scholarly journals (P1-54) Healthcare Worker's Perception towards Individual and Institution Disaster Preparedness

2011 ◽  
Vol 26 (S1) ◽  
pp. s116-s116
Author(s):  
G.H. Lim
Keyword(s):  
Family Support ◽  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Healthcare Workers ◽  
Health Workers ◽  
Response Training ◽  
The Family ◽  
Training Opportunities ◽  
H1n1 Outbreak

Background and AimDisaster and MCI events are occurrences that healthcare institutions must be prepared to respond to at all times. The events of September 11 2001 have rekindled our attention to this aspect of preparedness amongst our healthcare institutions. In Singapore, the SARS experience in 2003 and the recent H1N1 outbreak have thrust emergency preparedness further into the limelight. While priorities had been re-calibrated, we feel that we still lack far behind in our level of preparedness. This study is conducted to understand the perception of our healthcare workers towards their individual and the institution preparedness towards a disaster incident.MethodA questionnaire survey was done for this study for the doctors, nurses and allied health workers in our hospital. Questions measuring perception of disaster preparedness for themselves, their colleagues and that of the institution were asked. This was done using a 5-point likert scale.ResultsThe study was conducted over a 2-month period from 1st August 2010 till 30th September 2010. 1534 healthcare workers participated in the study. 75.3% felt that the institution is ready to respond to a disaster incident; but only 36.4% felt that they were ready. 12.6% had previous experience in disaster response. They were more likely to be ready to respond to future incidents (p = 0.00). Factors that influenced perception of readiness included leadership (p = 0.00), disaster drills (p = 0.02), access to disaster plans (p = 0.04), family support. 80.7% were willing to participate in future disaster incident response training. 74.5% felt that being able to respond to a disaster incident constitute part of their professional competency. However, only 31% of the respondents agreed that disaster response training was readily available and only 27.8% knew where to go to look for these training opportunities.ConclusionThere is an urgent need to train the healthcare workers to enhance their capability to respond to a disaster incident. While they have confidence in the institutions capability they were not sure of their own capability. Training opportunities should be made more accessible. We should also do more to harvest the family support that these worker value in order for them to be able to perform their roles in a disaster incident.

Survey of Factors Affecting Health Care Workers’ Perception Towards Institutional and Individual Disaster Preparedness

2013 ◽  
Vol 28 (4) ◽  
pp. 353-358 ◽  
Author(s):  
Ghee Hian Lim ◽  
Beng Leong Lim ◽  
Alicia Vasu
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Incident Response ◽  
Factors Affecting ◽  
Response Training ◽  
Care Workers ◽  
The Individual ◽  
Training Opportunities

AbstractIntroductionHealth care institutions constantly must be prepared for disaster response. However, there are deficiencies in the current level of preparedness. The aim of this study was to investigate the factors affecting the perception of health care workers (HCWs) towards individual and institutional preparedness for a disaster.MethodsA survey on disaster incident preparedness was conducted among doctors, nurses, and allied health workers over a period of two months in 2010. The survey investigated perceptions of disaster preparedness at the individual and institutional level. Responses were measured using a five-point Likert scale. The primary outcomes were factors affecting HCWs’ perception of institution and individual preparedness. Secondary outcomes were the proportions of staff willing to participate and to place importance on disaster response training and their knowledge of access to such training. Data was analyzed using descriptive statistics. Logistic regression was performed to determine the factors that influenced the HCWs’ perception of their individual and institutional readiness. Odd ratios (ORs) of such factors were reported with their 95% confidence intervals (CIs).ResultsOf 1700 HCWs, 1534 (90.2%) completed the survey. 75.3% (1155/1534) felt that the institution was ready for a disaster incident, but only 36.4% (558/1534) felt that they (as individuals) were prepared. Some important factors associated with a positive perception of institution preparedness were leadership preparedness (OR = 13.19; 95% CI, 9.93-17.51), peer preparedness (OR = 6.11; 95% CI, 4.27-8.73) and availability of training opportunities (OR = 4.76; 95% CI, 3.65-6.22). Some important factors associated with a positive perception of individual preparedness were prior experience in disaster response (OR = 2.80; 95% CI, 1.99-3.93), institution preparedness (OR = 3.71; 95% CI, 2.68-5.14), peer preparedness (OR = 3.49; 95% CI, 2.75-4.26), previous training in disaster response (OR = 3.48; 95% CI, 2.76-4.39) and family support (OR = 3.22; 95% CI, 2.54-4.07). Most (80.7%, 1238/1534) were willing to participate in future disaster incident response training, while 74.5% (1143/1534) felt that being able to respond to a disaster incident constitutes part of their professional competency. However, only 27.8% (426/1534) knew how to access these training opportunities.ConclusionsThis study demonstrated that HCWs fare poorly in their perception of their individual preparedness. Important factors that might contribute to improving this perception at the individual and institution level have been identified. These factors could guide the review and implementation of future disaster incident response training in health care institutions.LimGH, LimBL, VasuA. Survey of factors affecting health care workers’ perception towards institutional and individual disaster preparedness. Prehosp Disaster Med. 2013;28(4):1-6.

scholarly journals DUKUNGAN SOSIAL TENTANG EFIKASI DIRI MENYUSUI PADA IBU NIFAS

2018 ◽  
Vol 11 (1) ◽  
pp. 001-006
Author(s):  
Agnes Julisca Cemara
Keyword(s):  
Social Support ◽  
Family Support ◽  
Self Efficacy ◽  
Health Personnel ◽  
Qualitative Method ◽  
Health Workers ◽  
High Efficacy ◽  
The Family ◽  
Postpartum Mothers ◽  
The City

Bengkulu City is the city with the lowest coverage of 9 districts / cities inBengkulu Province in 2015 by 38%. The success of breastfeeding can be increased inmothers who have high breastfeeding self-efficacy. One of the factors that influencebreastfeeding self-efficacy is the existence of social support sourced from the family(husband), cadres, and health personnel (midwives). This study aims to determine theanalysis of social support on breastfeeding self-efficacy of postpartum in the WorkingArea of PuskesmasLingkar. This research uses qualitative method with phenomenologyapproach. The subjects of the study were chosen by using purposive sampling techniqueconsisting of 6 primary informants which is 3 postpartum mothers with high efficacy and3 postpartum mothers with low efficacy and 6 secondary informants which is 2 midwives,2 cadres and 2 husbands, each consisting of low and high efficacy. The results showedthat social support in the form of family support (husband), cadres and health workers(midwives) affects self-efficacy of breastfeeding in postpartum. Forms of family support(husband) and health personnel (midwife) are informational, emotional, assessment andintrumental support. Forms of cadre support is just informational suppor. It is expectedthat health workers can provide a comprehensive extension of ASI to mother and family.Training of cadres also needs to be done to improve the role and task of cadres inimproving the success of postpartum mother to breastfeed her baby exclusively.

Preparing Emergency Physicians for Acute Disaster Response: A Review of Current Training Opportunities in the US

2016 ◽  
Vol 31 (6) ◽  
pp. 643-647 ◽  
Author(s):  
Bhakti Hansoti ◽  
Dylan S. Kellogg ◽  
Sara J. Aberle ◽  
Morgan C. Broccoli ◽  
Jeffrey Feden ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Grey Literature ◽  
Care Providers ◽  
Emergency Physicians ◽  
The Us ◽  
Disaster Training ◽  
Training Opportunities

AbstractStudy ObjectiveThis study aimed to review available disaster training options for health care providers, and to provide specific recommendations for developing and delivering a disaster-response-training program for non-disaster-trained emergency physicians, residents, and trainees prior to acute deployment.MethodsA comprehensive review of the peer-reviewed and grey literature of the existing training options for health care providers was conducted to provide specific recommendations.ResultsA comprehensive search of the Pubmed, Embase, Web of Science, Scopus, and Cochrane databases was performed to identify publications related to courses for disaster preparedness and response training for health care professionals. This search revealed 7,681 unique titles, of which 53 articles were included in the full review. A total of 384 courses were found through the grey literature search, and many of these were available online for no charge and could be completed in less than six hours. The majority of courses focused on management and disaster planning; few focused on clinical care and acute response.ConclusionThere is need for a course that is targeted toward emergency physicians and trainees without formal disaster training. This course should be available online and should utilize a mix of educational modalities, including lectures, scenarios, and virtual simulations. An ideal course should focus on disaster preparedness, and the clinical and non-clinical aspects of response, with a focus on an all-hazards approach, including both terrorism-related and environmental disasters.HansotiB, KelloggDS, AberleSJ, BroccoliMC, FedenJ, FrenchA, LittleCM, MooreB, SabatoJJr., SheetsT, WeinbergR, ElmesP, KangC. Preparing emergency physicians for acute disaster response: a review of current training opportunities in the US. Prehosp Disaster Med. 2016;31(6):643–647.

scholarly journals (A108) Hospital Disaster Planning: The Structured Approach

2011 ◽  
Vol 26 (S1) ◽  
pp. s30-s30
Author(s):  
G.E.A. Khalifa
Keyword(s):  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Emergency Services ◽  
Disaster Planning ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Disaster Plan ◽  
Preparedness Plan ◽  
Hospital Disaster Preparedness

BackgroundDisasters and incidents with hundreds, thousands, or tens of thousands of casualties are not generally addressed in hospital disaster plans. Nevertheless, they may occur, and recent disasters around the globe suggest that it would be prudent for hospitals to improve their preparedness for a mass casualty incident. Disaster, large or small, natural or man-made can strike in many ways and can put the hospital services in danger. Hospitals, because of their emergency services and 24 hour a day operation, will be seen by the public as a vital resource for diagnosis, treatment, and follow up for both physical and psychological care.ObjectivesDevelop a hospital-based disaster and emergency preparedness plan. Consider how a disaster may pose various challenges to hospital disaster response. Formulate a disaster plan for different medical facility response. Assess the need for further changes in existing plans.MethodsThe author uses literature review and his own experience to develop step-by-step logistic approach to hospital disaster planning. The author presents a model for hospital disaster preparedness that produces a living document that contains guidelines for review, testing, education, training and update. The model provides the method to develop the base plan, functional annexes and hazard specific annexes.

scholarly journals Pengaruh Keinginan Pasangan Usia Subur (Pus) dalam Penggunaan Metode Kontrasepsi Jangka Panjang

2017 ◽  
Vol 5 (1) ◽  
pp. 27
Author(s):  
Sumartini Sumartini ◽  
Diah Indriani
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Family Support ◽  
Contraceptive Method ◽  
Health Workers ◽  
Sampling Technique ◽  
Reproductive Age ◽  
Short Term ◽  
The Family

One of the most eff ective eff ort in the family planning program was to control fertilitas and press the population growth rate was used contraception. In the area of Puskesmas Pacar Keling Surabaya interest of acceptor which used short term contraceptive method still high than long term contraceptive method. This research used analytical observational study with case control methods. The population is all woman reproductive age couples aged 15-49 years old in the area of Puskesmas Pacar Keling Surabaya. Sampling technique used two stage random sampling and got 90 respondent. The variables were age, knowledge, side eff ects, desire to have a child again, husband and family support. Data were analyzed with multiple logistic regression with al level of signifi cance value α= 0,05. The result of logistic regression analysis signifi cant variables were age (p= 0,002), side eff ects (p= 0,005), desire to have a child again (p= 0,028), husband and family support (p= 0,008). Conclusion of research is that age, side effects, desire to have more children, husband and family support infl uencing reproductive age couples using long term contraceptive methods. This research suggest health workers provide Counselling and information about Family Planning to reproductive age couples specially they were 20-30 years old about explanation of the use of long term contraception method.

scholarly journals HAMBATAN IBU BEKERJA DALAM MEMBERIKAN ASI EKSKLUSIF PADA BAYI PADA IBU MENYUSUI DI WILAYAH KERJA PUSKESMAS SENTOLO II, KULONPROGO, YOGYAKARTA

2019 ◽  
Vol 11 (02) ◽  
pp. 147
Author(s):  
Fatimah Dewi Anggraeni ◽  
Eva Putriningrum
Keyword(s):  
Family Support ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Working Mothers ◽  
Health Workers ◽  
Future Generation ◽  
Working Mother ◽  
The Family ◽  
Nursing Mothers

ABSTRAKLatar Belakang : ASI sangat diperlukan bagi kesehatan dan tumbuh kembang bayi serta kesehatan ibu. Data di Daerah Istimewa Yogyakarta menunjukan capaian ASI eksklusif tahun 2012 menunjukkan adanya kondisi yang menyebabkan adanya penurunan yaitu sebesar 48%. Penurunan yang terus menerus tanpa ada penanganan dan fokus khusus, maka banyak bayi yang tidak mendapatkan haknya yaitu memperoleh ASI. Dampak lebih jauh dapat terjadi penurunan status gizi bayi. Hal ini jika dibiarkan maka tidak menutup kemungkinan akan menurunkan kualitas generasi penerus bangsa. Salah satu faktor yang dapat memengaruhi kegagalan pemberian ASI eksklusif adalah kesibukan ibu bekerja. Tujuan Penelitian untuk mengetahui hambatan manajemen laktasi pada ibu bekerja di wilayah kerja Puskesmas Sentolo II Kabupaten Kulon Progo. Metode Penelitian adalah kualitatif. Pengambilan sampel informan dilakukan secara purposive dengan jumlah 20 informan. Analisis data yang digunakan adalah analisi kualitatif dengan metode deduktif. Hasil : Hambatan ibu dalam managemen laktasi yaitu kurangnya pengetahuan tentang manajemen laktasi, kurang maksimalnya sosialisasi dari tenaga kesehatan, anggapan Sindrom ASI kurang, Motivasi/kesadaran ibu dalam pemberian ASI Eksklusif masih rendah,  Dukungan ditempat kerja masih kurang,  dan Minimnya dukungan dari keluarga/pengasuhKesimpulan : Hambatan dalam pemberian ASI yaitu pengetahuan, presepsi tentang asi, motivasi ibu, dukungan keluarga, dukungan tempat kerja, dukungan tenaga kesehatan.Kata Kunci : Hambatan,  Bekerja, Pemberian ASI THE OBSTACLE OF WORKING MOTHER IN PROVIDING EXCLUSIVE BREASTFEEDING IN INFANTS IN NURSING MOTHERS IN PUSKESMAS SENTOLO II, KULONPROGO, YOGYAKARTAABSTRACTBackground : ASI very important for baby’s health and growth and also maternal health. The Yogyakarta data profile shows the exclusive breastfeeding target in 2012 is decline as much as 48%. Babies will not get their right to obtain breast milk if the continuous decline do not get special handling and focus. Further impacts can occur in infant's nutritional status. This is if left unsealed it will likely decrease the quality of the nation's future generation.  One factor that can affect the failure of exclusive breast feeding is the busyness of working mothers. Research objectives is to know the obstacles of the lactation management of working mothers in the workplace Puskesmas Sentolo II Regency of Kulon Progo. Research methode is Qualitative research. Informant sampling is done in purposive with the number of 20 informant. Analysis of the data used is qualitative analyzers with deductive methods. Result: The mother barrier in the management of lactation is a lack of knowledge about the management of lactation, the maximum dissemination of health workers, the assumption of less breast syndrome, motivation/awareness of mothers in the provision of exclusive breastfeeding is still low, support in the workplace is still lacking, and lack of support from the family/caregiver. Conclusion: The barriers of mothers in the management of lactation in nursing mothers is low knowledge, conception of breastfeeding, mother motivation, family support, support of health workers, suport of health workers,Keywords: Barriers, Women Working, Breast Feeding

Disaster preparedness for charge nurses: A program evaluation

2021 ◽  
Vol 19 (1) ◽  
pp. 39-45
Author(s):  
Rae Becker, DNP, RN, CPN ◽  
Joan Sevy Majers, DNP, RN, FACHE, CENP, CCM ◽  
Julie Moody, DNP, MEd, RN, NPD-BC
Keyword(s):  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Task Force ◽  
Comfort Level ◽  
Senior Leadership ◽  
Clinical Leadership ◽  
Charge Nurses ◽  
Inpatient Units ◽  
Specific Education

Over the last 3 years at a large, midwestern, pediatric hospital, there have been near disaster events, a few of which required transfer or evacuation of patients. The responses from the inpatient units to these events have varied greatly and can be traced back to communication, knowledge, comfort level, and effectiveness of the charge nurses on the nursing units. A task force was formed to understand the variation in their disaster response procedures and to standardize disaster response procedures. Respondents included the bedside, clinical leadership, managers of patient services, emergency preparedness management, and senior leadership. This resulted in the creation of a tabletop simulation exercise for use by inpatient charge nurses within the institution. The results indicated that participants reported higher levels of self-reported knowledge, confidence, and effectiveness regarding the disaster preparedness on their units (p 0.001). The program was effective, with feedback from participants indicating the need for more frequent and/or department specific education.

scholarly journals Development of a Virtual Reality Platform to Promote Disaster Preparedness Among Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 352-352
Author(s):  
Chen Kan ◽  
Aaron Hagedorn ◽  
Sam Thomas ◽  
Reid Yeager ◽  
Zhen Cong
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Emergency Preparedness ◽  
Social Engagement ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Weather Conditions ◽  
Extreme Weather ◽  
Community Dwelling ◽  
Disaster Scenario

Abstract This project develops a tailored and adaptive virtual reality platform to innovatively promote older adults’ disaster preparation in a socially engaging environment. The platform serves the following purposes: 1) assist older adults to develop tailored household emergency preparedness plans, 2) simulate extreme weather conditions and warnings for older adults to practice disaster response and develop relevant knowledge and skills as well as test and revise their emergency preparedness plans, 3) use the process as a social engagement tool to reduce social isolation and promote a sense of community. The virtual environments are designed in Unity to simulate extreme weather conditions/natural disasters and older adults are guided to use the HTC VR headset and experience the selected disaster scenario. The pilot VR platform will be tested among community-dwelling older adults in the Dallas-Fort Worth Metropolitan Area.

scholarly journals Peranan Dukungan Keluarga Penderita Hipertensi Dalam Penggunaan Aplikasi Kesehatan

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Rita Oktaviani ◽  
Chriswardani Suryawati ◽  
Fery Agusman Motuho Mendrofa
Keyword(s):  
Family Support ◽  
Health Workers ◽  
Community Health Center ◽  
Sampling Technique ◽  
Health Care Facilities ◽  
Hypertensive Patients ◽  
Environmental Support ◽  
The Family ◽  
The Media ◽  
Serious Disease

Hypertension is often found in primary health care facilities and if not followedup can develop into a more serious disease such as myocardial infarction, stroke,kidney failure and can cause death. Health services for non-communicablediseases such as hypertension depend not only on diagnoses and medicalinterventions but also require environmental support and collaboration betweenhealth workers and patients and their families. The effort to fulfill family healthcare tasks in the current era of modernization is one of them by utilizinginformation and communication technology which is the media to bridgecommunication between health workers and the community. The purpose of thisstudy was to determine the family support of hypertensive patients. The numberof samples in this study was 100 families of hypertensive patients. Samplingusing purposive sampling technique. This research was conducted in theSukoharjo Community Health Center area. Analysis of this study using univariateand frequency distribution. The results showed that the average family supportfor hypertensive patients was emotional support of 14.62, award support 20.03,instrumental support 25.67 and informational support 14.57. Based on the results of the study, it can be concluded that the majority of family support forhypertensive patients is in a fairly good category so it needs to be increased again to carry out family empowerment activities. The results of this study can be used as a reference in determining appropriate interventions in increasing family support for hypertensive patients.

Disaster management mobile protocols: A technology that will save lives

2011 ◽  
Vol 6 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Hope M. Williamson, Major, USA, DNP, ACNP-BC, CCNS, CEN, NREMT
Keyword(s):  
Disaster Management ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Mobile Application ◽  
Healthcare Workers ◽  
Early Recognition ◽  
Diagnostic Procedures ◽  
Evidence Based ◽  
Medical Provider ◽  
Medical Response

Although training and education have long been accepted as integral to disaster preparedness, many currently taught practices are neither evidence based nor standardized.The need for effective evidence-based disaster education for healthcare workers at all levels in the multidisciplinary medical response to major events has been designated by the disaster response community as a high priority. This article describes a disaster management mobile application of systematic evidence-based practice. The application is interactive and comprises portable principles, algorithms, and emergency protocols that are agile, concise, comprehensive, and response relevant to all healthcare workers. Early recognition through clinical assessment versus laboratory and diagnostic procedures in chemical, biological, radiological, and nuclear (CBRNE) exposures grounded in an evidencebased skill set is especially important. During the immediate threat, the clinical diagnosis can get frustrating because CBRNE casualties can mimic everyday healthcare illnesses and initially present with nonspecific respiratory or flu-like symptoms. As there is minimal time in a catastrophic event for the medical provider to make accurate decisions, access to accurate, timely, and comprehensive information in these situations is critical. The CBRNE mobile application is intended to provide a credible source for treatment and management of numerous patients in an often intimidating environment with scarce resources and overwhelming tasks.

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