Staff Involvement Research Articles

Comment on "Occupational Health Staff's Involvement Contributes to Supervisor's Perceived Organizational Support in Japanese Workforce: A Prospective Cohort Study".

Comment on "Occupational Health Staff's Involvement Contributes to Supervisor's Perceived Organizational Support in Japanese Workforce: A Prospective Cohort Study".

Factors Associated with Knowledge, Attitudes, and Practices of Personnel to Use Objective and Key Results (OKRs) in Thammasat University Hospital

Background: Objective and key results (OKRs) was a strategic tool to drive the organization to achieve a goal. Goals are concomitant and come from leaders and personnel. Most hospital management studies are conducted in a qualitative approach. Objective: To evaluate the association of knowledge, attitudes, practices, personal factor (PF), and perceived organizational support (POS) of OKRs in quantitative approach. Materials and Methods: The present study was a descriptive study conducted at Thammasat University Hospital (TUH), Pathum Thani, Thailand between March and April 2024. Participants were TUH personnel. Self-filling questionnaires were applied and signed written informed consent after thoroughly counselled. Questionnaires consisted of POS, knowledge, attitudes, and practices questions. PF was also collected. Results: Two hundred and twenty-one participants were recruited. Most participant (192 out of 221) were female. Three-quarters (149 out of 221) of the participants had more than ten years’ experience. Eighty-six percent (192 out of 221) of the participants had an educational level equal to or higher than bachelor. Mean knowledge, attitudes, and practices of participants were 9.5±0.6, 3.9±0.4, and 3.7±0.4, respectively. PF was not associated with POS and practices. Hospital personnel with more than 20 years seniority had OKRs’ knowledge less than those less than 10 years seniority (b= –0.21, p=0.04). Monthly income and work experience were significantly positive and negative associated with attitudes at b=0.17 and –0.15, respectively. POS was not associated with attitudes and knowledge. Practice was associated with POS, with statistical significance (b=0.20, p<0.001). Conclusion: OKRs knowledge decreased with work experience. Attitude was associated with high monthly income and reverse associated with work experience. POS was significantly associated with the practice. There was no association between PF and practice, PF and POS, POS and attitude, and POS and knowledge. This study provided guidelines for recognizing organizational support in implementing OKRs and improving processes to ensure efficiency and staff involvement. Management should establish clear policies involving personnel at all levels.

Lactose Breath Test: Possible Strategies to Optimize Test Performance, Accuracy, and Clinical Impact.

Lactose malabsorption (LM) refers to the incomplete absorption of lactose in the small intestine, resulting in the arrival of ingested lactose in the colon, which can give rise to symptoms defined as lactose intolerance (LI). The lactose breath test (LBT), thanks to its low cost, availability, and noninvasiveness, is the most used diagnostic method. However, the LBT is a tedious tool, requiring prolonged involvement of patients, qualified staff, and infrastructure, of which the most time-consuming factor is the frequency and number of breath samples needed. Objectives: To simplify the current LBT methodology, compliant with the current guidelines' statements, by reducing the test duration or the number of breath samples, without compromising the test's accuracy. Methods: The results of the standard LBT were compared with two simplified tests: a "shortened" test, lasting three hours, with samples taken every 30 min; and a "five-sample" test, lasting four hours, with samples taken every hour. Patients were stratified into three grades of malabsorption (mild, moderate, severe) based on the amount of gas exhaled. A clinical severity score was introduced to assess the clinical relevance of LI using a specific questionnaire. Results: Among the 543 patients enrolled (F 71.5%, mean age 43.7 ± 17.6 yrs), 60.4% (328/543) tested positive for LM. A total of 70.5% (383/543) presented LI, with 32.1% of those being true intolerants (LI without LM). The shortened test demonstrated an accuracy of 93.9%, with a sensitivity of 89.9% and a false negative rate of 10.1% (33/328). The five-sample test showed higher accuracy and sensitivity than the shortened test (96.5% and 94.2%, respectively; p = 0.03) with a false negative rate of 5.8% (19/328). Of the 19 false negatives in the five-sample test, 95% (18/19) were categorized as mild malabsorbents. No statistical correlation was found between the clinical severity score and LBT results. Conclusions: The five-sample test, involving hourly breath measurements, is a reliable option for simplifying the LBT without significantly reducing the procedure's sensitivity.

Involvement of healthcare staff in hospital hygiene during emergency hemodialysis.

Healthcare-associated infections are still a worrying health problem that complicates patient care and increases morbidity and mortality. The incidence of infections in hemodialysis patients is still high and they constitute the second cause of hospitalization and death in this category. The study's objective was to evaluate nursing and medical staff's involvement in hospital hygiene. This is an observational study that took place within the hemodialysis unit of a Moroccan university hospital from March 2021 to June 2021. A surface swabbing technique for bacteriological examination was also carried out. The study revealed some shortcomings regarding hand hygiene which was respected by the nurses in only 17.5% of sessions and in 42.2% by the doctors. Other shortcomings in asepsis measures, were also noted such as the non-change of gloves after skin preparation (1.03%) and before manual compression. The serological status of patients concerning HBV, HVC, and HIV was also not always known (31.1%). The bacteriological samples from the surfaces also showed colonization of the medical devices and the ultrasound scanner used for the ultrasound-guided introduction of the central catheters. The results of the study showed some deviations concerning the recommendations; however, they are comparable to other studies conducted internationally, especially in terms of hand hygiene. Our study results highlight some shortcomings adherence to hygiene measures like inconsistent disinfection of medical devices and dialysis stations, as well as insufficient hand hygiene practices among some staff members. However, we observed an improvement in practices following the implementation of awareness-raising sessions. To maintain improved hygiene practices and prevent infections, it is crucial to provide ongoing training for staff, ensure adequate resources, and regularly monitor compliance with hygiene standards.

Accident Investigation Impact on Safety Climate: Moderating Roles of Management and Employees in Ghanaian Construction

This study examines the relationship between accident investigation procedures and safety climate in construction companies, focusing on the moderating roles of management commitment, enforcement, communication, and employee involvement, compliance, and awareness. Grounded in transformational leadership, social exchange, and planned behavior theories, data were collected from 208 skilled employees in Accra using questionnaires. Statistical analysis via SPSS revealed a significant positive relationship between accident investigation procedures and safety climate (B = 0.469, p < 0.001). While management commitment positively influenced the safety climate, it did not moderate this relationship. However, management communication significantly moderated the relationship (B = -0.144, p = 0.013), and staff involvement (B = -0.123, p = 0.020) and employee compliance also had significant moderating effects. Employee awareness did not show a moderating effect, though its influence on safety outcomes remains important. The findings emphasize integrating effective management practices and employee involvement to optimize safety climate in construction.

Comparative Analysis of Green Building Hospitals in Karawang and Pemalang

This study aims to analyze and compare the application of the green building concept in two hospitals in Indonesia, namely Permata Keluarga Karawang Hospital and Dr. M. Ashari Pemalang Regional General Hospital (RSUD). Using descriptive qualitative methods and case study approaches, data were collected through observation, interviews, documentation, and measurements in the field. The results show that both hospitals have applied green building principles in various aspects such as energy efficiency, environmental management, and B3 waste management. Permata Keluarga Karawang Hospital excels in the use of energy-saving technology and waste management, while Dr. M. Ashari Pemalang Hospital stands out in staff involvement and environmental management. However, there are still several aspects that need to be improved by both hospitals, such as bicycle parking facilities and rainwater intake systems, to achieve more optimal green building standards. In conclusion, both hospitals have shown a strong commitment to environmental sustainability through the implementation of the green building concept, but further improvements are still needed to achieve more optimal results.

Multicomponent Approaches to Reduce Multidrug-Resistant Organisms in Critical Care: Determining the Ideal Strategy.

Although there is ample proof of the advantages of infection prevention and Control (IPC) in acute-care hospitals, there is still some questions about the efficacy of IPC interventions for multidrug-resistant organisms (MDROs), and there is a need for the development of evidence-based practices. No healthcare facility has found a single effective technique to reduce MDRO. However, a multicomponent intervention that included improved barrier protection, chlorhexidine bathing, microbiological monitoring, and staff involvement significantly decreased the likelihood of infection in the patient surroundings with multidrug-resistant organisms. A practical strategy suited to reducing the burden of MDROs and their transmission potential in the critical care unit must be established in light of the global development of AMR. In this review, we summarize key findings of a multicomponent approaches to reduce MDROs in critical care units.

Nursing perception towards the impact of JCI accreditation on the quality of care in a university hospital in Palestine: a cross-sectional study

BackgroundThis study investigates nursing staff perceptions regarding the impact of Joint Commission International (JCI) accreditation on the quality of care within a university hospital in Palestine. The research specifically examines how the accreditation process influences nursing practices, patient results, and overall healthcare quality in a challenging environment marked by unique operational and external pressures.MethodsThe study was conducted at An-Najah National University Hospital (NNUH), a university hospital in Palestine, using a cross-sectional survey design. The structured questionnaire employed in the study was based on the Donabedian model, which evaluates the process and outcome dimensions of healthcare quality influenced by JCI accreditation. The questionnaire consisted of 47 items, divided into ten main subsections. These subsections included participants’ demographical information (6 items), quality measurement and analysis (4 items), leadership, commitment and support (4 items), use of data (4 items), strategic quality planning (4 items), human resources education and training (4 items), quality management (4 items), quality results (4 items), staff involvement (5 items), and benefits of accreditation (8 items). The questionnaire was rigorously designed to assess both the quality processes and quality results. The eight subscales evaluated various aspects, such as leadership commitment, strategic planning, and staff involvement. To ensure reliability, the internal consistency of the survey was confirmed with a high Cronbach’s alpha score, demonstrating the tool’s robustness and reliability in capturing the intended data.ResultsThe study of 180 nurses overwhelmingly supported the positive impact of JCI accreditation on hospital quality improvement processes. More than 90% of respondents acknowledged the role of accreditation in improving resource utilization, meeting population needs, and promoting professional standards and values ​​among staff. Statistical analyses, including Pearson correlation and stepwise regression, highlighted strong positive associations between quality process variables and quality results. In particular, leadership commitment, strategic planning, and staff engagement were found to be significant predictors of improved quality results.ConclusionsThis study’s findings demonstrate that JCI accreditation significantly positively impacts nurses’ perceptions of care quality at NNUH. The study underscores the importance of international accreditation in driving quality improvements in healthcare, particularly in settings with unique challenges such as those faced in Palestine. These insights are crucial for policymakers and healthcare administrators aiming to enhance care standards through accreditation in similar environments.

Memorialization of V. I. Surikov in Cultural-Historical and Urban Space of Krasnoyarsk (1916–1926)

This article examines the process of memorializing the legacy of V. I. Surikov (1848– 1916) during the pre-revolutionary and Soviet periods. As a renowned artist, he remained connected to his homeland, significantly influencing the development of artistic life in Siberia. The focus is on the involvement of staff from the Krasnoyarsk City Museum (later known as the Museum of the Yenisei Region) in preserving the artist’s heritage, as well as their activities in 1926, marking the tenth anniversary of his death. The relevance of this study is underscored not only by an interest in the life and work of this eminent artist but also by an analysis of how his remarkable persona shaped historical memory and the cultural-historical potential of the region. Utilizing a wide range of sources, the research encompasses a significant historical period and outlines, in chronological order, a series of initiatives aimed at preserving the memory of this notable figure in his native Krasnoyarsk. The article highlights the close collaboration between the Krasnoyarsk Museum and members of the Surikov family — A. I. Surikov and O. V. Konchalovskaya. The findings conclude that without the active participation of the Museum of the Yenisei Region, preserving the memory of this distinguished local figure would have been impossible. In conclusion, it is noted that the memorialization process unfolded over an extended period, and today, the artist’s name serves as a brand for Krasnoyarsk.

Utilizing Reinforcement Contingencies to Enhance Behavioral Outcomes in Incarcerated Youth: Roles of Behavior Management and Staff Interactions in Reducing Readmission

Long-term placement could be stressful for youth, who may exhibit problem behaviors such as non-compliance in facilities. This study demonstrates that the consistent involvement of staff in modifying the youths’ behaviors, through a reward system featuring plus points and minus points as responses to particular behaviors, significantly influenced the likelihood of readmission. Furthermore, the research revealed that post-release contact with staff lowered the risk of readmission for non-student youths, highlighting the supportive staff-youth relationships in mitigating recidivism, particularly for the majority of youths detached from educational systems. These findings emphasize the importance of reinforcement and supportive interactions within youth corrections.

The Efficiency of Intellectual Capital Formation at the Scientific Institutions of Engineering and Computer Sciences

The research of the formation of intellectual capital (IC) of engineering and computer sciences (E&CSs) at scientific institutions (SIs) in Latvia in the present situation is highly topical. The object of the research is the formation of IC of E&CSs at SIs while the subject of the research is the comparative analysis of the efficiency of the involvement of academic staff and students in the formation of IC of E&CSs at SIs of Latvia. The objective of the research is to study the involvement of academic staff and students in the formation of IC of E&CSs at SIs in Latvia in the period from 2013 to 2018. The following tasks were determined to reach the objective: to study the formation of IC of E&CSs at SIs; to identify the concept of the efficiency of the involvement of academic staff and students in the formation of IC of E&CSs; to calculate main indicators thereof, and, to carry out the comparative analysis of indicators characterising the efficiency of the involvement of academic staff and students in the formation of IC of E&CSs at SIs in Latvia. Research methods used in the paper are content analysis, economic analysis, and economic experiment.

Intellectual Capital of Medical and Health Sciences and the Efficiency of its Formation at Scientific Institutions

The formation of intellectual capital (IC) of medical and health sciences at scientific institutions (SIs) is highly topical for all people on the world. The object of the research is formation of IC of medical and health sciences at SIs while the subject of the research is the comparative analyses of the efficiency of the involvement of academic staff and PhD students in the formation of IC of medical and health sciences at SIs of Latvia. The objective of the research is to study the involvement of academic staff and PhD students in the formation of IC of medical and health sciences at SIs in Latvia in the period from 2013 to 2018. The following tasks were determined to reach the objective: to study the formation of IC of medical and health sciences at SIs; to identify the concept of the efficiency of the involvement of academic staff and PhD students in the formation of IC of medical and health sciences; to calculate main indicators thereof, and, to carry out the comparative analysis of indicators characterising the efficiency of the involvement of academic staff and PhD students in the formation of IC of medical and health sciences at SIs in Latvia. Research me-thods used in the paper are content analysis, economic analysis, and economic experiment.

The Role of Participatory Management in Improving Teacher Performance and Student Achievement

This study explores the role of participatory management in fostering collaborative school cultures and its impact on improving teacher performance and student achievement. Collaborative school cultures, characterized by shared decision-making and collective responsibility, are essential for creating environments conducive to professional growth and enhanced learning outcomes. Participatory management, which emphasizes the involvement of teachers and staff in decision-making processes, is a key mechanism for cultivating such cultures. This research examines how participatory management practices influence teacher motivation, job satisfaction, and professional development, ultimately contributing to improved performance in the classroom. Furthermore, it investigates the connection between collaborative cultures and student achievement, exploring how teacher collaboration, professional learning communities, and joint problem-solving enhance instructional quality and student outcomes. Using a mixed-methods approach, data were collected through surveys, interviews, and classroom observations in a sample of schools implementing participatory management strategies. The findings reveal that schools with strong collaborative cultures experience higher levels of teacher engagement, professional commitment, and instructional innovation, which positively impact student academic performance. This study underscores the importance of participatory management as a strategic approach to building collaborative school cultures that support both teacher and student success. The implications of these findings suggest that educational leaders should prioritize inclusive decision-making practices and foster environments where teachers can collaborate, share expertise, and work towards common educational goals. The study concludes with recommendations for policymakers and school administrators to adopt participatory management frameworks as a means to improve overall school performance and create sustainable, high-achieving learning communities.

Multilevel barriers to guideline implementation: a nationwide multi-professional cross-sectional study within child and adolescent psychiatry

BackgroundDespite efforts to promote guideline use, guideline adoption is often suboptimal due to failure to identify and address relevant barriers. Barriers vary not only between guidelines but also between settings, intended users, and targeted patients. Multi-professional guidelines are often used in child and adolescent mental health services (CAMHS), making the implementation process more difficult. Despite this, there is a lack of knowledge about which barriers to consider or if barriers vary by profession. The aim of this study was to address these gaps by examining barriers to adopting a multi-professional depression guideline in the context of a nationwide implementation study.Methods440 CAMHS clinicians across Sweden (52%) completed the Barriers and Facilitators Assessment Instrument (BFAI) ahead of an implementation endeavour. BFAI is a widely used and validated measure of guideline implementation on four scales: Innovation, Provider, Context, and Patient. Barriers were calculated at scale and at item levels. ANOVA and chi-square tests were used to analyse differences by profession and effect sizes were calculated.ResultsOverall, clinicians were optimistic about guideline uptake, particularly about guideline characteristics and their own adoption ability. Barriers were related to the patient and the context domains, as well as to individual clinician knowledge and training. Perceptions differed across professions; psychiatrists were most, and counsellors were least positive about guideline embeddedness.ConclusionThis large-scale quantitative study suggests that CAMHS clinicians have an overall favourable attitude towards guideline adoption but highlights the need for adaptations to certain patient groups. Strategies to improve guideline use should primarily address these patient issues while securing proper support to the implementation. Implementation efforts, particularly those targeting staff knowledge, training, and involvement, may benefit from being tailored to different professional needs. These findings may inform implementation projects in CAMHS and future research.

A qualitative study of healthy ageing and co-production

Europe’s ageing population increases the demand for housing solutions targeting older citizens’ needs and preferences. Establishing age-friendly communities fostering social participation is essential for healthy ageing and various housing options with shared facilities prioritizing social contact have emerged. While involving older people in public service delivery is emphasized, studies on co-production with older people in building age-friendly communities remain limited. This study explores a co-production initiative between older citizens, a municipality and a real estate company in a newly established senior village focusing on organizational settings and physical facilities. A qualitative study inspired by the BIKVA methodology was conducted using focus group interviews with citizens, frontline staff, and management. Through reflexive thematic analysis, the physical environment, organizational setting and other factors influencing the co-production process were analysed. Citizens expressed satisfaction with the unique physical environment, the different activities and being involved in the co-production process on development and building up the senior village. However, the co-production initiative was influenced by the lack of frontline staff involvement, how the physical facilities were organized for building inclusive communities as well as the level of information provided to align expectations among stakeholders. Involving older citizens in the co-production of age-friendly community initiatives has the potential to take the identified challenges into account. To understand what constitutes an optimal environment for healthy ageing further research in collaboration with older citizens is needed.

ПРОФЕССИОНАЛЬНЫЙ СТРЕСС В УСЛОВИЯХ ГЛОБАЛЬНЫХ ИЗМЕНЕНИЙ

In the modern world, the HR brand occupies a key place in the company’s personnel strategy. Demonstrating its values and mission allows a company to attract only those employees with whom the company has similar views. At the same time, the development of internal HR branding increases the loyalty of personnel, which in the future also allows increasing brand awareness among job seekers. The formation of an HR brand directly depends on the events and tools that the company chooses for itself. The significance of the study is due to the fact that in the modern world, the competitiveness of an organization is determined not only by the quantity and quality of products produced, but also by the quality of human capital that needs to be attracted and retained. The formation of an HR brand contributes to solving organizational problems in two vectors: implementing the HR management process within the organization; attracting potential personnel using the attractiveness of the company’s HR brand. HR branding is a set of activities that are organized and implemented by the company’s HR/PR departments. Their main goal for fulfilling organizational tasks is to increase the company’s recognition in the market, attractiveness to potential future employees, and increase the company’s support from existing personnel. External HR branding is manifested in organizational activities aimed at increasing the attractiveness of potential personnel and hiring candidates who meet the requirements. Intra-organizational HR branding is aimed at developing loyalty, support, involvement and commitment of staff to the interests and mission of the organization. The company’s HR brand, as an important component of its effective development, is part of the organization’s mission, serves to achieve its goals in a competitive market.

Identifying Dementia research priority for Qatar national dementia research plan: A Cross-sectional Survey.

The World Health Organization (WHO) published the Global Action Plan 2017-2025 seven years ago to address the dementia burden for those impacted, including persons living with dementia, their families, and health-care providers. There were seven action areas in the global action plan; the least achieved was action area seven (dementia research and innovation). The primary objective of the study was to assess the top 10 dementia research priorities among healthcare professionals, patients, caregivers, the public, and stakeholders to develop the Qatar National Dementia Research Plan. Convenience sampling was used in this cross-sectional survey. The study was conducted online with the involvement of HMC staff (physicians, nurses, and allied health staff) from all HMC facilities, patients and caregivers from Rumailah Hospital's Geriatric Department, and the public who attended the 2022 Advanced Dementia Research Conference. The survey was conducted during 22nd of October 2022 till April 31, 2024. Overall, 2000 participants provided their responses, which included health care professionals under HMC, including physicians, nurses, allied health staff, patients, caregivers, the public, and stakeholders in Qatar. Dementia Risk Reduction (79%) was the top priority for the survey participants. The remaining nine priorities were the impact of early treatment (76%), health system capacity (73%), implementation of best practices for care (73), access to information and services post-diagnosis (71), caregiver support (70%), emotional well-being (67%), care provider education (65%), end-of-life care (65%), and non-drug approaches to managing symptoms (65%). The survey results clearly indicated that most participants ranked Dementia Risk Reduction as their top priority, indicating the essential focus on dementia prevention. These findings, together with goals such as early treatment, healthcare system capacity, and caregiver support, highlight the importance of an integrated, multidisciplinary approach to dementia management.

Study of the readiness of university teachers and staff to participate in higher education development programs

Introduction. Currently, higher education is considered as one of the drivers of the socio-economic development of the country, in connection with which continuous transformations are taking place in the higher education system, management mechanisms are being formed that can ensure that the results of the activities of universities correspond to their goals, which consist not only in training highly qualified specialists, competitive in the labor market, but also in strengthening university science, including applied scientific research. Achieving these goals directly depends on the readiness of employees, primarily university teachers, to participate and actively contribute to the implementation of adopted development programs. Research aim: a study of the degree of involvement of university employees in the implementation of current trends in the development of higher education, as well as their readiness to contribute to ongoing programs within the framework of their activities. Materials and methods. A survey of university staff was conducted using a questionnaire developed by the author. The sample consisted of 100 people. The research base is the Federal State Budgetary Educational Institution of Higher Education, Moscow State Psychological and Pedagogical University. The questionnaire included 22 questions related to determining the involvement of university employees in the higher education development programs it implements, as well as identifying problems that reduce their willingness to participate in these programs. Results. The survey made it possible to note the need to improve the mechanisms of coordination and involvement of university staff in order to increase the efficiency of activities in achieving development targets determined by the state. Thus, 67% of respondents named the lack of a clear and understandable strategy as the main problem in the development of higher education, and 54% drew attention to the need to improve coordination and communication between levels of higher education management. At the same time, a fairly high degree of staff readiness to take part in the higher education development programs proposed by the university management was noted. Conclusion. Based on the conducted research, it is concluded that special attention should be paid to involving university staff in the development of their development strategies, stimulating their innovative activity and willingness to participate in the implementation of development programs.

Risk factors and consequences of a rare obstetric complication: Intrapartum fetal decapitation

Intrapartum fetal decapitation is an extremely rare and devastating birth complication that involves the horizontal laceration and discontinuation of the neck and its contained soft structures. This article examines the limited literature on this topic, identifying risk factors and complications associated with fetal decapitation during childbirth. Risk factors such as macrosomia, high body mass index, cephalopelvic disproportion, high gestational age, prolonged second stage of labor, maternal diabetes, and breech position increase the likelihood of this traumatic event. Complications such as shoulder dystocia can progress to fetal decapitation, especially in cases involving vacuum-assisted deliveries. The article highlights the importance of appropriate management and ethical considerations in cases of fetal decapitation, emphasizing the need for transparency and communication with the parents. The involvement of medical staff’s competence and education is also addressed as a crucial factor in preventing such tragic outcomes. The article suggests that pre-birth checkups should assess the risk factors and guide obstetricians in determining the appropriate mode of delivery to minimize the chances of fetal decapitation. Effective risk management and improved staff qualifications are advocated to mitigate the occurrence of such rare but devastating events. Ultimately, this article underscores the importance of comprehensive evaluation, communication, and education to prevent fetal decapitation and ensure the well-being of both mothers and infants during childbirth.

Hospital management and challenges during COVID-19 outbreaks: lessons from a level 1 hospital in the southeast of Iran-case study

BackgroundThe COVID-19 pandemic has presented unparalleled challenges to hospitals globally, particularly those in resource-limited settings. This case study elucidates the experiences and lessons from managing a 40-bed public hospital in Rask, Iran, during the pandemic.MethodsData were gathered through focus group discussions with the management team and key informants, supplemented by document analysis. Thematic analysis was employed to discern key themes and subthemes related to the challenges encountered and solutions implemented by the hospital.ResultsThe study underscores the necessity of a dynamic management team, effective external stakeholder communication, staff involvement in decision-making, and establishing connections with pre-hospital care units. It also emphasizes the need for adaptable protocols, comprehensive staff training, and infrastructure enhancements. Despite these strategies, the hospital grappled with unresolved issues such as inadequate disaster planning, ethical dilemmas, and poor inter-hospital coordination.ConclusionThis case study offers insights into managing a small hospital in a resource-limited setting during a health crisis, highlighting the importance of effective leadership, staff support, infrastructural flexibility, and community engagement. The lessons gleaned can guide the development of context-specific strategies to bolster the resilience and preparedness of similar hospitals. Further research is warranted to assess the long-term impacts of the pandemic on these hospitals and to explore the perspectives of frontline staff, patients, and families for a more comprehensive understanding of effective hospital management during health disasters.