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Skaff Y, Jarrah M, Nasrallah R, Habib R, Sakr R. Disaster Preparedness among Healthcare Professionals in Lebanon. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:1034. [PMID: 39200644 PMCID: PMC11353815 DOI: 10.3390/ijerph21081034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2024] [Revised: 07/24/2024] [Accepted: 07/30/2024] [Indexed: 09/02/2024]
Abstract
BACKGROUND Disaster disrupts the normal functioning of a community, causing significant damages and losses. In recent years, Lebanon faced multiple disasters, including one of the largest explosions ever recorded, the Beirut Blast, in August 2020. Limited studies in the literature have examined disaster medicine preparedness among healthcare professionals (HCPs). OBJECTIVE To examine the knowledge (K), attitude (A), readiness to practice (rP), and KArP associated with disaster medicine preparedness among HCPs in Lebanon. METHODS A cross-sectional observational study was conducted in Lebanon using data from participants answering an online survey. Participants enrolled in this study were HCPs (residents and faculty), medical students, and postdoctoral research scholars. Levels of knowledge, attitude, and readiness to practice were assessed and used to examine their association with participants' socio-demographic characteristics. RESULTS A total of 195 participants (average age 30.6 ± 11.4 years) were included in this study. Participants reported moderate scores of knowledge, attitude, and readiness to practice. Older participants reported better readiness to practice and a KArP score. A significant difference was observed in all categories according to gender, with men having higher scores than women. No significant difference was observed between the level of education and knowledge, attitude, and total KArP scores. CONCLUSIONS Our study's findings showed that age and the level of education were positively correlated with readiness to practice. Men, compared to women, had significantly higher scores in all categories. Barriers to the KArP should be identified and targeted in future studies, as disaster preparedness at the institutional level may improve outcomes in future disaster encounters.
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Affiliation(s)
- Yara Skaff
- Department of Internal Medicine, Lebanese American University Medical Center Rizk Hospital, Beirut P.O. Box 11-3288, Lebanon
- Gilbert and Rose-Mary Chagoury School of Medicine, Lebanese American University, Byblos P.O. Box 36, Lebanon
| | - Mohammad Jarrah
- Department of Internal Medicine, Lebanese American University Medical Center Rizk Hospital, Beirut P.O. Box 11-3288, Lebanon
- Gilbert and Rose-Mary Chagoury School of Medicine, Lebanese American University, Byblos P.O. Box 36, Lebanon
| | - Rabih Nasrallah
- Department of Internal Medicine, Lebanese American University Medical Center Rizk Hospital, Beirut P.O. Box 11-3288, Lebanon
- Gilbert and Rose-Mary Chagoury School of Medicine, Lebanese American University, Byblos P.O. Box 36, Lebanon
| | - Reina Habib
- Gilbert and Rose-Mary Chagoury School of Medicine, Lebanese American University, Byblos P.O. Box 36, Lebanon
- Department of General Surgery, Lebanese American University Medical Center Rizk Hospital, Beirut P.O. Box 11-3288, Lebanon
| | - Rania Sakr
- Gilbert and Rose-Mary Chagoury School of Medicine, Lebanese American University, Byblos P.O. Box 36, Lebanon
- Division of Family Medicine, Department of Internal Medicine, Lebanese American University Medical Center Rizk Hospital, Beirut P.O. Box 11-3288, Lebanon
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Büke Ö, Karabayır N. Protection of Child Health in Emergencies. Turk Arch Pediatr 2024; 59:243-249. [PMID: 39110485 PMCID: PMC11181198 DOI: 10.5152/turkarchpediatr.2024.23265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 04/10/2024] [Indexed: 08/10/2024]
Abstract
Natural disasters present a significant and growing threat to the well-being of children. Every year 175 million children globally are expected to be affected by natural disasters, including floods, cyclones, droughts, heatwaves, severe storms, and earthquakes. In emergencies, children of all age groups, especially those under 5, are the most affected part of the community, with child mortality rates 2-70 times higher than average. Clean water, sanitation and hygiene measures, vaccination to prevent infectious diseases, providing psychological support to vulnerable children in an age-appropriate approach, and paying particular attention to children with special needs are extremely important. Healthcare personnel and families should have adequate information and preparation to do what is necessary before, during, and after emergencies to minimize the negative effects on children. In this review, we aim to discuss the effects of emergencies on children and the prevention methods.
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Affiliation(s)
- Övgü Büke
- Social Pediatrics PhD Program, Health Science Institute, Istanbul Medipol University, İstanbul, Türkiye
- Department of Pediatrics, Bağcılar Training and Research Hospital, Health Sciences University, İstanbul, Türkiye
| | - Nalan Karabayır
- Department of Social Pediatrics, İstanbul Medipol University International School of Medicine, İstanbul, Türkiye
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Saeed H, Hamid S, Zoukar I, Khiami A, Al Hawat L, Khoja M, Khawatmy H, Abdalnour H, Dashash M. Post-quake call for action: developing core competencies matrix for Syrian health workers in emergency time. Confl Health 2024; 18:5. [PMID: 38178240 PMCID: PMC10768459 DOI: 10.1186/s13031-023-00567-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Accepted: 12/28/2023] [Indexed: 01/06/2024] Open
Abstract
BACKGROUND The recent earthquake in Syria has caused widespread devastation, leading to extensive damage and loss of life. Considering the diverse range of disasters and conflicts that have affected Syrian society, health workers must possess essential competencies to effectively manage various types of disasters, including earthquakes. Therefore, this study was undertaken to identify the specific competencies required by Syrian health workers to respond efficiently and effectively to earthquakes. METHODS An exploratory qualitative study was conducted at the Medical Education Program MEP of the Syrian Virtual University SVU. Nine members of the research team of the MEP, who represent various health specializations in medicine, dentistry, nursing, and pharmacy, accepted to take part in this study. Among these, three members have been actively involved in providing health care in hospitals and the field during the Syrian earthquake on 6 February 2023. The Delphi process was adopted to identify competencies. Health workers involved in earthquake response were categorized into nine groups including medical doctors, dentists, pharmacists, nurses, psychological support professionals, medical students, allied healthcare professionals, on-site disaster teams, and managers. The final list was accepted if it achieved more than 80% agreement among the participants in the first, second, and final rounds. RESULTS The study identified 74 competencies (12 knowledge items, 35 skills, and 27 attitudes) essential for health workers to respond effectively to earthquakes. They are categorized into five domains: "Preparing the team for the rescue process during and, after earthquakes, Implementation of the rescue process, Education and psychological support, Research, and development". CONCLUSION A list of earthquake competencies was identified for health workers. It is hoped that this list will enhance a country's resilience and will enable decision-makers to support health workers in acquiring these competencies within a very strained health system in Syria and other countries.
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Affiliation(s)
- Hani Saeed
- Medical Education Program, Syrian Virtual University, Damascus, Syria
- Faculty of Nursing, Latakia, Syria
| | - Sulaf Hamid
- Medical Education Program, Syrian Virtual University, Damascus, Syria
- Pediatric Dentistry Department, Qasyoun Private University for Science and Technology, Damascus, Syria
| | - Imad Zoukar
- Medical Education Program, Syrian Virtual University, Damascus, Syria
- Department of Pediatrics, Damascus Hospital, Damascus, Syria
| | - Adel Khiami
- Medical Education Program, Syrian Virtual University, Damascus, Syria
- Research Department, Demonstration Training and Research Oral Health Center (DTROHC), Ministry of Education, Damascus, Syria
| | - Lama Al Hawat
- Medical Education Program, Syrian Virtual University, Damascus, Syria
| | - Mohammed Khoja
- Medical Education Program, Syrian Virtual University, Damascus, Syria
| | - Hossam Khawatmy
- Medical Education Program, Syrian Virtual University, Damascus, Syria
| | - Hani Abdalnour
- Medical Education Program, Syrian Virtual University, Damascus, Syria
- Department of Neurosurgery, Faculty of Medicine, Damascus University, Damascus, Syria
| | - Mayssoon Dashash
- Medical Education Program, Syrian Virtual University, Damascus, Syria.
- Department of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria.
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Li T, Zhang Y, Yao L, Bai S, Li N, Ren S. Knowledge, attitudes, and practices associated with bioterrorism preparedness in healthcare workers: a systematic review. Front Public Health 2023; 11:1272738. [PMID: 37869204 PMCID: PMC10587418 DOI: 10.3389/fpubh.2023.1272738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 09/25/2023] [Indexed: 10/24/2023] Open
Abstract
Introduction Bioterrorism is an important issue in the field of biosecurity, and effectively dealing with bioterrorism has become an urgent task worldwide. Healthcare workers are considered bioterrorism first responders, who shoulder essential responsibilities and must be equipped to deal with bioterrorism. This study aims to extract and summarize the main research components of the bioterrorism knowledge, attitude, and practice dimensions among healthcare workers. Method This study utilized a systematic review research design based on the PRISMA 2020 guidelines. A literature search was conducted in the PubMed, Web of Science, and Scopus databases for peer-reviewed literature, and the Mixed Methods Appraisal Tool (MMAT) version 2018 was used to assess the quality of the literature. Result A total of 16 studies were included in the final selection. Through the analysis and summary of the included studies, three main aspects and 14 subaspects of the knowledge dimension, three main aspects and 10 subaspects of the attitude dimension, and two main aspects and six subaspects of the practice dimension were extracted. Conclusion This study conducted a literature review on bioterrorism knowledge, attitudes, and practices for healthcare workers based on the PRISMA 2020 guidelines. The findings can guide improvements in health literacy and provide beneficial information to professional organizations that need to respond effectively to bioterrorism.
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Affiliation(s)
- Tiantian Li
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Yongzhong Zhang
- Epidemiology and Health Statistics, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Lulu Yao
- Emergency Medicine, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Song Bai
- Evaluation and Optimization of Health Emergency Response Capacity, SD, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Nan Li
- School of Management and Economics, Tianjin University, Tianjin, China
| | - Shaotong Ren
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
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Abu Hasheesh MO. Jordanian Nurses' Perceived Disaster Preparedness: Factors Influencing Successful Planning. ScientificWorldJournal 2023; 2023:5473777. [PMID: 37228388 PMCID: PMC10205417 DOI: 10.1155/2023/5473777] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 04/05/2023] [Accepted: 04/24/2023] [Indexed: 05/27/2023] Open
Abstract
Background Current disaster knowledge, skills, and preparedness levels need to be evaluated to guide plans to strengthen disaster readiness. Objective This study aimed to explore the Jordanian staff nurses' perception regarding their familiarity, attitudes, and practices for disaster preparedness (DP) to reduce the negative impacts of disasters. Methods This is a cross-sectional, quantitative, descriptive study. The study was conducted on nurses working at governmental and private hospitals in Jordan. A convenience sample of 240 currently working nurses was recruited to participate in the study. Results The nurses were somewhat familiar with their role in DP (2.9 ± .84). The nurses' overall attitude towards DP was 2.2 ± 0.38, indicating that respondents had medium attitude levels. A low practice level for DP (1.59 ± 0.45) was also observed. Among the studied demographic variables, there was a significant relationship between experience and prior training with improved familiarity and practices. This indicates a need for strengthening nurses' practical skills as well as their theoretical knowledge. However, there is only a significant difference between attitude scale scores and disaster preparedness training (f = 10.120; p=0.002). Conclusions The study findings support the need for more training (academic and/or institutional) to increase and improve nursing disaster preparedness locally and globally.
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Isleem N, Naseralallah L, Koraysh S, Abu Ghalyoun A, Alnaimi S, Pallivalapila A, Al Hail M. Disaster Preparedness Amongst Emergency Pharmacists for the FIFA World Cup Qatar 2022™: A Cross-Sectional Survey. Risk Manag Healthc Policy 2023; 16:573-583. [PMID: 37038373 PMCID: PMC10082576 DOI: 10.2147/rmhp.s404367] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Accepted: 03/28/2023] [Indexed: 04/07/2023] Open
Abstract
Purpose The aim of this study is to assess the level of preparedness of pharmacists working in the emergency department at Hamad Medical Corporation (HMC) for any emergency disasters that may take place during the FIFA World Cup Qatar 2022™ by evaluating their awareness (A), attitude (A), and readiness (R). Methods A cross-sectional quantitative observational study was conducted through a web-based survey. The survey was distributed among emergency pharmacists working in general hospitals under HMC. The questionnaire was composed of three major domains assessing awareness, attitude, readiness, as well as an additional domain to collect the participants' demographics. Student's t-test, analysis of variance, Pearson's correlation, and linear regression were used with an alpha level of 0.05. Results Most pharmacists working in the emergency departments at HMC had high levels of awareness (76.9%), attitude (92%), and readiness (53.8%) for any emergency disasters that may occur during the FIFA World Cup 2022. Nonetheless, almost half of the respondents reported moderate level of readiness for emergency events. Pharmacists with >10 years' practice experience had significantly higher AAR score compared to those with <5 years' experience (P = 0.002). Significant direct positive correlations were found among the 3 AAR parameters (P < 0.05). Attitude was found to be a significant predictor of readiness (P < 0.05). A model composed of attitude and awareness could predict 12% of readiness score. Conclusion Emergency pharmacists at HMC have high level of preparedness for any emergency disaster event during the World Cup. Future research should focus on the development of theory-based action framework for pharmacy departments during mass gathering events.
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Affiliation(s)
- Nour Isleem
- Pharmacy Department, Hamad Medical Corporation, Doha, Qatar
- Correspondence: Nour Isleem, Pharmacy Department, Hamad Medical Corporation, P.O.Box 42, Doha, Qatar, Tel +974 3100 3071, Email
| | - Lina Naseralallah
- Pharmacy Department, Hamad Medical Corporation, Doha, Qatar
- School of Pharmacy, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Somaya Koraysh
- Pharmacy Department, Hamad Medical Corporation, Doha, Qatar
| | | | | | | | - Moza Al Hail
- Pharmacy Department, Hamad Medical Corporation, Doha, Qatar
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Izquierdo-Condoy JS, Montiel-Alfonso MA, Nati-Castillo HA, Saucedo R, Jaramillo-Aguilar DS, Nanjari-Barrientos C, García-Arévalo C, Rivera-Flores D, Díaz Batista MI, Loaiza-Guevara V, Ortiz-Prado E. Knowledge, Perceptions, and Practices on Risks and Disasters Among Medical Students. A Multicenter Cross-Sectional Study in 9 Latin American and Caribbean Countries. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2023; 14:225-235. [PMID: 36941904 PMCID: PMC10024465 DOI: 10.2147/amep.s394331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 02/20/2023] [Indexed: 06/18/2023]
Abstract
PURPOSE The objective of this study was to describe the level of knowledge, perceptions, and practices in relation to risks and disasters in medical schools in Latin America and the Caribbean. PARTICIPANTS AND METHODS Multicenter, observational, analytical, non-probabilistic convenience sample study with 2546 medical students in 9 countries of Latin America and the Caribbean. An online survey was conducted between October 2020 and November 2020, using an instrument validated in each country to assess knowledge, perceptions, and practices regarding risk and disaster prevention measures. Frequencies, percentages, mean and standard deviation (SD) were used for descriptive analysis. Differences resulting from the relationship between the variables studied and the level of knowledge were obtained using the Chi-square test. P-value <0.05 was accepted as statistically significant for all analyses. RESULTS The highest proportion of responses came from women, third-semester students, and those studying in public universities. Students from Colombia and Honduras had the highest percentage of high levels of knowledge about disasters, while Peruvian students had the highest percentage of low levels of knowledge. Women and students from public universities showed a higher proportion of high levels of knowledge. 52.7% considered that they live in a country with a medium risk of natural disasters, while 91.2% said that Latin American and Caribbean countries are not prepared to face natural disasters. Only 43.6% believe they are prepared to help in the event of a natural disaster. CONCLUSION Most of medical students from Latin America and Latin America and the Caribbean have high and medium level of knowledge in risks and disasters. However, the implementation of disaster training programs for medical students has the potential to improve the preparedness, knowledge, and skills that are important for medical personnel to improve their self-confidence, and their ability to respond, resulting in more effective systems.
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Affiliation(s)
| | | | | | - Ruth Saucedo
- Scientific Committee, Bolivian Association of Scientific Societies of Medical Students (ABOLSCEM), Santa Cruz, Bolivia
| | | | | | | | - Daniel Rivera-Flores
- Faculty of Medical Sciences, Universidad Nacional Autónoma de Honduras, Tegucigalpa, Honduras
| | | | | | - Esteban Ortiz-Prado
- OneHealth Global Research Group, Universidad de las Américas, Quito, Ecuador
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Lamine H, Lamberti-Castronuovo A, Singh P, Chebili N, Zedini C, Achour N, Valente M, Ragazzoni L. A Qualitative Study on the Use of the Hospital Safety Index and the Formulation of Recommendations for Future Adaptations. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4985. [PMID: 36981894 PMCID: PMC10049632 DOI: 10.3390/ijerph20064985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 03/08/2023] [Accepted: 03/10/2023] [Indexed: 06/18/2023]
Abstract
The Hospital Safety Index is a tool developed by the World Health Organization and the Pan American Health Organization in 2008 and updated in 2015. Although it is the most widely used instrument of its kind to assess the level of hospital preparedness, scientific literature on its application in real life is scarce. This study aimed to investigate the use of the Hospital Safety Index to assess disaster preparedness in healthcare facilities. A retrospective, qualitative study employing semi-structured online interviews was conducted to gather the opinions and perspectives of professionals who have experience in applying the Hospital Safety Index. Authors of scientific publications using the Hospital Safety Index were recruited. A semi-structured interview guide was developed. It addressed different phases of data collection with the Hospital Safety Index, the challenges and facilitators of using it, and recommendations for future adaptations. Data were analysed using inductive thematic analysis. Nine participants who were from three countries (Serbia, Sri Lanka, and Indonesia) and had different professional backgrounds (medical doctors, engineers, spatial planners, etc.) participated in this study. A total of 5 themes and 15 subthemes emerged during data analysis. Most of the participants reported their reasons for choosing the Hospital Safety Index as being its comprehensiveness and the fact that it was issued by the World Health Organization. The tool appears to be very specific and allows investigators to spot details in hospitals; however, it is not easy to use, and training is highly encouraged to learn how to navigate the different components of the tool. Governmental support is a crucial facilitator for investigators to be able to enter hospitals and conduct their evaluations. Overall, the tool has a lot of potential, and it should be used to reach a broader audience, such as community members, and assess the preparedness of other facilities that can take part in the response to disasters (hotels, stadiums, schools, etc.). Nevertheless, it still needs more adaptations to be tailored to different contexts and settings.
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Affiliation(s)
- Hamdi Lamine
- CRIMEDIM—Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università Del Piemonte Orientale, 28100 Novara, Italy
- Department for Sustainable Development and Ecological Transition, Università Del Piemonte Orientale, 13100 Vercelli, Italy
- Ibn El Jazzar Medical Faculty of Sousse, University of Sousse, Sousse 4002, Tunisia
| | - Alessandro Lamberti-Castronuovo
- CRIMEDIM—Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università Del Piemonte Orientale, 28100 Novara, Italy
- Department for Sustainable Development and Ecological Transition, Università Del Piemonte Orientale, 13100 Vercelli, Italy
| | - Prinka Singh
- CRIMEDIM—Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università Del Piemonte Orientale, 28100 Novara, Italy
- Department for Sustainable Development and Ecological Transition, Università Del Piemonte Orientale, 13100 Vercelli, Italy
| | - Naoufel Chebili
- Ibn El Jazzar Medical Faculty of Sousse, University of Sousse, Sousse 4002, Tunisia
- Urgent Medical Aid Service (SAMU 03), Sahloul University Hospital, Sousse 4052, Tunisia
| | - Chekib Zedini
- Ibn El Jazzar Medical Faculty of Sousse, University of Sousse, Sousse 4002, Tunisia
| | - Nebil Achour
- School of Allied Health, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, East Road, Cambridge CB1 1PT, UK
| | - Martina Valente
- CRIMEDIM—Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università Del Piemonte Orientale, 28100 Novara, Italy
- Department for Sustainable Development and Ecological Transition, Università Del Piemonte Orientale, 13100 Vercelli, Italy
| | - Luca Ragazzoni
- CRIMEDIM—Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università Del Piemonte Orientale, 28100 Novara, Italy
- Department for Sustainable Development and Ecological Transition, Università Del Piemonte Orientale, 13100 Vercelli, Italy
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Shanableh S, Alomar MJ, Palaian S, Al-Ahmad MM, Ibrahim MIM. Knowledge, attitude, and readiness towards disaster management: A nationwide survey among healthcare practitioners in United Arab Emirates. PLoS One 2023; 18:e0278056. [PMID: 36795695 PMCID: PMC9934416 DOI: 10.1371/journal.pone.0278056] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Accepted: 11/09/2022] [Indexed: 02/17/2023] Open
Abstract
Health professionals are expected to be knowledgeable on disaster medicine and prepared to deal with medicine disasters. This study aimed to assess the level of knowledge, attitude, and readiness to practice disaster medicine among health care workers in the United Arab Emirates (UAE) and determine the influence of sociodemographic factors on the practice of disaster medicine. A cross-sectional survey conducted among various healthcare professionals in different healthcare facilities in the UAE. An electronic questionnaire was used and randomly distributed throughout the country. Data were collected from March to July 2021. The questionnaire consisted of 53 questions distributed among four sections: demographic information, knowledge, attitude and readiness to practice. The questionnaire distribution involved a 5-item of demographic information, a 21-item of knowledge, a 16-item of attitude and an 11-item of practice. A total of 307 (participation rate ~80.0%, n = 383) health professionals practicing in the UAE responded. Of these, 191 (62.2%) were pharmacists, 52 (15.9%) were physicians, 17 (5.5%) were dentists, 32 (10.4%) were nurses, and 15 (4.9%) were others. The mean experience was 10.9 years [SD ±7.6] (median 10, IQR 4-15). The median (IQR) overall knowledge level was 12 (8-16) and the maximum knowledge level was 21. The overall knowledge level differed significantly between the age groups of the participants (p = 0.002). The median (IQR) of overall attitude was (57, 50-64) for pharmacists, (55, 48-64) for physicians, (64, 44-68) for dentists, (64, 58-67) for nurses, and (60, 48-69) for others. The total attitude score differed significantly between the different professional groups (p = 0.034), gender (p = 0.008) and workplace (p = 0.011). In terms of readiness to practice, respondents' scores were high and not significantly related to age (p = 0.14), gender (p = 0.064), professional groups (p = 0.0.762), and workplace (p = 0.149). This study showed that health professionals in the UAE have moderate levels of knowledge, positive attitudes, and high readiness to engage in disaster management. Gender and place of work can be considered as influencing factors. Professional training courses and educational curriculums related to disaster medicine can be beneficial to further reduce the knowledge-attitude gap.
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Affiliation(s)
- Sawsan Shanableh
- Department of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University, Ajman, UAE
| | - Muaed Jamal Alomar
- Department of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University, Ajman, UAE
- * E-mail:
| | - Subish Palaian
- Department of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University, Ajman, UAE
| | - Mohammad Majed Al-Ahmad
- Department of Clinical Pharmacy, College of Pharmacy, Al Ain University, Al Ain Campus, Al Ain, UAE
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Baldi ME, Laghrissi A, Marso Z, Chellat FZ, Berraho M, Tachfouti N, Fakir SE, Mellas S, Fahd AM, kohen J, Boulaguige F, Naamane J, Lahmadi K, Rhazi KE. Prevalence and associated factors of COVID-19 among Moroccan physicians: A cross-sectional study. PLoS One 2022; 17:e0277157. [PMID: 36322588 PMCID: PMC9629645 DOI: 10.1371/journal.pone.0277157] [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: 07/20/2022] [Accepted: 10/20/2022] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND Coronavirus disease (COVID-19) has emerged and spread rapidly worldwide and established a global public health crisis in early 2020. The first Moroccan case was reported on March 2, 2020. Since then, healthcare workers (HCWs) played a major role in saving human lives threatened by COVID-19. This study aimed to assess the prevalence of COVID-19 infection among Moroccan physicians and to report associated risk factors prior vaccination campaign. METHODS A cross-sectional study was carried out in the Fez-Meknes region of Morocco, 545 physicians' data was collected using a self-reported online questionnaire. The data collection was done between December 1, 2020, and February 1, 2021. RESULTS The prevalence of COVID-19 among physicians was 27.3%. The mean age of the confirmed COVID-19 group was 38.4±12.9 years old. There was no association between COVID-19 infection and preventive measures compliance by physicians and healthcare authorities in the workplace. However, multivariate analysis strengthened the following factors such as increased risk of COVID-19 infection within men ☯aOR:1.896; 95% IC 1.272-2.828; p = 0.002]; the presence of at least one comorbidity ☯aOR:2.268; 95%IC 1.414-3.637; p = 0.001]; and working at a university or military hospitals ☯aOR:2.578; 95%IC 1.667-3.989; p = 0.001]. CONCLUSION This study allows comparing COVID-19 prevalence among healthcare workers before and after vaccination programs. This should support better preparation strategy for any future pandemics with appropriate and increased awareness for men, carrying comorbidity, and working environment with high COVID-19 disease management.
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Affiliation(s)
- Marwa El Baldi
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
| | - Amina Laghrissi
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
| | - Zakia Marso
- Regional Direction of Health, Fez Meknes Region, Morocco
| | | | - Mohamed Berraho
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
| | - Nabil Tachfouti
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
| | - Samira El Fakir
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
| | - Soufiane Mellas
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
| | - Amar Mohamed Fahd
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
| | - Jamal kohen
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
| | - Fouad Boulaguige
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
| | - Jamal Naamane
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
| | - Khalid Lahmadi
- Hematology Department, Moulay Ismail Military Hospital, Meknes, Morocco
| | - Karima El Rhazi
- Faculty of Medicine and Pharmacy, Laboratory of Epidemiology, Clinical Research, and Community Health, Sidi Mohamed Ben Abdallah University, Fez, Morocco
- Regional Council for the Order of Physicians, Fez-Meknes Region, Morocco
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Jairoun AA, Al-Hemyari SS, Shahwan M, Alorfi NM, El-Dahiyat F, Hossain MS, Jairoun M, Jaber AAS. Exploring the knowledge, attitude and practice towards disaster medicine preparedness and readiness: A prescriptive insight by the community pharmacists in the United Arab Emirates. PLoS One 2022; 17:e0273209. [PMID: 36006935 PMCID: PMC9409571 DOI: 10.1371/journal.pone.0273209] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 08/04/2022] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Proper disaster preparedness by community pharmacists has the potential to counter many of the factors that cause threats and high-risk outcomes. Their preparedness and awareness may also help health practitioners and governments to improve disaster response planning. OBJECTIVES This aims to explore the knowledge, attitude, and practice (KAP) towards disaster medicine preparedness and readiness among community pharmacists in the United Arab Emirates (UAE). METHOD A cross-sectional study was conducted over the ten months among licensed community pharmacists who had three months' professional experience or more. Face-to-face interviews were carried out and a structured questionnaire was used for data collection. Logistic regression models were used to determine the factors influencing aboucine preparedness and readiness. SPSS Version 24 was used to analyze the data collected. RESULTS A total of 500 community pharmacists participated in the study. The average knowledge score was 25.6% with a 95% confidence interval (CI) of [21.7%, 29.4%]. Better knowledge scores were observed in the male gender (OR 2.43; 95% CI 1.05-3.72), participants aged ≥ 31 years old (OR 2.97; 95% CI 1.16-7.6), postgraduates (OR 4.36; 95% CI 2.6-7.3), participants from independent Pharmacies (OR 6.5; 95% CI 4.04-10.4 3), chief pharmacists (OR 3.1; 95% CI 1.86-5.07), participants with 16 years and more experience years (OR 2.42; 95% CI 1.063-5.522) and participants who graduated from regional/international universities (OR 5.92; 95% CI 2.65-13.2). Better attitude and practice about disaster medicine preparedness were observed in postgraduates (OR 2.54; 95% CI 1.26-pharmacists from independent pharmacies (OR 1.35; 95% CI 2.43-2,.66), and chief pharmacists (OR 1.26; 95% CI 1.17-1.35). CONCLUSIONS It's essential to provide a continuing education program using different educational strategies urgently needed to improve community pharmacy competencies (e.g. knowledge attitudes, and perceptions) to improve the skills and practices regarding disaster medicine preparedness and readiness.
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Affiliation(s)
- Ammar Abdulrahman Jairoun
- School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang, Gelugor, Malaysia
- Health and Safety Department, Dubai Municipality, Dubai, United Arab Emirates
| | - Sabaa Saleh Al-Hemyari
- School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang, Gelugor, Malaysia
- Pharmacy Department, Emirates Health Services, Dubai, United Arab Emirates
| | - Moyad Shahwan
- College of Pharmacy and Health Sciences, Ajman University, Ajman, United Arab Emirates
- Center of Medical and Bio-allied Health Sciences Research, Ajman University Ajman, Ajman, United Arab Emirates
| | - Nsser M. Alorfi
- Department of Pharmacology and Toxicology, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Faris El-Dahiyat
- Clinical Pharmacy Program, College of Pharmacy, Al Ain University, Al Ain, United Arab Emirates
- AAU Health and Biomedical Research Center, Al Ain University, Abu Dhabi, United Arab Emirates
| | - Md. Sanower Hossain
- Department of Biomedical Science, Kulliyyah of Allied Health Sciences, International Islamic University Malaysia, Kuantan, Malaysia
- Faculty of Science, Sristy College of Tangail, Tangail, Bangladesh
| | - Miamona Jairoun
- College of Pharmacy and Health Sciences, Ajman University, Ajman, United Arab Emirates
| | - Ammar Ali Saleh Jaber
- Department of Clinical Pharmacy & Pharmacotherapeutics, Dubai Pharmacy College for Girls, Dubai, United Arab Emirates
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Khilji FUR, Zil-e-Huma, Baloch NS, Shoaib M, Iqbal Z, Raziq A, Sadaf N, Ainuddin S, Haider S, Saleem F, Iqbal Q, Hussain T, Ayaz A, Ishaq R. Physicians' Response and Preparedness of Terrorism-Related Disaster Events in Quetta City, Pakistan: A Qualitative Inquiry. Front Public Health 2022; 10:912762. [PMID: 35832271 PMCID: PMC9271701 DOI: 10.3389/fpubh.2022.912762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 05/12/2022] [Indexed: 11/13/2022] Open
Abstract
Background Besides catastrophes, infrastructural damages, and psychosocial distress, terrorism also imposes an unexpected burden on healthcare services. Considerably, adequately-prepared and responsive healthcare professionals affirms effective management of terrorism-related incidences. Accordingly, the present study aimed to evaluate physicians' preparedness and response toward terrorism-related disaster events in Quetta city, Pakistan. Methods A qualitative design was adopted. Physicians practicing at the Trauma Center of Sandeman Provincial Hospital (SPH), Quetta, were approached for the study. We conducted in-depth interviews; all interviews were audio-taped, transcribed verbatim, and analyzed for thematic contents by a standard content analysis framework. Results Fifteen physicians were interviewed. The saturation was achieved at the 13th interview however we conducted another two to validate the saturation. The thematic content analysis revealed five themes and 11 subthemes. All physicians have experienced, responded to, and managed terrorism-related disaster events. They were prepared professionally and psychologically in dealing with a terrorism-related disaster. Physicians identified lack of disaster-related curricula and training, absence of a standardized protocol, recurrence of the disaster, and hostile behavior of victim's attendants during an emergency as critical barriers to effective terrorism-related disaster management. Among limitations, all respondents mentioned workspace, and resources as a foremost constraint while managing a terrorism-related disaster event. Conclusion Although physicians understood the abilities and had the required competencies to mitigate a terrorism-related disaster, lack of workspace and resources were identified as a potential barrier to effective disaster management. Based on the results, we propose reconsideration and integration of the medical curriculum, particularly for terrorism-related disaster management, collaboration, and communication among various stakeholders to manage terrorism-related disaster events competently.
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Affiliation(s)
| | - Zil-e-Huma
- Department of Zoology, Sardar Bahadur Khan Women's University, Quetta, Pakistan
| | | | - Maryam Shoaib
- Department of Gynecology and Obstetrics, Sandeman Provincial Hospital, Quetta, Pakistan
| | - Zaffar Iqbal
- Health Department Government of Balochistan, Quetta, Pakistan
| | - Abdul Raziq
- Department of Statistics, University of Balochistan Quetta, Quetta, Pakistan
| | - Nabila Sadaf
- Department of Pharmacy, Sardar Bahadur Khan Womens' University, Quetta, Pakistan
| | - Syed Ainuddin
- Department of Disaster Management and Development Studies, University of Balochistan, Quetta, Pakistan
| | - Sajjad Haider
- Faculty of Pharmacy and Health Sciences, University of Baluchistan, Quetta, Pakistan
| | - Fahad Saleem
- Faculty of Pharmacy and Health Sciences, University of Baluchistan, Quetta, Pakistan
| | - Qaiser Iqbal
- Faculty of Pharmacy and Health Sciences, University of Baluchistan, Quetta, Pakistan
| | - Tanveer Hussain
- Department of Disaster Management and Development Studies, University of Balochistan, Quetta, Pakistan
| | - Asfandyar Ayaz
- Department of Disaster Management and Development Studies, University of Balochistan, Quetta, Pakistan
| | - Rabia Ishaq
- Faculty of Pharmacy and Health Sciences, University of Baluchistan, Quetta, Pakistan
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Ahmad Suleiman M, Magaji MG, Mohammed S. Evaluation of pharmacists' knowledge in emergency preparedness and disaster management. INTERNATIONAL JOURNAL OF PHARMACY PRACTICE 2022; 30:348-353. [PMID: 35781567 PMCID: PMC9384291 DOI: 10.1093/ijpp/riac049] [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: 08/08/2021] [Accepted: 05/11/2022] [Indexed: 11/14/2022]
Abstract
Background Emergency preparedness and disaster management are global phenomena that have a significant impact on the economy and healthcare system. Pharmacists have assumed additional responsibilities in the wake of emergencies and disasters that are beyond their training curricula. Some research highlighted the need for pharmacists to assume these responsibilities in the cause of emergency and disaster. The objective of this study is to evaluate pharmacists' knowledge in relation to emergency preparedness and disaster management. Method A descriptive cross-sectional survey was carried out from April to August 2020, on selected pharmacists from different areas of practice in Kaduna/Nigeria. Participants were evaluated using a self-reported questionnaire which consisted of 15 knowledge questions that were distributed online using pharmacists' social-media platforms. The questionnaire was adapted from previous studies and was validated by the team of expect using face validation and pre-tested. Main outcome The majority of pharmacists have good knowledge of emergency preparedness and disaster management. Results The online poll received 102 respondents, and their knowledge was evaluated by rating respondents out of 15 questions. 55%, 40%, and 5% scored good, fair, and poor knowledge respectively. At p<0.05, there was a relationship between knowledge score and years of practice experience, level of education, and area of practice. 44% reported being taught emergency, with the majority at the undergraduate level. 78% of respondents have never participated in drills or workshops. Conclusion Pharmacists demonstrated good knowledge of basic emergency and disaster terms, they do, however, need to be more conversant with other emergency areas, which necessitates more training and drills.
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Affiliation(s)
- Muhammad Ahmad Suleiman
- Kaduna State University, Clinical Pharmacy and Pharmacy Management, Tafawa Balewa way, Kaduna PMB 234, Nigeria.,Ahmadu Bello University, Clinical Pharmacy and Pharmacy Practice, Zaria PMB 1045, Nigeria
| | - Mohammed Garba Magaji
- Ahmadu Bello University, Clinical Pharmacy and Pharmacy Practice, Zaria PMB 1045, Nigeria.,Ahmadu Bello University, Pharmacology and Therapeutics, Zaria PMB 1045, Nigeria.,Ahmadu Bello University, Health Systems and Policy Research Unit, Zaria PMB 1045, Nigeria
| | - Shafiu Mohammed
- Ahmadu Bello University, Clinical Pharmacy and Pharmacy Practice, Zaria PMB 1045, Nigeria.,Ahmadu Bello University, Health Systems and Policy Research Unit, Zaria PMB 1045, Nigeria
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Ahmad Naim NA, Omar R, Nik Ibrahim NNL. Emergency preparedness and response in palm oil mill and investigation of the employees' emergency preparedness knowledge and attitude. PROCESS SAFETY PROGRESS 2022. [DOI: 10.1002/prs.12363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Nabilah Aliyah Ahmad Naim
- FELCRA Processing & Engineering Sdn. Bhd. Palm Oil Mill FPESB Industrial Complex Bidor Teluk Intan Malaysia
| | - Rozita Omar
- Safety Engineering Interest Group, Department of Chemical & Environmental Engineering Universiti Putra Malaysia Serdang Malaysia
| | - Nik Nor Liyana Nik Ibrahim
- Safety Engineering Interest Group, Department of Chemical & Environmental Engineering Universiti Putra Malaysia Serdang Malaysia
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Balut MD, Der-Martirosian C, Dobalian A. Disaster Preparedness Training Needs of Healthcare Workers at the US Department of Veterans Affairs. South Med J 2022; 115:158-163. [PMID: 35118507 DOI: 10.14423/smj.0000000000001358] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
OBJECTIVES Training healthcare workers in disaster preparedness has been shown to increase their willingness and ability to report to work during disasters. Little is known, however, about the relation between sociodemographic, household, and workforce characteristics and the desire for such training. Accordingly, this study aimed to assess healthcare workers' desire for additional workforce preparedness training, and the determinants that influence the need for such training, for three types of disasters (natural, pandemic, manmade). METHODS The US Department of Veterans Affairs (VA) Preparedness Survey was a random, anonymous, Web-based questionnaire fielded nationwide (October-December 2018). Multivariate, logistic regression analyses were conducted. RESULTS In total, 4026 VA employees, clinical and nonclinical, responded. A total of 61% of respondents wanted additional training for natural, 63% for pandemic, and 68% for manmade disasters. VA supervisors (natural: odds ratio [OR] 1.28, pandemic: OR 1.33, manmade: OR 1.25, P < 0.05) and clinicians (natural: OR 1.24, pandemic: OR 1.24, manmade: OR 1.24, P < 0.05) were more likely to report the need for additional training. Those who reported that they understood their role in disaster response were less likely to report the need for training (natural: OR 0.25, pandemic: OR 0.27, manmade: OR 0.28, P < 0.001), whereas those who perceived their role to be important during response (natural: OR 2.20, pandemic: OR 2.78, manmade: OR 3.13, P < 0.001), and those who reported not being prepared at home for major disasters (natural: OR 1.85, pandemic: OR 1.92, manmade: OR 1.94, P < 0.001), were more likely to indicate a need for training. CONCLUSIONS Identifying which factors encourage participation in disaster preparedness training can help hospitals and other healthcare providers create targeted training and educational materials to better prepare all hospital staff for future disasters.
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Affiliation(s)
- Michelle D Balut
- From the Veterans Emergency Management Evaluation Center, US Department of Veterans Affairs, North Hills, California
| | - Claudia Der-Martirosian
- From the Veterans Emergency Management Evaluation Center, US Department of Veterans Affairs, North Hills, California
| | - Aram Dobalian
- From the Veterans Emergency Management Evaluation Center, US Department of Veterans Affairs, North Hills, California
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Singh Gambhir R, Goel R, Singh G, Singh R, Jagga U, Aggarwal A. Dental professionals' attitude and willingness to respond during disaster events: a cross-sectional study. PRZEGLAD EPIDEMIOLOGICZNY 2022; 76:330-335. [PMID: 36520080 DOI: 10.32394/pe.76.31] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
INTRODUCTION In the present times, natural and man-made threats have questioned our existence on this planet. Health care professionals need to be aware of all the procedures to follow during such an event that threatens to paralyze the entire community and should be able to respond effectively. OBJECTIVE The present study was conducted to assess the willingness and attitude of dental professionals to render help during any disaster or catastrophic event. MATERIAL AND METHODS The present cross-sectional study among 480 subjects who were residing in Tricity (Chandigarh, Mohali and Panchkula). Informed consent was taken from all the subjects. Systematic random sampling methodology was employed for selection for study sample. The study utilized a self-designed close-ended questionnaire written in English and verified by experts. The questionnaire was divided into two parts to collect the required information. The data was analyzed using SPSS software version 21; chi-square test and multiple regression analysis were used to arrive at the results. RESULTS More than 85% of subjects had awareness regarding natural and manmade disasters. A positive response was given by 79.2% of subjects regarding willingness to help during disaster. Educational qualification of subjects was significantly associated with attitude towards some aspects of disaster response (p<0.05). Postgraduate subjects and subjects who were academicians were more willing to render help (OR: 2.18 & 3.65 respectively). CONCLUSIONS The study emphasizes the need for educational and training programs for dentists' regarding disaster management. A short course on emergency and disaster management can be included in undergraduate and postgraduate dental curriculum.
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Affiliation(s)
| | - Richa Goel
- Department of Public Health Dentistry, Karnavati School of Dentistry, Gandhinagar, Gujarat
| | - Gurminder Singh
- Department of Prosthodontics, Gian Sagar Dental College and Hospital, Rajpura
| | - Ravinder Singh
- Department of Oral Medicine and Radiology, MM College of Dental Sciences and Research, MM (Deemed to be University), Mullana
| | - Umang Jagga
- Department of Pedodontics and Preventive Dentistry, Rayat and Bahra Dental College and Hospital, Mohali
| | - Amit Aggarwal
- Department of Oral Medicine and Radiology, MM College of Dental Sciences and Research, MM (Deemed to be University), Mullana
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Gillani AH, Li S, Akbar J, Omer S, Fatima B, Ibrahim MIM, Fang Y. How Prepared Are the Health Care Professionals for Disaster Medicine Management? An Insight from Pakistan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:ijerph19010200. [PMID: 35010475 PMCID: PMC8750677 DOI: 10.3390/ijerph19010200] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 11/15/2021] [Accepted: 11/22/2021] [Indexed: 05/31/2023]
Abstract
Countries need healthcare professionals who are competent first responders with a positive attitude and prepared to deal with catastrophes. The study evaluated the knowledge, attitude, and readiness of the practice of healthcare professionals towards disaster management. A survey was carried out among hospital healthcare professionals using a self-administered validated questionnaire. The questionnaire comprised knowledge, attitude, and readiness to practice items. Descriptive and inferential statistics (Mann-Whitney, Kruskal-Wallis, correlation and regression tests) at alpha = 0.05 were used in the analysis. The mean (SD) score of knowledge was 12.25 (4.27) (range: 3.00 to 20.00), attitude (39.32 ± 9.55; range: 18.00 to 61.00), readiness to practice (32.41 ± 6.69; range: 21.00 to 61.00), and KArP (83.99 ± 12.21; range: 60.00 to 124.00). The average knowledge score was moderate, low attitude score, moderate readiness to practice score, and an average score of overall KArP. Attitude is a significant predictor of readiness to practice (p = 0.000). The levels of knowledge, attitude, and readiness of the practice of healthcare professionals were not satisfactory. The educators and health policymakers should build a robust curriculum in disaster medicine management and preparedness to prepare for the future of competent healthcare professionals for the nation.
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Affiliation(s)
- Ali Hassan Gillani
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an 710061, China; (A.H.G.); (S.L.); (S.O.)
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi’an 710061, China
- Shaanxi Centre for Health Reform and Development Research, Xian Jiaotong University, Xi’an 710061, China
| | - Shi Li
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an 710061, China; (A.H.G.); (S.L.); (S.O.)
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi’an 710061, China
- Shaanxi Centre for Health Reform and Development Research, Xian Jiaotong University, Xi’an 710061, China
| | - Jamshaid Akbar
- Department of Pharmaceutical Sciences, Superior University Lahore, Lahore 54000, Pakistan;
| | - Sumaira Omer
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an 710061, China; (A.H.G.); (S.L.); (S.O.)
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi’an 710061, China
- Shaanxi Centre for Health Reform and Development Research, Xian Jiaotong University, Xi’an 710061, China
| | - Bakhtawar Fatima
- Department of Obstetrics and Gynecology, King Edward Medical University, Lahore 54000, Pakistan;
| | | | - Yu Fang
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an 710061, China; (A.H.G.); (S.L.); (S.O.)
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi’an 710061, China
- Shaanxi Centre for Health Reform and Development Research, Xian Jiaotong University, Xi’an 710061, China
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Al-Shatnawi SF, Alzoubi KH, Khasawneh RA, Khabour OF, Almomani BA. Exception from informed consent for biomedical research in emergency settings: A study from Jordan. Heliyon 2021; 7:e08487. [PMID: 34917796 PMCID: PMC8645444 DOI: 10.1016/j.heliyon.2021.e08487] [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: 08/16/2021] [Revised: 11/09/2021] [Accepted: 11/23/2021] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Research conduction in emergency settings is of paramount importance to promote knowledge and experiences related to treating acutely ill patients. However, the complexity of situations creates a considerable ethical challenge facing researchers who basically deal with emergent cases. This study aimed to determine attitudes of healthcare providers (HCPs) towards exception from informed consent (EFIC) and enrollment willingness in emergency research in Jordan. METHODS A quantitative research with face-to-face questionnaire was conducted by an interviewer during 6-month period in 2019. Survey measures included items related to EFIC policy and overall willingness of HCPs to participate or support their family members' participation in emergency research. RESULTS A total of 151 HCPs in the emergency departments (EDs) in Jordan was recruited. Positive attitude toward emergency research dominated among participants; about 21.9% of participants reported previous experience in the conduction of emergency research and 12.3% had related publications. Regarding EFIC policy, there was a general consensus of disagreement to most of the examined items. There was a trend for little support of EFIC policy when questioned about the enrollment of family members or public in emergency research, however, the application of EFIC was accepted for self-enrollment of respondents in emergency research. No significant differences (P = 0.37), among participants from different disciplines, were reported regarding the attitudes towards EFIC items or willingness to enroll in emergency research. CONCLUSIONS Generally, HCPs reported an overall positive support to emergency research despite a consensus of disagreement related to EFIC terms. Therefore, it is recommended to pursue future studies to compare well-informed subjects; recruited from well-developed institutions in regard to emergency research potentials; with the present basic attitudinal surveillance in order to dissipate the effect of such confounder and to get better insight of the actual attitudes related to emergency research and EFIC. In addition, efficient multidisciplinary communication channels between researchers and policy makers can lather the way to collaborative research with simultaneous innovative delivery of quality emergency care.
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Affiliation(s)
- Samah F. Al-Shatnawi
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan,Corresponding author.
| | - Karem H. Alzoubi
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
| | - Rawand A. Khasawneh
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
| | - Omar F. Khabour
- Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
| | - Basima A. Almomani
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
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Ghavami V, Kokabi Saghi F, Asghari A, Shabanikiya H. Predictors of nurses' reporting for work at the time of epidemics and natural disasters; solutions for hospital surge capacity. J Nurs Scholarsh 2021; 54:470-476. [PMID: 34796603 DOI: 10.1111/jnu.12746] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Revised: 09/25/2021] [Accepted: 11/05/2021] [Indexed: 12/14/2022]
Abstract
PURPOSE To identify the predictors of nurses' presence at hospitals at the time of three types of disasters. DESIGN This cross-sectional study was performed using a researcher-generated questionnaire. METHODS This study was performed on 350 nurses of five public hospitals. Data was collected using a questionnaire in which the respondents were asked about their decisions on reporting for work in the event of three scenarios: epidemic of an unknown contagious respiratory disease, earthquake, and flood. Multiple logistic regression was used to analyze the data. FINDINGS The four predictors of nurses reporting for work include receiving trainings on disasters, and concerns on the non-compensation for providing services following the disaster, concerns about family safety and workplace safety. CONCLUSION Although slightly different factors affect the willingness of participants to report for work in each scenario, they can be put in two main categories; namely as personal and impersonal. Devising a family disaster plan and providing educational programs on self-care are two main strategies to increase the chances of presence at work following disasters. CLINICAL RELEVANCE The presence of more nurses in the hospital at the time of disasters can significantly improve the quality of care, and clinical outcomes of patients and disaster victims.
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Affiliation(s)
- Vahid Ghavami
- Department of Epidemiology and Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Fatemeh Kokabi Saghi
- Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Ali Asghari
- School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hamidreza Shabanikiya
- Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
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Knowledge, Attitude, and Training of Health-Care Workers and Preparedness of Hospital Emergency Departments for the Threat of Communicable Diseases at Mass Gathering Events in Qatar: A Cross-Sectional Study. Disaster Med Public Health Prep 2021; 17:e49. [PMID: 34668848 DOI: 10.1017/dmp.2021.296] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE This study aimed to assess the knowledge, attitude, and training of health-care workers (HCW), and their perception of the preparedness of hospitals for communicable disease (CD) threats during mass gathering (MG) events. METHODS This was a cross-sectional study conducted from June 1 to July 31, 2019, of doctors and registered nurses working in the emergency departments (EDs) of 5 main hospitals in Qatar. A self-administered online survey was used for data collection. RESULTS The overall mean knowledge score about CD threat among study participants was 75.0% (SD ± 18.1). The majority of the participants had a favorable attitude toward CD preparedness during MG events. The participants achieved high scores in attending workshops on triaging, first aid, and infection control. Study participants as well had favorable perceptions about the current preparedness of their respective hospitals to respond to CD outbreaks in MG events. CONCLUSIONS The participants were knowledgeable about the risk of CD outbreaks during MG events (eg, Federation of International Football Association (FIFA) World Cup games 2022) and had a favorable attitude and necessary training to respond to such outbreaks. Regular practice drills are necessary to ensure that all members of the workforce are knowledgeable of the necessary actions to take in emergent high-risk situations.
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Muze M, Abdella B, Mustefa A, Ali A, Abdo A, Lukman A, Shafi A, Uomer S, Badege Y, Mutteba A, Tolasa B, Hossae S, Shukur S, Ahmed E, Kemal A, Erena T. Availability of PPEs and training status of health professionals on COVID-19 in Silte Zone, Southern Ethiopia. Pan Afr Med J 2021; 39:38. [PMID: 34422161 PMCID: PMC8356931 DOI: 10.11604/pamj.2021.39.38.27648] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 05/08/2021] [Indexed: 12/15/2022] Open
Abstract
Introduction recent infectious disease outbreaks like COVID-19 highlights the importance of personal protective equipments and competent professionals on public health preparedness and response in health care systems. Hence, understanding availability of personal protective equipments and training status of health professionals is very important to fill the gap of COVID-19 preparedness and response. Therefore, this study was conducted to assess availability and adequacy of personal protective equipments and health professional's training status on COVID-19 in Silte Zone, southern Ethiopia. Methods cross sectional study was conducted from August to October 2020 in Silte Zone. First four weredas from 13 were selected randomly. Systematic sampling technique was used to select 351 health professionals from 13 health facilities of selected weredas. Results overall, only 36.1% of the health professionals have received adequate training on COVID-19. About 30% of the health professionals had taken training on emergency plan of COVID-19, about 33% had been taught on COVID-19 treatment procedures. Majority 80.9% of the respondents indicated that personal protective equipments are inadequately available. Face masks, hand sanitizers and eye goggles were most scarce PPEs. Conclusion health professionals have been at the frontlines in responding to the COVID-19 pandemic. Yet, challenges remain, such as limited availability of personal protection equipments and inadequate training of healthcare professions was identified by this study. Strengthening of training on COVID-19 and making PPEs adequately available were recommended.
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Affiliation(s)
- Mohammed Muze
- Department of Nursing, College of Medicine and Health Sciences, Werabe University, Worabe, Southern Ethiopia
| | - Bahredin Abdella
- Department of Nursing, College of Medicine and Health Sciences, Werabe University, Worabe, Southern Ethiopia
| | - Abdilmejid Mustefa
- Department of Nursing, College of Medicine and Health Sciences, Werabe University, Worabe, Southern Ethiopia
| | - Abas Ali
- Department of Nursing, College of Medicine and Health Sciences, Werabe University, Worabe, Southern Ethiopia
| | - Abdulfeta Abdo
- Department of Political Science, College of Social Science and Humanities Werabe University, Worabe, Southern Ethiopia
| | - Abas Lukman
- Department of Political Science, College of Social Science and Humanities Werabe University, Worabe, Southern Ethiopia
| | - Abdulfeta Shafi
- Department of Statistics, College of Natural and Computation Sciences, Werabe University, Worabe, Southern Ethiopia
| | - Shukure Uomer
- Department of Statistics, College of Natural and Computation Sciences, Werabe University, Worabe, Southern Ethiopia
| | - Yesufe Badege
- Department of Biology, College of Natural and Computation Sciences, Werabe University, Worabe, Southern Ethiopia
| | - Abdulmejid Mutteba
- Department of Biology, College of Natural and Computation Sciences, Werabe University, Worabe, Southern Ethiopia
| | - Bayesa Tolasa
- Department of Animal Science, College of Agriculture and Natural Resource, Werabe University, Worabe, Southern Ethiopia
| | - Sister Hossae
- Department of Animal Science, College of Agriculture and Natural Resource, Werabe University, Worabe, Southern Ethiopia
| | - Sultan Shukur
- Department of Mathematics, College of Natural and Computation Sciences, Werabe University, Worabe, Southern Ethiopia
| | - Ebrahim Ahmed
- Department of English, College of Social Science and Humanities, Werabe University, Worabe, Southern Ethiopia
| | - Abdu Kemal
- Department of Physics, College of Natural and Computation Sciences, Werabe University, Worabe, Southern Ethiopia
| | - Tadela Erena
- Department of Agro Economics, College of Agriculture and Natural Resource, Werabe University, Worabe, Southern Ethiopia
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Alsabri M, Alhadheri A, Alsakkaf LM, Cole J. Conflict and COVID-19 in Yemen: beyond the humanitarian crisis. Global Health 2021; 17:83. [PMID: 34294097 PMCID: PMC8295627 DOI: 10.1186/s12992-021-00732-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Accepted: 07/04/2021] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Yemen has been left in shambles and almost destroyed by its devastating civil war, and is now having to deal with the spread of coronavirus. The Yemeni people have been are left to fend for themselves and faced many problems such as hunger, the ongoing war, infections, diseases and lack of equipment even before the COVID-19 pandemic. All together it is a humanitarian crisis. Only around 50% of the hospitals and healthcare facilities are in full working condition, and even those that are functioning are operating at nowhere near full potential. Healthcare staff and facilities lack necessary essential equipment and money. CONCLUSION As, sadly, is common in conflict-affected regions, the violence has brought with it a secondary disaster of infectious disease outbreaks. Yemen is not only battling COVID-19 amid a catastrophic war, but also has to deal with other diseases such as cholera, diphtheria and measles. A number of key measures are needed to support the current efforts against this deadly epidemic and its potential subsequent waves as well as to prevent further epidemics in Yemen.
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Affiliation(s)
- Mohammed Alsabri
- Pediatrics, 1 Brookdale University Hospital and Medical center 1Brookdale Plaza, Brooklyn, NY 11212 USA
- Emergency Department, Al Thawra Modern General Hospital (TMGH), Sana’a City, Yemen
- Emergency Medicine, McLaren Oakland Hospital, 50 N. Perry St, Pontiac, MI 48342 USA
| | - Ayman Alhadheri
- Emergency Medicine, McLaren Oakland Hospital, 50 N. Perry St, Pontiac, MI 48342 USA
| | - Luai M. Alsakkaf
- Emergency Department, Al Thawra Modern General Hospital (TMGH), Sana’a City, Yemen
| | - Jennifer Cole
- Department of Geography, The Royal Holloway University of London. Egham Hill, Egham, Surrey, TW20 0EX UK
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Tilahun L, Desu B, Zeleke M, Dagnaw K, Andualem A. Emergency and Disaster Handling Preparedness Among Front Line Health Service Providing Nurses and Associated Factors at Emergency Department, at Amhara Regional State Referral Hospitals, Ethiopia. Open Access Emerg Med 2021; 13:221-232. [PMID: 34163259 PMCID: PMC8214336 DOI: 10.2147/oaem.s310932] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 05/25/2021] [Indexed: 11/23/2022] Open
Abstract
Introduction Globally around 1.6 million individuals have died as a result of disasters per year. These disruptive events that happen in the world each day result in damage to individuals, families, and communities. Methods An institution-based cross-sectional study was conducted. All frontline health-care providers at the emergency departments of Amhara Regional State Referral Hospitals during the study period were considered as studied subjects. Data were collected through a self-administered technique. Once all essential data were collected, data were coded and entered into epidata manager (v4.6.0.2) statistical software. SPSS version 26 was used to analyze the findings of this paper. Results The result of this research study showed that 66.7% were males and 33.3% were females with mean age of respondents being 31.2 ± 5.8. Among respondents, 54% (52.9) % did not have an understanding of disaster preparedness. As a result, the majority of participants, 52 (51%), have inadequate knowledge. Most respondents have adequate attitude (57.8%) and only a few, 12 (11.8%), of respondents were very familiar with regard to disaster and disaster handling preparedness. In multivariate logistic regression, receiving training on the subject (P = 0.000, AOR: 15.109. 95% CI: 3.525–64.769), respondents receiving simulation in the subject of disaster (P = 0.015, AOR: 4.855, 95% CI: 1.366–17.260) and having a direct personal/professional experience of disaster (P = 0.003, AOR: 5.703, 95% CI: 1.825–17.823) were significantly associated. Conclusion and Recommendation Disaster handling preparedness, knowledge and familiarity levels were below those expected for emergency department nurses. Capacity building through training, education and simulation is essential.
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Affiliation(s)
- Lehulu Tilahun
- Wollo University, Department of Emergency and Ophthalmic health, Dessie, Ethiopia
| | - Birhanu Desu
- Wollo University, Department of Emergency and Ophthalmic health, Dessie, Ethiopia
| | - Mulusew Zeleke
- Wollo University, Department of Adult Health, Dessie, Ethiopia
| | - Kirubel Dagnaw
- Wollo University, Department of Comprehensive Nursing, Dessie, Ethiopia
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Ghazi Baker O. Preparedness assessment for managing disasters among nurses in an international setting: Implications for nurses. Int Emerg Nurs 2021; 56:100993. [PMID: 33798981 DOI: 10.1016/j.ienj.2021.100993] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 11/22/2020] [Accepted: 02/26/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND The increasing frequency of disastrous incidents emphasizes on the need of an instant and efficient healthcare services. This study assesses the level of preparedness among nurses in Medina regarding the disaster management, with respect to their knowledge. METHODS Cross-sectional study was conducted among five government hospitals in Medina. A total of 330 (94.3%) full-time nurses participated in this study. Emergency Preparedness Information Questionnaire (EPIQ) was used to collect data. Data was then analyzed through descriptive statistics, Levene's test (an independent sample t-test), and One-way ANOVA. RESULTS Findings of the study indicated an average level of nurses' preparedness for disaster management (M = 3.37, SD 1.03). The difference found for all the preparedness dimensions with respect to level of nursing education was not significant except for familiarity with ethical issues and triage (p = 0.028), and familiarity with accessing critical resources (p = 0.05). Finally, a statistically significant difference was found in the total mean score of disaster preparedness dimensions between nurses who received training in disaster management and those who did not receive training (p ≤ 0.001). CONCLUSION Based on the mean score from 10 factors the study concluded that majority of the nurses have an average level of preparedness for managing disaster situations. Therefore, providing proper education with respect to EPIQ dimensions to the nurses is thus suggested to increase their level of preparedness.
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Affiliation(s)
- Omar Ghazi Baker
- College of Nursing, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Chiu TF, Chu D, Huang SJ, Chang M, Liu Y, Lee JJ. Facing the Coronavirus Pandemic: An Integrated Continuing Education Program in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052417. [PMID: 33801232 PMCID: PMC7967776 DOI: 10.3390/ijerph18052417] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 02/11/2021] [Accepted: 02/25/2021] [Indexed: 11/16/2022]
Abstract
This study aimed to identify knowledge gaps regarding coronavirus disease 2019 (COVID-19) and develop an integrated educational program for healthcare workers. First, we designed and validated ten multiple-choice questions to identify knowledge gaps among healthcare workers. Within one month of the online test and curriculum offering, 5533 staff had completed the test, with a completion rate of 84.97%. There were 2618 healthcare workers who answered the pre-test 100% correctly. Those who did not answer the pre-test 100% correctly took multiple tests after learning through the online teaching materials. Eventually, 5214 staff passed the test (pre-test or post-test with 100% correct answers). The result showed that all staff had a low correct rate for personal protective equipment (PPE) use recommendations. The Infection Control Center conducted training sessions for hospital staff on how to wear protective clothing. Information on the selection and use of PPE for infection prevention was provided, and participants were allowed time to practice and familiarize themselves with the correct way to wear PPE. Moreover, the Department of Education and Research continued updating the online learning materials based on the most important updated peer-reviewed published articles. The attending teaching physicians helped to search, translate, and take notes on articles in the local language (traditional Chinese) for other colleagues to read easily. We expect to increase learning opportunities for healthcare workers, even during uncertain times such as the current coronavirus pandemic through (1) the hospital-wide course announcements, (2) the continuous placement of test questions and learning files on the digital learning platform, (3) the placement of journal highlights in cloud folders, and (4) the use of the digital learning platform on mobile phones accessible outside the hospital.
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Affiliation(s)
- Ting-Fang Chiu
- Department of Pediatrics, Taipei City Hospital Zhongxiao Branch, Taipei 115, Taiwan;
- Department of Health and Welfare, University of Taipei, Taipei 100, Taiwan; (D.C.); (S.-J.H.)
- Department of Education and Research, Taipei City Hospital, Taipei 106, Taiwan; (M.C.); (Y.L.)
| | - Dachen Chu
- Department of Health and Welfare, University of Taipei, Taipei 100, Taiwan; (D.C.); (S.-J.H.)
- Department of Education and Research, Taipei City Hospital, Taipei 106, Taiwan; (M.C.); (Y.L.)
- Institute of Public Health, National Yang Ming Chiao Tung University, Taipei 112, Taiwan
- Department of Neurosurgery, Taipei City Hospital, Taipei 103, Taiwan
| | - Sheng-Jean Huang
- Department of Health and Welfare, University of Taipei, Taipei 100, Taiwan; (D.C.); (S.-J.H.)
- Superintendent Office, Taipei City Hospital, Taipei 103, Taiwan
- Department of Surgery, National Taiwan University Hospital, Taipei 100, Taiwan
| | - Mengju Chang
- Department of Education and Research, Taipei City Hospital, Taipei 106, Taiwan; (M.C.); (Y.L.)
| | - Yining Liu
- Department of Education and Research, Taipei City Hospital, Taipei 106, Taiwan; (M.C.); (Y.L.)
| | - Jason Jiunshiou Lee
- Department of Health and Welfare, University of Taipei, Taipei 100, Taiwan; (D.C.); (S.-J.H.)
- Department of Education and Research, Taipei City Hospital, Taipei 106, Taiwan; (M.C.); (Y.L.)
- Institute of Public Health, National Yang Ming Chiao Tung University, Taipei 112, Taiwan
- Department of Family Medicine, Taipei City Hospital Yangming Branch, Taipei 111, Taiwan
- Correspondence: ; Tel.: +886-2-2835-3456
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Sultan MAS, Løwe Sørensen J, Carlström E, Mortelmans L, Khorram-Manesh A. Emergency Healthcare Providers' Perceptions of Preparedness and Willingness to Work during Disasters and Public Health Emergencies. Healthcare (Basel) 2020; 8:healthcare8040442. [PMID: 33138164 PMCID: PMC7712235 DOI: 10.3390/healthcare8040442] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Revised: 10/19/2020] [Accepted: 10/26/2020] [Indexed: 11/28/2022] Open
Abstract
This study evaluates the perceptions of preparedness and willingness to work during disasters and public health emergencies among 213 healthcare workers at hospitals in the southern region of Saudi Arabia by using a quantitative survey (Fight or Flight). The results showed that participants’ willingness to work unconditionally during disasters and emergencies varied based on the type of condition: natural disasters (61.97%), seasonal influenza pandemic (52.58%), smallpox pandemic (47.89%), SARS/COVID-19 pandemic (43.56%), special flu pandemic (36.15%), mass shooting (37.56%), chemical incident and bombing threats (31.92%), biological events (28.17%), Ebola outbreaks (27.7%), and nuclear incident (24.88%). A lack of confidence and the absence of safety assurance for healthcare workers and their family members were the most important reasons cited. The co-variation between age and education versus risk and danger by Spearman’s rho confirmed a small negative correlation between education and danger at a 95% level of significance, meaning that educated healthcare workers have less fear to work under dangerous events. Although the causes of unsuccessful management of disasters and emergencies may vary, individuals’ characteristics, such as lack of confidence and emotional distractions because of uncertainty about the safety issues, may also play a significant role. Besides educational initiatives, other measures, which guarantee the safety of healthcare providers and their family members, should be established and implemented.
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Affiliation(s)
- Mohammed Ali Salem Sultan
- Directorate of Health Affairs in Najran, Najran 66255, Saudi Arabia
- Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, 413 46 Gothenburg, Sweden;
- Correspondence: ; Tel.: +966-5661-23313
| | - Jarle Løwe Sørensen
- USN School of Business, Campus Vestfold, University of South-Eastern Norway, 3603 Kongsberg, Norway;
| | - Eric Carlström
- Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, 413 46 Gothenburg, Sweden;
- USN School of Business, Campus Vestfold, University of South-Eastern Norway, 3603 Kongsberg, Norway;
| | - Luc Mortelmans
- Center for Research and Education in Emergency Care, University of Leuven, 3000 Leuven, Belgium;
- Regedim, VUB, Brussels and dept of Emergency Medicine, ZNA, Stuivenberg, 2060 Antwerp, Belgium
| | - Amir Khorram-Manesh
- Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, 413 90 Gothenburg, Sweden;
- Department of Research and Development, Swedish Armed Forces Centre for Defence Medicine, 426 76 Gothenburg, Sweden
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McCourt E, Singleton J, Tippett V, Nissen L. Disaster preparedness amongst pharmacists and pharmacy students: a systematic literature review. INTERNATIONAL JOURNAL OF PHARMACY PRACTICE 2020; 29:12-20. [DOI: 10.1111/ijpp.12669] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2019] [Revised: 07/26/2020] [Accepted: 07/30/2020] [Indexed: 11/29/2022]
Abstract
Abstract
Objectives
In the aftermath of a disaster, the services provided by pharmacists are essential to ensure the continued health and well-being of the local population. To continue pharmacy services, it is critical that pharmacists are prepared for disasters. A systematic literature review was conducted to explore pharmacists’ and pharmacy students’ preparedness for disasters and the factors that affect preparedness.
Methods
This review was conducted in April 2020 through electronic databases CINAHL, MEDLINE, Embase, PubMed, Scopus and PsycINFO, and two disaster journals. Search terms such as ‘pharmacist*’, ‘disaster*’ and ‘prepared*’ were used. The search yielded an initial 1781 titles. Articles were included if they measured pharmacists or pharmacy students’ disaster preparedness. After screening and quality appraisal by two researchers, four articles were included in final analysis and review. Data were extracted using a data collection tool formulated by the researchers. Meta-analysis was not possible; instead, results were compared across key areas including preparedness ratings and factors that influenced preparedness.
Key findings
Three articles focused on pharmacy students’ preparedness for disasters, and one on registered pharmacists’ preparedness. Preparedness across both groups was poor to moderate with <18% of registered pharmacists found to be prepared to respond to a disaster. Factors that potentially influenced preparedness included disaster competency, disaster interventions and demographic factors.
Conclusion
For pharmacists, the lack of research around their preparedness speaks volumes about their current involvement and expectations within disaster management. Without a prepared pharmacy workforce and pharmacy involvement in disaster management, critical skill and service gaps in disasters may negatively impact patients.
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Affiliation(s)
- Elizabeth McCourt
- Redland Hospital, Queensland Health, Cleveland, Qld, Australia
- School of Clinical Sciences, Queensland University of Technology, Brisbane, Qld, Australia
| | | | | | - Lisa Nissen
- Redland Hospital, Queensland Health, Cleveland, Qld, Australia
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Misztal-Okońska P, Goniewicz K, Hertelendy AJ, Khorram-Manesh A, Al-Wathinani A, Alhazmi RA, Goniewicz M. How Medical Studies in Poland Prepare Future Healthcare Managers for Crises and Disasters: Results of a Pilot Study. Healthcare (Basel) 2020; 8:healthcare8030202. [PMID: 32659897 PMCID: PMC7551878 DOI: 10.3390/healthcare8030202] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 07/06/2020] [Accepted: 07/07/2020] [Indexed: 01/06/2023] Open
Abstract
In the event of a crisis, rapid and effective assistance for victims is essential, and in many cases, medical assistance is required. To manage the situation efficiently, it is necessary to have a proactive management system in place that ensures professional assistance to victims and the safety of medical personnel. We evaluated the perceptions of students and graduates in public health studies at the Medical University of Lublin, Poland, concerning their preparation and management skills for crises such as the COVID-19 pandemic. This pilot study was conducted in March 2020; we employed an online survey with an anonymous questionnaire that was addressed to students and graduates with an educational focus in healthcare organization and management. The study involved 55 people, including 14 men and 41 women. Among the respondents, 41.8% currently worked in a healthcare facility and only 21.7% of them had participated in training related to preparation for emergencies and disasters in their current workplace. The respondents rated their workplaces' preparedness for the COVID-19 pandemic at four points. A significant number of respondents stated that if they had to manage a public health emergency, they would not be able to manage the situation correctly and not be able to predict its development. Managers of healthcare organizations should have the knowledge and skills to manage crises. It would be advisable for them to have been formally educated in public health or healthcare administration. In every healthcare facility, it is essential that training and practice of performing medical procedures in full personal protective equipment (PPE) be provided. Healthcare facilities must implement regular training combined with practical live scenario exercises to prepare for future crises.
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Affiliation(s)
- Patrycja Misztal-Okońska
- Department of Emergency Medicine, Medical University of Lublin, 20-059 Lublin, Poland; (P.M.-O.); (M.G.)
| | - Krzysztof Goniewicz
- Department of Aviation Security, Military University of Aviation, Dywizjonu 303 nr 35, 08-521 Dęblin, Poland
- Correspondence:
| | - Attila J. Hertelendy
- Department of Information Systems and Business Analytics, College of Business, Florida International University, Miami, FL 33174, USA;
| | - Amir Khorram-Manesh
- Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, 413 45 Gothenburg, Sweden;
- Research Advisor, Department of Development and Research, Armed Forces Center for Defense Medicine, Gothenburg, 426 76 Västra Frölunda, Sweden
| | - Ahmed Al-Wathinani
- Department of Emergency Medical Services, Prince Sultan Bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh 11451, Saudi Arabia; (A.A.-W.); (R.A.A.)
| | - Riyadh A. Alhazmi
- Department of Emergency Medical Services, Prince Sultan Bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh 11451, Saudi Arabia; (A.A.-W.); (R.A.A.)
| | - Mariusz Goniewicz
- Department of Emergency Medicine, Medical University of Lublin, 20-059 Lublin, Poland; (P.M.-O.); (M.G.)
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Setyawati AD, Lu YY, Liu CY, Liang SY. Disaster Knowledge, Skills, and Preparedness Among Nurses in Bengkulu, Indonesia: A Descriptive Correlational Survey Study. J Emerg Nurs 2020; 46:633-641. [PMID: 32622532 DOI: 10.1016/j.jen.2020.04.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 04/08/2020] [Accepted: 04/15/2020] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Registered nurses have to adequately prepare to respond to disasters, as they have become increasingly frequent worldwide. The aim of this study was to identify the factors influencing registered nurses' disaster preparedness in Bengkulu, Indonesia. METHODS This study used a descriptive correlational study design. A total of 130 registered nurses working in 2 governmental hospitals in Bengkulu, Indonesia, were recruited by using a convenience sampling technique. A self-administered questionnaire, the Disaster Preparedness Evaluation Tool, was used to determine their current levels of registered nurses' disaster preparedness. RESULTS The registered nurses reported a moderate level of disaster knowledge, skills and preparedness. Their knowledge and skills were significantly correlated with disaster preparedness (r = 0.39-0.71, P < 0.01). Three significant factors associated with disaster preparedness were identified in this study: educational level, disaster knowledge, and disaster skills (R2 = 0.31, F = 12.60, P < 0.001). DISCUSSION Continuing disaster drills training and implementing a formal disaster educational program into nursing curriculum and professional development are recommended to achieve effective disaster preparedness in the hospital setting.
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Hassan Gillani A, Mohamed Ibrahim MI, Akbar J, Fang Y. Evaluation of Disaster Medicine Preparedness among Healthcare Profession Students: A Cross-Sectional Study in Pakistan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17062027. [PMID: 32204391 PMCID: PMC7143317 DOI: 10.3390/ijerph17062027] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Revised: 03/07/2020] [Accepted: 03/09/2020] [Indexed: 11/16/2022]
Abstract
Background: Disasters are devastating incidents, especially when occurring suddenly and causing damage, great loss of life, or suffering. Disasters can affect health and the social and economic development of a nation. The article analyzes the knowledge (K), attitude (A), and readiness to practice (rP) of healthcare professional students in universities in Pakistan. Methods: We carried out a cross-sectional study using a pretested and validated self-administered disaster medicine and preparedness questionnaire. The study recruited 310 students. Responses were scored and categorized as high (75th quartile), moderate (75-25th quartiles), and low (25th quartile). Independent t-test, one-way ANOVA, Pearson correlation, and regression analyses were performed at an alpha level of 0.05. Results: The study found that most of the students had moderate knowledge, attitude, readiness to practice, and total KArP scores. All K, A, and rP scores were significantly correlated with overall KArP scores. Knowledge and attitude factors were significant predictors of readiness to practice. Conclusions: We strongly believe that educators and health policymakers should build a strong curriculum in disaster medicine management and preparedness to prepare competent future healthcare professionals for the nation.
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Affiliation(s)
- Ali Hassan Gillani
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an 710061, China; (A.H.G.); (Y.F.)
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi’an 710061, China
- Shaanxi Centre for Health Reform and Development Research, Xian Jiaotong University, Xi’an 710061, China
| | - Mohamed Izham Mohamed Ibrahim
- Department of Clinical and Pharmacy Practice, College of Pharmacy, QU Health, Qatar University, Doha P.O. Box 2713, Qatar
- Correspondence:
| | - Jamshaid Akbar
- Department of Pharmaceutical Sciences, The Superior College, Lahore 75500, Pakistan;
| | - Yu Fang
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an 710061, China; (A.H.G.); (Y.F.)
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi’an 710061, China
- Shaanxi Centre for Health Reform and Development Research, Xian Jiaotong University, Xi’an 710061, China
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Assessment of Knowledge, Attitudes, and Readiness to Practice Regarding Disaster Medicine and Preparedness Among University Health Students. Disaster Med Public Health Prep 2020; 15:316-324. [PMID: 32115009 DOI: 10.1017/dmp.2019.157] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVES The aim of this study is to assess the knowledge (K), attitude (A), and readiness to practice (rP) levels regarding disaster medicine and preparedness among health profession students at Qatar University. METHODS A survey-based study was carried out to assess medical, pharmacy, and health sciences students' KArP levels using pretested and validated questionnaire. Student's t-test, analysis of variance, correlation, and linear regression were used with an alpha level of 0.05. RESULTS The difference in the mean KArP level between genders was not significant (P > 0.05). Students from the College of Health Sciences had significantly higher KArP levels than those from the College of Pharmacy (101.5 vs 90.0; P = 0.033). Overall, Qatari students had better knowledge, attitude, and readiness to practice scores and total KArP scores than non-Qatari students. Moreover, students who were born in Qatar also had better knowledge, attitude, and readiness to practice scores and total KArP scores than students who were born outside Qatar. Significant direct moderate correlations were found among the 3 KArP parameters (P < 0.001). Knowledge and attitudes were indicated to be significant predictors of readiness to practice (P < 0.001). CONCLUSIONS Students from the health colleges at Qatar University have moderate disaster medicine preparedness.
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Lima DS, de-Vasconcelos IF, Queiroz EF, Cunha TA, Dos-Santos VS, Arruda FAEL, Freitas JG. Multiple victims incident simulation: training professionals and university teaching. Rev Col Bras Cir 2019; 46:e20192163. [PMID: 31389523 DOI: 10.1590/0100-6991e-20192163] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Accepted: 05/07/2019] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to describe the teaching strategy based on the Multiple Victims Incident (MVI) simulation, discussing and evaluating the performance of the students involved in the initial care of trauma victims. METHODS a cross-sectional, and quantitative study was performed. A realistic MVI simulation involving students, and professionals from nursery and medical schools, as well as a prehospital care team was performed. RESULTS it was possible to notice that the classification according to the START method (Simple Triage and Rapid Treatment) was correct in 94.1% of the time from the analysis of 17 preestablished checklists. Following the primary evaluation with the ABCDE mnemonic, all steps were performed correctly in 70%. However, there was only supply of oxygen in high flow in 64.7% of the examination. The search for visible and hidden bleeding was performed in 70.6% of the examination. The neurological evaluation with the Glasgow coma scale and pupillary evaluation occurred in 70.6% of the victims. The victims exposure was performed in 70.6% of the examination. CONCLUSION a simulated environment allows the consolidation and improvement of professional skills, especially when we are talking about a poorly trained area during the undergraduate program, such as the MVI. Early training and teamwork encourage clinical thinking, integration and communication, essential abilities when facing chaotic situations.
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Affiliation(s)
- Daniel Souza Lima
- Universidade de Fortaleza (UNIFOR), Centro de Ciências da Saúde, Curso de Medicina, Fortaleza, CE, Brasil
| | | | - Erika Feitosa Queiroz
- Universidade de Fortaleza (UNIFOR), Centro de Ciências da Saúde, Curso de Enfermagem, Fortaleza, CE, Brasil
| | - Thaís Aguiar Cunha
- Universidade de Fortaleza (UNIFOR), Centro de Ciências da Saúde, Curso de Enfermagem, Fortaleza, CE, Brasil
| | - Vitória Soares Dos-Santos
- Universidade de Fortaleza (UNIFOR), Centro de Ciências da Saúde, Curso de Enfermagem, Fortaleza, CE, Brasil
| | | | - Julyana Gomes Freitas
- Universidade de Fortaleza (UNIFOR), Centro de Ciências da Saúde, Curso de Enfermagem, Fortaleza, CE, Brasil
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Lam N, Huong H, Tuan C. Preparation for major burns incidents: evaluation of continuing medical education training courses for professionals. ANNALS OF BURNS AND FIRE DISASTERS 2018; 31:322-328. [PMID: 30983933 PMCID: PMC6441574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 01/19/2019] [Indexed: 06/09/2023]
Abstract
The purpose of this study was to identify changes in the competence of healthcare providers who underwent training courses on the management of burns incidents. Theoretical and practical simulation training courses were conducted for 305 healthcare providers from emergency and trauma departments of general hospitals in Vietnam. Pre- and post-tests were conducted using questionnaires and with simulated practical skill evaluation by burns specialists. Results showed a significant improvement in knowledge of emergency management of burns incidents, with an increase in percentage of correct answers from 48.2% to 71.6% (p < .01). There was an average increase from 10.5% to 95.1% for the correct calculation of total body surface area involvement, and from 33.8% to 67.2% for using the Parkland formula. Increases in knowledge of resuscitation and management of inhalation injury were also noted (p < .01). For the management of major burns incidents, sufficient knowledge of the command system increased from 58.4% to 81.9%. A better understanding was gained of the missions of the Emergency Medical Team, triage and air evacuation after training (p < .001). Emergency practical skills such as CPR, ET intubation, splinting of bone fractures, burn wound dressing and using emergency medical devices also improved remarkably (p < .001) after practical simulation training. In conclusion, these results indicate that a significant improvement in the capabilities and competence of medical staff in the emergency management of burn injuries can be achieved by conducting training courses with combined theory components and practical simulation models.
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Affiliation(s)
- N.N. Lam
- National Institute of Burns, Hanoi, Vietnam
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