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Khan Y, Brown AD, Gagliardi AR, O’Sullivan T, Lacarte S, Henry B, Schwartz B. Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach. PLoS One 2019; 14:e0226489. [PMID: 31869359 PMCID: PMC6927653 DOI: 10.1371/journal.pone.0226489] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Accepted: 11/27/2019] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Disasters and emergencies from infectious diseases, extreme weather and anthropogenic events are increasingly common. While risks vary for different communities, disaster and emergency preparedness is recognized as essential for all nation-states. Evidence to inform measurement of preparedness is lacking. The objective of this study was to identify and define a set of public health emergency preparedness (PHEP) indicators to advance performance measurement for local/regional public health agencies. METHODS A three-round modified Delphi technique was employed to develop indicators for PHEP. The study was conducted in Canada with a national panel of 33 experts and completed in 2018. A list of indicators was derived from the literature. Indicators were rated by importance and actionability until achieving consensus. RESULTS The scoping review resulted in 62 indicators being included for rating by the panel. Panel feedback provided refinements to indicators and suggestions for new indicators. In total, 76 indicators were proposed for rating across all three rounds; of these, 67 were considered to be important and actionable PHEP indicators. CONCLUSIONS This study developed an indicator set of 67 PHEP indicators, aligned with a PHEP framework for resilience. The 67 indicators represent important and actionable dimensions of PHEP practice in Canada that can be used by local/regional public health agencies and validated in other jurisdictions to assess readiness and measure improvement in their critical role of protecting community health.
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Affiliation(s)
- Yasmin Khan
- Public Health Ontario, Toronto, Ontario, Canada
- Department of Medicine, Division of Emergency Medicine, University of Toronto, Toronto, Ontario, Canada
- University Health Network, Toronto, Ontario, Canada
| | - Adalsteinn D. Brown
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | | | - Tracey O’Sullivan
- Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
| | | | - Bonnie Henry
- Office of the Provincial Health Officer, Ministry of Health, Government of British Columbia, Victoria, British Columbia, Canada
| | - Brian Schwartz
- Public Health Ontario, Toronto, Ontario, Canada
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
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Seifi B, Seyedin H, Ghanizadeh G. The Role of Academic Partnership in Disaster Risk Management: A Systematic Review. Disaster Med Public Health Prep 2019; 13:1047-1058. [PMID: 31169115 DOI: 10.1017/dmp.2018.164] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
OBJECTIVE The aim of this systematic review is to investigate the community-based academic partnership roles in disaster risk management. METHODS The assessment of the documents was conducted by reviewing abstracts and full papers of the available studies, which provided considerable background and promoted knowledge in academic interventional roles in disaster risk management. The articles were searched with a wide range of key words related to the research topic. The studies included the research available between 2000 and September 2017 in the English language. The selection of articles was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. RESULTS Of 997 articles, we selected 12 full-text articles that met the criteria for the final review based on the study objective. The results show that, although universities can play multidirectional roles in disaster risk management phases, the development of the academic partnership potential and collaboration for disaster risk management and disaster risk reduction for stakeholders is necessary. CONCLUSION The universities' potential in providing sufficient disaster health literacy is not currently considered important enough in communities.Therefore, the proper context-bound models of development based on a community's skills and universities' potential should receive more attention.
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Affiliation(s)
- Bahar Seifi
- Department of Health in Emergencies and Disasters, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Hesam Seyedin
- Department of Health in Emergencies and Disasters, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Ghader Ghanizadeh
- Environmental Health Engineering, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
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Quast T, Feng L. Long-term Effects of Disasters on Health Care Utilization: Hurricane Katrina and Older Individuals with Diabetes. Disaster Med Public Health Prep 2019; 13:724-731. [PMID: 30621803 PMCID: PMC11211044 DOI: 10.1017/dmp.2018.128] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE While the short-term effects of disasters on health care utilization are well documented, less is known regarding potential longer-term effects. This study investigates the effects of Hurricane Katrina on the health care utilization of older individuals with diabetes. METHODS We examined Medicare claims and enrollment data for the 2002-2004 and 2006-2008 time periods for older individuals with diabetes. Our quasi-experimental design analyzed utilization across 2 treated and 3 control groups. We compared the proportion of individuals who received a screen related to diabetes before and after Katrina in the treated groups to the proportions in the control groups. Our regression analysis employs individual and year fixed effects to control for factors specific to a given individual or to a given year. RESULTS We found that utilization rates in the 2002-2004 period exhibited roughly parallel trends for the treated and control groups, which provides support for our research design. The 2006-2008 utilization rates were generally lower for the treated groups than they were for the control groups. The differences were especially pronounced for older age cohorts. CONCLUSIONS Our study suggests that the effects of disasters on health care utilization may persist for years after the event. Recovery efforts may be improved by addressing both short-term and long-term health care interruptions. (Disaster Med Public Health Preparedness. 2019;13:724-731).
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Affiliation(s)
- Troy Quast
- College of Public Health, University of South Florida, Tampa, Florida
| | - Lijuan Feng
- Department of Economics, University of South Florida, Tampa, Florida
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Noh J, Oh EG, Kim SS, Jang YS, Chung HS, Lee O. International Nursing: Needs Assessment for Training in Disaster Preparedness for Hospital Nurses: A Modified Delphi Study. Nurs Adm Q 2018; 42:373-383. [PMID: 30180084 DOI: 10.1097/naq.0000000000000309] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Despite high awareness of the need, opportunities for nurses to gain disaster experience or training are limited. In Korea, most disaster training is done in an undergraduate curriculum where there is very limited practice, and the educational topics are mostly focused on the field aspect of disaster events. The purpose of this study was to determine the need for such training for hospital nurses and to determine appropriate and relevant components of the training contents. A qualitative survey approach using the modified Delphi method was used to collect and analyze the data. The surveys were conducted in 3 rounds. After the results were analyzed from the third-round survey, the authors finalized the contents for a training program to prepare nurses for their roles during disasters. Through a structured needs analysis using a modified Delphi survey, the framework for the content development of disaster training curriculum for hospital nurses was developed.
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Affiliation(s)
- Jiyoung Noh
- Center for Disaster Relief, Training, and Research, Yonsei University Severance Hospital, Seoul, South Korea (Dr Noh); College of Nursing, Yonsei University, Seoul, South Korea (Drs Oh, Kim, and Jang); Department of Emergency Medicine, College of Medicine, Yonsei University, Seoul, South Korea (Dr Chung); and Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea (Dr Lee)
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Abbasi Dolatabadi Z, Seyedin H, Aryankhesal A. Policies on Protecting Vulnerable People During Disasters in Iran: A Document Analysis. Trauma Mon 2016; 21:e31341. [PMID: 27921019 PMCID: PMC5124126 DOI: 10.5812/traumamon.31341] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2015] [Revised: 10/25/2015] [Accepted: 11/01/2015] [Indexed: 12/03/2022] Open
Abstract
CONTEXT Developing official protection policies for disasters is a main strategy in protecting vulnerable people. The aim of this study was to analyze official documents concerning policies on protecting vulnerable people during disasters. EVIDENCE ACQUISITION This study was conducted by the qualitative document analysis method. Documents were gathered by searching websites and referring to the organizations involved in disaster management. The documents were assessed by a researcher-made data collection form. A directed content analysis approach was used to analyze the retrieved documents regarding the protection policies and legislation for vulnerable people. RESULTS A total of 22 documents were included in the final analysis. Most of the documents referred to women, children, elderly people, poor, and villagers as vulnerable people. Moreover, the documents did not provide information regarding official measures for protecting vulnerable people during different phases of disaster management. CONCLUSIONS A clear and comprehensive definition of "vulnerable people" and formulation of official policies to protect them is needs to be formulated. Given the high prevalence of disasters in Iran, policy makers need to develop effective context-based policies to protect vulnerable people during disasters.
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Affiliation(s)
- Zahra Abbasi Dolatabadi
- Department of Health Services Management, School of Health Management and Information Sciences, Iran university of Medical Sciences, Tehran, IR Iran
| | - Hesam Seyedin
- Department of Health Services Management, School of Health Management and Information Sciences, Iran university of Medical Sciences, Tehran, IR Iran
| | - Aidin Aryankhesal
- Department of Health Services Management, School of Health Management and Information Sciences, Iran university of Medical Sciences, Tehran, IR Iran
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Shabanikiya H, Gorgi HA, Seyedin H, Jafari M. Assessment of Hospital Management and Surge Capacity in Disasters. Trauma Mon 2016; 21:e30277. [PMID: 27626015 PMCID: PMC5003495 DOI: 10.5812/traumamon.30277] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2015] [Revised: 10/06/2015] [Accepted: 10/17/2015] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Hospital administrators play a key role in the effective management of surge capacity in disasters, but there is little information available about the characteristics required to manage this. OBJECTIVES In this study, we aimed to identify characteristics of hospital administrators that are important in the effective management of surge capacity in disasters. MATERIALS AND METHODS This was a qualitative study. Semi-structured purposive interviews were conducted with 28 hospital administrators who had experience working in surge situations in hospitals during disasters. Framework analysis was used to analyze the data. RESULTS Three themes and 12 subthemes were identified. The themes were as follows: 1) crisis managerial characteristics, 2) personal characteristics, and 3) specific requirements. CONCLUSIONS In this study, some characteristics that had a positive impact on the success of a manager in a hospital surge situation were identified. These characteristics ought to be taken into account when appointing hospital administrators and designing training programs for hospital administrators with the aim of being better prepared to face disasters.
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Affiliation(s)
- Hamidreza Shabanikiya
- Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran
| | - Hasan Abolghasem Gorgi
- Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran
| | - Hesam Seyedin
- Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran
| | - Mehdi Jafari
- Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran
- Corresponding author: Mehdi Jafari, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran. Tel: +98-2188794302, E-mail:
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Seyedin H, Abbasi Dolatabadi Z, Rajabifard F. Emergency Nurses' Requirements for Disaster Preparedness. Trauma Mon 2015; 20:e29033. [PMID: 26839868 PMCID: PMC4727476 DOI: 10.5812/traumamon.29033] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2015] [Revised: 06/02/2015] [Accepted: 07/01/2015] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Natural and man-made disasters affect people, communities, and health systems. Nurses play a key role in the health system and must be prepared for appropriate response in disasters. OBJECTIVES This study was done to assess the current knowledge of nurses in emergency departments for disaster preparedness. PATIENTS AND METHODS This cross-sectional study was conducted on 110 emergency nurses working in teaching hospitals affiliated to Iran University of Medical Sciences, Tehran, Iran. A questionnaire was used to collect data and the data were then analyzed using descriptive and inferential statistics with SPSS software version 16.0. RESULTS Based on the findings, most of the participants (64.5%) were aged 30 - 39 years old. 84% of the cases were female and 97.3% had a bachelor's degree. The average perceived knowledge of nurses was 2.43 ± 1.01. The nurses had the highest familiarity with triage and lowest knowledge in epidemiology and decision-making. CONCLUSIONS Lack knowledge of nurses regarding response to disaster situations indicates inefficiencies in the current system. Therefore, it is recommended to organize more workshops, annual training courses, and maneuvers based on staff needs and formulate continuous education courses for nurses.
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Affiliation(s)
- Hesam Seyedin
- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran
| | - Zahra Abbasi Dolatabadi
- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran
| | - Fatemeh Rajabifard
- Research Center of Future Studies, Kerman University of Medical Sciences, Kerman, IR Iran
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