Volume 11, Issue 2 (6-2022)                   JCHR 2022, 11(2): 126-136 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bahariniya S, Shafii M, Madadizadeh F, Sharif Yazdi M. Strategies and Challenges for Managing Human Influenza in the Iranian hospitals: A Qualitative Study in Yazd province, Central part of Iran. JCHR 2022; 11 (2) :126-136
URL: http://jhr.ssu.ac.ir/article-1-880-en.html
1- 1. MSc student of Health Services Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- 2. Department of Health Services Management, Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- 3. Center for healthcare Data modeling, Departments of biostatistics and Epidemiology, School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. , f.madadizadeh@ssu.ac.ir
4- Assistant Professor, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract:   (1553 Views)
Abstract:
Introduction: Influenza virus is one of the deadliest viruses that has threatened the human population over the years. Every year, organizations and hospitals must be prepared to deal with the disease and treat people with the flu and be able to manage the disease in the hospital. The aim of this study was to identify hospital management strategies for human influenza in Yazd province, central part of Iran.
Methods: This study was a qualitative study with inductive conventional approach. A total of 14 main hospitals in Yazd province were surveyed in 2021. The study population included heads and managers of hospitals, nurses, educational and clinical supervisors, metrons, officials of the quality improvement office and the infection Control Committee. Participants were selected using snowball sampling method. semi structured interviews were used to collect data. The sample size in this study was up to information saturation. Content analysis method was used to analyze the data.
Results: Using the opinions and views of 38 managers and officials of selected hospitals in Yazd province, data saturation was obtained. The most important tasks of the hospital management in terms of influenza control and management were divided into 5 areas (field measures, support, training, awareness, protection   and measures in the field of human resources). The major challenges   regarding the influenza control and management were classified into 3 areas: hospital (health), macro (university, provincial, national and Ministry of Health guidelines) and community level. Finally, the most important solutions and suggestions were categorized in these 3 key areas.
Conclusion: Based on the categorized challenges and problems, as well as the classification of the most important strategies and suggestions, useful action can be taken to    the control and management of influenza, both at the hospital level and in the community, in Iranian hospitals especially in Yazd province.
 
Full-Text [PDF 102 kb]   (553 Downloads) |   |   Full-Text (HTML)  (256 Views)  
Review: Research | Subject: Health care management
Received: 2022/03/4 | Accepted: 2022/06/20 | Published: 2022/07/5

References
1. 1. Hadi-Alijanvand H. From Folding Pathway of Hemagglutinin to Influenza Prevalence in Iran, A Computational Approach. Cellular and Molecular Researches (Iranian Journal of Biology). 2020;33(4):598-612.[ DOI: 10.18502/jchr.v11i2.10001 ] [ Downloaded from jhr.ssu.ac.ir on 2022-07-12 ] [DOI:10.18502/jchr.v11i2.10001]
2. Organization WH. Managing epidemics: key facts about major deadly diseases: World Health Organization; 2018.
3. Shu Y, McCauley J. GISAID: Global initiative on sharing all influenza data-from vision to reality. Eurosurveillance. 2017;22(13):30494. [DOI:10.2807/1560-7917.ES.2017.22.13.30494]
4. Mousavi T, Nadi A, Moosazadeh M, Haghshenas M. Estimating co-morbidity of H1N1 pandemic and other diseases:a meta-analysis of countries in eastern mediterranean region. Journal of Mazandaran University of Medical Sciences.2017;27(154):189-211.
5. Marty A, Greiner O, Day PJ, Gunziger S, Mühlemann K, Nadal D. Detection of Haemophilus influenzae type b by real-time PCR. Journal of clinical microbiology. 2004;42(8):3813-5. [DOI:10.1128/JCM.42.8.3813-3815.2004]
6. Hassan-King M, Baldeh I, Adegbola R, Omosigho C, Usen S, Oparaugo A, et al. Detection of Haemophilus influenzae and Streptococcus pneumoniae DNA in blood culture by a single PCR assay. Journal of ClinicalMicrobiology. 1996;34(8):2030-2. [DOI:10.1128/jcm.34.8.2030-2032.1996]
7. Rahmanian V, Shakeri M, Shakeri H, Jahromi SA, Bahonar A, Madani A. Epidemiology of influenza in patients with acute lower respiratory tract infection in South of Iran (2015-2016). Acta facultatis medicae Naissensis.2019;36(1):27-37. [DOI:10.2478/afmnai-2019-0003]
8. Tavanaee-Sani A, Sharifi R, Nehbandani Z, Masoudi M-H, Solouki Y. Epidemiology and Clinical Outcomes of Patients with Confirmed Influenza in Mashhad, Iran in 2019. International Journal of Infection. 2021;8(4). [DOI:10.5812/iji.116795]
9. GP DH. Mortality due to the 2009 pandemic influenza A (H1N1) in Markazi Province of Iran. Mortality. 2012;14(59):66-72.
10. Costantino C, Amodio E, Calamusa G, Vitale F, Mazzucco W. Could university training and a proactive attitude of coworkers be associated with influenza vaccination compliance? A multicentre survey among Italian medical residents. BMC medical education. 2016;16(1):1-6. [DOI:10.1186/s12909-016-0558-8]
11. Cowman K, Mittal J, Weston G, Harris E, Shapiro L, Schlair S, et al. Understanding drivers of influenza-like illness presenteeism within training programs: a survey of trainees and their program directors. American Journal of Infection Control. 2019;47(8):895-901. [DOI:10.1016/j.ajic.2019.02.004]
12. Jafari M, Zainali F, Modjallal Najar F. What We Learned from the 2019 Influenza Crisis. Journal of Disaster and Emergency Research. 2020;3(2):64-6. [DOI:10.18502/jder.4068]
13. Mehdipour S, Zolala F, Hoseinnejad M, Zahedi R, Najafi E, Farrokhnia M, et al. Factors associated with hospitalization in patients with H1N1 influenza in Afzalipour Hospital, Kerman, Iran, 2015: a case-control study. Iranian Journal of Epidemiology. 2018;14(2).
14. Yildirim M, Griffin P, Keskinocak P, O'Connor JC, Swann JL. Estimating the impact of self-management education, influenza vaccines, nebulizers, and spacers on health utilization and expenditures for Medicaid-enrolled children with asthma. Journal of Asthma. 2021;58(12):1637-47. [DOI:10.1080/02770903.2020.1821056]
15. Lai E, Tan HY, Kunasekaran M, Chughtai AA, Trent M, Poulos C, et al. Influenza vaccine coverage and predictors of vaccination among aged care workers in Sydney Australia. Vaccine. 2020;38(8):1968-74. [DOI:10.1016/j.vaccine.2020.01.004]
16. Sridhar S, Brokstad KA, Cox RJ. Influenza vaccination strategies: comparing inactivated and live attenuated influenza vaccines. Vaccines. 2015;3(2):373-89. [DOI:10.3390/vaccines3020373]
17. Costantino C, Casuccio A, Caracci F, Bono S, Calamusa G, Ventura G, et al. Impact of communicative and informative strategies on influenza vaccination adherence and absenteeism from work of health care professionals working at the university hospital of Palermo, Italy: a quasi-experimental field trial on twelve influenza seasons.Vaccines. 2019;8(1):5. [DOI:10.3390/vaccines8010005]
18. Nguyen L, Bellucci E, Nguyen LT. Electronic health records implementation: an evaluation of information system impact and contingency factors. International journal of medical informatics. 2014;83(11):779-96. [DOI:10.1016/j.ijmedinf.2014.06.011]
19. Chevance A, Gourion D, Hoertel N, Llorca P-M, Thomas P, Bocher R, et al. Ensuring mental health care during the SARS-CoV-2 epidemic in France: A narrative review. L'encephale. 2020;46(3):193-201. [DOI:10.1016/j.encep.2020.04.005]
20. Babaoglu UT, Milletli Sezgin F, Yag F. Sick building symptoms among hospital workers associated with indoor air quality and personal factors. Indoor and Built Environment. 2020;29(5):645-55. [DOI:10.1177/1420326X19855117]
21. Asadi L, Tabatabaei RS, Safinejad H, Mohammadi M. New corona virus (COVID-19) management in pregnancy and childbirth. Arch Clin Infect Dis. 2020;15(COVID-19):e102938. [DOI:10.5812/archcid.102938]
22. Morawska L, Tang JW, Bahnfleth W, Bluyssen PM, Boerstra A, Buonanno G, et al. How can airborne transmission of COVID-19 indoors be minimised? Environment international. 2020;142:105832. [DOI:10.1016/j.envint.2020.105832]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License.

© 2024 CC BY 4.0 | Journal of Community Health Research

Designed & Developed by : Yektaweb