Iranian Journal of War and Public Health
طب جانباز
Iran J War Public Health
Medical Sciences
http://ijwph.ir
153
ijwph
2008-2622
2008-2630
10.58209/ijwph
en
jalali
1401
8
1
gregorian
2022
11
1
14
4
online
1
fulltext
en
Hospital Preparedness Challenges in Chemical Incidents: A Qualitative Study
سلامت جانبازان يا معلولان
Veterans or Handicapped Health
مطالعه کيفی
Qualitative Study
<span style="font-size:10pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span cambria="" lang="EN-GB" style="font-family:">Aims: </span></b><span cambria="" style="font-family:">A significant number of chemical events happen every year in Iran, which may require admission and management of victims in the hospital. The results of studies have shown that Iranian hospitals, like many developing countries, are not sufficiently prepared for these events. The aim of this study was to explain the challenges of hospital preparedness in chemical events in Iran.</span></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span cambria="" style="font-family:">Participants & Methods: </span></b><span cambria="" style="font-family:">This qualitative research was conducted with the content analysis approach in Tehran. Ten participants were enrolled using purposive sampling. Data collection was through in-depth and semi-structured interviews and continued until reaching data saturation. The selected interviewees consisted of physicians, nurses, members of the Hospital Risk Management Committee, and experts of Health in Emergencies and Disasters, who had experience in responding to and treating chemical casualties. All interviews were recorded, transcribed, imported into the MAXQDA 10 software, and analyzed using the Graneheim and Lundman method. </span></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span cambria="" style="font-family:">Findings:</span></b><span cambria="" style="font-family:"> The main theme was “Lack of priority of chemical events for policy makers”. Five categories and eleven sub-categories were extracted. Categories relating to challenges of hospital preparedness in the management of chemical casualties included "Lack of updated plans and protocols", "Ineffective training", "Organizational challenges", "Lack of legal and financial support", and "Lack of infrastructure and decontamination equipment". </span></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span cambria="" style="font-family:">Conclusion:</span></b><span cambria="" style="font-family:"> Iranian hospitals are facing challenges to acquire and maintain preparedness in response to chemical events. Therefore, national standards for hospital response to chemical events should be agreed upon by policy makers, and their implementation should be evaluated in hospital accreditation.</span><b><span lang="EN-GB" style="font-family:"Cambria",serif"></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-size:9.5pt"><span style="font-family:"Cambria",serif"></span></span></span></span></span></span><br>
chemical event,preparedness,hospital,qualitative research
377
384
http://ijwph.ir/browse.php?a_code=A-10-1985-1&slc_lang=en&sid=1
F.
Teymouri
15300319475328460024099
0000000228740620
No
Department of Health in Disasters and Emergencies, Nursing Faculty, AJA University of Medical Sciences, Tehran, Iran
A.
Zareiyan
15300319475328460024100
0000000269830569
Yes
Department of Health in Disasters and Emergencies, Nursing Faculty, AJA University of Medical Sciences, Tehran, Iran
A.M.
Pishgooie
15300319475328460024101
0000000180422657
No
Department of Critical Care Nursing, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran
H.
Bagheri
15300319475328460024102
0000000328956189
No
Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran