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Huabbangyang T, Nomrabporn T, Chiraratchawarich W, Rojsaengroeng R. Effects of the Hazardous Area Response Team Training Program on the Knowledge and Confidence in Operational Skills of Prehospital Emergency Medical Personnel in Thailand: A Quasi-Experimental Study. Open Access Emerg Med 2023; 15:447-456. [PMID: 38116248 PMCID: PMC10729060 DOI: 10.2147/oaem.s436054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 12/09/2023] [Indexed: 12/21/2023] Open
Abstract
Background Hazardous areas are places emitting hazardous materials, terrorist- or war-related, which lead to public health risks in developed and developing countries globally. Hence, prehospital emergency medical personnel who work as frontliners should be trained. Patients and Methods Data via pretest, posttest, and questionnaire surveys regarding the HART's knowledge of and confidence in operational skills were collected using the 5-point Likert scale. The cohort included prehospital emergency medical personnel aged >18 years. The training program comprised lectures, practicals, and examinations and included three subcourses: emergency medicine in the chemical, biological, radiation, and nuclear hazardous area (EM-CBRN) course; Thailand Tactical Emergency Medical Service (TTEMS) course; and cooperation and preparation for disaster (CPD) course. Results The HART's mean multiple choice question (MCQ) posttest knowledge score (12.80±3.11) was significantly higher (p<0.001) than the mean pretest knowledge score (7.74±3.71) for the EM-CBRN course. The HART's mean MCQ posttest knowledge score (24.04±2.79) was significantly higher (p<0.001) than the mean pretest knowledge score (14.34±3.92) for the TTEMS course. Further, the HART's mean MCQ posttest knowledge score (21.03±3.49) was significantly higher (p<0.001) than the mean pretest knowledge score (14.40±5.08) for the CPD course. The HART's mean confidence in operational skill score for the EM-CBRN course was significantly higher (p<0.001) after training (4.45±0.59) than before training (2.77±0.90). The HART's mean confidence in operational skill score for the TTEMS course was significantly higher (p<0.001) after training (4.55±0.59) than before training (2.78±0.98). The HART's mean confidence in operational skill score for the CPD course was significantly higher (p<0.001) after training (4.70±0.41) than before training (3.03±0.90). Conclusion The HART training program significantly affected the HART's knowledge development and confidence in operational skills, particularly the frontline prehospital emergency medical personnel. Therefore, prehospital emergency medical personnel should undergo training, and learning activities must be developed to reinforce capacity and improve knowledge and confidence.
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Affiliation(s)
- Thongpitak Huabbangyang
- Department of Disaster and Emergency Medical Operation, Faculty of Science and Health Technology, Navamindradhiraj University, Bangkok, Thailand
| | - Thanidtha Nomrabporn
- Division of Emergency Medical Service and Disaster, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
| | - Watcharan Chiraratchawarich
- Division of Emergency Medical Service and Disaster, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
| | - Rapeeporn Rojsaengroeng
- Department of Emergency Medicine, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
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Getenet B, Waganew W, Keney D, Yesuf A. Knowledge, Attitude and Practices of Frontline Health Care Workers to Disaster Risk Management in Private General Hospitals in Addis Ababa, Ethiopia: Multicenter Cross-Sectional Study. Ethiop J Health Sci 2023; 33:795-804. [PMID: 38784520 PMCID: PMC11111198 DOI: 10.4314/ejhs.v33i5.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 06/01/2023] [Indexed: 05/25/2024] Open
Abstract
Background Disaster is an acute dysfunction of the existing environment that requires external assistance. Although disaster has had a significant impact in Ethiopia, little is known about KAP of frontline HCW on disaster management in private hospitals. Therefore, this study will be a background for future researches and disaster management plan in private health sectors. The study was conducted to assess the knowledge, attitudes, practices and their influencing factors among frontline healthcare workers on disaster risk management in private general hospitals in Addis Ababa. Methods The study design was multicenter cross-sectional survey that used structured closed- and open-ended questions. Multi-stage sampling technique was used. The sample size was 270 with a response rate of 98.9%. The study was conducted in frontline HCW of six private general hospitals from July 20-September 30, 2022. Epi-info version 7.0 and SPSS-25 were used for data clearing and statistical analysis. Level of KAP was calculated from the participants' scores of the questions. Associations were done by using bivariate and multivariate logistic regression. Results Of the participants, 64% had poor level of knowledge, and 89.10% had poor level of practice while 93.6% had positive attitude. Lack of previous training, inadequate level of practice, and health experience below one year were negatively associated with good level of knowledge. Poor level of knowledge was negatively associated with good practice. Conclusion Although the majority of the participants had positive attitude, the mean level of knowledge and practice were poor to properly handle disastrous events.
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Affiliation(s)
| | | | - Desalegn Keney
- St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Aman Yesuf
- St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
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Farah B, Pavlova M, Groot W. Hospital disaster preparedness in sub-Saharan Africa: a systematic review of English literature. BMC Emerg Med 2023; 23:71. [PMID: 37365529 DOI: 10.1186/s12873-023-00843-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Accepted: 06/07/2023] [Indexed: 06/28/2023] Open
Abstract
BACKGROUND Disasters are increasing worldwide, with Sub-Saharan Africa (SSA) being one of the most prone regions. Hospitals play a key role in disasters. This study provides a systematic review of the evidence on disaster preparedness by hospitals in SSA countries based on English literature. METHODS A systematic literature review was conducted of articles published between January 2012 and July 2022. We searched PubMed, Elsevier, Science Direct, Google Scholar, the WHO depository library and CDC sites for English language publications. The key inclusion criteria were: publications should have been published in the above period, deal with hospital disaster preparedness in SSA, the full paper should have been available, and studies should have presented a comparison between hospitals and/or a single hospital. RESULTS Results indicate improvements in disaster preparedness over time. However, health systems in SSA are generally considered vulnerable, and they find it difficult to adapt to changing health conditions. Inadequately skilled healthcare professionals, underfunding, poor knowledge, the absence of governance and leadership, lack of transparency and bureaucracy are the main preparedness barriers. Some countries are in an infancy stage of their health system development, while others are among the least developed health system in the world. Finally, a major barrier to disaster preparedness in SSA countries is the inability to collaborate in disaster response. CONCLUSIONS Hospital disaster preparedness is vulnerable in SSA countries. Thus, improvement of hospital disaster preparedness is highly needed.
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Affiliation(s)
- Bashir Farah
- Department of Health Services Research, School of Care and Public Health Research Institute, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616 6200 MD, Maastricht, The Netherlands.
- , Degahbour, Somali Region, Ethiopia.
| | - Milena Pavlova
- Department of Health Services Research, School of Care and Public Health Research Institute, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616 6200 MD, Maastricht, The Netherlands
| | - Wim Groot
- Department of Health Services Research, School of Care and Public Health Research Institute, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616 6200 MD, Maastricht, The Netherlands
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Psychometric Properties of Disaster Preparedness Tools in Nurses: A Systematic Literature Review. Prehosp Disaster Med 2022; 37:509-514. [PMID: 35770477 DOI: 10.1017/s1049023x22000930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
INTRODUCTION There is no widely-recommended standardized and valid measurement tool for evaluating the disaster preparedness of nurses. This study aims to assess the psychometric properties of scales developed or adapted to evaluate the sudden-impact natural disaster preparedness of nurses. METHODS This study is a systematic literature review for the psychometric properties of disaster preparedness tools. Studies published from 2010 through June 2021 were identified from a systematic search of five databases, including Web of Science, PubMed, CINAHL, Scopus, and ProQuest. The Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist was used for the systematic review and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline for reporting. The World Health Organization's (WHO) report on the Development of a Disaster Preparedness Tool Kit for Nursing and Midwifery was used to evaluate scale contents. RESULTS Six articles were identified that met the inclusion criteria. The scales generally had a multi-dimensional structure and used Likert scoring with internal consistency coefficients ranging from 0.785 to 0.97. All scales were rated sufficient in content validity, structural validity, and cross-cultural validity. One scale was rated sufficient in criterion validity while the others were rated indeterminate. One scale was rated insufficient in reliability and internal consistency while the others were rated sufficient. CONCLUSION The findings suggest improving the psychometric properties of scales of nurses' disaster preparedness according to COSMIN, expanding their content scope, and developing new scales. The study will provide beneficial data to users and researchers regarding the need for a comprehensive assessment tool in determining the disaster preparedness of nurses.
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Ayenew T, Gedfew M, Afenigus AD, Amha H, Mulugeta H, Mengist B, Bewket B, Melese YH, Teym A, Bishaw KA, Yitayew M. Familiarity with emergency preparedness and its predictors among nurses and physicians working at public hospitals in east Gojjam zone, northwest Ethiopia. SAGE Open Med 2022; 10:20503121221096532. [PMID: 35600702 PMCID: PMC9118889 DOI: 10.1177/20503121221096532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 04/07/2022] [Indexed: 11/15/2022] Open
Abstract
Objective: Emergency preparedness and response operations for all types of catastrophes rely heavily on healthcare facilities and their staff. On the other hand, hospital employees suffer significant gaps in emergency preparedness knowledge and skills when it comes to treating mass casualties. The objective of this study was to assess the nurses’ and physicians’ familiarity with emergency preparedness and identify the associated factors. Methods: A facility-based cross-sectional survey was conducted by census utilizing a self-administered questionnaire among all nurses and physicians working in emergency departments in East Gojjam zone public hospitals. The collected data were entered into Epi-data version 4.2 and exported to SPSS 25.0 for further analysis. Frequency, mean, and standard deviation were computed to describe individual and other characteristics of the sample. A simple and multiple linear regression model was fitted to identify factors associated with familiarity with emergency preparedness. An unstandardized adjusted beta (β) coefficient with a 95 % confidence level was used to report the result of the association at a p-value of 0.05 statistical significance. Results: In this study, a total of 237 individuals completed the questionnaire, yielding a response rate of 94 %. The mean score of familiarity with emergency preparedness was 106.1 ± 31.8 (95% CI: 102, 110.1), with approximately 52.3 % scoring higher than the mean score. Self-regulation (B = 3.8, 95% CI: 2.6, 5), health care climate (B = 1.4, 95% CI: 0.4, 2.43) and participation in actual major disaster event (B = 15.5, 95% CI: 7.8, 23.2) were significant predictors of familiarity. Conclusion: According to the findings of this study, nurses’ and physicians’ expertise in emergency and disaster preparedness is inadequate. Previous engagement in actual disaster events, self-regulation, and the healthcare climate were significant predictors of familiarity. As a result, the responsible stakeholders should develop strategy to enhance self-regulation (motivation), job satisfaction of emergency department employees, and drills and hands-on training in mass casualty management.
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Affiliation(s)
- Temesgen Ayenew
- Department of Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Mihretie Gedfew
- Department of Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Abebe Dilie Afenigus
- Department of Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Haile Amha
- Department of Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Henok Mulugeta
- Department of Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
- School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia
| | - Belayneh Mengist
- Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Bekalu Bewket
- Department of Nursing, College of Health Sciences, Injibara University, Injibara, Ethiopia
| | - Yidersal Hune Melese
- Department of Human Nutrition, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Abraham Teym
- Department of Environmental Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Keralem Anteneh Bishaw
- Department of Midwifery, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Meseret Yitayew
- Department of Nursing, College of Health Sciences, Assosa University, Assosa, Ethiopia
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Haverkamp FJC, van Leest TAJ, Muhrbeck M, Hoencamp R, Wladis A, Tan ECTH. Self-perceived preparedness and training needs of healthcare personnel on humanitarian mission: a pre- and post-deployment survey. World J Emerg Surg 2022; 17:14. [PMID: 35248111 PMCID: PMC8898429 DOI: 10.1186/s13017-022-00417-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Accepted: 02/17/2022] [Indexed: 11/21/2022] Open
Abstract
Background Humanitarian healthcare workers are indispensable for treating weapon-wounded patients in armed conflict, and the international humanitarian community should ensure adequate preparedness for this task. This study aims to assess deployed humanitarian healthcare workers’ self-perceived preparedness, training requirements and mental support needs. Methods Medical professionals deployed with the International Committee of the Red Cross (ICRC) between October 2018 and June 2020 were invited to participate in this longitudinal questionnaire. Two separate questionnaires were conducted pre- and post-deployment to assess respondents’ self-perceived preparedness, preparation efforts, deployment experiences and deployment influence on personal and professional development. Results Response rates for the pre- and post-deployment questionnaires were 52.5% (114/217) and 26.7% (58/217), respectively. Eighty-five respondents (85/114; 74.6%) reported feeling sufficiently prepared to treat adult trauma patients, reflected by predeployment ratings of 3 or higher on a scale from 1 (low) to 5 (high). Significantly lower ratings were found among nurses compared to physicians. Work experience in a high-volume trauma centre before deployment was associated with a greater feeling of preparedness (mean rank 46.98 vs. 36.89; p = 0.045). Topics most frequently requested to be included in future training were neurosurgery, maxillofacial surgery, reconstructive surgery, ultrasound, tropical diseases, triage, burns and newborn noncommunicable disease management. Moreover, 51.7% (30/58) of the respondents regarded the availability of a mental health professional during deployment as helpful to deal with stress. Conclusion Overall, deployed ICRC medical personnel felt sufficiently prepared for their missions, although nurses reported lower preparedness levels than physicians. Recommendations were made concerning topics to be covered in future training and additional preparation strategies to gain relevant clinical experience. Future preparatory efforts should focus on all medical professions, and their training needs should be continuously monitored to ensure the alignment of preparation strategies with preparation needs. Supplementary Information The online version contains supplementary material available at 10.1186/s13017-022-00417-z.
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