDuring the covid-19 pandemic, hospitals have faced several challenges, so they need to identify and address effective management strategies to cope with these challenges that enhance their current knowledge to deal with similar challenges in the future. This study aimed to identify managerial strategies for dealing with Covid-19 pandemic challenges at a hospital in southeastern Iran.MethodsThis qualitative content analysis study used purposive sampling to select eight managers, three nurses, and one worker from Shahid Bahonar Hospital. In this study, semi-structured interviews were used to collect data and Lundman and Graneheim’s approach was used to analyze them.ResultsThree hundred fifty codes remained after constant comparison, compression, and merging. The results demonstrated one theme “Managerial reengineering in the healthcare system during the Covid-19 crisis”, two main categories, seven subcategories and, 19 sub- subcategories. The first main category was “The difficulty of managing challenges,“ including “Insufficient resources and physical space”, “Socio-organizational challenges” and, “Incompetence and unpreparedness of managers.“ The second main category was “Reforming the management duties.“ This category included “Planning and decision-making,“ “Organization,“ “Leadership and motivation,“ and “Monitoring and control.” ConclusionsHospitals and managers were less prepared to cope with the Covid-19 crisis challenges due to health system organizations’ less attention to biological crises. Healthcare organizations can carefully evaluate these challenges, and the strategies managers adopt to deal with these problems. They also can identify the strategies’ strengths and weaknesses and propose more effective strategies. As a result, healthcare organizations will be better prepared for similar crises.

【 授权许可】

CC BY   
© The Author(s) 2023