scholarly journals Management of a large outbreak of COVID-19 at a British Army training centre: lessons for the future

2021 ◽  
pp. e001976
Author(s):  
Matthew Routledge ◽  
J Lyon ◽  
C Vincent ◽  
A Gordon Clarke ◽  
K Shawcross ◽  
...  
Keyword(s):  
Incident Management ◽  
Military Academy ◽  
Training Centre ◽  
After Action Review ◽  
Large Outbreak ◽  
Multidisciplinary Working ◽  
Military Populations ◽  
Permanent Staff ◽  
Stratification System ◽  
The Impact

IntroductionThe COVID-19 pandemic has posed major challenges for infection control within training centres, both civilian and military. Here we present a narrative review of an outbreak that occurred at the Royal Military Academy Sandhurst (RMAS) in January–March 2021, in the context of the circulating, highly transmissible SARS-CoV-2 variant B.1.1.7.MethodsTesting for SARS-CoV-2 was performed using a combination of reverse transcriptase PCR and Lateral Flow Devices (LFDs). Testing and isolation procedures were conducted in line with a pre-established symptom stratification system. Genomic sequencing was performed on 10 sample isolates.ResultsBy the end of the outbreak, 185 cases (153 Officer Cadets, 32 permanent staff) had contracted confirmed COVID-19. This represented 15% of the total RMAS population. This resulted in 0 deaths and 0 hospitalisations, but due to necessary isolation procedures did represent an estimated 12 959 person-days of lost training. 9 of 10 (90%) of sequenced isolates had a reportable lineage. All of those reported were found to be the Alpha lineage B.1.1.7.ConclusionsWe discuss the key lessons learnt from the after-action review by the Incident Management Team. These include the importance of multidisciplinary working, the utility of sync matrices to monitor outbreaks in real time, issues around Officer Cadets reporting symptoms, timing of high-risk training activities, infrastructure and use of LFDs. COVID-19 represents a vital learning opportunity to minimise the impact of potential future pandemics, which may produce considerably higher morbidity and mortality in military populations.

PENGARUH PELATIHAN, KOMPETENSI, MOTIVASI DAN KEPEMIMPINAN TERHADAP KINERJA PEGAWAI DENGAN PENDIDIKAN SEBAGAI PEMODERATOR PADA BALAI PENDIDIKAN DAN PELATIHAN APARATUR KEMENTERIAN KELAUTAN DAN PERIKANAN

2018 ◽  
Vol 5 (2) ◽  
pp. 37-49
Author(s):  
Wahyu Yulianto
Keyword(s):  
Job Satisfaction ◽  
Performance Appraisal ◽  
Structural Equation ◽  
Secondary Data ◽  
Primary Data ◽  
Equation Modeling ◽  
Training Centre ◽  
Competence Motivation ◽  
The Impact ◽  
Mediator Variable

The study purpose is to analyse the impact of training, competence, motivation and leadership towards performance either directly or through job satisfaction as a mediator variable. As many as 55 staff are considered as respondents in this research, and census method is used as the sampling method. Primary data in this study were collected through questionnaires and analyzed using Likert Scale. Secondary data are obtained from the organization structure Sukamandi Apparatus Training Centre (BDA), performance appraisal, staff attendance, information system and personnel management. Structural Equation Modeling Analisis of Moment Structures (SEM-AMOS) is used to process and analyze data. This study shows staff with high education, competence and leadership have a significant effect on performance, While the job satisfaction is significant in mediating the influence of training, competence and leadership on performance. Next on the employee with low education, training, competence, motivation and leadership have a significant influence on performance, while job satisfaction is significant in mediating the effect of competence and leadership on staff performance.   Keywords:  training, competence, motivation, leadership, job satisfaction, performance

Multihospital Outbreak ofClostridium difficileRibotype 027 Infection: Epidemiology and Analysis of Control Measures

2011 ◽  
Vol 32 (3) ◽  
pp. 210-219 ◽  
Author(s):  
Mamoon A. Aldeyab ◽  
Michael J. Devine ◽  
Peter Flanagan ◽  
Michael Mannion ◽  
Avril Craig ◽  
...  
Keyword(s):  
Infection Control ◽  
Action Plan ◽  
Essential Element ◽  
Control Measures ◽  
Environmental Hygiene ◽  
Ribotype 027 ◽  
Infection Control Measures ◽  
Health And Social Care ◽  
Large Outbreak ◽  
The Impact

Objective.To report a large outbreak ofClostridium difficileinfection (CDI; ribotype 027) between June 2007 and August 2008, describe infection control measures, and evaluate the impact of restricting the use of fluoroquinolones in controlling the outbreak.Design.Outbreak investigation in 3 acute care hospitals of the Northern Health and Social Care Trust in Northern Ireland.Interventions.Implementation of a series of CDI control measures that targeted high-risk antibiotic agents (ie, restriction of fluoroquinolones), infection control practices, and environmental hygiene.Results.A total of 318 cases of CDI were identified during the outbreak, which was the result of the interaction betweenC. difficileribotype 027 being introduced into the affected hospitals for the first time and other predisposing risk factors (ranging from host factors to suboptimal compliance with antibiotic guidelines and infection control policies). The 30-day all-cause mortality rate was 24.5%; however, CDI was the attributable cause of death for only 2.5% of the infected patients. Time series analysis showed that restricting the use of fluoroquinolones was associated with a significant reduction in the incidence of CDI (coefficient, —0.054; lag time, 4 months;P= .003).Conclusion.These findings provide additional evidence to support the value of antimicrobial stewardship as an essential element of multifaceted interventions to control CDI outbreaks. The present CDI outbreak was ended following the implementation of an action plan improving communication, antibiotic stewardship, infection control practices, environmental hygiene, and surveillance.

scholarly journals Networks within networks: scaling response operations in the lightning complex fires in northern california, August 2020

2021 ◽  
Vol 331 ◽  
pp. 04016
Author(s):  
K. Comfort Louise
Keyword(s):  
San Francisco ◽  
Distribution Systems ◽  
Extreme Event ◽  
Electrical Power ◽  
Incident Management ◽  
Northern California ◽  
California Department ◽  
Wildfire Risk ◽  
The Impact ◽  
Large Sections

Wildfire risk has increased dramatically in California over more than two decades, 2000 - 2021, reflecting the intense impact of climate change on the state’s environmental and ecological systems. Most urgent is the impact of wildfire at the wildland-urban-interface (WUI), and the challenge to prevent cascading disaster for regions connected via interdependent lifelines of transportation, communications, electrical power, water, sewer, and gas line distribution systems that characterize geographic regions. To what extent do large, multi-organizational, multi-jurisdictional networks of organizations learn from experience and adapt their performance in response to the dynamic conditions of an actual extreme event? This article identifies four types of networks operating in the 2020 Lightning Complex Wildfires in northern California and documents the rapid escalation of risk and costs based on a preliminary analysis of the 209 incident reports filed by California Department of Forestry and Fire Protection (CalFire) for the SCU Fire that engulfed large sections of five counties in the southeastern San Francisco Bay Region. The article concludes that Interagency Incident Management Networks provide essential intelligence to support local management of operations in the dynamic context of wildfire risk.

Turning Weakness into Strength

2019 ◽  
pp. 177-198
Author(s):  
Randy L. Burkhead
Keyword(s):  
Information Security ◽  
Phenomenological Model ◽  
Incident Management ◽  
Incident Response ◽  
After Action Review ◽  
Human Aspects ◽  
Interview Guide ◽  
The Common ◽  
Security Incidents ◽  
Management Cycle

In today's culture organizations have come to expect that information security incidents and breaches are no longer a matter of if but when. This shifting paradigm has brought increased attention, not to the defenses in place to prevent an incident but, to how companies manage the aftermath. Using a phenomenological model, organizations can reconstruct events focused on the human aspects of security with forensic technology providing supporting information. This can be achieved by conducting an after action review for incidents using a phenomenological model. Through this approach the researcher can discover the common incident management cycle attributes and how these attributes have been applied in the organization. An interview guide and six steps are presented to accomplish this type of review. By understanding what happened, how it happened, and why it happened during incident response, organizations can turn their moment of weakness into a pillar of strength.

Turning Weakness into Strength

2017 ◽  
pp. 118-139
Author(s):  
Randy L. Burkhead
Keyword(s):  
Information Security ◽  
Phenomenological Model ◽  
Incident Management ◽  
Incident Response ◽  
After Action Review ◽  
Human Aspects ◽  
Interview Guide ◽  
The Common ◽  
Security Incidents ◽  
Management Cycle

In today's culture organizations have come to expect that information security incidents and breaches are no longer a matter of if but when. This shifting paradigm has brought increased attention, not to the defenses in place to prevent an incident but, to how companies manage the aftermath. Using a phenomenological model, organizations can reconstruct events focused on the human aspects of security with forensic technology providing supporting information. This can be achieved by conducting an after action review for incidents using a phenomenological model. Through this approach the researcher can discover the common incident management cycle attributes and how these attributes have been applied in the organization. An interview guide and six steps are presented to accomplish this type of review. By understanding what happened, how it happened, and why it happened during incident response, organizations can turn their moment of weakness into a pillar of strength.

A method for estimating the socioeconomic impact of Earth observations in wildland fire suppression decisions

2020 ◽  
Vol 29 (3) ◽  
pp. 282
Author(s):  
Vincent Herr ◽  
Adam K. Kochanski ◽  
Van V. Miller ◽  
Rich McCrea ◽  
Dan O'Brien ◽  
...  
Keyword(s):  
Wildland Fire ◽  
Fire Suppression ◽  
Break Line ◽  
Socioeconomic Impact ◽  
Incident Management ◽  
Socioeconomic Impacts ◽  
Earth Observations ◽  
Moderate Resolution Imaging Spectroradiometer ◽  
The Impact ◽  
Behaviour Simulation

A method for estimating the socioeconomic impact of Earth observations is proposed and deployed. The core of the method is the analysis of outcomes of hypothetical fire suppression scenarios generated using a coupled atmosphere–fire behaviour model, based on decisions made by an experienced wildfire incident management team with and without the benefits of MODIS (Moderate Resolution Imaging Spectroradiometer) satellite observations and the WRF-SFIRE wildfire behaviour simulation system. The scenarios were based on New Mexico’s 2011 Las Conchas fire. For each scenario, fire break line location decisions served as inputs to the model, generating fire progression outcomes. Fire model output was integrated with a property database containing thousands of coordinates and property values and other asset values to estimate the total losses associated with each scenario. An attempt to estimate the socioeconomic impact of satellite and modelling data used during the decision-making process was made. We analysed the impact of Earth observations and include considerations for estimating other socioeconomic impacts.

scholarly journals The impact of temporary staff on permanent staff in accident and emergency departments

2019 ◽  
Vol 6 (1) ◽  
pp. 2-18 ◽  
Author(s):  
Zofia Bajorek ◽  
David Guest
Keyword(s):  
Patient Safety ◽  
Service Quality ◽  
Emergency Departments ◽  
Job Demands ◽  
Temporary Workers ◽  
Structured Interviews ◽  
Content Type ◽  
Accident And Emergency ◽  
Permanent Staff ◽  
The Impact

Purpose The purpose of this paper is to address a gap in the recent literature on employment of temporary workers by exploring the impact of temporary workers on the perceptions, attitudes and behaviour of permanent staff with particular reference to their implications for patient safety and service quality in hospital accident and emergency departments. The analysis is set in the context of the job demands-resources theory. Design/methodology/approach The research was undertaken using a case study approach with semi-structured interviews in two London hospitals. Participants included staff from the HR director level, clinical managers and permanent staff who all had an influence in the hiring and management of temporary staff in some way. Transcripts were analysed thematically using an adopted framework approach. Findings The results indicate that the effect of temporary staff on permanent staff depended on the quality of the “resource”. There was a “hierarchy of preference” for temporary staff based on their familiarity with the context. Those unfamiliar with the department served as a distraction to permanent staff due to the need to “manage” them in various ways. While this was rarely perceived to affect patient safety, it could have an impact on service quality by causing delays and interruptions. In line with previous research, the use of temporary staff also affected perceptions of fairness and the commitment of some permanent staff. Practical implications A model developing an approach for improved practice when managing temporary staff was developed to minimise the risks to patient safety and service quality, and improve permanent staff morale. Social implications The review highlights the difficulties that a limited amount of temporary staff integration can have on permanent staff and patient care, indicating that consideration must be placed on how temporary staff are inducted and clarifying expectations of roles for both temporary and permanent staff. Originality/value This paper studies the under-researched impact of temporary staff, and, distinctively, staff employed on a single shift, on the behaviour and attitudes of permanent staff. It highlights the need to consider carefully the qualitative nature of “resources” in the job demands-resources theory.

scholarly journals Nilai Sosial Ekonomi Sutera pada Masyarakat Pakkana Kabupaten Wajo

2019 ◽  
Vol 5 (1) ◽  
pp. 10-14
Author(s):  
Andi Nursida
Keyword(s):  
Qualitative Research ◽  
Family Income ◽  
Social Values ◽  
Economic Value ◽  
Data Presentation ◽  
Analysis Techniques ◽  
Economics Profession ◽  
Socio Economic Impact ◽  
Stratification System ◽  
The Impact

The purpose of this study is to determine the socio-economic impact of the existence of silk weaving and professional composition in the community Pakkana Tanasitolo District Wajo District. The type of research uses qualitative research with data collection techniques using observation, interview and documentation. Data analysis techniques use qualitative decriptive with data reduction stages, data presentation, and conclusions. The results of this study indicate that (i) the impact of social values as everyday clothing and custom systems, as symbolic and distinctive identity for the Bugis community stratification system. (ii) Impact of economic value to supplement family income. The composition of Profession consists of farmers 17.92%, civil servants 1.43%, weaving traders 0.86%, weaving businessman 0.75%, weavers 17.13%, police or army 0.35%, driver 1.51% and others 66.16%.Keywords: Social Economics, Profession Composition

scholarly journals Social Support and Self- Care Behaviour among Heart Failure Patients

2019 ◽  
Vol 4 (12) ◽  
pp. 165
Author(s):  
Husna Ahmad Ainuddin ◽  
Siti Salwa Talib ◽  
Mohd Zhafran Zainal Abidin ◽  
Diana Katiman
Keyword(s):  
Heart Failure ◽  
Social Support ◽  
Clinical Training ◽  
Publishing House ◽  
Self Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Training Centre ◽  
Heart Failure Patients ◽  
The Impact

Heart failure is a disease that could cause a significant medical burden. This study aims to determine the relationship between social support and self-care behaviour among heart failure patients. Thirty patients from a Clinical Training Centre participated in this cross-sectional study. Instruments used in the study were the Multidimensional Scale of Perceived Social Support (MSPSS) and The European Heart Failure Self-care Behaviour Scale-9 item (EHFSCBC). The results showed that there was a relationship between social support and self-care behaviour (r=0.40, p<0.05). Awareness of the impact of social support on self-care behaviour is vital for heart failure patients and their families.Keywords: Heart failure, social support, self-care behavioureISSN: 2398-4287 © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/e-bpj.v4i12.1906

scholarly journals Perception of specific military skills – the impact of perfectionism and self-efficacy

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Helga Myrseth ◽  
Sigurd William Hystad ◽  
Reidar Säfvenbom ◽  
Olav Kjellevold Olsen
Keyword(s):  
Self Efficacy ◽  
Military Academy ◽  
Coping Capacity ◽  
Skill Levels ◽  
Growth Curve Models ◽  
Time Points ◽  
Academy Training ◽  
The Individual ◽  
Time Invariant ◽  
The Impact

Abstract We investigated the development of specific military skills in Norwegian cadets during the three-year military academy training as well as the impact of perfectionism and self-efficacy on the development of these skills. Latent growth-curve models were performed with perfectionism as a time-invariant predictor and with self-efficacy as a time-varying predictor. There were significant increases in the Individual Coping Capacity (ICC) and Cooperation in Difficult Situations (CDS) subscales but not in the Motivation to Achievement (MA) subscale. The initial skill levels were not related to the growth of the skills. Both adaptive and maladaptive perfectionism predicted initial values of ICC and CDS, explaining 5% of the variance in the initial ICC levels and 12% of the variance in the initial CDS levels. Perfectionism variables did not explain the development of the three types of military skills over time. Moreover, self-efficacy significantly predicted ICC at all time points and CDS and MA at all time points except at T3. We therefore concluded that cadets with high adaptive perfectionism scores are likely to have higher initial skill levels and that self-efficacious cadets are expected to show a greater development of military skills during military academy training.

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