ArticleBMJ open2026
Key factors and practical strategies to strengthen hospital disaster preparedness: a qualitative study in Iran.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesThis study aimed to explore the key factors influencing hospital disaster preparedness and identify practical strategies for strengthening preparedness within the Iranian healthcare system.
designThis qualitative study used conventional content analysis. Data were collected through semi-structured interviews and analysed using MAXQDA 2022. Data collection and analysis continued concurrently until data saturation was achieved.
settingThe study was conducted in eight hospitals across four provinces of Iran between January 2023 and February 2024.
participants22 healthcare professionals with experience in hospital disaster preparedness were recruited using purposive sampling. Eligible participants had at least 3 years of experience in disaster preparedness or emergency management and represented managerial, clinical and disaster management roles.
resultsSeven themes and 20 subthemes influencing hospital disaster preparedness were identified, encompassing leadership and governance, organisational culture, human resources, infrastructure and resources, training and knowledge, communication and coordination and policy and planning. Six additional themes and 25 subthemes described strategies to improve preparedness, including strengthening leadership, empowering the workforce, enhancing infrastructure resilience, promoting scenario-based training, improving communication systems and expanding integrated information technologies.
conclusionsHospital disaster preparedness is influenced by interconnected organisational, managerial, structural and cultural factors. Implementation of context-specific, stakeholder-informed strategies may contribute to strengthening hospital disaster preparedness by improving organisational resilience, coordination and emergency response capacity.
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