Factors affecting the resilience of hospital medical staff during the COVID-19 pandemic

Background
During the coronavirus disease 2019 (COVID-19) pandemic, most hospitals have faced a heavy load of patients. In this situation, it is very important to consider the resilience and endurance of medical staff, as well as to identify and investigate the relevant factors which can increase their resilience.

Objectives
The aim of this study was to identify the factors affecting the resilience of hospital medical staff during the COVID-19 pandemic.

Material and methods
The present study is a qualitative study using a semi-structured interview. Participants in-cluded doctors, nurses, clinicians and managers working in tertiary referral hospitals during the COVID-19 pandem-ic. Interviews were conducted as needed until data saturation was reached using the purposive sampling method. A total number of 20 people, including 6 physicians, 2 hospital managers, 7 nurses, 1 radiologist, 3 laboratory tech-nicians and 1 clinical psychologist, were interviewed in 7 educational hospitals of the Kerman Province.

Results
After data analysis and coding, 127 initial codes were identified. By reviewing the codes, 127 initial codes were merged by the research team, and 23 codes in 6 main categories, including Personal Factors (7 codes), Family-Related Factors (2 codes), Community-Related Factors (2 codes), Virus-Related Factors (2 codes), Organisational Factors (7 codes) and Economical Factors (3 codes) were extracted.

Conclusions
Paying attention to the identified factors on the maintenance of medical human resources in the form of the “Surge Capacity Programme” can increase the resilience of medical staff. Such measures pave the way for a better response to other threats similar to the COVID-19 pandemic.