A Phenomenological Study on the Challenges Faced by Nebraska Hospitals During the COVID-19 Outbreak

The coronavirus disease of 2019 (COVID-19) presented hospitals not only with significant clinical challenges but also with organizational obstacles, forcing hospitals to adapt their operations to ensure continuity of care. This study aims to explore the challenges that Nebraska hospitals encountered...

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Main Authors: Golnoosh Abdolahzadeh, Terry L. Stentz, Jennifer I. Lather, Kyungki Kim, Katherine Willet
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:COVID
Subjects:
Online Access:https://www.mdpi.com/2673-8112/5/6/77
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author Golnoosh Abdolahzadeh
Terry L. Stentz
Jennifer I. Lather
Kyungki Kim
Katherine Willet
author_facet Golnoosh Abdolahzadeh
Terry L. Stentz
Jennifer I. Lather
Kyungki Kim
Katherine Willet
author_sort Golnoosh Abdolahzadeh
collection DOAJ
description The coronavirus disease of 2019 (COVID-19) presented hospitals not only with significant clinical challenges but also with organizational obstacles, forcing hospitals to adapt their operations to ensure continuity of care. This study aims to explore the challenges that Nebraska hospitals encountered during COVID-19. To achieve this goal, the study draws on data collected through semi-structured interviews with the Chief Executive Officers (CEOs) and Chief Nurse Officers (CNOs) of eight hospitals in the state of Nebraska. These incident commanders held pivotal decision-making positions in their associated hospitals during the COVID-19 pandemic and its surge times. Data were analyzed using inductive thematic analysis, revealing nine key themes related to the challenges faced by hospital leaders. The main challenges included difficulties with hospital operational procedures, issues related to physical layout design, concerns over insufficient capacity to meet patient demand, disruptions in the supply chain affecting essential resources, challenges in managing hospital staff effectively, barriers in communication within and across departments, infrastructure deficiencies that impacted functionality, financial constraints, and complexities in organizational management. These themes are accompanied by their respective sub-themes and supporting quotes from interview transcripts within this paper. The insights from this study can inform healthcare leaders to develop more efficient operational frameworks to navigate public health crises.
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spelling doaj-art-dec739acfa7445dfb27aa8ee638825072025-08-20T02:24:42ZengMDPI AGCOVID2673-81122025-05-01567710.3390/covid5060077A Phenomenological Study on the Challenges Faced by Nebraska Hospitals During the COVID-19 OutbreakGolnoosh Abdolahzadeh0Terry L. Stentz1Jennifer I. Lather2Kyungki Kim3Katherine Willet4Durham School of Architectural Engineering and Construction, College of Engineering, University of Nebraska-Lincoln, Lincoln, NE 68588, USADurham School of Architectural Engineering and Construction, College of Engineering, University of Nebraska-Lincoln, Lincoln, NE 68588, USADurham School of Architectural Engineering and Construction, College of Engineering, University of Nebraska-Lincoln, Lincoln, NE 68588, USADurham School of Architectural Engineering and Construction, College of Engineering, University of Nebraska-Lincoln, Lincoln, NE 68588, USACollege of Medicine, Department of Emergency Medicine, University of Nebraska Medical Center (UNMC), Omaha, NE 68198, USAThe coronavirus disease of 2019 (COVID-19) presented hospitals not only with significant clinical challenges but also with organizational obstacles, forcing hospitals to adapt their operations to ensure continuity of care. This study aims to explore the challenges that Nebraska hospitals encountered during COVID-19. To achieve this goal, the study draws on data collected through semi-structured interviews with the Chief Executive Officers (CEOs) and Chief Nurse Officers (CNOs) of eight hospitals in the state of Nebraska. These incident commanders held pivotal decision-making positions in their associated hospitals during the COVID-19 pandemic and its surge times. Data were analyzed using inductive thematic analysis, revealing nine key themes related to the challenges faced by hospital leaders. The main challenges included difficulties with hospital operational procedures, issues related to physical layout design, concerns over insufficient capacity to meet patient demand, disruptions in the supply chain affecting essential resources, challenges in managing hospital staff effectively, barriers in communication within and across departments, infrastructure deficiencies that impacted functionality, financial constraints, and complexities in organizational management. These themes are accompanied by their respective sub-themes and supporting quotes from interview transcripts within this paper. The insights from this study can inform healthcare leaders to develop more efficient operational frameworks to navigate public health crises.https://www.mdpi.com/2673-8112/5/6/77COVID-19 pandemichospital challengesphenomenological studyqualitative analysis
spellingShingle Golnoosh Abdolahzadeh
Terry L. Stentz
Jennifer I. Lather
Kyungki Kim
Katherine Willet
A Phenomenological Study on the Challenges Faced by Nebraska Hospitals During the COVID-19 Outbreak
COVID
COVID-19 pandemic
hospital challenges
phenomenological study
qualitative analysis
title A Phenomenological Study on the Challenges Faced by Nebraska Hospitals During the COVID-19 Outbreak
title_full A Phenomenological Study on the Challenges Faced by Nebraska Hospitals During the COVID-19 Outbreak
title_fullStr A Phenomenological Study on the Challenges Faced by Nebraska Hospitals During the COVID-19 Outbreak
title_full_unstemmed A Phenomenological Study on the Challenges Faced by Nebraska Hospitals During the COVID-19 Outbreak
title_short A Phenomenological Study on the Challenges Faced by Nebraska Hospitals During the COVID-19 Outbreak
title_sort phenomenological study on the challenges faced by nebraska hospitals during the covid 19 outbreak
topic COVID-19 pandemic
hospital challenges
phenomenological study
qualitative analysis
url https://www.mdpi.com/2673-8112/5/6/77
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