Volume 3, Issue 4 (November 2024)                   Health Science Monitor 2024, 3(4): 333-347 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Barghi Shirazi F, Modareszade M, Marzban A, Bastami M T, Amiri H, Moslehi S. Hospital emergency department challenges during COVID-19: a scoping review. Health Science Monitor 2024; 3 (4) :333-347
URL: http://hsm.umsu.ac.ir/article-1-174-en.html
Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (738 Views)
Background & Aims: The COVID-19 outbreak poses unique challenges for the emergency department, which is a vital hub for providing quality healthcare during the pandemic. Therefore, this study aims to identify the challenges faced by hospital emergency departments during the COVID-19 pandemic.
Materials & Methods: A systematic review was conducted on studies published between 2019 and 2022. The search strategy employed both electronic and manual methods. The main keywords used in this systematic review included hospital, emergency department, COVID-19, epidemic, and challenge. Electronic databases such as MEDLINE (PubMed), Scopus, Web of Science, ProQuest, Google Scholar, Iran Medex, Magiran, and Scientific Information Database (SID) were searched. Additionally, a three-step screening process was used to select studies using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Finally, the data were analyzed thematically.
Results: Out of the 1,357 studies retrieved, 11 were included in this systematic review. After analyzing the findings, four main categories of challenges were identified: leadership-related challenges, patient management, physical and mental fatigue among staff, and resource shortages.
Conclusion: Healthcare systems need to be well prepared to deliver effective health services during epidemics. The quality of medical services is compromised by these emerging challenges, and this study provides evidence to support the development of an efficient framework for enhancing hospital emergency department services and addressing the challenges encountered during the COVID-19 epidemic.
Full-Text [PDF 380 kb]   (297 Downloads)    
Type of Study: Research | Subject: Health promotion and disease prevention
Received: 2024/05/7 | Accepted: 2024/09/8 | Published: 2024/11/20

References
1. Marzban A, Khabiri F, Anbari Nogyni Z. Nutrition during COVID-19. Journal of Nutrition and Food Security. 2021;6(2):98-100. [DOI]
2. Marzban A, Yoshany N, Mozaffari-Khosravi H, Khaleghi Moori M, Maayeshi N, Zamani M. Nutritional Knowledge, Attitude, and Practices Related to COVID-19 in People of Yazd, 2021. Journal of Nutrition and Food Security. 2022;7(1):22-9. [DOI]
3. Dowlati M, Seyedin H, Moslehi S. Hospital preparedness measures for biological hazards: a systematic review and meta-synthesis. Disaster medicine and public health preparedness. 2021;15(6):790-803. [DOI] [PMID]
4. Seyedin H, Moslehi S, Sakhaei F, Dowlati M. Developing a hospital preparedness checklist to assess the ability to respond to the COVID-19 pandemic. East Mediterr Health J. 2021;27(2):131-41. [DOI] [PMID]
5. Peleg K, Bodas M, Hertelendy AJ, Kirsch TD. The COVID-19 pandemic challenge to the All-Hazards Approach for disaster planning. International Journal of Disaster Risk Reduction. 2021;55:102103. [DOI]
6. Hosseinpoor S, Ebrahimi Gangchin L, Mirzazadeh Z, Nuraldin Chaman A, Mohammadi A. Influence of COVID-19 lockdowns on NO2 levels in Urmia city: a comparative analysis between 2018 and 2020. Health Science Monitor. 2024;3(3):216-25. [DOI]
7. Tourani M, Samavarchi Tehrani S, Movahedpour A, Rezaei Arablouydareh S, Maleksabet A, Savardashtaki A, et al. Design and evaluation of a multi-epitope vaccine for COVID-19: an in silico approach. Health Science Monitor. 2023;2(3):180-204. [DOI]
8. Marzban A, Salehi F, Razmi MR. Effects of COVID-19 on mental health among students. Health Science Monitor. 2023;2(3):153-5. [DOI]
9. Mulyadi M, Dedi B, Hou WL, Huang IC, Lee BO. Nurses' experiences of emergency department triage during the COVID‐19 pandemic in Indonesia. Journal of Nursing Scholarship. 2022;54(1):15-23. [DOI] [PMID] [PMCID]
10. Shen Y, Cui Y, Li N, Tian C, Chen M, Zhang Y-W, et al. Emergency responses to Covid-19 outbreak: experiences and lessons from a general hospital in Nanjing, China. Cardiovascular and interventional radiology. 2020;43(6):810-9. [DOI] [PMID] [PMCID]
11. Labaf A, Jalili M, Pooyan EJ, Mazinani M. Management of covid-19 crisis in Tehran university of medical sciences hospitals: Challenges and strategies. 2021. [Google Scholar]
12. Ghelichi-Ghojogh M, Khezri R, Rezaei F, Aljalili S, Valizadeh R, Sadighpour T. Health inequality in COVID-19 vaccination coverage. Health Science Monitor. 2023;2(1):10-2. [DOI]
13. Whitwell K, Maynard R, Barry N, Cowling V, Sood T. Strategic planning and response to COVID-19 in a London emergency department. Emergency Medicine Journal. 2020;37(9):567-70. [DOI] [PMID] [PMCID]
14. Bayrami R, Rezazadeh A, Ebrahimipour H. Challenges in emergency departments in teaching hospitals of Mashhad University of Medical Sciences: A qualitative study. Hospital. 2017;16(2):63-72. [URL]
15. Moslehi S, Manesh PA, Asiabar AS. Quality measurement indicators for Iranian health centers. Medical Journal of the Islamic Republic of Iran. 2015;29:177. [PMID] [PMCID]
16. Nadarajan GD, Omar E, Abella BS, Hoe PS, Do Shin S, Ma MH-M, et al. A conceptual framework for Emergency department design in a pandemic. Scandinavian journal of trauma, resuscitation and emergency medicine. 2020;28(1):1-13. [DOI] [PMID] [PMCID]
17. Ariapooran S, Amirimanesh M. Depression, anxiety and suicidal ideation of nurses in the outbreak of COVID-19: The role of demographic variables. Journal of Arak University of Medical Sciences. 2020;23(5):724-39. [DOI]
18. Asplin BR, Magid DJ, Rhodes KV, Solberg LI, Lurie N, Camargo Jr CA. A conceptual model of emergency department crowding. Annals of emergency medicine. 2003;42(2):173-80. [DOI] [PMID]
19. Markwell A, Mitchell R, Wright AL, Brown AF. Clinical and ethical challenges for emergency departments during communicable disease outbreaks: Can lessons from Ebola Virus Disease be applied to the COVID‐19 pandemic? Emergency Medicine Australasia. 2020;32(3):520-4. [DOI] [PMID] [PMCID]
20. Estalella GM, Zabalegui A, Guerra SS. Management and leadership of nursing services in the emergency plan for the pandemic COVID-19: the experience of the Clinic Hospital of Barcelona. Enfermería Clínica (in Spanish). 2020;10. [URL]
21. Jachetti A, Colombo G, Brignolo-Ottolini B, Franchi J, Solbiati M, Pecorino Meli M, et al. Emergency department reorganisation to cope with COVID-19 outbreak in Milan university hospital: a time-sensitive challenge. BMC Emergency Medicine. 2021;21(1):1-8. [DOI] [PMID] []
22. Basit MA, Lehmann CU, Medford RJ. Managing pandemics with health informatics: successes and challenges. Yearbook of medical informatics. 2021;30(01):017-25. [DOI] [PMID] [PMCID]
23. Gemma M, Zabalegui A, Guerra SS. Gestión y liderazgo de los servicios de Enfermería en el plan de emergencia de la pandemia COVID-19: la experiencia del Hospital Clínic de Barcelona. Enfermería Clínica. 2021;31:S12-S7. [DOI] [PMID] [PMCID]
24. Björn AU, Skyttberg N, Wladis A, Djärv T, Holzmann MJ. Emergency department crowding and hospital transformation during COVID-19, a retrospective, descriptive study of a university hospital in Stockholm, Sweden. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2020;28(1):1-10. [DOI] [PMID] [PMCID]
25. Lin C-H, Lin H-Y, Tseng W-P, Ma MH-M, Tsai M-S, Chen S-Y, et al. Resuscitation teamwork during the COVID-19 pandemic in the emergency department: Challenges and solutions. Resuscitation. 2021;160:18-9. [DOI] [PMID] [PMCID]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 All Rights Reserved | Health Science Monitor

Designed & Developed by : Yektaweb