Designing a Questionnaire to Assess Crisis Management Based on a Resilience Engineering Approach

Introduction: Awareness and preparedness for prevention of crisis plays an important role in minimizing its impacts and fatalities. This study suggests how to enhance the efficiency of crisis management through applying a Resilience Engineering (RE) approach. The aim of this study was to design a questionnaire to assess crisis management based on RE approach. Methods and Materials: In this descriptive survey, four principles of Resilience Engineering including top management commitment, flexibility, learning and awareness were assessed using a self-designed questionnaire. This research was conducted in seven public hospitals in Iran in the year 2013, and 113 nurses completed the questionnaires. Data were analyzed using SPSS software. Reliability was assessed by internal consistency (Cronbach’s alpha), and intraclass correlation coefficient analyses. Furthermore, content, and face validity were assessed and the factor structure of the questionnaire was extracted by performing exploratory factor analysis. Results: The mean age of participants was 32.7 (SD=7.18) years. Reliability evaluation showed high internal consistency and good reliability. The Cronbach’s alpha coefficient was 0.951 (p < 0.001) and Intraclass Correlation Coefficient (ICC) was 0.95. The mean scores for the content validity index (CVI) and the content validity ratio (CVR) were 0.85 and 0.75, respectively. The results of exploratory factor analysis (EFA) indicated four factors for the questionnaire that jointly explained 69.9% of variance observed. Conclusions: The findings of this study suggest that assessing crisis management applying a Resilience Engineering approach-based questionnaire is beneficial and advantageous in assessing crisis management in hospitals.