Volume 20, Issue 1 (2023)                   ioh 2023, 20(1): 92-105 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Armanmehr V, Majdi A, Khajavi A, Amiri Delui M, Esmailzadeh M. Resilience of staff and organization in a teaching hospital during the Corona pandemic. ioh 2023; 20 (1) :92-105
URL: http://ioh.iums.ac.ir/article-1-3348-en.html
A , majdi@um.ac.ir
Abstract:   (672 Views)
Background and aims:
The aim of this study was to evaluate the organizational and individual resilience of the staff of an educational and medical center affiliated to Gonabad University of Medical Sciences in the Corona pandemic.
Methods: In this cross-sectional study, first the psychological resilience of 300 hospital staff was assessed using the Connor-Davidson resilience questionnaire. In the second part of the study, the resilience of Allameh Behlool Gonabadi Hospital was measured by a validated questionnaire by 55 members of the crisis committee, members of the hospital accident command chart and hospital managers. Data were analyzed using IBM-SPSSv2 software.
Results: The mean age of the respondents to the individual resilience and organizational resilience questionnaire was 38.98 and 37.7 years, respectively, and their average work experience was 9.22 and 12.93 years. The mean score of organizational resilience was 158.34 21 21.60 (ranging from 46 to 230) which was in the average range. Among the dimensions of organizational resilience, the average capacity adaptation showed the highest figure. The mean individual resilience score of employees was 66.04 11 11.92 (ranging from 0 to 100), which was also in the average range. Also, there was a significant relationship between organizational resilience assessment and staff education (P = 0.035), work experience (P = 0.025) and job groups (P = 0.040).
Conclusion: It seems that success in designing and implementing interventions to improve hospital resilience requires an integrated approach to various aspects of resilience in the hospital, including individual, organizational, extra-organizational and the relationship between them.
Full-Text [PDF 598 kb]   (215 Downloads)    
Type of Study: Research | Subject: Personality and organizational behavior
Received: 2022/04/24 | Accepted: 2023/04/13 | Published: 2023/03/30

1. Jetten J, Haslam C, Haslam SA, Dingle G, Jones JM. How groups affect our health and well‐being: The path from theory to policy. Social issues and policy review. 2014;8(1):103-30. [DOI:10.1111/sipr.12003]
2. Wearne BC. Open the Social Sciences: Report of the Gulbenkian Commission on the Restructuring of the Social Sciences. JSTOR; 1998. [DOI:10.1007/s12108-998-1006-y]
3. Zabaniotou A. A systemic approach to resilience and ecological sustainability during the COVID-19 pandemic: Human, societal, and ecological health as a system-wide emergent property in the Anthropocene. Global transitions. 2020;2:116-26. [DOI:10.1016/j.glt.2020.06.002]
4. Gross JS. Sustainability Versus Resilience What Is the Global Urban Future and Can We Plan for Change? What Makes for Healthy Communities. 2008.
5. Lu P, Stead D. Understanding the notion of resilience in spatial planning: A case study of Rotterdam, The Netherlands. Cities. 2013;35:200-12. [DOI:10.1016/j.cities.2013.06.001]
6. Keck M, Sakdapolrak P. What is social resilience? Lessons learned and ways forward. Erdkunde. 2013:5-19. [DOI:10.3112/erdkunde.2013.01.02]
7. Ruiz-Martin C, López-Paredes A, Wainer G. What we know and do not know about organizational resilience. International Journal of Production Management and Engineering. 2018;6(1):11-28. [DOI:10.4995/ijpme.2018.7898]
8. Rutter M, Sroufe LA. Developmental psychopathology: Concepts and challenges. Development and psychopathology. 2000;12(3):265-96. [DOI:10.1017/S0954579400003023]
9. Lincoln YS, Guba EG. But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New directions for program evaluation. 1986;1986(30):73-84. [DOI:10.1002/ev.1427]
10. Juech C, Michelson ES. Rethinking the future of sustainability: From silos to systemic resilience. Development. 2011;54(2):199-201. [DOI:10.1057/dev.2011.16]
11. Olsson L, Jerneck A, Thoren H, Persson J, O'Byrne D. Why resilience is unappealing to social science: Theoretical and empirical investigations of the scientific use of resilience. Science advances. 2015;1(4):e1400217. [DOI:10.1126/sciadv.1400217]
12. Ríos JP. Models of organizational cybernetics for diagnosis and design. Kybernetes. 2010.
13. Azimi R. From reality to social construction: a look at Corona and its implications for the health system. RPH. 2020;14(1):130-42.
14. Riolli L, Savicki V. Information system organizational resilience. Omega. 2003;31(3):227-33. [DOI:10.1016/S0305-0483(03)00023-9]
15. Krishna RN, Majeed S, Ronan K, Alisic E. Coping with disasters while living in poverty: a systematic review. Journal of loss and trauma. 2018;23(5):419-38. [DOI:10.1080/15325024.2017.1415724]
16. Bakhshi R, Nakhaei M, Esmaeilzadeh MH, Hosseini SMR, Sharifzadeh GR. Effect of Educational Workshops on Disaster Risk Perception in Nurses. Quarterly Scientific Journal of Rescue and Relief. 2020;12(4):270-8. [DOI:10.32592/jorar.2020.12.4.4]
17. Folke C. Resilience: The emergence of a perspective for social-ecological systems analyses. Global environmental change. 2006;16(3):253-67. [DOI:10.1016/j.gloenvcha.2006.04.002]
18. Hynes W, Trump B, Love P, Linkov I. Bouncing forward: a resilience approach to dealing with COVID-19 and future systemic shocks. Environment Systems and Decisions. 2020;40:174-84. [DOI:10.1007/s10669-020-09776-x]
19. Organization WH. WHO. WHO Director-General's opening remarks at the media briefing on COVID 19. 11 March 2020,[Internet]. Genebra: World Health Organization; 2020 [cited 2020 Jun 10].
20. DeWit A, Shaw R, Djalante R. An integrated approach to sustainable development, National Resilience, and COVID-19 responses: The case of Japan. International Journal of Disaster Risk Reduction. 2020:101808. [DOI:10.1016/j.ijdrr.2020.101808]
21. Thomas S, Sagan A, Larkin J, Cylus J, Figueras J, Karanikolos M. Strengthening health systems resilience: key concepts and strategies. 2020.
22. Carenzo L, Costantini E, Greco M, Barra F, Rendiniello V, Mainetti M, et al. Hospital surge capacity in a tertiary emergency referral centre during the COVID‐19 outbreak in Italy. Anaesthesia. 2020;75(7):928-34. [DOI:10.1111/anae.15072]
23. Fan J, Hu K, Li X, Jiang Y, Zhou X, Gou X, et al. A qualitative study of the vocational and psychological perceptions and issues of transdisciplinary nurses during the COVID-19 outbreak. Aging (Albany NY). 2020;12(13):12479. [DOI:10.18632/aging.103533]
24. Bagheri Sheykhangafshe F, Hajialiani V, Hasani J. The role of resilience and emotion regulation in psychological distress of hospital staff during the COVID-19 pandemic: A systematic review study. Journal of research and health. 2021;11(6):365-74. [DOI:10.32598/JRH.11.6.1922.1]
25. Huang JZ, Han M, Luo T, Ren A, Zhou X. Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua lao dong wei sheng zhi ye bing za zhi= Zhonghua laodong weisheng zhiyebing zazhi= Chinese journal of industrial hygiene and occupational diseases. 2020;38:E001-E.
26. Geoffroy PA, Le Goanvic V, Sabbagh O, Richoux C, Weinstein A, Dufayet G, et al. Psychological support system for hospital workers during the Covid-19 outbreak: rapid design and implementation of the Covid-Psy hotline. Frontiers in psychiatry. 2020;11:511. [DOI:10.3389/fpsyt.2020.00511]
27. He Z, Chen J, Pan K, Yue Y, Cheung T, Yuan Y, et al. The development of the'COVID-19 Psychological Resilience Model'and its efficacy during the COVID-19 pandemic in China. International Journal of Biological Sciences. 2020;16(15):2828. [DOI:10.7150/ijbs.50127]
28. Barbash IJ, Kahn JM. Fostering hospital resilience-lessons from COVID-19. JAMA. 2021;326(8):693-4. [DOI:10.1001/jama.2021.12484]
29. Connor KM, Davidson JR. Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety. 2003;18(2):76-82. [DOI:10.1002/da.10113]
30. Bigdeli I, Najafy M, M R. The Relation of Attachment Styles, Emotion Regulation, and Resilience to Well-being among Students of Medical Sciences. Iranian Journal of Medical Education. 2013;13(9):721-9.
31. Zaboli R, Seyedin H, Nasiri A, Malmoon Z. Standardization and Validation of Organizational Resilience Tools in Military Hospitals. Journal of Military Medicine. 2020;22(7):719-27.
32. Cimellaro G, Malavisi M, Mahin S. Factor analysis to evaluate hospital resilience. ASCE-ASME Journal of Risk and Uncertainty in Engineering Systems, Part A: Civil Engineering. 2018;4(1):04018002. [DOI:10.1061/AJRUA6.0000952]
33. Zhong S, Clark M, Hou X-Y, Zang Y, FitzGerald G. Development of key indicators of hospital resilience: a modified Delphi study. Journal of health services research & policy. 2015;20(2):74-82. [DOI:10.1177/1355819614561537]
34. Huang L, Wang Y, Liu J, Ye P, Cheng B, Xu H, et al. Factors associated with resilience among medical staff in radiology departments during the outbreak of 2019 novel coronavirus disease (COVID-19): A cross-sectional study. Medical science monitor: international medical journal of experimental and clinical research. 2020;26:e925669-1. [DOI:10.12659/MSM.925669]
35. Ou X, Chen Y, Liang Z, Wen S, Li S, Chen Y. Resilience of nurses in isolation wards during the COVID⁃ 19 pandemic: a cross-sectional study. Psychology, health & medicine. 2021;26(1):98-106. [DOI:10.1080/13548506.2020.1861312]
36. Sorokin MY, Kasyanov ED, Rukavishnikov GV, Makarevich OV, Neznanov NG, Morozov PV, et al. Stress and stigmatization in health-care workers during the COVID-19 pandemic. Indian journal of psychiatry. 2020;62(Suppl 3):S445. [DOI:10.4103/psychiatry.IndianJPsychiatry_870_20]
37. Son H, Lee WJ, Kim HS, Lee KS, You M. Hospital workers' psychological resilience after the 2015 Middle East respiratory syndrome outbreak. Social Behavior and Personality: an international journal. 2019;47(2):1-13. https://doi.org/10.2224/sbp.7228 [DOI:10.2224/sbp.7718]
38. Bakhshi M, Omidi L, Omidi K, Moradi GH, Mayofpour F, T. D. Measuring Hospital Resilience in Emergency Situations and Examining the Knowledge and Attitude of Emergency Department Staff toward Disaster Management. J Saf Promot Inj Prev. 2020;8(1):37-45.
39. Stennett J, Hou R, Traverson L, Ridde V, Zinszer K, Chabrol F. Lessons learned from the resilience of Chinese hospitals to the COVID-19 pandemic: a scoping review. medRxiv. 2021. [DOI:10.2196/preprints.31272]
40. Fallah-Aliabadi S, Ostadtaghizadeh A, Fatemi F, Ardalan A, Rezaei E, Raadabadi M, et al. Hospital disaster resilience: development of an assessment tool using expert panel and fuzzy analytical network process. International Journal of Disaster Resilience in the Built Environment. 2021. [DOI:10.1108/IJDRBE-11-2020-0119]
41. Billings J, Greene T, Kember T, Grey N, El-Leithy S, Lee D, et al. Supporting hospital staff during COVID-19: early interventions. Oxford University Press UK; 2020. p. 327-9. [DOI:10.1093/occmed/kqaa098]
42. Coco M, Guerrera CS, Santisi G, Riggio F, Grasso R, Di Corrado D, et al. Psychosocial impact and role of resilience on healthcare workers during COVID-19 pandemic. Sustainability. 2021;13(13):7096. [DOI:10.3390/su13137096]
43. Brown C, Keene AR, Hooper CR, O'Brien A. Isolation of patients in psychiatric hospitals in the context of the COVID-19 pandemic: An ethical, legal, and practical challenge. International Journal of Law and Psychiatry. 2020;71:101572. [DOI:10.1016/j.ijlp.2020.101572]
44. Iacobucci G. Covid-19: Doctors sound alarm over hospital transmissions. British Medical Journal Publishing Group; 2020. [DOI:10.1136/bmj.m2013]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Iran Occupational Health

Designed & Developed by : Yektaweb