شناسایی متغیرهای اثرگذار بر تصمیم گیری تخلیه اضطراری بیمارستان ها در شرایط بحرانی به روش تحلیل مضمون و با استفاده از نرم افزار MAXQDA
محورهای موضوعی : -مدیریت خدمات بهداشتی و درمانیسعید امجدی 1 , سعید صیاد شیرکش 2 , مینا جمشیدی 3
1 - گروه مدیریت دولتی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران
2 - گروه مدیریت دولتی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران
3 - گروه مدیریت آموشی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران
کلید واژه: تصمیم‌گیری, بحران و شرایط بحرانی, مدیریت بحران, تخلیه اضطراری بیمارستان,
چکیده مقاله :
مقدمه: امروزه با توسعه روزافزون فناوری و هم‌زمان با گسترش جمعیت، شاهد افزایش حوادث، سوانح و بحران‌ها هستیم. سوانح طبیعی بخشی از طبیعت محیط زیست ما انسان‌ها شده و به عوامل بسیار زیادی از جمله عوامل طبیعی و عوامل انسانی بستگی پیدا کرده و در نتیجه ساختار پیچیده‌ای به خود می‌گیرند که مبارزه با آن‌ها را عملا بسیار دشوار و پیچیده مینماید. مسئله مطرح اینست که تصمیم‌گیرنده در تخلیه بیمارستانی چه مواردی را باید مورد توجه قرار دهد و چه عواملی در این تصمیم‌گیری اثرگذار هستند، همین عوامل چگونه پس از تصمیم تحت تأثیر قرار می‌گیرند و چگونه این عوامل در فرآیند تصمیم دخالت دارند. روش پژوهش: روش تحقیق در طبقه توسعه‌ای قرار می‌گیرد. برای گردآوری اطلاعات جهت پیشینه و ادبیات تحقیق از روش کتابخانه‌ای استفاده گردید. بدین منظور مقالات، کتب، پایان‌نامه‌ها و منابع اینترنتی معتبر و قابل ارجاع، پایگاه‌های اطلاعاتی و مستندات مرتبط در موضوعات حوزه تصمیم‌گیری در شرایط بحرانی، تخلیه اضطراری و مباحث مدیریت بحران بیمارستانی، جستجو، مطالعه و مورد بررسی قرار گرفت. پس از بررسی ادبیات موضوع به تدوین پروتکل مصاحبه، شامل سوالاتی با هدف شناخت متغیرهای اثرگذار بر تصمیم‌گیری پرداخته شد. سپس به انجام مصاحبه با خبرگانی که دعوت به مصاحبه را پذیرفتند، اقدام شد. مصاحبه ها از 7 نفر از خبرگان و تا زمان اشباع نظری ادامه یافت. پس از آن به روش تحلیل مضمون با رویکرد 6 مرحله‌ای براون و کلارک جملات کلیدی استخراج، کدگذاری و تحلیل آن صورت پذیرفت. در انجام تحلیل‌ها از نرم افزارهای MAXQDA و Excel استفاده گردید.
Introduction: Today, with the increasing development of technology and the expansion of the population, we are witnessing an increase in incidents, accidents and crises. Natural disasters have become a part of the nature of our human environment and depend on many factors, including natural factors and human factors, and as a result, they take on a complex structure that makes combating them very difficult and complicated. The issue is what should be considered by the decision maker in hospital evacuation and what factors are effective in this decision, how these factors are affected after the decision and how these factors are involved in the decision process. Methods: The research method is placed in the developmental category. The library method was used to collect information for the background and literature of the research, after reviewing the subject literature, the interview protocol was compiled, including questions with the aim of knowing the variables influencing decision-making. Then interviews were conducted with the experts who accepted the invitation to the interview. Interviews with 7 experts continued until theoretical saturation. After that, key sentences were extracted, coded and analyzed using thematic analysis method with the 6-step approach of Brown and Clark. MAXQDA and Excel software were used for the analysis. Results: Review of studies and interviews led to the identification of 1156 codes. which was classified into 28 components and 5 dimensions.
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