A qualitative study on barriers and strategies to hospital preparedness against chemical, biological, radiological, and nuclear incidents

BACKGROUND: The effects of chemical, biological, radiological, and nuclear (CBRN) incidents on human society can be irreparable. Preparing the health system for these incidents is essential. This study aims to identify obstacles to hospital preparedness against CBRN incidents and provide solutions....

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Main Authors: Saeid Baikmohammadi, Bagher Amirheidari, Tania Dehesh, Mahmood Nekoei Moghadam, Vahid Yazdi-Feyzabad, Ebrahim Hassani, Hossein Habibzadeh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Journal of Education and Health Promotion
Subjects:
Online Access:http://www.jehp.net/article.asp?issn=2277-9531;year=2024;volume=13;issue=1;spage=3;epage=3;aulast=Baikmohammadi
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author Saeid Baikmohammadi
Bagher Amirheidari
Tania Dehesh
Mahmood Nekoei Moghadam
Vahid Yazdi-Feyzabad
Ebrahim Hassani
Hossein Habibzadeh
author_facet Saeid Baikmohammadi
Bagher Amirheidari
Tania Dehesh
Mahmood Nekoei Moghadam
Vahid Yazdi-Feyzabad
Ebrahim Hassani
Hossein Habibzadeh
author_sort Saeid Baikmohammadi
collection DOAJ
description BACKGROUND: The effects of chemical, biological, radiological, and nuclear (CBRN) incidents on human society can be irreparable. Preparing the health system for these incidents is essential. This study aims to identify obstacles to hospital preparedness against CBRN incidents and provide solutions. MATERIALS AND METHODS: This qualitative study was conducted using semi-structured interview method in 2022. The research community included experts in the fields of CBRN, and 17 persons were included in the study through purposive sampling. The interviews were collected by interview guide and recorded face-to-face and online and were analyzed using thematic content analysis method in MS Word 2016. RESULTS: The interviews' analysis was classified into two main categories and 34 sub-categories. Some of the most important obstacles to the hospital preparedness against CBRN incidents were the lack of proper crisis management, the lack of specialist staff, the stress of employees, the lack of turnover and sufficient rest for employees, legal gaps, and so on. The main strategies were determining the type and extent of the risk factor, strong crisis management, the lack of parallelism, continuous monitoring, having a protocol and road map, appropriate training programs, having skilled personnel, rapid response of personnel, positive attitude of the staff, and the favorable condition of the building. CONCLUSION: The appointment of an expert in the field of CBRN and having a specialized unit, the existence of specialized and trained staff along with access to the required facilities, clear instructions, and intra-departmental and inter-departmental cooperation affect the readiness of hospitals against CBRN incidents.
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spelling doaj.art-654f7ad9e7624572b1fcd496c55e25ee2024-03-25T11:15:08ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312024-01-011313310.4103/jehp.jehp_1827_22A qualitative study on barriers and strategies to hospital preparedness against chemical, biological, radiological, and nuclear incidentsSaeid BaikmohammadiBagher AmirheidariTania DeheshMahmood Nekoei MoghadamVahid Yazdi-FeyzabadEbrahim HassaniHossein HabibzadehBACKGROUND: The effects of chemical, biological, radiological, and nuclear (CBRN) incidents on human society can be irreparable. Preparing the health system for these incidents is essential. This study aims to identify obstacles to hospital preparedness against CBRN incidents and provide solutions. MATERIALS AND METHODS: This qualitative study was conducted using semi-structured interview method in 2022. The research community included experts in the fields of CBRN, and 17 persons were included in the study through purposive sampling. The interviews were collected by interview guide and recorded face-to-face and online and were analyzed using thematic content analysis method in MS Word 2016. RESULTS: The interviews' analysis was classified into two main categories and 34 sub-categories. Some of the most important obstacles to the hospital preparedness against CBRN incidents were the lack of proper crisis management, the lack of specialist staff, the stress of employees, the lack of turnover and sufficient rest for employees, legal gaps, and so on. The main strategies were determining the type and extent of the risk factor, strong crisis management, the lack of parallelism, continuous monitoring, having a protocol and road map, appropriate training programs, having skilled personnel, rapid response of personnel, positive attitude of the staff, and the favorable condition of the building. CONCLUSION: The appointment of an expert in the field of CBRN and having a specialized unit, the existence of specialized and trained staff along with access to the required facilities, clear instructions, and intra-departmental and inter-departmental cooperation affect the readiness of hospitals against CBRN incidents.http://www.jehp.net/article.asp?issn=2277-9531;year=2024;volume=13;issue=1;spage=3;epage=3;aulast=Baikmohammadibioterrorismdisastershospitalsqualitative researchrisk management
spellingShingle Saeid Baikmohammadi
Bagher Amirheidari
Tania Dehesh
Mahmood Nekoei Moghadam
Vahid Yazdi-Feyzabad
Ebrahim Hassani
Hossein Habibzadeh
A qualitative study on barriers and strategies to hospital preparedness against chemical, biological, radiological, and nuclear incidents
Journal of Education and Health Promotion
bioterrorism
disasters
hospitals
qualitative research
risk management
title A qualitative study on barriers and strategies to hospital preparedness against chemical, biological, radiological, and nuclear incidents
title_full A qualitative study on barriers and strategies to hospital preparedness against chemical, biological, radiological, and nuclear incidents
title_fullStr A qualitative study on barriers and strategies to hospital preparedness against chemical, biological, radiological, and nuclear incidents
title_full_unstemmed A qualitative study on barriers and strategies to hospital preparedness against chemical, biological, radiological, and nuclear incidents
title_short A qualitative study on barriers and strategies to hospital preparedness against chemical, biological, radiological, and nuclear incidents
title_sort qualitative study on barriers and strategies to hospital preparedness against chemical biological radiological and nuclear incidents
topic bioterrorism
disasters
hospitals
qualitative research
risk management
url http://www.jehp.net/article.asp?issn=2277-9531;year=2024;volume=13;issue=1;spage=3;epage=3;aulast=Baikmohammadi
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