Factors affecting simulators of the hospital emergency department during emergencies and disasters in Iran: a qualitative study
Abstract
Objective: The simulation strategy is so important for appropriate responses and preparedness of hospital emergency department staff in emergencies to strengthen team building and care focused on the interdisciplinary community. Therefore, this study aimed to identify the factors affecting the hospital emergency department's simulators during emergencies and disasters. Methods: This conventional content analysis study was conducted in 2021. Participants were selected from Iranian experts using purposeful and snowball sampling methods. Data were collected using semi-structured interviews and were analyzed by the content analysis. Results: Analysis of the data results through semi-structured interviews showed 4 main categories and 11 subcategories including management and leadership (the structure, casualty management, command, interactions and coordination, communications and information, as well as human resources), and increasing the capacity (resources (physical resources, and financial resources)), modern technology approaches (information technology), laws and policies (policies, guidelines, and rules). Conclusion: The simulation technology use can be effective in preparing the hospital emergency department in the event of disasters, strengthening management and leadership, proper planning, appropriate organizational culture, organizational learning, interactions and coordination, casualty management, as well as providing resources, equipment, items, processes, and instructions. So, the use of these new technological training is recommended to improve responses in times of emergencies and disasters.
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8. Yousefi K, Larijani HA, Golitaleb M, Sahebi A. Knowledge, attitude and performance associated with disaster preparedness in Iranian nurses: a systematic review and meta-analysis. Adv J Emerg Med. 2019;3(4):e42.
9. Taboada M, Cabrera E, Iglesias ML, Epelde F, Luque E. An Agent-Based Decision Support System for Hospitals Emergency Departments. Procedia Comput Sci. 2011;4:1870-9.
10. Faraji A, Khankeh H, Hosseini M, Abdi K, Rezasoltani P. Effect of simulated training course on preparedness of nurses to do pre-hospital triage. J Health Promot Manag. 2013;2(4):24-9.
11. Delshad V, Shirazi FB. The effectiveness of participation-based education on nurse performance in hospital Triage at disaster. Med Sci. 2019;23(97):404-9.
12. Hutchinson SW, Haynes S, Parker P, Dennis B, McLIN C, Welldaregay W. Implementing a multidisciplinary disaster simulation for undergraduate nursing students. Nurs Educ Perspect. 2011;32(4):240-3.
13. Kaplan BG, Connor A, Ferranti EP, Holmes L, Spencer L. Use of an emergency preparedness disaster simulation with undergraduate nursing students. Public Health Nurs. 2012;29(1):44-51.
14. Morrison AM, Catanzaro AM. High‐fidelity simulation and emergency preparedness. Public Health Nurs. 2010;27(2):164-73.
15. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88.
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20. Al-Ghareeb AZ, Cooper SJ. Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: an integrative review. Nurse Educ Today. 2016;36:281-6.
21. Slepski LA. Emergency preparedness and professional competency among health care providers during hurricanes Katrina and Rita: pilot study results. Disaster Manag Response. 2007;5(4):99-110.
22. Hasan MK, Younos TB, Farid ZI. Nurses' knowledge, skills and preparedness for disaster management of a Megapolis: Implications for nursing disaster education. Nurse Educ Today. 2021;107:105122.
23. Fox-Young S, Brady S, Brealey W, Cooper S, McKenna L, Hall H, et al. The perspectives of Australian midwifery academics on barriers and enablers for simulation in midwifery education in Australia: A focus group study. Midwifery. 2012;28(4):495-501.
24. Seyedin H, Rostamian M, Barghi Shirazi F, Adibi Larijani H. Challenges of Providing Health Care in Complex Emergencies: A Systematic Review. Disaster Med Public Health Prep. 2021; Online ahead of print.
25. Kalali NS, Anvari MRA, Pourezzat AA, Dastjerdi DK. Why does strategic plans implementation fail? A study in the health service sector of Iran. Afr J Bus Manag. 2011;5(23):9831-7.
26. Mosadeghrad AM, Isfahani P. The challenges of strategic planning in Tehran province hospitals. Manag Strat Health Sys. 2018;3(3):184-200. [Persian]
27. Furberg R, Kizakevich P, Marcozzi D, Hubal R, Grantlin S, Holloway J, et al. Analysis of interdisciplinary, simulation-based triage training for disaster preparedness and response. Prehosp Disaster Med. 2007;22(S1):S5-6.
28. Rankin JA, Then KL, Atack L. Can emergency nurses' triage skills be improved by online learning? Results of an experiment. J Emerg Nurs. 2013;39(1):20-6.
29. Balmaks R, Grāmatniece A, Vilde A, Ļuļļa M, Dumpis U, Gross IT, et al. A Simulation-Based Failure Mode Analysis of SARS-CoV-2 Infection Control and Prevention in Emergency Departments. Simul Healthc. 2021;16(6):386-91.
30. Jha A, Epstein A. Hospital governance and the quality of care. Health Aff. 2010;29(1):182-7.
31. Vanbrabant L, Martin N, Ramaekers K, Braekers K. Quality of input data in emergency department simulations: Framework and assessment techniques. Simul Model Pract Theory. 2019;91:83-101.
32. Shirazi FB, Moslehi S, Miresmaeili SS. Inter-Sector Partnership in Tabletop Exercises: A Low-Cost but Effective Approach to Increase Hospital Preparedness. J Disast Emerg Res. 2020;3(2):67-9.
33. Aliakbari F, Aein F, Bahrami M. Assessment competencies among emergency nurses for responding in disaster situation with Objective Structured Clinical Examination. J Health Promot Manag. 2014;3(3):47-57. [Persian]
34. Mirmohammad Ali Ie M, Nikbakht Nasrabadi A, Sohrabizadeh S, Khani Jazani R. Essential Professional Competencies for Basic Midwifery Practice in Disasters: A Qualitative Study. Disaster Med Public Health Prep. 2021; Online ahead of print.
35. Alinier G, Oriot D. Simulation-based education: deceiving learners with good intent. Adv Simul. 2022;7:8.
36. Jiang H, Lockee C, Bass K, Fraser I, Norwood EP. Board Oversight of Ouality: Any Differences in Process of Care. J Healthc Manag. 2009;54(1):15-29.
37. Jung Y. Virtual Reality Simulation for Disaster Preparedness Training in Hospitals: Integrated Review. J Med Internet Res. 2022;24(1):e30600.
38. Smith B. Generalizability in qualitative research: Misunderstandings, opportunities and recommendations for the sport and exercise sciences. Qual Res Sport Exerc Health. 2018;10(1):137-49.
2.Ranaei Kordshouli H. A framework for the formulation of disaster management strategic plans at national and regional levels. Disaster Prev Manag Know. 2015;5(1):30-42.
3. Yousefli M, Asefzadeh S, PartoviShayan Z. Evaluation of emergency wards readiness for responding to disasters and emergencies at hospitals of Qazvin University of Medical Sciences according to world health organization model 2012. J Resc Relief. 2014;6(2):21-31. [Persian]
4. Daniel M, Park S, Seifert CM, Chandanabhumma PP, Fetters MD, Wilson E, et al. Understanding diagnostic processes in emergency departments: a mixed methods case study protocol. BMJ open. 2021;11(9):e044194.
5. Nawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Adv Data. 2007;(386):1-32.
6. Ghaedi H, Nasiripour A, Tabibi SJ. Hospital preparedness in radiation crisis in selected countries and developing a conceptual model for Iran. Iran South Med J 2018, 21(5): 393-408. [Persian]
7. Moslehi S, Masoumi G, Barghi-Shirazi F. Benefits of simulation-based education in hospital emergency departments: A systematic review. J Educ Health Promot. 2022;11:40.
8. Yousefi K, Larijani HA, Golitaleb M, Sahebi A. Knowledge, attitude and performance associated with disaster preparedness in Iranian nurses: a systematic review and meta-analysis. Adv J Emerg Med. 2019;3(4):e42.
9. Taboada M, Cabrera E, Iglesias ML, Epelde F, Luque E. An Agent-Based Decision Support System for Hospitals Emergency Departments. Procedia Comput Sci. 2011;4:1870-9.
10. Faraji A, Khankeh H, Hosseini M, Abdi K, Rezasoltani P. Effect of simulated training course on preparedness of nurses to do pre-hospital triage. J Health Promot Manag. 2013;2(4):24-9.
11. Delshad V, Shirazi FB. The effectiveness of participation-based education on nurse performance in hospital Triage at disaster. Med Sci. 2019;23(97):404-9.
12. Hutchinson SW, Haynes S, Parker P, Dennis B, McLIN C, Welldaregay W. Implementing a multidisciplinary disaster simulation for undergraduate nursing students. Nurs Educ Perspect. 2011;32(4):240-3.
13. Kaplan BG, Connor A, Ferranti EP, Holmes L, Spencer L. Use of an emergency preparedness disaster simulation with undergraduate nursing students. Public Health Nurs. 2012;29(1):44-51.
14. Morrison AM, Catanzaro AM. High‐fidelity simulation and emergency preparedness. Public Health Nurs. 2010;27(2):164-73.
15. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88.
16. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12.
17. Mosadeghrad AM, Ebneshahidi A, Abdolmohammadi N. The impact of strategic planning on hospital efficiency: A case study. Health Based Res. 2018;4(3):317-34. [Persian]
18. Mosadeghrad AM, Ebneshahidi A, Abdolmohammadi A. The impact of strategic planning on job satisfaction among hospital staff: a case study. Health Based Res. 2017;3(2):99-114. [Persian]
19. Etemadian M, Mosadeghrad AM, Mohaghegh Dolatabadi MR, Dehnavi H. The challenges of public private partnership in hospital operations: A case study. Payesh. 2019;18(2):127-48. [Persian]
20. Al-Ghareeb AZ, Cooper SJ. Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: an integrative review. Nurse Educ Today. 2016;36:281-6.
21. Slepski LA. Emergency preparedness and professional competency among health care providers during hurricanes Katrina and Rita: pilot study results. Disaster Manag Response. 2007;5(4):99-110.
22. Hasan MK, Younos TB, Farid ZI. Nurses' knowledge, skills and preparedness for disaster management of a Megapolis: Implications for nursing disaster education. Nurse Educ Today. 2021;107:105122.
23. Fox-Young S, Brady S, Brealey W, Cooper S, McKenna L, Hall H, et al. The perspectives of Australian midwifery academics on barriers and enablers for simulation in midwifery education in Australia: A focus group study. Midwifery. 2012;28(4):495-501.
24. Seyedin H, Rostamian M, Barghi Shirazi F, Adibi Larijani H. Challenges of Providing Health Care in Complex Emergencies: A Systematic Review. Disaster Med Public Health Prep. 2021; Online ahead of print.
25. Kalali NS, Anvari MRA, Pourezzat AA, Dastjerdi DK. Why does strategic plans implementation fail? A study in the health service sector of Iran. Afr J Bus Manag. 2011;5(23):9831-7.
26. Mosadeghrad AM, Isfahani P. The challenges of strategic planning in Tehran province hospitals. Manag Strat Health Sys. 2018;3(3):184-200. [Persian]
27. Furberg R, Kizakevich P, Marcozzi D, Hubal R, Grantlin S, Holloway J, et al. Analysis of interdisciplinary, simulation-based triage training for disaster preparedness and response. Prehosp Disaster Med. 2007;22(S1):S5-6.
28. Rankin JA, Then KL, Atack L. Can emergency nurses' triage skills be improved by online learning? Results of an experiment. J Emerg Nurs. 2013;39(1):20-6.
29. Balmaks R, Grāmatniece A, Vilde A, Ļuļļa M, Dumpis U, Gross IT, et al. A Simulation-Based Failure Mode Analysis of SARS-CoV-2 Infection Control and Prevention in Emergency Departments. Simul Healthc. 2021;16(6):386-91.
30. Jha A, Epstein A. Hospital governance and the quality of care. Health Aff. 2010;29(1):182-7.
31. Vanbrabant L, Martin N, Ramaekers K, Braekers K. Quality of input data in emergency department simulations: Framework and assessment techniques. Simul Model Pract Theory. 2019;91:83-101.
32. Shirazi FB, Moslehi S, Miresmaeili SS. Inter-Sector Partnership in Tabletop Exercises: A Low-Cost but Effective Approach to Increase Hospital Preparedness. J Disast Emerg Res. 2020;3(2):67-9.
33. Aliakbari F, Aein F, Bahrami M. Assessment competencies among emergency nurses for responding in disaster situation with Objective Structured Clinical Examination. J Health Promot Manag. 2014;3(3):47-57. [Persian]
34. Mirmohammad Ali Ie M, Nikbakht Nasrabadi A, Sohrabizadeh S, Khani Jazani R. Essential Professional Competencies for Basic Midwifery Practice in Disasters: A Qualitative Study. Disaster Med Public Health Prep. 2021; Online ahead of print.
35. Alinier G, Oriot D. Simulation-based education: deceiving learners with good intent. Adv Simul. 2022;7:8.
36. Jiang H, Lockee C, Bass K, Fraser I, Norwood EP. Board Oversight of Ouality: Any Differences in Process of Care. J Healthc Manag. 2009;54(1):15-29.
37. Jung Y. Virtual Reality Simulation for Disaster Preparedness Training in Hospitals: Integrated Review. J Med Internet Res. 2022;24(1):e30600.
38. Smith B. Generalizability in qualitative research: Misunderstandings, opportunities and recommendations for the sport and exercise sciences. Qual Res Sport Exerc Health. 2018;10(1):137-49.
| Files | ||
| Issue | Vol 6 No 3 (2022): Summer (July) | |
| Section | Original article | |
| DOI | 10.18502/fem.v6i3.9398 | |
| Keywords | ||
| Emergency Medicine Disasters Hospitals Iran Qualitative Research Simulation Training | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Barghi Shirazi F, Moslehi S, Rasouli MR, Masoumi G. Factors affecting simulators of the hospital emergency department during emergencies and disasters in Iran: a qualitative study. Front Emerg Med. 2022;6(3):e36.
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