Exploring factors affecting the decision of emergency hospital evacuation in disasters: A qualitative study
, Ali Ardalan2, Abbas Ebadi3, Amir Nejati4, Davoud Khorasani-Zavareh5
1 Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran; School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
2 Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3 Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences; Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
4 Associate Professor of Emergency Medicine, Pre-Hospital and Hospital Emergency Research Center, Department of Emergency Medicine Imam Khomeini Hospital Tehran University of Medical Sciences, Tehran, Iran
5 Skull Base Research Center; Safety Promotion and Injury Prevention Research Center, Department of Health in Emergencies and Disasters, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Dr. Davoud Khorasani-Zavareh
Skull Base Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran-Safety Promotion and Injury Prevention Research Center, Department of Health in Emergencies and Disasters, Shahid Beheshti University of Medical Sciences, Tehran
Source of Support: None, Conflict of Interest: None
Context: Hospitals usually are at risk of potential hazards, which may necessitate emergency hospital evacuation (EHE). Deciding about hospital evacuation is of the critical task and is affected by numerous factors.
Aims: The aim of this study then was to explore the factors behind the decision for EHE in disasters.
Setting and Design: This is a qualitative study that was conducted from May 2014 to February 2015, employing conventional content analysis.
Materials and Methods: This is a qualitative study (conventional content analysis). Data were collected through in-depth semi-structured interviews with 25 key participants, who were selected using purposeful sampling. Data were analyzed using conventional content analysis according to the technique described by Graneheim and Lundman.
Statistical Analysis Used: No statistical methods were used in this study.
Results: Factors behind the decision for EHE in disasters merged into three main categories, including risk assessment and estimation, the possibility of continuing service provision, and the necessary prerequisites for evacuation. The seven subcategories of these three main categories were hospital population density, hospital characteristics, accident characteristics, vulnerability of the hospital, potential capabilities of the hospital, administrative adjustments, and the possibility of safe patient transfer.
Conclusion: Many different factors can contribute to the decision for EHE. The findings of this study can help hospital administrators to develop plans for making better evacuation-related decisions.