Characteristics of Medical Teams in Disaster

2017 ◽  
Vol 32 (2) ◽  
pp. 195-200 ◽  
Author(s):  
David Oldenburger ◽  
Andrea Baumann ◽  
Laura Banfield

AbstractDisasters present unique challenges for teams providing medical assistance to those populations impacted by the event. This scoping review focused on the characteristics of medical teams in disaster and how these characteristics are developed. The scoping review methods of Arksey and O’Malley were followed. An inductive thematic analysis of selected articles was used to identify recurrent themes. A total of 6,521 articles were reviewed from eight databases, yielding 33 articles. Four recurrent theme groups were identified: (1) adaptability, flexibility, and improvisation; (2) creativity and innovation; (3) experience and training; and (4) leadership and command structure. The study highlighted key characteristics identified by responders for effective team functioning and interdependence between the characteristics. It also identified the paucity of literature on the subject. Results from the study can help to guide future research and training development for medical teams in disaster.OldenburgerD,BaumannA,BanfieldL.Characteristics of medical teams in disaster.Prehosp Disaster Med.2017;32(2):195–200.

2020 ◽  
Vol 29 (3S) ◽  
pp. 661-675 ◽  
Author(s):  
Laura Coco ◽  
Alyssa Davidson ◽  
Nicole Marrone

Purpose Teleaudiology helps improve access to hearing health care by overcoming the geographic gap between providers and patients. In many teleaudiology encounters, a facilitator is needed at the patient site to help with hands-on aspects of procedures. The aim of this study was to review the scope and nature of research around patient-site facilitators in teleaudiology. We focused on identifying the facilitators' background, training, and responsibilities. Method To conduct this scoping review, we searched PubMed, CINAHL, and Embase. To be included, studies needed to address teleaudiology; be experimental/quasi-experimental, correlational/predictive, or descriptive; be published in English; and include the use of a facilitator at the patient location. Results A total of 82 studies met the inclusion criteria. The available literature described a number of different individuals in the role of the patient-site facilitator, including audiologists, students, and local aides. Fifty-seven unique tasks were identified, including orienting the client to the space, assisting with technology, and assisting with audiology procedures. The largest number of studies ( n = 42) did not describe the facilitators' training. When reported, the facilitators' training was heterogenous in terms of who delivered the training, the length of the training, and the training content. Conclusions Across studies, the range of duties performed by patient-site facilitators indicates they may have an important role in teleaudiology. However, details are still needed surrounding their background, responsibilities, and training. Future research is warranted exploring the role of the patient-site facilitator, including their impact on teleaudiology service delivery. Supplemental Material https://doi.org/10.23641/asha.12475796


2021 ◽  
pp. 152483802110438
Author(s):  
Pien van de Ven ◽  
Sonja Leferink ◽  
Antony Pemberton

Topic: Currently, research into the key elements and role of peer support in the aftermath of victimization is limited. This study reviews the types of evidence available, clarifying key concepts in the literature, examining how research is conducted and identifying key characteristics or factors related to peer support in the aftermath of a victimization experience. Method: A scoping review was performed for peer-reviewed papers using predefined search terms. Studies addressing peer support among victims and survivors of crime, traffic accidents, calamities, suicide, and veterans were included. Selection was based on title and abstract and resulted in 16 papers eligible for review. An inductive thematic analysis was used to synthesize data and findings. Findings: Empirical studies into the key elements and role of peer support in the aftermath of victimization are limited in availability and scattered in terms of approach to research (e.g., methodology, type of respondents, type of peer support) and focus (such as focus on effects on mental health and well-being, on key elements or an evaluation of a support program). Studies mainly have an explorative and interpretative character. Key elements, operationalizations, positive outcomes and negative outcomes of peer support are discussed. Conclusion and discussion: The currently available knowledge on peer support in the aftermath of victimization lacks four points: cross-cultural studies, lived experiences as empirical findings, a variety of victimization events and longitudinal studies. Moreover, it is argued that future research should be improved by adopting a contextual and narrative approach.


Author(s):  
Julia Connell ◽  
Charlotte Thaarup

This chapter fills a gap in the innovation literature by exploring why creativity and innovation are important in the workplace and how the process of creativity can be supported through the practice of mindfulness. At the group and organisational levels, the chapter examines what is required of an organisation through an HR perspective in order to facilitate the optimum context for supporting creativity and innovation through knowledge sharing and transfer. There is a key emphasis on an organisation's culture, structure, and ethos, utilising a knowledge-sharing framework, in addition to a focus on the physical workspaces that can support innovative and creative processes. Finally, proposals for managers and human resource personnel interested in building foundations for creativity in the workplace include: mindfulness training and support for mindfulness practice, the reduction of stress to allow creativity to emerge, and group/team support and training. Suggestions for future research are also offered at the end of the chapter.


2021 ◽  
Author(s):  
Duaa Brinjee ◽  
Abdulellah Al Thobaity ◽  
Waleed Al Ahmari ◽  
Mohammed Almalki

Abstract Background: : An important aspect of disaster preparedness for nurses is that they be ready to respond with a high level of competence. This scoping review aimed to identify current issues related to the education and training of disaster nurses in Saudi Arabia.Methods: This scoping review was conducted using the Joanna Briggs Institute (JBI) methodology. The search involved several different databases in the Saudi Digital Library (SDL), including CINAHL, Science Direct, Scopus, Wiley, and the Education Resources Information Center (ERIC). The search keywords were “disaster,” “nursing,” “education,” “training,” “knowledge,” and “preparedness.” In addition, specific inclusion and exclusion criteria were applied to narrow down the search to only relevant articles. Results: Several gaps in the education of disaster nurses were found in the review, which can be summarized in five different domains: insufficient simulations and drills, inadequate education programs, a lack of formal education, difficulty following guidelines, and difficulty accessing up-to-date educational resources.Conclusion: It is imperative that the highlighted issues related to disaster nursing education in Saudi Arabia be addressed to further develop the educational system in this regard. Future research should aim to determine how to address these issues to enhance the performance of nurses during disaster situations.


2014 ◽  
Vol 29 (4) ◽  
pp. 364-368 ◽  
Author(s):  
Ahmadreza Djalali ◽  
Pier Luigi Ingrassia ◽  
Francesco Della Corte ◽  
Marco Foletti ◽  
Alba Ripoll Gallardo ◽  
...  

AbstractIntroductionUnacceptable practices in the delivery of international medical assistance are reported after every major international disaster; this raises concerns about the clinical competence and practice of some foreign medical teams (FMTs). The aim of this study is to explore and analyze the opinions of disaster management experts about potential deficiencies in the art and science of national and FMTs during disasters and the impact these opinions might have on competency-based education and training.MethodThis qualitative study was performed in 2013. A questionnaire-based evaluation of experts’ opinions and experiences in responding to disasters was conducted. The selection of the experts was done using the purposeful sampling method, and the sample size was considered by data saturation. Content analysis was used to explore the implications of the data.ResultsThis study shows that there is a lack of competency-based training for disaster responders. Developing and performing standardized training courses is influenced by shortcomings in budget, expertise, and standards. There is a lack of both coordination and integration among teams and their activities during disasters. The participants of this study emphasized problems concerning access to relevant resources during disasters.ConclusionThe major findings of this study suggest that teams often are not competent during the response phase because of education and training deficiencies. Foreign medical teams and medically related nongovernmental organizations (NGOs) do not always provide expected capabilities and services. Failures in leadership and in coordination among teams are also a problem. All deficiencies need to be applied to competency-based curricula.DjalaliA, IngrassiaPL, Della CorteF, FolettiM, Ripoll GallardoA, RagazzoniL, KaptanK, LupescuO, ArculeoC, von ArnimG, FriedlT, AshkenaziM, HeselmannD, HreckovskiB, Khorrram-ManeshA, KomadinaR, LechnerK, PatruC, BurkleFMJr., FisherP. Identifying deficiencies in national and foreign medical team responses through expert opinion surveys: implications for education and training. Prehosp Disaster Med. 2014;29(4):1-5.


BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e024659 ◽  
Author(s):  
Toula Kourgiantakis ◽  
Karen Sewell ◽  
Sandra McNeil ◽  
Judith Logan ◽  
Eunjung Lee ◽  
...  

IntroductionSocial workers are among the largest group of professionals in the mental health workforce and play a key role in the assessment of mental health, addictions and suicide. Most social workers provide services to individuals with mental health concerns, yet there are gaps in research on social work education and training programmes. The objective of this scoping review is to examine literature on social work education and training in mental health, addictions and suicide.Methods and analysisUsing a scoping review framework developed by Arksey and O’Malley, we will search for literature through seven academic databases: PsycINFO, Sociological Abstracts, CINAHL Plus, Social Sciences Abstracts, Education Source, ERIC and Social Work Abstracts. Two independent reviewers will screen articles utilising a two-stage process. Titles and abstracts will be reviewed in the first stage and full texts will be reviewed in the second stage. Selected articles that meet inclusion criteria will be charted to extract key themes and they will be analysed using a qualitative thematic analysis approach.Ethics and disseminationThis review will fill a knowledge gap in social work education and training in mental health, addictions and suicide. Ethics approval is not required for this scoping review. Through dissemination in publications and relevant conferences, the results may guide future research and education in social work.


2021 ◽  
Vol 4 ◽  
pp. 9
Author(s):  
Philip Hardie ◽  
Andrew Darley ◽  
Catherine Redmond ◽  
Attracta Lafferty ◽  
Suzi Jarvis

The preceptorship model is an education-focused model for teaching and learning within a clinical environment in nursing. It formulates a professional educational relationship between a staff nurse (preceptor) and student nurse and is based on the provision of providing patient care. Preceptorship is widely acknowledged in the literature as a positive pedagogical approach in clinical nursing education in terms of knowledge and skill acquisition, confidence, and professional socialisation of undergraduate nursing students. However, the literature also widely reports negative interpersonal experiences within this professional educational relationship resulting in negative educational experiences and in some cases, negative patient experiences. Therefore, the authors set out to examine what teaching strategies are being implemented by nurse educators to encourage the development of interpersonal and communication skills in facilitating positive interpersonal relationships between the preceptor, nursing student and patient. This paper outlines the protocol for an exploratory scoping review that aims to systematically and comprehensively map out the available published and unpublished literature on the teaching strategies to develop interpersonal and communication skills in preceptorship education and training programmes. To conduct a systematic and comprehensive scoping review, the review will be guided by the Joanna Briggs Institute and Arksey & O’ Malley (2005) six-stage iterative framework, as well as PRISMA-ScR framework guidelines, to ensure the quality of the methodological and reporting approaches to the review. It is anticipated that the results of the scoping review will inform nurse educators on the current educational practices for developing interpersonal and communication skills in preceptorship education and training programmes and identify any educational practices that are worthy of further consideration for future research.


2020 ◽  
Author(s):  
Bruno Miranda Dos Santos ◽  
Flavio Sanson Fogliatto ◽  
Carolina Melecardi Zani ◽  
Fernanda Araujo Pimentel Peres

Abstract Background Surgical Tray Rationalization (STR) consists of a systematic reduction in the quantity of surgical instruments to perform specific procedures without compromising patient safety, while reducing losses in the sterilization and assembly of trays. STR is one example of initiatives to improve process performance that have been widely reported in industrial settings, but only recently have gained popularity in healthcare organizations. Methods We conduct a scoping review of the literature aiming at identifying and mapping available evidence on the topic of surgical tray management. Five methodological stages are implemented and reported; they are: identifying research questions, identifying relevant studies, study selection, charting the data, and collating, summarizing and reporting the results. Results We reviewed forty-eight articles on STR, which were grouped according to their main proposed approaches: expert analysis, lean practices, and mathematical programming. We identify the most frequently used techniques within each approach and point to their potential contributions to operational and economic dimensions of STR. We also consolidate our findings proposing a roadmap to STR, with four generic steps (prepare, rationalize, implement, and consolidate) and recommended associated techniques. Conclusions To the best of our knowledge, ours is the first study that reviews and systematizes the existing literature on the subject of STR. Our study closes with the proposition of directions for future research, which are presented as nine research questions associated with the four generic steps proposed in the STR roadmap.


2016 ◽  
pp. 1719-1738
Author(s):  
Julia Connell ◽  
Charlotte Thaarup

This chapter fills a gap in the innovation literature by exploring why creativity and innovation are important in the workplace and how the process of creativity can be supported through the practice of mindfulness. At the group and organisational levels, the chapter examines what is required of an organisation through an HR perspective in order to facilitate the optimum context for supporting creativity and innovation through knowledge sharing and transfer. There is a key emphasis on an organisation's culture, structure, and ethos, utilising a knowledge-sharing framework, in addition to a focus on the physical workspaces that can support innovative and creative processes. Finally, proposals for managers and human resource personnel interested in building foundations for creativity in the workplace include: mindfulness training and support for mindfulness practice, the reduction of stress to allow creativity to emerge, and group/team support and training. Suggestions for future research are also offered at the end of the chapter.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Georgia B. Black ◽  
Sandra van Os ◽  
Samantha Machen ◽  
Naomi J. Fulop

Abstract Background The relationship between ethnography and healthcare improvement has been the subject of methodological concern. We conducted a scoping review of ethnographic literature on healthcare improvement topics, with two aims: (1) to describe current ethnographic methods and practices in healthcare improvement research and (2) to consider how these may affect habit and skill formation in the service of healthcare improvement. Methods We used a scoping review methodology drawing on Arksey and O’Malley’s methods and more recent guidance. We systematically searched electronic databases including Medline, PsychINFO, EMBASE and CINAHL for papers published between April 2013 – April 2018, with an update in September 2019. Information about study aims, methodology and recommendations for improvement were extracted. We used a theoretical framework outlining the habits and skills required for healthcare improvement to consider how ethnographic research may foster improvement skills. Results We included 283 studies covering a wide range of healthcare topics and methods. Ethnography was commonly used for healthcare improvement research about vulnerable populations, e.g. elderly, psychiatry. Focussed ethnography was a prominent method, using a rapid feedback loop into improvement through focus and insider status. Ethnographic approaches such as the use of theory and focus on every day practices can foster improvement skills and habits such as creativity, learning and systems thinking. Conclusions We have identified that a variety of ethnographic approaches can be relevant to improvement. The skills and habits we identified may help ethnographers reflect on their approaches in planning healthcare improvement studies and guide peer-review in this field. An important area of future research will be to understand how ethnographic findings are received by decision-makers.


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