Standardization and Validation of Organizational Resilience Tools in Military Hospitals

Background and Aim: Due to the unpredictability of crises, organizational resilience can provide the ability of the organizations to adapt to crisis situations without collapse or failure. The aim of this study was to explain and validate the components of organizational resilience in military hospitals. Methods: The first phase of the qualitative study was conducted using framework analysis to identify components of organizational resilience in military hospitals. The study population consisted of 20 specialists in three military hospitals in Tehran, Iran who were selected for purposeful sampling. The second phase was carried out by exploratory factor analysis (EFA) to determine its validity. Results: The factors affecting resilience in military hospitals were classified into five main dimensions: hospital vulnerability and safety, disaster preparedness, capacity adaptation, crisis service continuity, rehabilitation and adaptation to post-crisis conditions. The results of factor analysis showed that the highest factors in each of these dimensions were as follows: identification of the main processes of threats and accidents in the hospital (0.82), hospital in the wider community program (0.90), identifying and managing key skills of employees (0.88), prioritization and maintaining basic performance (0.84), and extra emergency space, resources and staff (0.81). Conclusion: Military hospitals should provide special measures to increase capacity adaptation in crises by reviewing their current mission and operations. Military hospitals should be able to practice and provide post-accident rehabilitation services to increase resilience.