Terrorist threat: Creating a nationwide damage control training program for non-trauma care providers

AbstractHealthcare professionals require a unique knowledge base to function effectively during a hospital's response to a mass-casualty incident (MCI). A survey of 128 physicians, nurses, and emergency medical technicians involved in trauma care was conducted to assess their knowledge base and how it affected their decision-making in response to a MCI following a terrorist bombing. Three-quarters of the study group responded that ≥20% of the surviving victims were critically injured. Only half of the responders indicated that the main objective of medical management is identifying and treating patients with critical injuries. Forty percent of responders indicated that they would not triage a critically injured victim to immediate care. This survey indicates that further education in the principles of MCI management should be based on critical evaluation of the literature.

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Evaluation of Sensitization Program on Occupational Health Hazards for Nursing and Allied Health Care Workers in a Tertiary Health Care Setting

Frontiers in Public Health ◽

10.3389/fpubh.2021.669179 ◽

2021 ◽

Vol 9 ◽

Author(s):

Manisha Naithani ◽

Meenakshi Khapre ◽

Rajesh Kathrotia ◽

Puneet Kumar Gupta ◽

Vandana Kumar Dhingra ◽

...

Keyword(s):

Health Care ◽

Occupational Health ◽

Training Program ◽

Health Care Providers ◽

Health Care Workers ◽

Needlestick Injury ◽

Incident Reporting ◽

Health Hazards ◽

Care Providers ◽

Care Workers

Background: Occupational health hazard pertaining to health care providers is one of the neglected areas that need serious attention. Any compromise in their safety would result in reduction in workforce, which may affect patient care, keeping in mind the wide gap between the required number and actual health care workers (HCWs) available in the world over.Aim: This study was undertaken to evaluate the change in knowledge through a sensitization training program on occupational health hazards and vaccination for HCWs.Materials and Methods: Participants of the study included nursing and allied HCWs of a tertiary care health institute in Uttarakhand, India. Multiple training sessions, each of around 180 min, were held periodically in small groups with 20–40 participants over 2 years. Participants were assessed with pretest and posttest questionnaires, and feedback was taken. Questionnaires comprised three categories: general safety and ergonomics, biological hazards, and chemical and radiation hazards. Data of incident reporting for needlestick injury from 2017 to 2019 were retrieved. All data were compiled in Excel sheet and analyzed.Results: A total of 352 participants were included in the study. Mean ± SD for pretest and posttest scores were 5.3 ± 2.13 and 11.22 ± 2.15, respectively. There was considerable improvement in knowledge, which was found to be statistically significant with p-value of 0.001 for all categories. Participants in their feedback suggested for inclusion of psychosocial aspect in further training programs.Conclusion: Low baseline knowledge prior to attending the course highlights a need for an intervention through such structured sensitization program to create awareness and educate HCWs on common occupational health hazards and vaccination. Statistically significant improvement in posttest knowledge highlights effectiveness of the training program. A drastic rise in incident reporting for needlestick injury reflects fairly good impact of training program. Regular and appropriate form of training can reduce injuries resulting from occupational hazards and ensure healthy workforce contributing toward a positive impact on national economy.

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Development and evaluation of a culturally appropriate hypertension education (CAHE) training program for health care providers

PLoS ONE ◽

10.1371/journal.pone.0178468 ◽

2017 ◽

Vol 12 (6) ◽

pp. e0178468 ◽

Cited By ~ 2

Author(s):

Jennita G. Meinema ◽

Joke A. Haafkens ◽

Debbie A. D. C. Jaarsma ◽

Henk C. P. M. van Weert ◽

Nynke van Dijk

Keyword(s):

Health Care ◽

Training Program ◽

Health Care Providers ◽

Culturally Appropriate ◽

Care Providers

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Evaluation of Performance in Trauma Care: experts’ viewpoints

10.21203/rs.2.20168/v1 ◽

2020 ◽

Author(s):

Yalda Mousazadeh ◽

Ali Janati ◽

Homayoun Sadeghi-bazarghani ◽

Mahboub Pouraghaei

Keyword(s):

Information System ◽

Focus Group ◽

Trauma Care ◽

Group Discussion ◽

Monitoring And Evaluation ◽

Trauma Patients ◽

Care Providers ◽

Care Assessment ◽

The World ◽

Care Improvement

Abstract Background: Trauma is one of the leading causes of mortality across the world. Trauma patients had critical status and need timely, adequate and organized care. The different consequences of trauma care among service centers around the world and even within a country reveal the need for care assessment. This study was designed and executed to collect experts’ opinion on the evaluation of trauma care in Iran. Methods: This qualitative study with conventional content analysis approach, two focus group discussions with 12 participants and 16 face-to-face in-depth interviews were conducted to collect the required data. Participants were selected through purposive sampling method. The experts’ viewpoints were classified in accordance with the main and sub themes. Results: Four basic themes extracted from the interviews and focus group discussion including, trauma care importance (sub-themes: the involved Individuals’ being young and productive and the effectiveness of trauma care); trauma care indicators (sub-themes: pre-hospital indicators, in-hospital indicators and post-hospital indicators); stages of trauma care evaluation (sub-themes: evaluation prerequisites, finalization of indicators prior to evaluation, determining evaluation time scope, determining evaluation dimensions, monitoring and evaluation and use of evaluation results); trauma care promotion (sub-themes: balancing workload in trauma centers, enhancement of information system, considering extra-organizational dimensions in trauma care and empowerment of trauma care providers). Conclusion: Performance evaluation through acceptable indicators is basis of health care improvement. In addition to the evaluation, reforming macro policies, development of infrastructures, enhancement of information system and training care providers should be taken into account too. Keywords: Performance indicators, Evaluation, Hospital, Trauma care

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Assessing knowledge, attitude and practice of nurses after a continuing professional development program: A qualitative study

International Journal of Healthcare ◽

10.5430/ijh.v6n2p8 ◽

2020 ◽

Vol 6 (2) ◽

pp. 8 ◽

Cited By ~ 1

Author(s):

Jessie Johnson ◽

Arlene Masaba ◽

Sadia Munir ◽

Robin O’Dwyer ◽

Amber Smith ◽

...

Keyword(s):

Professional Development ◽

Qualitative Study ◽

Continuing Education ◽

Training Program ◽

Health Care Providers ◽

Professional Education ◽

Development Program ◽

Continuing Professional Development ◽

Care Providers ◽

Evidenced Based

Background: Nurses play a crucial role in the prevention of communicable diseases through the public health immunization programs. Knowledge, attitude and practices of health care providers have significant impact on the vaccine administration and education of adults and parents of children.Objective: The present qualitative study aims to explore the knowledge, attitude and practices of nurses in Qatar before and after the delivery of the immunization-related continuous professional development program.Methods: 10 out of 125 nurses who have completed the training program volunteered to participate in the face-to-face interviews. Data was then collected, transcribed and analysed by the researcher team members.Results: Themes identified from this study: Empowerment, advancing practice and continuing education. Participants felt more confident and had a sense of fulfilment on completion of the education program. Practicing evidenced based skills and methods achieved an outcome of better quality of care, which can directly affect practice. Participants also felt that continuing education allows them to become self-motivated to keep up with new and emerging knowledge. Taken together, our data revealed that continuing professional education immunization-training program was successful in improving the knowledge, attitude and practices of the participants.Conclusions: Continued education beyond traditional baccalaureate nursing programs in order to ensure nurses possess the knowledge to safely handle, teach and administer vaccines is needed.

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Applications of Damage Control Surgery in Modern Civilian Trauma Care

Damage Control in Trauma Care ◽

10.1007/978-3-319-72607-6_2 ◽

2018 ◽

pp. 9-24

Author(s):

Derek J. Roberts

Keyword(s):

Trauma Care ◽

Damage Control ◽

Damage Control Surgery ◽

Civilian Trauma

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Menopause into the Millennium: Development of a Training Program for General Practitioners in Menopausal Medicine

Australian Journal of Primary Health ◽

10.1071/py99022 ◽

1999 ◽

Vol 5 (2) ◽

pp. 90

Author(s):

Fiona J. Andrews

Keyword(s):

Training Program ◽

General Practitioners ◽

Health Care Providers ◽

Pilot Training ◽

Care Providers ◽

Adult Learning Principles ◽

Primary Health Care Providers ◽

Program Recognition ◽

Learning Principles ◽

Women’S Views

Recent studies suggest that general practitioners (GPs) are voicing a need for continuing medical education to help them in their role as primary health care providers for women going through the menopause. The study describes the development and evaluation of a pilot training program for GPs in menopausal medicine. Key features of the program include: the importance of GPs in the development of the program; recognition of adult learning principles; the incorporation of women's views; the accessibility of the program; and the recognition that providing GPs with high, quality, relevant education on the menopause should ultimately benefit women seeking their help. Evaluation of the pilot program found that GPs were very satisfied with the content and delivery of the program. The material presented was found to be relevant to GP practices and a substantial proportion of GPs suggested that the information would change the way they practiced.

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Retention of Knowledge Levels of Health Care Providers in Cancer Screening Through Telementoring

Journal of Global Oncology ◽

10.1200/jgo.18.00048 ◽

2018 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Roopa Hariprasad ◽

Sanjeev Arora ◽

Roshani Babu ◽

Latha Sriram ◽

Sarita Sardana ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Cancer Screening ◽

Training Program ◽

Health Care Providers ◽

Knowledge Level ◽

Care Providers ◽

Screening Programs ◽

Primary Health ◽

Retention Of Knowledge

Purpose Every year > 450,000 individuals are diagnosed with cancer and approximately 350,000 die of it in India. The Ministry of Health and Family Welfare has released an Operational Framework for the Management of Common Cancers that highlights population-based cancer screening programs in primary health care facilities by health care providers (HCPs) and capacity building of HCPs. The purpose of this study is to present a low-cost training model that is highly suitable for resource-deficient settings, such as those found in India, through Extension for Community Health Outcome (ECHO), a knowledge-sharing tool, to enable high-quality training of HCPs. Materials and Methods An in-person, 3-day training program was conducted for 27 HCPs in the tribal primary health care center of Gumballi in Karnataka, India, to teach the basics of cancer screening in oral, breast, and cervical cancer. The training of HCPs was done using the ECHO platform while they implemented the cancer screening, thus enabling them to build the much needed knowledge and skill set to conduct cancer screening in their respective communities. Results The knowledge level of the HCPs was tracked before the intervention, immediately after the 3-day training program, and 6 months after the ECHO intervention, which clearly showed progressive acquisition and retention of knowledge. A marked improvement in knowledge level score from an average of 6.3 to 13.7 on a 15-point scale was noticed after the initial in-person training. The average knowledge further increased to a score of 14.4 after 6 months as a result of training using the ECHO platform. Conclusion ECHO is an affordable and effective model to train HCPs in cancer screening in a resource-constrained setting.

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