Facilitators of Organizational Resilience Within South Carolina AIDS Service Organizations: Lessons Learned from the COVID-19 Pandemic.

Facilitators of Organizational Resilience Within South Carolina AIDS Service Organizations: Lessons Learned from the COVID-19 Pandemic.
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DOI:
10.1007/s10461-023-04089-x
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发表时间:
2023-05-29
期刊:
影响因子:
4.4
通讯作者:
Li, Xiaoming
Li, Xiaoming
中科院分区:
医学2区
文献类型:
--
作者:
Qiao, Shan;Shirley, Callie;Garrett, Camryn;Weissman, Sharon;Olatosi, Bankole;Li, Xiaoming

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美国包括南卡罗来纳州(南卡罗来纳州)在内的许多州的艾滋病毒护理服务都因新冠肺炎疫情而中断。然而,许多艾滋病毒护理机构通过应对在大流行期间维持护理的挑战,展示了组织的复原力(即在迅速变化的情况下维持所需卫生服务的能力)。因此,这项研究的目的是在SC的艾滋病服务组织(ASO)中确定组织复原力的关键促进者。2020年夏季,对南加州8个ASO的11位领导人进行了深入访谈。采访在获得适当同意后被录音,然后被转录。利用基于访谈指南的代码簿,使用主题分析方法来分析数据。所有数据管理和分析均在NVivo 11.0中进行。我们的研究结果显示了几个促进组织复原力的因素,包括(1)准确和及时的危机信息传播;(2)明确和先发制人的协议;(3)有效的医疗系统政策、管理和领导;(4)优先考虑员工的心理健康;(5)稳定地获得个人防护装备(PPE);(6)充足和灵活的资金;以及(7)支持远程医疗的基础设施。鉴于新冠肺炎大流行期间自然科学组织之间的组织复原力的促进者,建议各组织根据先发制人的协议和新出现的需求实施和保持协调和知情的应对措施。麻生太郎的资助者被鼓励在支出方面允许灵活性。从与会领导人那里学到的经验教训使ASO能够发展和加强其组织韧性,并在未来经历更少的中断。
HIV care services have been interrupted by the COVID-19 pandemic in many states in the U.S. including South Carolina (SC). However, many HIV care facilities demonstrated organizational resilience (i.e., the ability to maintain needed health services amid rapidly changing circumstances) by addressing challenges to maintaining care during the pandemic. This study, therefore, aims to identify key facilitators for organizational resilience among AIDS Services Organizations (ASOs) in SC. In-depth interviews were conducted among 11 leaders, from 8 ASOs, across SC during the summer of 2020. The interviews were recorded after receiving proper consent and then transcribed. Utilizing a codebook based upon the interview guide, a thematic analysis approach was utilized to analyze the data. All data management and analysis were conducted in NVivo 11.0. Our findings demonstrate several facilitators of organizational resilience, including (1) accurate and timely crisis information dissemination; (2) clear and preemptive protocols; (3) effective healthcare system policies, management, and leadership; (4) prioritization of staff psychological wellbeing; (5) stable access to personal protective equipment (PPE); (6) adequate and flexible funding; and (7) infrastructure that supports telehealth. Given the facilitators of organizational resilience among ASOs in SC during the COVID-19 pandemic, it is recommended that organizations implement and maintain coordinated and informed responses based upon preemptive protocols and emerging needs. ASO funders are encouraged to allow a flexibility in spending. The lessons learned from the participating leaders enable ASOs to develop and strengthen their organizational resilience and experience fewer disruptions in the future.
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发表时间: 2021
期刊: Environment, development and sustainability
影响因子: --
作者:
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期刊: ACADEMIC MEDICINE
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