Original Article

Resilience Analysis of Crisis in Medical Environments: A Structural Equation Modeling based on Crisis Management Components

Abstract

Enhancing the index of crisis resilience is one of the key goals in medical environments. Various parameters can affect crisis resilience. The current study was designed to analyze crisis resilience in medical environments based on the crisis management components. This cross-sectional and descriptive-analytical study was performed in 14 hospitals and medical centers, in 2020. A sample size of 343.5 was determined based on the Cochran's formula. We used a 44-item crisis management questionnaire of Azadian et al. to collect data. The components of this questionnaire included management commitment, error learning, culture learning, awareness, preparedness, flexibility, and transparency. The data was analyzed based on the structural equation modeling approach using IBM SPSS AMOS v. 23.0. The participants’ age and work experience mean were 37.78±8.14 and 8.22±4.47 years. The index of crisis resilience was equal to 2.96±0.87. The results showed that all components of crisis management had a significant relationship with this index (p <0.05). The highest and lowest impact on the resilience index were related to preparedness (E=0.88) and transparency (E=0.60). The goodness of fit indices of this model including RMSEA, CFI, NFI, and NNFI (TLI) was 2.86, 0.071, 0.965, 0.972, and 0.978. The index of crisis resilience in the medical environments was at a moderate level. Furthermore, the structural equation modeling findings indicated that the impact of each component of crisis management should be considered in prioritizing measures to increase the level of resilience.

1. Soltanzadeh A, Gohari Motlagh M, Ghiyasi S. Assessing the Efficiency of Muster Point in Crisis: A Case Study in Tehran City. Archives of Occupational Health. 2020;4(1):516-20.
2. Abbassinia M, Kalatpour O, Soltanian AR, Mohammadfam I, Ganjipour M. Determination and score of effective criteria to prioritize emergency situations in a petrochemical industry. Occupational Hygiene and Health Promotion Journal. 2019;3(1):16-25.
3. Hattenbach L-O, Reinhard T, Walter P, Roider J, Feltgen N, Hesse L, et al. Crisis management strategies of hospitals during the pandemic. Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft. 2020;117(7):652-8.
4. Gile PP, Buljac-Samardzic M, Van De Klundert J. The effect of human resource management on performance in hospitals in Sub-Saharan Africa: a systematic literature review. Human resources for health. 2018;16(1):34.
5. Köhler M. Comprehensive crisis management. Fortress Europe?: Springer; 2017. p. 73-82.
6. Haghighi SM, Torabi SA. A novel mixed sustainability-resilience framework for evaluating hospital information systems. International journal of medical informatics. 2018;118:16-28.
7. Paton D, Johnston D. Disaster resilience: an integrated approach: Charles C Thomas Publisher; 2017.
8. Shirali GA, Shekari M, Angali K. Quantitative assessment of resilience safety culture using principal components analysis and numerical taxonomy: A case study in a petrochemical plant. Journal of Loss Prevention in the Process Industries. 2016;40:277-84.
9. Shirali GA, Motamedzade M, Mohammadfam I, Ebrahimipour V, Moghimbeigi A. Assessment of resilience engineering factors based on system properties in a process industry. Cognition, Technology & Work. 2016;18(1):19-31.
10. Kabir MH, Sato M, Habbiba U, Yousuf TB. Assessment of Urban Disaster Resilience in Dhaka North City Corporation (DNCC), Bangladesh. Procedia engineering. 2018;212:1107-14.
11. Khazai B, Anhorn J, Burton CG. Resilience Performance Scorecard: Measuring urban disaster resilience at multiple levels of geography with case study application to Lalitpur, Nepal. International journal of disaster risk reduction. 2018;31:604-16.
12. Thekdi SA, Santos J. Decision‐Making Analytics Using Plural Resilience Parameters for Adaptive Management of Complex Systems. Risk Analysis. 2019;39(4):871-89.
13. Shirali GA, Azadian S, Saki A. A new framework for assessing hospital crisis management based on resilience engineering approach. Work. 2016;54(2):435-44.
14. Azadian S, Shirali GA, Saki A. Evaluation Reliability and Validity a Questionnaire to Assess Crisis Management Based on Seven Principles of Resilience Engineering Approach in Hospitals. Iran Occupational Health. 2016;13(1):15-26.
15. Mueller RO, Hancock GR. Structural equation modeling. The reviewer’s guide to quantitative methods in the social sciences: Routledge; 2018. p. 445-56.
16. Burkle Jr FM. Challenges of global public health emergencies: development of a health-crisis management framework. The Tohoku Journal of Experimental Medicine. 2019;249(1):33-41.
17. Williams TA, Gruber DA, Sutcliffe KM, Shepherd DA, Zhao EY. Organizational response to adversity: Fusing crisis management and resilience research streams. Academy of Management Annals. 2017;11(2):733-69.
18. Mastane Z, Mouseli L, Jahangiri M, Doost M, Eshghi A. Strength and weakness of crisis management in Hormozgan medical university’s hospitals. Journal of Fasa University of medical sciences. 2012;1(4):244-50.
19. Rahmanian E, Mardani M, Abbasi M, Sharifi R. Assessment of physical preparedness of Farabi Hospital to deal with the crisis. J Neyshabur Univ Med Sci. 2016;4(3):48-55.
20. Min-Seok K, JEON Y-M, LEE J-S. A comparative analysis of the level of urban resilience in the city comprehensive plan. WIT Transactions on Ecology and the Environment. 2017;223:517-26.
21. Cucuzza M, Stoll JS, Leslie HM. Comprehensive plans as tools for enhancing coastal community resilience. Journal of Environmental Planning and Management. 2020;63(11):2022-41.
Files
IssueVol 13 No 2 (2021) QRcode
SectionOriginal Article(s)
Published2021-06-30
Keywords
Resilience Medical Environment Crisis Structural Equation Modeling

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Ghiyasi S, Verdi Baghdadi F, Hashemzadeh F, Soltanzadeh A. Resilience Analysis of Crisis in Medical Environments: A Structural Equation Modeling based on Crisis Management Components. Int J Occup Hyg. 2021;13(2):120-126.