ArticleBMC emergency medicine2025
Rural hospital incident command leaders' perceptions of disaster preparedness.
Article in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Analysis of hospital resilience in public health emergencies using structural equation modeling: based on risk perception, resource preparedness, and team collaboration.Frontiers in public health · 2026Observational
- Operating in recurrent crises: a qualitative study of decision-making and unintended consequences in a peripheral hospital.Frontiers in public health · 2026Article
- Enhancing global disaster preparedness: A scoping review of the current integration of situational awareness and disaster mindset in healthcare education.AIMS public health · 2025Review
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent trends indicate that the frequency of major incidents (MIs) is increasing. Healthcare systems are vital actors in societies' responses to MIs. Well-prepared healthcare systems may mitigate the effects of MIs. Disaster preparedness is based on region-specific risk and vulnerability analyses (RVAs). Hospital incident command groups (HICGs) are commonly formed per hospital's contingency plan MI to aid in disaster response. Acquiring situational awareness and decision-making in the face of uncertainty are known challenges for HICGs during MIs. However, the remoteness of rural hospitals presents unique challenges.
aimThe aim of this study was to explore HICG leaders' perceptions of disaster preparedness in rural hospitals.
methodsA qualitative study with semi-structured, focus group, and individual interviews was used. The data were analyzed through inductive content analysis.
resultsThe analysis generated the main category, HICGs' confidence in handling major incidents and four categories. These were Uncertainty and level of recognition (containing two subcategories); Awareness of challenges and risks (containing two subcategories); Factors that facilitate preparedness, response, and leadership (containing three subcategories); and Prerequisites for decision-making (containing three subcategories and four subcategories).
conclusionsHICG leaders generally perceived their hospital's disaster preparedness as adequate. However, preparedness was found to be influenced by several factors. The findings revealed a complex interplay of factors influencing preparedness and response, particularly highlighting challenges related to geographical isolation and resource constraints. Effective preparedness requires a comprehensive understanding of local contexts, hospital capabilities, and risks, which directly impacts training, decision-making, and resource allocation. Addressing the identified vulnerabilities necessitates targeted interventions focused on situational awareness, decision-making, collaboration, and training. CLINICAL TRIAL NUMBER: Not applicable.
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