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Journal Article

Citation

Blayer Y, Shaiman L, Levi H, Kagan I, Melnikov S. J. Nurs. Manag. 2019; 27(4): 697-705.

Affiliation

Department of Nursing, Tel Aviv University, Israel.

Copyright

(Copyright © 2019, John Wiley and Sons)

DOI

10.1111/jonm.12734

PMID

30430679

Abstract

AIM: To examine personal, ward, and organizational factors related to the functioning of general hospital staff under missile attack.

BACKGROUND: The summer of 2014 is remembered in Israel for missile attacks from the Gaza Strip targeting the civilian population of southern Israel.

METHODS: The study was carried out in two steps: (1) Qualitative - a focus group to identify the issues faced by the staff of a hospital under fire, (2) Quantitative - a cross-sectional study among 409 hospital workers to explore: a) personal involvement in decision-making, b) clarity of directives, c) coping with emergency on the ward and on d) the management level, e) personal professional functioning.

RESULTS: A statistically significant positive correlation was found between personal involvement in decision- and policy-making, the clarity of directives, and hospital ward functioning. A regression analysis demonstrated that executive management and leadership, clarity of directives, and workers' personal functioning statistically significantly explained 46.1% (R2 =.461) of the variance in ward functioning during emergency.

CONCLUSION: Clarity of directives and executive management and leadership in emergency were positively associated with ward functioning and coping with emergency. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.


Language: en

Keywords

emergency; hospital functioning and coping

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