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

Publication date: Jun 26, 2023

During 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. This 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. Three 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. ” Hospitals 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.

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Concepts Keywords
Hospitals Challenges
Incompetence Covid-19
Iran Managerial approaches
Reengineering Pandemic
Southeastern Qualitative study


Type Source Name
disease MESH COVID-19
disease VO effective
disease VO organization
drug DRUGBANK Tropicamide
pathway REACTOME Reproduction
drug DRUGBANK Coenzyme M
disease MESH emergency
disease IDO contagiousness
drug DRUGBANK Spinosad
drug DRUGBANK Etoperidone
disease MESH burnout
disease MESH uncertainty
drug DRUGBANK Pentaerythritol tetranitrate
disease IDO process
disease VO report
disease MESH shock
drug DRUGBANK Trestolone
disease VO inefficient
disease IDO country
disease MESH complications
disease MESH death
disease VO time
drug DRUGBANK Oxygen
disease MESH infection
disease VO effectiveness
drug DRUGBANK Methionine
disease VO protocol
disease IDO quality
disease VO efficient
disease VO company
disease IDO facility
drug DRUGBANK Cysteamine
disease VO vaccinated
disease VO ineffective
disease VO Gap
drug DRUGBANK Tretamine
drug DRUGBANK Isoxaflutole
disease IDO algorithm
disease MESH Metabolic Syndrome
disease MESH coronavirus infection
drug DRUGBANK Nonoxynol-9
disease MESH psychological distress

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