1
|
Haroon MZ, Thaver IH, Marwat MI. Are the healthcare providers willing and able to respond to disasters: An assessment of tertiary health care system of Khyber Pakhtunkhwa. PLoS One 2023; 18:e0293720. [PMID: 37922226 PMCID: PMC10624292 DOI: 10.1371/journal.pone.0293720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Accepted: 10/18/2023] [Indexed: 11/05/2023] Open
Abstract
For the tertiary health care system to provide adequate care during disasters, willing and able healthcare providers must be available to respond to the abnormal surge of the patients. Health care professionals (HCPs) constantly face a dilemma because of their profession to either respond to disasters or protect themselves. This study was conducted to assess the willingness and ability of HCPs working in the tertiary healthcare system of Khyber Pakhtunkhwa to respond to disasters. This cross-sectional survey was conducted in all the 8 tertiary care hospitals of the Khyber Pakhtunkhwa province of Pakistan. For different disaster scenarios, between 6% and 47% of HCP indicated their unwillingness, and between 3% & 41% of HCPs indicated that they were unable to respond to the given disaster scenarios. HCPs with childcare obligation indicated significantly lower willingness (p<0.05) to respond to earthquakes, MCIs, and an outbreak of Influenza, and SARS. Male HCPs showed a significantly (p<0.05) higher willingness to respond to earthquakes, MCIs, and an outbreak of Influenza as compared to their female counterparts. The overall ability indicated by HCPs for various disaster scenarios ranged between 54.1% [95% CI 0.503,0.578] for responding to victims of nuclear war and 96.4% [95% CI 0.947,0.976] for responding to conventional war. The HCPs who indicated childcare obligation showed a significantly lower ability (p<0.05) to respond to environmental disaster, influenza outbreak, and responding to victims of nuclear war. Female HCPs indicated significantly higher ability (p<0.05) as compared to their male counterparts. This survey provides an opportunity for the tertiary healthcare system to build on the findings and develop disaster mitigation plans to address the barriers to improving the HCPs' availability during disasters.
Collapse
Affiliation(s)
| | - Inayat Hussain Thaver
- Department of Community Health Sciences, Bahria University Medical and Dental College, Karachi, Pakistan
| | - Muhammad Imran Marwat
- Department of Community Medicine and Public Health, Khyber Medical College, Peshawar, Pakistan
| |
Collapse
|
2
|
Magi CE, Bambi S, Iovino P, El Aoufy K, Amato C, Balestri C, Rasero L, Longobucco Y. Virtual Reality and Augmented Reality Training in Disaster Medicine Courses for Students in Nursing: A Scoping Review of Adoptable Tools. Behav Sci (Basel) 2023; 13:616. [PMID: 37504063 PMCID: PMC10376463 DOI: 10.3390/bs13070616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 07/22/2023] [Accepted: 07/23/2023] [Indexed: 07/29/2023] Open
Abstract
Nurses and paramedics play a pivotal role when mass casualty incidents (MCI) occur, yet they often feel unprepared for such events. Implementation strategies for training activities, including virtual reality (VR) and augmented reality (AR) simulations, offer realistic and immersive learning experiences, enhancing skills and competencies for nursing students. The aim of this work was to investigate the adopted tools in studies on VR and AR simulations for training nursing and paramedic students in managing MCI. A scoping review was performed following the PRISMA-ScR statement, and the search strategy was conducted through five electronic databases from December 2022 to March 2023. Of 162 records identified, 27 full texts were screened and, six studies were included in this review. These studies involved students who were assigned to different training methods, including immersive VR simulation, written instruction, and traditional lecture. VR and AR and immersive simulation generally show promising evidence in enhancing practical skills and knowledge in MCI management. VR and AR showed to be promising in disaster education and preparedness training, offering different levels of immersiveness and engagement, encouraging active and experiential learning. Further research is needed to determine their long-term effectiveness. The choice of training method should consider program goals, target population, and available resources.
Collapse
Affiliation(s)
- Camilla Elena Magi
- Department of Health Sciences, University of Florence, 50121 Firenze, Italy
| | - Stefano Bambi
- Department of Health Sciences, University of Florence, 50121 Firenze, Italy
| | - Paolo Iovino
- Department of Health Sciences, University of Florence, 50121 Firenze, Italy
| | - Khadija El Aoufy
- Department of Experimental and Clinical Medicine, University of Florence, 50121 Firenze, Italy
| | - Carla Amato
- Department of Health Sciences, University of Florence, 50121 Firenze, Italy
| | - Chiara Balestri
- Department of Health Sciences, University of Florence, 50121 Firenze, Italy
| | - Laura Rasero
- Department of Health Sciences, University of Florence, 50121 Firenze, Italy
| | - Yari Longobucco
- Department of Health Sciences, University of Florence, 50121 Firenze, Italy
| |
Collapse
|
3
|
Relationship Between Nursing Students' Awareness of Disaster, Preparedness for Disaster, Willingness to Participate in Disaster Response, and Disaster Nursing Competency. Disaster Med Public Health Prep 2022; 17:e220. [PMID: 36214264 DOI: 10.1017/dmp.2022.198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
OBJECTIVE This study was conducted to provide basic data for preparing a disaster nursing education program. It examined the degree of nursing students' disaster awareness, disaster preparedness, willingness to participate in disaster response, and disaster nursing competency, aiming to determine the relationship between these attributes. METHODS This was a descriptive research study. The participants were 163 nursing students. The data collected from the participants were analyzed via descriptive statistics and Pearson's correlation coefficients. RESULTS Disaster awareness showed a positive correlation with a willingness to participate in a disaster response. Further, disaster preparedness and willingness to participate in a disaster response showed a positive correlation with disaster nursing capacity. Disaster awareness did not show a significant correlation with disaster preparedness and disaster nursing competency. Last, disaster preparedness did not show a significant correlation with willingness to participate in a disaster response. CONCLUSIONS It is necessary to improve nursing students' disaster awareness, disaster preparation, disaster response participation willingness, and disaster nursing competency. It is imperative to develop disaster nursing education programs to strengthen students' capabilities in a comprehensive manner.
Collapse
|
4
|
Duty to Work During the COVID-19 Pandemic: A Cross-Sectional Study of Perceptions of Health Care Providers in Jordan. J Emerg Nurs 2022; 48:589-602.e1. [PMID: 36084983 PMCID: PMC9448511 DOI: 10.1016/j.jen.2022.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 03/26/2022] [Accepted: 04/14/2022] [Indexed: 11/22/2022]
Abstract
Introduction This study aimed to assess perceptions of duty to work among health care providers during the coronavirus disease 2019 response and to identify factors that may influence their perceptions. Methods This was a cross-sectional study conducted from April 1, 2020, to April 20, 2020, using an online survey distributed to health care providers in Jordan. Descriptive statistics were used, as well as chi-square test for independence to assess relationships between variables. Results A total of 302 questionnaires were included. Commitment to serve the community was the primary reason for coming to work (36%), followed by commitment to faith (29.6%). The major perceived barriers for coming to work were lack of appropriate personal protective equipment and appropriate training (62.6% and 53.5%, respectively). Males perceived higher work obligations than females in all potential barriers (P < .05), except for the lack of appropriate training. Nurses perceived higher work obligations than other health care providers despite the lack of appropriate training (χ2 = 11.83, P = .005), lack of effective vaccine or treatment (χ2 = 21.76, P < .001), or reported infection among coworkers (χ2 = 10.18, P = .03). Discussion While the majority of health care providers perceive an obligation to work during the coronavirus disease 2019 pandemic, specific conditions, mainly lack of protective gear and training, may significantly alter their perception of work obligation. Providing training and proper personal protective equipment are among the vital measures that could improve the work environment and work obligation during pandemic conditions.
Collapse
|
5
|
Melnychuk E, Sallade TD, Kraus CK. Hospitals as disaster victims: Lessons not learned? J Am Coll Emerg Physicians Open 2022; 3:e12632. [PMID: 35036993 PMCID: PMC8749465 DOI: 10.1002/emp2.12632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 11/07/2021] [Accepted: 11/17/2021] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVE Hospitals are a key component to disaster response but are susceptible to the effects of disasters as well, including infrastructure damage that disrupts patient care. These events offer an opportunity for evaluation and improvement of preparedness and response efforts when hospitals are affected directly by a disaster. The objective of this structured review was to evaluate the existing literature on hospitals as disaster victims. METHODS A structured and scoping review of peer-reviewed literature, gray literature, and news reports related to hospitals as disaster victims was completed to identify and analyze themes and lessons observed from disasters in which hospitals are victims, to aid in future emergency operations planning and disaster response. RESULTS The literature search and secondary search of referenes identified 366 records in English. A variety of common barriers to successful disaster response include loss of power, water, heating and ventilation, communications, health information technology, staffing, supplies, safety and security, and structural and non-structural damage. CONCLUSIONS There are common weaknesses in disaster preparedness that we can learn from and account for in future planning with the aim of improving resilience in the face of future disasters.
Collapse
Affiliation(s)
- Eric Melnychuk
- Department of Emergency MedicineGeisinger Medical CenterDanvillePAUSA
- Department of Critical Care MedicineGeisinger Medical CenterDanvillePAUSA
| | - Thomas D. Sallade
- Department of Emergency MedicineGeisinger Medical CenterDanvillePAUSA
| | - Chadd K. Kraus
- Department of Emergency MedicineGeisinger Medical CenterDanvillePAUSA
| |
Collapse
|
6
|
Laugesen B, Albrechtsen MT, Grønkjær M, Kusk KH, Nielsen MG, Jørgensen L, Pedersen B, Lerbæk B, Haslund-Thomsen H, Thorup CB, Jacobsen S, Bundgaard K, Voldbjerg SL. Nurses' Clinical Decision-Making in a Changed COVID-19 Work Environment: A Focus Group Study. Glob Qual Nurs Res 2022; 9:23333936221109876. [PMID: 35832604 PMCID: PMC9272177 DOI: 10.1177/23333936221109876] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 06/07/2022] [Accepted: 06/11/2022] [Indexed: 11/17/2022] Open
Abstract
This study aims to explore how a changed COVID-19 work environment influences nurses’ clinical decision-making. Data were collected via three focus groups totaling 14 nurses working in COVID-19 pandemic wards at a Danish university hospital. The factors influencing decision-making are described in three themes; navigating in a COVID-19 dominated context, recognizing the importance of collegial fellowship, and the complexities of feeling competent. A strong joint commitment among the nurses to manage critical situations fostered a culture of knowledge-sharing and drawing on colleagues’ competencies in clinical decision-making. It is important for nurse leaders to consider multiple factors when preparing nurses not only to work in changing work environments, but also when nurses are asked to work in environments and specialties that deviate from their usual routines.
Collapse
Affiliation(s)
- Britt Laugesen
- Aalborg University, Denmark.,Aalborg University Hospital, Denmark
| | | | - Mette Grønkjær
- Aalborg University, Denmark.,Aalborg University Hospital, Denmark
| | | | | | - Lone Jørgensen
- Aalborg University, Denmark.,Aalborg University Hospital, Denmark
| | | | | | | | | | | | - Karin Bundgaard
- Aalborg University, Denmark.,Aalborg University Hospital, Denmark
| | - Siri Lygum Voldbjerg
- Aalborg University Hospital, Denmark.,University College North Denmark, Aalborg, Denmark
| |
Collapse
|
7
|
Fan J, Senthanar S, Macpherson RA, Sharpe K, Peters CE, Koehoorn M, McLeod CB. An Umbrella Review of the Work and Health Impacts of Working in an Epidemic/Pandemic Environment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136828. [PMID: 34202087 PMCID: PMC8297139 DOI: 10.3390/ijerph18136828] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 06/16/2021] [Accepted: 06/21/2021] [Indexed: 12/26/2022]
Abstract
This umbrella review of reviews examined the evidence on the work and health impacts of working in an epidemic/pandemic environment, factors associated with these impacts, and risk mitigation or intervention strategies that address these factors. We examined review articles published in MEDLINE, PsycINFO and Embase between 2000 and 2020. Data extracted from the included reviews were analyzed using a narrative synthesis. The search yielded 1524 unique citations, of which 31 were included. Included studies were focused on health care workers and the risk of infection to COVID-19 or other respiratory illnesses, mental health outcomes, and health care workers’ willingness to respond during a public health event. Reviews identified a variety of individual, social, and organizational factors associated with these work and health outcomes as well as risk mitigation strategies that addressed study outcomes. Only a few reviews examined intervention strategies in the workplace such as physical distancing and quarantine, and none included long-term outcomes of exposure or work during an epidemic/pandemic. Findings suggest a number of critical research and evidence gaps, including the need for reviews on occupational groups potentially exposed to or impacted by the negative work and health effects of COVID-19 in addition to health care workers, the long-term consequences of transitioning to the post-COVID-19 economy on work and health, and research with an equity or social determinants of health lens.
Collapse
Affiliation(s)
- Jonathan Fan
- School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada; (R.A.M.); (K.S.); (M.K.); (C.B.M.)
- Correspondence: (J.F.); (S.S.)
| | - Sonja Senthanar
- School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada; (R.A.M.); (K.S.); (M.K.); (C.B.M.)
- Correspondence: (J.F.); (S.S.)
| | - Robert A. Macpherson
- School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada; (R.A.M.); (K.S.); (M.K.); (C.B.M.)
| | - Kimberly Sharpe
- School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada; (R.A.M.); (K.S.); (M.K.); (C.B.M.)
| | - Cheryl E. Peters
- Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada;
- Cancer Care Alberta, Alberta Health Services, Calgary, AB T2S 3C3, Canada
- CAREX Canada, Faculty of Health Sciences, Simon Fraser University, Vancouver, BC V6B 5K3, Canada
| | - Mieke Koehoorn
- School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada; (R.A.M.); (K.S.); (M.K.); (C.B.M.)
| | - Christopher B. McLeod
- School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada; (R.A.M.); (K.S.); (M.K.); (C.B.M.)
- Institute for Work & Health, Toronto, ON M5G 1S5, Canada
| |
Collapse
|
8
|
Knezek EB, Vu T, Lee J. Emergency responder willingness to respond during disasters: A literature review. JOURNAL OF CONTINGENCIES AND CRISIS MANAGEMENT 2021. [DOI: 10.1111/1468-5973.12364] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Erick B. Knezek
- Department of Civil Engineering University of Louisiana at Lafayette Lafayette LA USA
| | - Thevu Vu
- Department of Civil Engineering University of Louisiana at Lafayette Lafayette LA USA
| | - Jim Lee
- Department of Civil Engineering University of Louisiana at Lafayette Lafayette LA USA
| |
Collapse
|
9
|
Zewudie A, Regasa T, Kebede O, Abebe L, Feyissa D, Ejata F, Feyisa D, Mamo Y. Healthcare Professionals' Willingness and Preparedness to Work During COVID-19 in Selected Hospitals of Southwest Ethiopia. Risk Manag Healthc Policy 2021; 14:391-404. [PMID: 33568957 PMCID: PMC7868776 DOI: 10.2147/rmhp.s289343] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Accepted: 01/01/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Many healthcare professionals are dying of COVID-19 while trying to save others. The loss in the healthcare workforce due to sickness and absence will double the risk of a crisis. Identifying barriers of willingness to work during epidemics outbreak and preparedness of healthcare professionals is important to minimize the shortage of human power. METHODS Facility-based cross-sectional study was conducted among healthcare professionals working in the selected hospitals of Southwest Ethiopia from June 1-30/2020. The data entry was done by Epi-Data Manager version 4.4.1.0 and exported to SPSS version 23 for analysis. Multivariable logistic regression analysis with a backward stepwise approach was done to identify independent predictors of poor preparedness and willingness of the healthcare professionals to work during COVID-19 and Variables with P-value <0.05 were considered as a statistically significant determinant. RESULTS Of 407 healthcare professionals who participated in the study, 246 (60.4%) were male. The mean age of the respondents was 28.47±5.60 years. Forty-seven (11.55%) Physicians, 59 (14.50%) pharmacy personnel, 52 (12.78%) Laboratory personnel, 31 (7.62%) Midwives, and 195 (47.91%) Nurses were included in the study. The healthcare professionals who were not prepared for the provision of services during COVID-19 and not willing to work during COVID-19 were 165 (40.5%) and 86 (21.1%) respectively. Having 6 to10 years' experience (AOR=4.046, CI: 1.05-15.58), and divorced marital status (AOR=7.855, CI: 1.781-34.65) were independent predictors of not willing to work during COVID-19. Similarly, lack of personal protective equipment (AOR=28.089, CI: 13.9-56.67) and shortage of infrastructure at the work place (AOR=28.1, CI: 13.9-56.67) were independent predictors of poor preparedness. CONCLUSION AND RECOMMENDATIONS Healthcare professionals' willingness and preparedness to work during COVID-19 was low. Use of Telemedicine, provision of personal protective equipment, increasing hospital's safety with adequate infection control policy, and assigning staff who have experience of more than ten years in the risky wards of the hospitals may decrease staffs absentee and increase in the provision of continuous service.
Collapse
Affiliation(s)
- Ameha Zewudie
- Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia
| | - Tolcha Regasa
- Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia
| | - Oliyad Kebede
- Department of Social Pharmacy and Pharmaceutics, School of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia
| | - Lemi Abebe
- Department of Epidemiology and Biostatics, School of Public Health, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia
| | - Desalegn Feyissa
- Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia
| | - Fikadu Ejata
- Department of Social Pharmacy and Pharmaceutics, School of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia
| | - Diriba Feyisa
- Department of Social Pharmacy and Pharmaceutics, School of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia
| | - Yitagesu Mamo
- Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia
| |
Collapse
|
10
|
Goldfarb N, Grinstein-Cohen O, Shamian J, Schwartz D, Zilber R, Hazan-Hazoref R, Goldberg S, Cohen O. Nurses' perceptions of the role of health organisations in building professional commitment: Insights from an israeli cross-sectional study during the COVID-19 pandemic. J Nurs Manag 2021; 29:1102-1110. [PMID: 33411376 DOI: 10.1111/jonm.13248] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 12/10/2020] [Accepted: 01/04/2021] [Indexed: 11/29/2022]
Abstract
AIMS To reveal the factors associated with nurses' professional commitment during the COVID-19 pandemic. BACKGROUND During the first wave of the COVID-19 pandemic, the Nursing Division at the Israeli Ministry of Health and partners conducted a study to examine the nurses' perceptions towards a set of personal and professional circumstances that may affect their performance. METHOD A cross-sectional Web-based study was conducted in Israel. Study' participants included 817 community and hospital nurses. The Occupational Commitment Scale for Health Professionals during pandemic (PanHP-OCS) was used to gather data. Univariate and multivariate analyses explored associations between the PanHP-OCS score and demographic and professional variables. RESULTS About 40% of 817 respondents reported having managerial roles (n = 320). Those who received specific pandemic-focused training had significantly better PanHP-OCS scores (p < .001). Most respondents expected their organisation to provide them emotional support. Linear regression explored the organisational commitment factor as the greatest contributor to nurses' professional commitment (β = 0.284, p < .001). CONCLUSION To enhance the nurses' professional commitment during the COVID-19 pandemic, training and emotional support must be emphasized in all types of nurses' workplaces. IMPLICATIONS FOR NURSING MANAGEMENT In a pandemic, health organisations must provide dedicated pandemic training, including proactive emotional support for nurses. Special attention should be given to community care.
Collapse
Affiliation(s)
- Netali Goldfarb
- Nursing Department, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Orli Grinstein-Cohen
- Nursing Department, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Judith Shamian
- International Council of Nurses ICN President Emerita, FAAN, Toronto, ON, Canada
| | - Dagan Schwartz
- Emergency Medicine Department, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Rama Zilber
- Nursing Division, Ministry of Health, Jerusalem, Israel
| | | | | | - Odeya Cohen
- Nursing Department, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| |
Collapse
|
11
|
Adeyemo A, Ogunkeyede S, Ogundoyin O, Oyelakin O, Fawole O. Readiness of Nigerian health-care workers to work during COVID-19 pandemic. NIGERIAN JOURNAL OF MEDICINE 2021. [DOI: 10.4103/1115-2613.318837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
12
|
Pollock A, Campbell P, Cheyne J, Cowie J, Davis B, McCallum J, McGill K, Elders A, Hagen S, McClurg D, Torrens C, Maxwell M. Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review. Cochrane Database Syst Rev 2020; 11:CD013779. [PMID: 33150970 PMCID: PMC8226433 DOI: 10.1002/14651858.cd013779] [Citation(s) in RCA: 207] [Impact Index Per Article: 51.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
BACKGROUND Evidence from disease epidemics shows that healthcare workers are at risk of developing short- and long-term mental health problems. The World Health Organization (WHO) has warned about the potential negative impact of the COVID-19 crisis on the mental well-being of health and social care professionals. Symptoms of mental health problems commonly include depression, anxiety, stress, and additional cognitive and social problems; these can impact on function in the workplace. The mental health and resilience (ability to cope with the negative effects of stress) of frontline health and social care professionals ('frontline workers' in this review) could be supported during disease epidemics by workplace interventions, interventions to support basic daily needs, psychological support interventions, pharmacological interventions, or a combination of any or all of these. OBJECTIVES Objective 1: to assess the effects of interventions aimed at supporting the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic. Objective 2: to identify barriers and facilitators that may impact on the implementation of interventions aimed at supporting the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic. SEARCH METHODS On 28 May 2020 we searched the Cochrane Database of Systematic Reviews, CENTRAL, MEDLINE, Embase, Web of Science, PsycINFO, CINAHL, Global Index Medicus databases and WHO Institutional Repository for Information Sharing. We also searched ongoing trials registers and Google Scholar. We ran all searches from the year 2002 onwards, with no language restrictions. SELECTION CRITERIA We included studies in which participants were health and social care professionals working at the front line during infectious disease outbreaks, categorised as epidemics or pandemics by WHO, from 2002 onwards. For objective 1 we included quantitative evidence from randomised trials, non-randomised trials, controlled before-after studies and interrupted time series studies, which investigated the effect of any intervention to support mental health or resilience, compared to no intervention, standard care, placebo or attention control intervention, or other active interventions. For objective 2 we included qualitative evidence from studies that described barriers and facilitators to the implementation of interventions. Outcomes critical to this review were general mental health and resilience. Additional outcomes included psychological symptoms of anxiety, depression or stress; burnout; other mental health disorders; workplace staffing; and adverse events arising from interventions. DATA COLLECTION AND ANALYSIS Pairs of review authors independently applied selection criteria to abstracts and full papers, with disagreements resolved through discussion. One review author systematically extracted data, cross-checked by a second review author. For objective 1, we assessed risk of bias of studies of effectiveness using the Cochrane 'Risk of bias' tool. For objective 2, we assessed methodological limitations using either the CASP (Critical Appraisal Skills Programme) qualitative study tool, for qualitative studies, or WEIRD (Ways of Evaluating Important and Relevant Data) tool, for descriptive studies. We planned meta-analyses of pairwise comparisons for outcomes if direct evidence were available. Two review authors extracted evidence relating to barriers and facilitators to implementation, organised these around the domains of the Consolidated Framework of Implementation Research, and used the GRADE-CERQual approach to assess confidence in each finding. We planned to produce an overarching synthesis, bringing quantitative and qualitative findings together. MAIN RESULTS We included 16 studies that reported implementation of an intervention aimed at supporting the resilience or mental health of frontline workers during disease outbreaks (severe acute respiratory syndrome (SARS): 2; Ebola: 9; Middle East respiratory syndrome (MERS): 1; COVID-19: 4). Interventions studied included workplace interventions, such as training, structure and communication (6 studies); psychological support interventions, such as counselling and psychology services (8 studies); and multifaceted interventions (2 studies). Objective 1: a mixed-methods study that incorporated a cluster-randomised trial, investigating the effect of a work-based intervention, provided very low-certainty evidence about the effect of training frontline healthcare workers to deliver psychological first aid on a measure of burnout. Objective 2: we included all 16 studies in our qualitative evidence synthesis; we classified seven as qualitative and nine as descriptive studies. We identified 17 key findings from multiple barriers and facilitators reported in studies. We did not have high confidence in any of the findings; we had moderate confidence in six findings and low to very low confidence in 11 findings. We are moderately confident that the following two factors were barriers to intervention implementation: frontline workers, or the organisations in which they worked, not being fully aware of what they needed to support their mental well-being; and a lack of equipment, staff time or skills needed for an intervention. We are moderately confident that the following three factors were facilitators of intervention implementation: interventions that could be adapted for local needs; having effective communication, both formally and socially; and having positive, safe and supportive learning environments for frontline workers. We are moderately confident that the knowledge or beliefs, or both, that people have about an intervention can act as either barriers or facilitators to implementation of the intervention. AUTHORS' CONCLUSIONS There is a lack of both quantitative and qualitative evidence from studies carried out during or after disease epidemics and pandemics that can inform the selection of interventions that are beneficial to the resilience and mental health of frontline workers. Alternative sources of evidence (e.g. from other healthcare crises, and general evidence about interventions that support mental well-being) could therefore be used to inform decision making. When selecting interventions aimed at supporting frontline workers' mental health, organisational, social, personal, and psychological factors may all be important. Research to determine the effectiveness of interventions is a high priority. The COVID-19 pandemic provides unique opportunities for robust evaluation of interventions. Future studies must be developed with appropriately rigorous planning, including development, peer review and transparent reporting of research protocols, following guidance and standards for best practice, and with appropriate length of follow-up. Factors that may act as barriers and facilitators to implementation of interventions should be considered during the planning of future research and when selecting interventions to deliver within local settings.
Collapse
Affiliation(s)
- Alex Pollock
- Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK
| | - Pauline Campbell
- Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK
| | - Joshua Cheyne
- Centre for Clinical Brain Sciences (CCBS), University of Edinburgh, Edinburgh, UK
| | - Julie Cowie
- Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK
| | - Bridget Davis
- Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK
| | - Jacqueline McCallum
- Department of Nursing and Community Health, Glasgow Caledonian University, Glasgow, UK
| | - Kris McGill
- Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK
| | - Andrew Elders
- Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK
| | - Suzanne Hagen
- Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK
| | - Doreen McClurg
- Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK
| | - Claire Torrens
- Nursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Glasgow, UK
| | - Margaret Maxwell
- Nursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Glasgow, UK
| |
Collapse
|
13
|
Li J, Li P, Chen J, Ruan L, Zeng Q, Gong Y. Intention to response, emergency preparedness and intention to leave among nurses during COVID-19. Nurs Open 2020; 7:1867-1875. [PMID: 33346407 PMCID: PMC7436312 DOI: 10.1002/nop2.576] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 06/12/2020] [Accepted: 06/16/2020] [Indexed: 12/11/2022] Open
Abstract
AIM To comprehensively assess the current level and identify associated factors of intention to response and emergency preparedness of clinical nurses during COVID-19 outbreak. DESIGN A cross-sectional study was designed. METHODS Demographic and characteristic questionnaire, intention to response scale, emergency preparedness scale and a self-designed questionnaire related to effects of events and intention to leave were used in this study. RESULTS The mean scores of intention to response and emergency preparedness were 82.00 (SD = 18.17) and 64.99 (SD = 12.94), respectively. Moral consideration, engaged in COVID-19 protection training, had working experience in SARS, and the other eight factors were explained 34.6% of the total model variance in intention to response model (F = 80.05, p < .001). While, the level of IR, whether the pace of work was affected and above three same factors were explained 21.5% of the total model variance (F = 91.05, p < .001). Pathway analysis revealed that moral consideration, intention to leave and impacts on work and life mediate the relationship between EP and IR.
Collapse
Affiliation(s)
- Jiaying Li
- Guangzhou Institute of Respiratory HealthThe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhouChina
| | - Pingdong Li
- Nursing DepartmentThe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhouChina
| | - Jieya Chen
- Guangzhou Institute of Respiratory HealthThe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhouChina
| | - Liang Ruan
- Guangzhou Institute of Respiratory HealthThe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhouChina
| | - Qiuxuan Zeng
- Guangzhou Institute of Respiratory HealthThe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhouChina
| | - Yucui Gong
- Nursing DepartmentThe First Affiliated Hospital of Guangzhou Medical UniversityGuangzhouChina
| |
Collapse
|
14
|
Dobalian A, Balut MD, Der-Martirosian C. Workforce preparedness for disasters: perceptions of clinical and non-clinical staff at the U.S. Department of Veterans Affairs. BMC Public Health 2020; 20:1501. [PMID: 33008341 PMCID: PMC7531065 DOI: 10.1186/s12889-020-09597-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 09/22/2020] [Indexed: 01/09/2023] Open
Abstract
Background Most U.S. studies on workforce preparedness have a narrow scope, focusing primarily on perceptions of clinical staff in a single hospital and for one type of disaster. In contrast, this study compares the perceptions of workplace disaster preparedness among both clinical and non-clinical staff at all U.S. Department of Veterans Affairs (VA) medical facilities nationwide for three types of disasters (natural, epidemic/pandemic, and manmade). Methods The VA Preparedness Survey used a stratified simple random, web-based survey (fielded from October through December 2018) of all employees at VA medical facilities. We conducted bivariate and multivariate logistic regression analyses to compare the sociodemographic characteristics and perceptions of disaster preparedness between clinical and non-clinical VA staff. Results The study population included 4026 VA employees (2488 clinicians and 1538 non-clinicians). Overall, VA staff were less confident in their medical facility’s ability to respond to epidemic/pandemics and manmade disasters. Depending on the type of disaster, clinical staff, compared to non-clinical staff, were less likely to be confident in their VA medical facility’s ability to respond to natural disasters (OR:0.78, 95% CI:0.67–0.93, p < 0.01), pandemics (OR:0.82, 95% CI:0.70–0.96, p < 0.05), and manmade disasters (OR: 0.74, 95% CI: 0.63–0.86, p < 0.001). On the other hand, clinicians, compared to non-clinicians, were 1.45 to 1.78 more likely to perceive their role in disaster response to be important (natural OR:1.57, 95% CI:1.32–1.87; pandemic OR:1.78, 95% CI:1.51–2.10; manmade: OR:1.45; 95% CI: 1.23–1.71; p’s < 0.001), and 1.27 to 1.29 more likely to want additional trainings to prepare for all three types of disasters (natural OR:1.29, 95% CI:1.10–1.51; pandemic OR:1.27, 95% CI:1.08–1.49; manmade OR:1.29; 95% CI:1.09–1.52; p’s < 0.01). Clinicians were more likely to be women, younger, and more educated (p’s < 0.001) than non-clinicians. Compared to clinicians, non-clinical staff had been employed longer with the VA (p < 0.025) and were more likely to have served in the U.S. Armed Forces (p < 0.001). Conclusions These findings suggest both a desire and a need for additional training, particularly for clinicians, and with a focus on epidemics/pandemics and manmade disasters. Training programs should underscore the importance of non-clinical roles when responding to disasters.
Collapse
Affiliation(s)
- Aram Dobalian
- Veterans Emergency Management Evaluation Center, U.S. Department of Veterans Affairs, 16111 Plummer St. MS-152, North Hills, CA, 91343, USA.,Division of Health Systems Management and Policy, University of Memphis School of Public Health, Memphis, TN, USA
| | - Michelle D Balut
- Veterans Emergency Management Evaluation Center, U.S. Department of Veterans Affairs, 16111 Plummer St. MS-152, North Hills, CA, 91343, USA
| | - Claudia Der-Martirosian
- Veterans Emergency Management Evaluation Center, U.S. Department of Veterans Affairs, 16111 Plummer St. MS-152, North Hills, CA, 91343, USA.
| |
Collapse
|
15
|
Nasir MU, Chandy PE, Roberts J, O'Neill SB. A Guide to Mass Casualty Incidents for Radiology Residents: Strategies, Ethics, Directions. Curr Probl Diagn Radiol 2020; 50:555-559. [PMID: 32951950 PMCID: PMC7448733 DOI: 10.1067/j.cpradiol.2020.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 08/11/2020] [Accepted: 08/21/2020] [Indexed: 11/25/2022]
Abstract
Mass casualty incidents, by nature of their scale and unpredictability, can rapidly overwhelm health infrastructure. Preparation is the key to managing these crises with the lowest risk to emergency and health personnel, while providing maximal life saving measures. We present an overview of the multitiered planning that should go into forming a well set out emergency response plan and one that is capable of being adapted to a wide range of mass casualty scenarios. We highlight the ethical implications that a healthcare team faces while making challenging decisions rapidly in a high-pressure environment. Radiology trainees should be aware of the response systems in place at their institutions and the role that is expected of them in mass casualty incidents.
Collapse
Affiliation(s)
- Muhammad Umer Nasir
- Department of Emergency and Trauma Radiology, Vancouver General Hospital, Vancouver, British Columbia, Canada; Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada.
| | - Poornima Elizabeth Chandy
- Department of Emergency and Trauma Radiology, Vancouver General Hospital, Vancouver, British Columbia, Canada; Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - James Roberts
- Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Siobhán B O'Neill
- Department of Emergency and Trauma Radiology, Vancouver General Hospital, Vancouver, British Columbia, Canada; Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada
| |
Collapse
|
16
|
Wu B, Zhao Y, Xu D, Wang Y, Niu N, Zhang M, Zhi X, Zhu P, Meng A. Factors associated with nurses' willingness to participate in care of patients with COVID-19: A survey in China. J Nurs Manag 2020; 28:1704-1712. [PMID: 32767852 PMCID: PMC7436655 DOI: 10.1111/jonm.13126] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 07/27/2020] [Accepted: 08/03/2020] [Indexed: 11/30/2022]
Abstract
Aim The research aims to assess nurses’ willingness to participate in care of patients with coronavirus disease 2019 (COVID‐19) in China and to identify its associated factors. Background Along with the increasing number of infections, the world has paid widespread attention to COVID‐19. Methods This cross‐sectional study used a convenience sampling method that included a demographics questionnaire and the Nurses' Perceived Professional Benefits Questionnaire. The survey was distributed to 1,787 nurses from 36 hospitals in China. Results In total, 1,176 questionnaires were usable for this research. 92.79% of nurses were willing to participate in care of patients with COVID‐19. Intensive care unit (ICU) nurses were less willing to participate, while surgical nurses were more willing to participate. In addition, nurses with high positive professional perception scores were more willing to participate than those with low scores. Conclusion The vast majority of nurses were willing to participate in care of patients with COVID‐19 in China. Surgical nurses and nurses with positive professional perceptions are more likely to be willing to participate in treatment. Implications for nursing management To increase nurses’ willingness to participate in care of patients with COVID‐19, improving the sense of perceived professional benefits, offering salary and offering paid sick leave for nursing staff are effective ways. In addition, raising the awareness of infectious diseases and increased pre‐disaster training during infectious diseases is critical.
Collapse
Affiliation(s)
- Bainv Wu
- Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China
| | - Yun Zhao
- Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China
| | - Dejing Xu
- Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China
| | - Yan Wang
- Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China
| | - Niu Niu
- Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China
| | - Maomao Zhang
- Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China
| | - Xiaoxu Zhi
- Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China
| | - Ping Zhu
- Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China
| | - Aifeng Meng
- Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China
| |
Collapse
|
17
|
Turner JA, Rebmann T, Loux TM, Charney RL. Willingness to Respond to Radiological Disasters Among First Responders in St. Louis, Missouri. Health Secur 2020; 18:318-328. [PMID: 32816584 DOI: 10.1089/hs.2019.0160] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
During radiological disasters, firefighters and emergency medical services personnel are expected to report to work and engage in response activities; however, prior research exploring willingness to respond to radiological disasters among first responders has considered only radiological terrorism scenarios and not nonterrorism radiological scenarios. The goal of this study was to compare willingness to respond to terrorism and nonterrorism radiological disaster scenarios among first responders in St. Louis, Missouri, and to explore determinants of willingness to respond. Firefighters and emergency medical services personnel were surveyed about their willingness to respond to a dirty bomb detonation (terrorism) and a radioactive landfill fire (nonterrorism). McNemar's tests were used to assess differences in individual willingness to respond between the 2 scenarios and differences if requested versus required to respond. Chi-square tests were used to identify significant individual predictors of willingness to respond. Multivariate logistic regressions were used to determine final models of willingness to respond for both scenarios. Willingness to respond was lower for the dirty bomb scenario than the landfill scenario if requested (68.4% vs 73.0%; P < .05). For both scenarios, willingness to respond was lower if requested versus required to respond (dirty bomb: 68.4% vs 85.2%, P < .001; landfill: 73.0% vs 87.3%, P < .001). Normative beliefs, perceived susceptibility, self-efficacy, and perceived barriers were significant predictors of willingness to respond in the final models. Willingness to respond among first responders differed significantly between terrorism and nonterrorism radiological disasters and if requested versus required to respond. Willingness to respond may be increased through interventions targeting significant attitudinal and belief predictors and by establishing organizational policies that define expectations of employee response during disasters.
Collapse
Affiliation(s)
- James Austin Turner
- James Austin Turner, PhD, CNMT, PET, RT(MR), MRSO (MRSC), is Radiation Safety Manager, Barnes-Jewish Hospital, St. Louis, MO. Terri Rebmann, PhD, RN, CIC, is a Professor and Director, Institute for Biosecurity, Department of Epidemiology & Biostatistics; Travis M. Loux, PhD, is an Associate Professor, Department of Epidemiology & Biostatistics; and Rachel L. Charney, MD, is a Professor, Division of Pediatrics, Saint Louis University, School of Medicine, and Institute for Biosecurity, Department of Epidemiology & Biostatistics; all are at Saint Louis University, College for Public Health and Social Justice, St. Louis, MO
| | - Terri Rebmann
- James Austin Turner, PhD, CNMT, PET, RT(MR), MRSO (MRSC), is Radiation Safety Manager, Barnes-Jewish Hospital, St. Louis, MO. Terri Rebmann, PhD, RN, CIC, is a Professor and Director, Institute for Biosecurity, Department of Epidemiology & Biostatistics; Travis M. Loux, PhD, is an Associate Professor, Department of Epidemiology & Biostatistics; and Rachel L. Charney, MD, is a Professor, Division of Pediatrics, Saint Louis University, School of Medicine, and Institute for Biosecurity, Department of Epidemiology & Biostatistics; all are at Saint Louis University, College for Public Health and Social Justice, St. Louis, MO
| | - Travis M Loux
- James Austin Turner, PhD, CNMT, PET, RT(MR), MRSO (MRSC), is Radiation Safety Manager, Barnes-Jewish Hospital, St. Louis, MO. Terri Rebmann, PhD, RN, CIC, is a Professor and Director, Institute for Biosecurity, Department of Epidemiology & Biostatistics; Travis M. Loux, PhD, is an Associate Professor, Department of Epidemiology & Biostatistics; and Rachel L. Charney, MD, is a Professor, Division of Pediatrics, Saint Louis University, School of Medicine, and Institute for Biosecurity, Department of Epidemiology & Biostatistics; all are at Saint Louis University, College for Public Health and Social Justice, St. Louis, MO
| | - Rachel L Charney
- James Austin Turner, PhD, CNMT, PET, RT(MR), MRSO (MRSC), is Radiation Safety Manager, Barnes-Jewish Hospital, St. Louis, MO. Terri Rebmann, PhD, RN, CIC, is a Professor and Director, Institute for Biosecurity, Department of Epidemiology & Biostatistics; Travis M. Loux, PhD, is an Associate Professor, Department of Epidemiology & Biostatistics; and Rachel L. Charney, MD, is a Professor, Division of Pediatrics, Saint Louis University, School of Medicine, and Institute for Biosecurity, Department of Epidemiology & Biostatistics; all are at Saint Louis University, College for Public Health and Social Justice, St. Louis, MO
| |
Collapse
|
18
|
Abstract
OBJECTIVES This study aims to assess the perception and attitude of emergency medical services (EMS) providers toward working during disease outbreaks, and the factors that may influence their decisions to ultimately work or not. METHODS This is a cross-sectional study assessing the attitude of EMS providers to work during disease outbreaks. Descriptive statistics and regression analyses were performed to assess attitudes toward reporting for duty and factors that influence providers' decisions. RESULTS Of the 500 surveys distributed, 466 (93.2%) were complete and included for analysis. The majority of participants (70.2%) are male with a mean age of 27 (SD 4.3) years. The study found that the majority (71.1%) of participants are willing to come to work during disease outbreaks. The study found 7 predictors of reporting for duty. Confidence that employer will provide adequate protective gear was the most significant predictor (odds ratio [OR], 3.95; 95% confidence interval [CI] = 2.31-5.42). Concern for family safety was the most important barrier against coming to work (OR, 0.40; 95% CI = 0.21-0.73). CONCLUSIONS Providing adequate supplies of protective gear along with knowledge and training for disease outbreak are the main factors that enhance providers to fulfill their work expectations.
Collapse
|
19
|
Prepared to Respond? Exploring Personal Disaster Preparedness and Nursing Staff Response to Disasters. Disaster Med Public Health Prep 2020; 15:557-562. [PMID: 32375915 DOI: 10.1017/dmp.2020.47] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVES This pilot study explored personal disaster preparedness of nursing staff and their ability and willingness to respond following a disaster. METHODS All nurses from a single hospital were invited to participate; 91 completed an online survey asking them to rate their ability and willingness to report to work following the disaster scenarios and to indicate whether they had pursued various preparedness activities. Data were analyzed by descriptive and inferential statistics using Minitab 17 Statistical Software. RESULTS Participants reflected a cross-section of major acute care units and nursing specialties. The majority of participants indicated being able and willing to report to work following the disaster scenarios. Personal disaster preparedness varied, with few activities pursued by the majority. Few scenarios produced a relationship between preparedness activities and ability or willingness to report to work. CONCLUSIONS Despite the majority of participants indicating they would be able and willing to report to work during a disaster, they acknowledged barriers affecting them. Most disaster scenarios showed no statistically significant relationship with preparedness activities. Nurses should consider barriers that affect their own availability for work following a disaster and identify potential solutions. Future research related to mitigation of possible barriers to surge capacity would be useful.
Collapse
|
20
|
Alwidyan MT, Trainor JE, Bissell RA. Responding to natural disasters vs. disease outbreaks: Do emergency medical service providers have different views? INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2020; 44:101440. [PMID: 32363141 PMCID: PMC7185370 DOI: 10.1016/j.ijdrr.2019.101440] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Revised: 12/02/2019] [Accepted: 12/04/2019] [Indexed: 05/24/2023]
Abstract
INTRODUCTION Our planet has been experiencing a huge burden of natural disasters and public health emergencies in the last three decades. Emergency medical service providers are expected to be in the frontlines during such emergencies. Yet, this system is badly understudied when it comes to its roles and performance during disasters and public health emergencies. This study is designed to enhance understanding by assessing a sample U.S EMS providers' views about working during natural disasters and disease outbreaks and explores whether they are coming to work during such conditions. METHODS This study utilized a qualitative approach using face-to-face interviews with EMS workers from the State of Delaware, USA. Participants were asked about their views, insights, and potential behavior of working during natural disasters and disease outbreaks. Data collected were transcribed and coded using ATLAS.ti software to develop themes of the study using an inductive approach. RESULTS Three themes were emerged from interviews regarding working during natural disasters; respondents expressed excitement, concern, or no real differences. For disease outbreaks, however, the two themes were concerned and no additional risk. While participants expressed varying concerns about working during disasters and pandemic conditions, everyone felt willing and obligated to come to work despite the perceived high risk for some of them to work in some conditions. CONCLUSION This study helps to provide the base upon which EMS, public health, and emergency management agencies can formulate actions that emerged from the views of EMS providers concerning work during disasters and public health emergencies.
Collapse
Affiliation(s)
- Mahmoud T. Alwidyan
- Department of Allied Medical Science, Jordan University of Science and Technology, Irbid, Jordan
| | - Joseph E. Trainor
- Biden School of Public Policy & Administration, University of Delaware, Newark, United States
| | - Richard A. Bissell
- Department of Emergency Health Services, University of Maryland, Baltimore County, Baltimore, United States
| |
Collapse
|
21
|
O'Neill SB, Gibney B, O'Keeffe ME, Barrett S, Louis L. Mass Casualty Imaging-Policy, Planning, and Radiology Response to Mass Casualty Incidents. Can Assoc Radiol J 2020; 71:388-395. [PMID: 32174156 DOI: 10.1177/0846537120908073] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
A mass casualty incident (MCI) is an event that generates more patients at one time than locally available resources can manage using routine procedures. By their nature, many of these incidents have no prior notice but result in large numbers of casualties with injuries that range in severity. They can happen anywhere and at any time and regional hospitals and health-care providers have to mount a response quickly and effectively to save as many lives as possible. Radiologists must go from passenger to pilot when it comes to MCI planning. When involved at the hospital-wide planning stage, they can offer valuable expertise on how radiology can improve triage accuracy and at what cost in terms of time and resources and thereby contribute a pragmatic understanding of radiology's role and value during MCIs. By taking ownership of MCI planning in their own departments, radiologists can ensure that the radiology department can respond quickly and effectively to unforeseen emergencies. Well-designed radiology protocols will save lives in an MCI setting.
Collapse
Affiliation(s)
- Siobhán B O'Neill
- Department of Emergency Radiology, University of British Columbia, Vancouver General Hospital, Vancouver, British Columbia, Canada
| | - Brian Gibney
- Department of Emergency Radiology, University of British Columbia, Vancouver General Hospital, Vancouver, British Columbia, Canada
| | - Michael E O'Keeffe
- Department of Emergency Radiology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
| | - Sarah Barrett
- Department of Emergency Radiology, University of British Columbia, Vancouver General Hospital, Vancouver, British Columbia, Canada
| | - Luck Louis
- Department of Emergency Radiology, University of British Columbia, Vancouver General Hospital, Vancouver, British Columbia, Canada
| |
Collapse
|
22
|
Willson K, Lim D. Disaster management in rural and remote primary healthcare settings. ACTA ACUST UNITED AC 2020; 18:81-86. [DOI: 10.11124/jbisrir-d-19-00029] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
|
23
|
Al-Hunaishi W, Hoe VC, Chinna K. Factors associated with healthcare workers willingness to participate in disasters: a cross-sectional study in Sana'a, Yemen. BMJ Open 2019; 9:e030547. [PMID: 31628126 PMCID: PMC6803075 DOI: 10.1136/bmjopen-2019-030547] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES Willingness to participate in disasters is usually overlooked and not addressed in disaster preparedness training courses to ensure health service coverage. This will lead to issues during the disaster's response. This study, therefore, aims to assess healthcare workers willingness to participate in biological and natural disasters, and to identify its associated factors. DESIGN This is a cross-sectional study using a self-administered questionnaire. The questionnaire was distributed to 1093 healthcare workers. The data were analysed using multiple logistic regression with significance level p<0.05. Ethical clearance and consent of the participants were duly obtained. SETTING In three public hospitals that provide tertiary-level healthcare in Sana'a City, Yemen. PARTICIPANTS There were 692 nurses and doctors (response rate 63.3%) completed the questionnaires. RESULTS Almost half of the participants 55.1% were nurses and 44.9% were doctors. The study found that self-efficacy was associated with willingness to participate in disaster response for any type of disasters (OR 1.319, 95% CI 1.197 to 1.453), natural disasters (OR 1.143, 95% CI 1.069 to 1.221) and influenza pandemic (OR 1.114, 95% CI 1.050 to 1.182). The results further show that willingness is associated with healthcare workers being young, male and having higher educational qualifications. CONCLUSION Self-efficacy has been found to be an important factor associated with willingness. Improving self-efficacy through training in disaster preparedness may increase willingness of healthcare workers to participate in a disaster.
Collapse
Affiliation(s)
- Weiam Al-Hunaishi
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Victor Cw Hoe
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Karuthan Chinna
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
- School of Medicine-SRI, Taylor's University, Subang Jaya, Malaysia
| |
Collapse
|
24
|
McNeill C, Alfred D, Nash T, Chilton J, Swanson MS. Characterization of nurses’ duty to care and willingness to report. Nurs Ethics 2019; 27:348-359. [DOI: 10.1177/0969733019846645] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: Nurses must balance their perceived duty to care against their perceived risk of harm to determine their willingness to report during disaster events, potentially creating an ethical dilemma and impacting patient care. Research aim: The purpose of this study was to investigate nurses’ perceived duty to care and whether there were differences in willingness to respond during disaster events based on perceived levels of duty to care. Research design: A cross-sectional survey research design was used in this study. Participants and research context: Using a convenience sample with a snowball technique, data were collected from 289 nurses throughout the United States in 2017. Participants were recruited through host university websites, Facebook, and an American Nurses Association discussion board. Ethical considerations: Institutional review board approval was obtained from the University of Texas at Tyler and the University of Arkansas. Findings: Analysis of willingness to report to work based on levels of perceived duty to care resulted in the emergence of two groups: “lower level of perceived duty to care group” and “higher level of perceived duty to care group.” The most discriminating characteristics differentiating the groups included fear of abandonment by co-workers, reporting because it is morally the right thing to, and because of imperatives within the Nursing Code of Ethics. Discussion: The number of nurses in the lower level of perceived duty to care group causes concern. It is important for nursing management to develop strategies to advance nurses’ safety, minimize nurses’ risk, and promote nurses’ knowledge to confidently work during disaster situations. Conclusion: Level of perceived duty to care affects nurses’ willingness to report to work during disasters. Primary indicators of low perceived duty to care are amenable to actionable strategies, potentially increasing nurses’ perceived duty to provide care and willingness to report to work during disasters.
Collapse
|
25
|
Shapira S, Friger M, Bar-Dayan Y, Aharonson-Daniel L. Healthcare workers' willingness to respond following a disaster: a novel statistical approach toward data analysis. BMC MEDICAL EDUCATION 2019; 19:130. [PMID: 31053130 PMCID: PMC6499969 DOI: 10.1186/s12909-019-1561-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Accepted: 04/17/2019] [Indexed: 05/31/2023]
Abstract
BACKGROUND The willingness of healthcare workers (HCW) to respond is an important factor in the health system's response capacity during emergencies. Although much research has been devoted to exploring this issue, the statistical methods employed have been predominantly traditional and have not enabled in-depth analysis focused on absenteeism-prone employees during emergencies. The present study employs an innovative statistical approach for modeling HCWs' willingness to respond (WTR) following an earthquake. METHODS A validated questionnaire measuring knowledge, perceptions, and attitudes toward an earthquake scenario was distributed among Israeli HCWs in a hospital setting. Two regression models were employed for data analysis - a traditional linear model, and a quantile regression model that makes it possible to examine associations between explanatory variables across different levels of a dependent variable. A supplementary analysis was performed for selected variables using broken line spline regression. RESULTS Females under the age of forty, and nurses were the most absenteeism-prone sub-groups of employees (showed low WTR) in earthquake events. Professional commitment to care and perception of efficacy were the most powerful predictors associated with WTR across all quantiles. Both marital status (married) and concern for family wellbeing, designated as statistically significant in the linear model, were found to be statistically significant in only one of the WTR quantiles (the former in Q10 and the latter in Q50). Gender and number of children, which were not significantly associated with WTR in the linear model, were found to be statistically significant in the 25th quantile of WTR. CONCLUSIONS This study contributes to both methodological and practical aspects. Quantile regression provides a more comprehensive view of associations between variables than is afforded by linear regression alone. Adopting an advanced statistical approach in WTR modeling can facilitate effective implementation of research findings in the field.
Collapse
Affiliation(s)
- Stav Shapira
- PREPARED Center for Emergency Response Research, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva, Israel
- School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva, Israel
| | - Michael Friger
- Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva, Israel
| | - Yaron Bar-Dayan
- PREPARED Center for Emergency Response Research, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva, Israel
- School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva, Israel
| | - Limor Aharonson-Daniel
- PREPARED Center for Emergency Response Research, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva, Israel
- School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva, Israel
| |
Collapse
|
26
|
Obstetrician-Gynecologists’ Role Conflict in a Natural
Disaster: Professional Versus Family Responsibilities. Disaster Med Public Health Prep 2018; 13:33-37. [DOI: 10.1017/dmp.2018.123] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
ABSTRACTObjectiveThe purpose of this study was to evaluate role conflict between professional
and familial responsibilities among obstetric health care providers during a
natural disaster between those required to stay in the hospital versus those
who were at home during a catastrophic weather event.MethodsA survey was used of obstetric attending and resident physicians in the
Baylor College of Medicine, Department of Obstetrics and Gynecology
following Hurricane Harvey on August 26, 2017.ResultsNinety one of 103 physicians (88%) completed the survey. Survey
responses were compared between physicians who worked in the hospital (n
= 47) versus those who were at home (n = 44) during the storm
and its immediate aftermath. Physicians in the hospital and at home agreed
(47% and 48%, respectively, P = 0.94)
that professional duties conflicted with family obligations and felt torn
(49% and 55%, respectively, P = 0.48)
regarding family obligations. A majority of homebound health care providers
disagreed with the statement that professional duties override family
responsibilities, whereas less than half of in-hospital providers felt the
same (68% at-home versus 47% of the hospital-team,
P = 0.10).ConclusionAs organizations prepare for possible catastrophic situations, institutions
must realize that obstetric health care providers will experience role
conflict between professional and family responsibilities. (Disaster
Med Public Health Preparedness. 2019;13:33–37)
Collapse
|
27
|
Deciding to work during the Ebola outbreak: The voices and experiences of nurses and midwives in Liberia. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2017. [DOI: 10.1016/j.ijans.2017.09.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
|
28
|
Knowledge, perceptions, attitudes and willingness to report to work in an earthquake: A pilot study comparing Canadian versus Israeli hospital nursing staff. Int Emerg Nurs 2016. [DOI: 10.1016/j.ienj.2015.06.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
29
|
Veenema TG, Griffin A, Gable AR, MacIntyre L, Simons RADMN, Couig MP, Walsh JJ, Lavin RP, Dobalian A, Larson E. Nurses as Leaders in Disaster Preparedness and Response-A Call to Action. J Nurs Scholarsh 2016; 48:187-200. [DOI: 10.1111/jnu.12198] [Citation(s) in RCA: 94] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/29/2015] [Indexed: 01/21/2023]
Affiliation(s)
- Tener Goodwin Veenema
- Nu Beta , Associate Professor, Johns Hopkins University School of Nursing, Department of Community and Public Health, Johns Hopkins School of Nursing, and Center for Refugee and Disaster Response; Johns Hopkins Bloomberg School of Public Health; Baltimore MD USA
| | - Anne Griffin
- Clinical Investigator and Senior Program Manager, Veterans Emergency Management Evaluation Center, Office of Public Health, Veterans Health Administration; U.S. Department of Veterans Affairs; North Hills CA USA
| | - Alicia R. Gable
- Senior Project Director, Veterans Emergency Management Evaluation Center, Office of Public Health, Veterans Health Administration; U.S. Department of Veterans Affairs; North Hills CA USA
| | - Linda MacIntyre
- Alpha Eta and Beta Alpha , Chief Nurse; American Red Cross; Washington DC USA
| | - RADM Nadine Simons
- Assistant Surgeon General and Regional Health Administrator, Region IX, Office of the Assistant Secretary for Health; U.S. Department of Health and Human Services; San Francisco CA USA
| | - Mary Pat Couig
- Program Manager/Emergency Preparedness, U.S. Department of Veterans Affairs, Office of Nursing Services (ONS); Special Projects and Public Health Emergency Preparedness; Washington DC USA
| | - John J. Walsh
- Co-Director, Vanderbilt Program in Disaster Research and Training; Vanderbilt University School of Medicine; Nashville TN USA
| | - Roberta Proffitt Lavin
- Associate Dean for Academic Programs, University of Missouri-St. Louis; College of Nursing; St. Louis MO USA
| | - Aram Dobalian
- Director, Veterans Emergency Management Evaluation Center, Office of Public Health, Veterans Health Administration, U.S. Department of Veterans Affairs, Associate Adjunct Professor, Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, and School of Nursing; University of California, Los Angeles; North Hills CA USA
| | - Elaine Larson
- Alpha Zeta , Associate Dean for Research and Anna C. Maxwell Professor of Nursing Research, Columbia University School of Nursing and Professor of Epidemiology; Columbia University of Mailman School of Public Health; New York NY USA
| |
Collapse
|
30
|
Berger FH, Körner M, Bernstein MP, Sodickson AD, Beenen LF, McLaughlin PD, Kool DR, Bilow RM. Emergency imaging after a mass casualty incident: role of the radiology department during training for and activation of a disaster management plan. Br J Radiol 2016; 89:20150984. [PMID: 26781837 DOI: 10.1259/bjr.20150984] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
In the setting of mass casualty incidents (MCIs), hospitals need to divert from normal routine to delivering the best possible care to the largest number of victims. This should be accomplished by activating an established hospital disaster management plan (DMP) known to all staff through prior training drills. Over the recent decades, imaging has increasingly been used to evaluate critically ill patients. It can also be used to increase the accuracy of triaging MCI victims, since overtriage (falsely higher triage category) and undertriage (falsely lower triage category) can severely impact resource availability and mortality rates, respectively. This article emphasizes the importance of including the radiology department in hospital preparations for a MCI and highlights factors expected to influence performance during hospital DMP activation including issues pertinent to effective simulation, such as establishing proper learning objectives. After-action reviews including performance evaluation and debriefing on issues are invaluable following simulation drills and DMP activation, in order to improve subsequent preparedness. Historically, most hospital DMPs have not adequately included radiology department operations, and they have not or to a little extent been integrated in the DMP activation simulation. This article aims to increase awareness of the need for radiology department engagement in order to increase radiology department preparedness for DMP activation after a MCI occurs.
Collapse
Affiliation(s)
- Ferco H Berger
- 1 Department of Radiology and Nuclear Medicine, VU University Medical Center, Free University, Amsterdam, Netherlands
| | | | - Mark P Bernstein
- 3 Trauma & Emergency Radiology, Bellevue Hospital & NYU Langone Medical Center, New York, NY, USA
| | - Aaron D Sodickson
- 4 Emergency Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Ludo F Beenen
- 5 Department of Radiology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
| | - Patrick D McLaughlin
- 6 Emergency Radiology Division, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada
| | - Digna R Kool
- 7 Department of Radiology, Bernhoven Hospital, Uden, Netherlands
| | - Ronald M Bilow
- 8 Diagnostic and Interventional Imaging, University of Texas Medical School, Houston, TX, USA
| |
Collapse
|
31
|
Factors associated with the intention of health care personnel to respond to a disaster. Prehosp Disaster Med 2014; 29:555-60. [PMID: 25384396 DOI: 10.1017/s1049023x14001186] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
INTRODUCTION Over the past decade, numerous groups of researchers have studied the willingness of health care personnel (HCP) to respond when a disaster threatens the health of a community. Not one of those studies reported that 100% of HCP were willing to work during a public-health event (PHE). PROBLEM The objective of this study was to explore factors associated with the intent of HCP to respond to a future PHE. METHODS The theory of planned behavior (TPB) framed this cross-sectional study. Data were obtained via a web-based survey from 305 HCP. Linear associations between the TPB-based predictor and outcome variables were examined using Pearson's correlations. Differences between two groups of HCP were calculated using independent t tests. A model-generating approach was used to develop and assess a series of TBP-based observed variable structural equation models for prediction of intent to respond to a future PHE and to explore moderating and mediating effects. RESULTS The beginning patterns of relationships identified by the correlation matrix and t tests were evident in the final structural equation model, even though the patterns of prediction differed from those posited by the theory. Outcome beliefs had both a significant, direct effect on intention and an indirect effect on intention that was mediated by perceived behavioral control. Control beliefs appeared to influence intention through perceived behavioral control, as posited by the TPB, and unexpectedly through subjective norm. Subjective norm not only mediated the relationship between control beliefs and intention, but also the relationship between referent beliefs and intention. Additionally, professional affiliation seemed to have a moderating effect on intention. CONCLUSION The intention to respond was influenced primarily by normative and control factors. The intent of nurses to respond to a future PHE was influenced most by the control factors, whereas the intent of other HCP was shaped more by the normative factors. Health care educators can bolster the normative and control factors through education by focusing on team building and knowledge related to accessing supplies and support needed to respond when a disaster occurs.
Collapse
|
32
|
When and why health care personnel respond to a disaster: the state of the science. Prehosp Disaster Med 2014; 29:270-4. [PMID: 24784878 DOI: 10.1017/s1049023x14000387] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Emergency response relies on the assumption that essential health care services will continue to operate and be available to provide quality patient care during and after a patient surge. The observed successes and failures of health care systems during recent mass-casualty events and the concern that these assumptions are not evidence based prompted this review. METHOD The aims of this systematic review were to explore the factors associated with the intention of health care personnel (HCP) to respond to uncommon events, such as a natural disaster or pandemic, determine the state of the science, and bolster evidence-based measures that have been shown to facilitate staff response. RESULTS Authors of the 70 studies (five mixed-methods, 49 quantitative, 16 qualitative) that met inclusion criteria reported a variety of variables that influenced the intent of HCP to respond. Current evidence suggests that four primary factors emerged as either facilitating or hindering the willingness of HCP to respond to an event: (1) the nature of the event; (2) competing obligations; (3) the work environment and climate; and (4) the relationship between knowledge and perceptions of efficacy. CONCLUSIONS Findings of this study could influence and strengthen policy making by emergency response planners, staffing coordinators, health educators, and health system administrators.
Collapse
|