scholarly journals ANALYSIS OF THE SELF-ASSESSMENT OF HOSPITAL STAFF IN BULGARIA FOR THEIR DISASTER PREPAREDNESS

2019 ◽  
Vol 34 (4) ◽  
pp. 1159-1164
Author(s):  
Desislava Todorova ◽  
Rumyana Etova ◽  
Tsvetelina Mihaylova

Introduction: The effectiveness of the medical activities carried out and the medical provision of the victims of disasters is directly dependent on the capabilities of the hospital staff. With good staff preparation, even in high-risk situations, the vulnerability of hospitals is reduced. Objective: Analysis of the self-assessment of hospital staff in Bulgaria for their disaster preparedness and assessment of preventive measures to reduce the adverse effects of disasters. Material and methods: sociological and statistical methods are used. During the period 2014-2019, an anonymous survey was conducted among the staff of hospitals in the capital and other cities in Bulgaria. The study involved 1,043 people in the 19–78 age range, working as persons performing administrative activities, doctors, health care professionals and other staff. Results: Almost all respondents expressed the opinion that a potential disaster would have an impact on the ability of hospitals to function and provide care for patients. The comparative analysis of the responses to the question of self-assessment of the hospital staff for their readiness to participate in the evacuation of the medical facility in emergency situations shows that the administrative staff significantly more often has indicated the answer "I'm somewhat prepared theoretically and practically, but I don't feel confident" (28.30%). The physicians most often indicated the answer "I have been prepared and participated in an emergency situation" (46.70%). In the other staff, the answer "unprepared" is most often indicated (65.0%), followed by a statistically equivalent frequency of "prepared only theoretically" and "I have been prepared and participated in an emergency situation". The study found a discrepancy between the expressed need for further updating of the knowledge of all staff groups and the frequency of the proposal to include specific training programs in the plans of medical institutions. Conclusions: Factors such as self-esteem and age influence the desire for training and initiative of the staff of the medical institutions. It is necessary to specify the forms to increase the readiness of medical institutions for emergency response.

2017 ◽  
Vol 41 (S1) ◽  
pp. S151-S151
Author(s):  
L. Zun ◽  
L. Downey

BackgroundIncreasingly, psychiatric patients are presenting to the emergency department (ED) with agitation. ED staff rarely, if ever, use scale to assess agitation or use any self-assessment tools to determine a patient's level of agitation.ObjectivesTo evaluate the relationship between a patient's self-reported level of agitation and other validated agitation assessment tools.MethodsThis is a prospective study using a convenience sample of patients presenting to the ED with a psychiatric complaint. This study was conducted in an urban, inner-city trauma level 1 center with 55,000 ED visits a year. After obtaining consent, a research fellow administered observational tools, PANSS-EC and ACES and BAM and Likert scale self assessment tools on arrival to the ED. SPSS version 24 was used. The study was IRB approved.ResultsA total of 139 patients were enrolled. The most common ED diagnoses were depression, schizophrenia, or bipolar. Majority of patients were African-American (59%), falling in the 25–44 year old age range (56%) 52% male. Self-reported agitation was rated as moderate to high in 72.4% of these patients on the Likert scale and 76.3% on the BAM. There was a significant correlation between the self-reported score versus the BAM (F = 11.2, P = 0.00). However, the self-reported scores were significantly different from the scores assessed by observational tools (P < 0.05).ConclusionsED providers should assess a patient's self-reported level of agitation because a patient could be feeling markedly agitated without expressing outward signs detected by observational tools.Disclosure of interestThe authors have not supplied their declaration of competing interest.


1993 ◽  
Vol 14 (1) ◽  
pp. 3-3

With this volume, Pediatrics In Review begins its second year of publication with the new format and with most of the material being based on the core content statements developed by the American Board of Pediatrics that are the basis of the examination for renewal of certification. Of the more than 3800 such statements so far developed, we covered more than 1000 in 1992 and, more important, more than 300 of the 900 from which the 1993 examination will be based. By mid-1993, Pediatrics in Review plus the self assessment part of PREP will have covered almost all of these core content statements, thereby enabling those who are preparing for the examination to be well-prepared.


Author(s):  
Deidre Hahn ◽  
Jessica Block ◽  
Mark Keith ◽  
Ajay Vinze

Real time collaboration solutions are critical during a large scale emergency situation and necessitate the coordination of multiple disparate groups. Collaborative technologies may be valuable in the planning and execution of disaster preparedness and response. Yet, research suggests that specific collaborative technologies, such as group decision support systems, are not often leveraged for decision-making during real time emergency situations in the United States. In this chapter, we propose a theoretical model of the impact of disaster immediacy and collaboration systems on group processes and outcomes. Using a 3D model of the dimensions of space, time, and situation, we explore media richness and group polarization within the context of collaboration technologies and disaster situations. We also present the next generation of collaboration technology extensions in order to address the need for more contemporary decisional settings. This set of principles and theories suggest how collaborative technologies may be positioned to better manage future disasters.


Author(s):  
L. V. Karapetyan ◽  
E. A. Redina

Relevance. Working in extreme conditions requires from psychologists involved in the implementation of measures for emergency rescue and other urgent work, not only to change the usual working conditions, but also to work effectively to provide emergency psychological assistance (EPA) to victims. At the same time, the motives for their participation in such events are very variable, and differ not only in content, but also in the degree of expression, since not all specialists are ready for such a format of professional activity.Intention: To study the degree of motivational readiness of psychologists to provide emergency psychological assistance to victims, as well as to identify the features of the motivational sphere that determine the participation of specialists in this type of professional activity.Methodology. We examined 117 psychologists using a questionnaire on the self-assessment of the motivational readiness of psychologists to provide emergency psychological assistance and the assessment of the leading motives that stimulate participation in this type of professional activity. Standardized psychodiagnostic techniques were also used: “Test of life orientations” (adaptation by D.A. Leontiev), questionnaire “Motivation for success and fear of failure” (A.A. Rean), questionnaire for study motivation to achieve success and motivation to avoid failure (T. Ehlers), questionnaire “Diagnosis of the motivational structure of the individual” (V.E. Milman). Results and Discussion. The results of the self-assessment questionnaire on the motivational readiness of psychologists to provide emergency psychological assistance showed that, in general, psychologists positively assess themselves according to this criterion (6.4 ± 2.2 out of 10 possible points). 46 % of psychologists have a high level of its formation, 36.5 % – average, 17.5 % of psychologists – low. The motivational readiness of psychologists has a 4-component structure and is made up of professional, hedonistic and emotional motives, and motives of recognition. The use of standardized psychodiagnostic methods demonstrated that motivational readiness to provide emergency psychological assistance is associated with the desire to achieve success, the idea of oneself as a strong person who has freedom of choice and independently controls the events of one’s own life, the desire for a high social status, the focus on creative activity and social utility.Conclusion. The studied features of motivational readiness of psychologists can be used for differentiated training of psychologists to provide emergency psychological assistance, and also taken into account for selecting specialists of this profile to work in extreme conditions.


2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Siti Ulfah

The purposes of this reasearch are 1) describing the efforts of increasing the elementary school of Turusgede teachers pedagogic competence at the first semester of 2018/2019 academic year in opening and closing the learning by using the self assessment technique and 2) analysing the increase of the elementary school of Turusgede teachers pedagogic competence at the first semester of 2018/2019 academic year in opening and closing the learning by using the self assessment technique. This research is School Action Research (SAR). This research is taken palce in elementary school of Turusgede, Subdistrict of Rembang, Regency of Rembang. The time of this research is the early-middle first semester of 2018/2019 academic year. The subjects of this research are teachers in the elementary school of Turusgede, Subdistrict of Rembang, Regency of Rembang, consist of twelve teachers. The data of this research is teachers pedagogic competence in opening and closing the learning. The techniques of collecting data are using nontest technique and test technique. The tools of collecting data are using the sheets of observation, camera application on hand phone and the form of self assessment. The technique of analizing data in this research is decriptive comparation. The procedure of this research is using Cycle Model, consist of four steps: planning, action, observation and reflection. Each cycle is going on one week. The results of this research are 1) the academic supervision with self assessment technique is previously sharing the form of self assessment to the subjects of this research, 2) self assessment technique is self assessment according to the next theme and matter, 3) self assessment technique is self assessment after the learning finish and 4) teachers pedagogic competence with self assessment technique is increasing and including good category (B) that according with the result of observation and including very good category (A) that according with the result of self assessment. Key words: Pedagogic, Supervision, Self Assessment Technique.


Author(s):  
Milen Dimov

The present study traces the dynamics of personal characteristics in youth and the manifested neurotic symptoms in the training process. These facts are the reason for the low levels of school results in the context of the existing theoretical statements of the problem and the empirical research conducted among the trained teenagers. We suggest that the indicators of neurotic symptomatology in youth – aggression, anxiety, and neuroticism, are the most demonstrated, compared to the other studied indicators of neurotic symptomatology. Studies have proved that there is a difference in the act of neurotic symptoms when tested in different situations, both in terms of expression and content. At the beginning of the school year, neurotic symptoms, more demonstrated in some aspects of aggressiveness, while at the end of school year, psychotism is more demonstrated. The presented summarized results indicate that at the beginning of the school year, neurotic symptoms are strongly associated with aggression. There is a tendency towards a lower level of social responsiveness, both in the self-assessment of real behavior and in the ideal “I”-image of students in the last year of their studies. The neurotic symptomatology, more demonstrated due to specific conditions in the life of young people and in relation to the characteristics of age.


Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .


2020 ◽  
Author(s):  
Akmal Rustamov

The paper addresses the problem of increasing transportation safety due to usage of new possibilities provided by modern technologies. The proposed approach extends such systems as ERA-GLONASS and eCall via service network composition enabling not only transmitting additional information but also information fusion for defining required emergency means as well as planning for a whole emergency response operation. The main idea of the approach is to model the cyber physical human system components by sets of services representing them. The services are provided with the capability of self- contextualization to autonomously adapt their behaviors to the context of the car-driver system. The approach is illustrated via an accident emergency situation response scenario. “ERA-GLONASS” is the Russian state emergency response system for accidents, aimed at improving road safety and reducing the death rate from accidents by reducing the time for warning emergency services. In fact, this is a partially copied European e Call system with some differences in the data being transmitted and partly backward compatible with the European parent. The principle of the system is quite simple and logical: in the event of an accident, the module built into the car in fully automatic mode and without human intervention determines the severity of the accident, determines the vehicle’s location via GLONASS or GPS, establishes connection with the system infrastructure and in accordance with the protocol, transfers the necessary data on the accident (a certain distress signal). Having received the distress signal, the employee of the call center of the system operator should call the on-board device and find out what happened. If no one answers, send the received data to Sistema-112 and send it to the exact coordinates of the team of rescuers and doctors, and the last one to arrive at the place is given 20 minutes. And all this, I repeat, without the participation of a person: even if people caught in an accident will not be able to independently call emergency services, the data on the accident will still be transferred. In this work intended to add some information about applying system project in Uzbek Roads especially mountain regions like “Kamchik” pass. The Kamchik Pass is a high mountain pass at an elevation of 2.306 m above the sea level, located in the Qurama Mountains in eastern Uzbekistan and its length is about 88km.The road to reach the pass is asphalted, but there are rough sections where the asphalt has disappeared. It’s called A373. The old road over the pass was by passed by a tunnel built in 1999. On the horizon, the snow-capped peaks of the Fan Mountains come into view. The pass is located in the Fergana Valley between the Tashkent and Namangan Regions.


Author(s):  
Vasiliy Dvortsov ◽  
Alexander Efimenko

В статье предпринята попытка теоретического анализа и изучения научной литературы по организации и становлению воспитательной работы с осужденными в местах лишения свободы, продемонстрирована взаимосвязь между политико-воспитательной работой, ресоциализацией и исправлением осужденных в пенитенциарных учреждениях. Проведенное исследование позволяет предполагать, что воспитательная работа является основополагающим средством исправления различных категорий осужденных (регламентировано ст. 9 УИК РФ). На этой основе критерием исправления будет становиться устойчивое правопослушное поведение человека. В связи с этим возникает необходимость использования психолого-педагогической программы по перестройке и самооценке осужденных, позволяющей формировать их готовность к самореализации, когда осознание совершенных преступлений становится внутренне неприемлемым. Авторами отмечается, что, самоисправление человека зависит от ряда направлений воспитательной работы: нравственного, правового, физического воспитания, получения основного общего образования, получения профессии. Очевидно, что для закрепления положительного результата процесс ресоциализации в пенитенциарных учреждениях должен проводиться сотрудниками всех отделов и служб на основе комплексных программ, разработанных с учетом специфики и возраста осужденных.The article attempts a theoretical analysis and study of scientific literature on the organization and formation of educational work with convicts in prisons, demonstrates the relationship between «political and educational work», re-socialization and correction of convicts in prisons. The study suggests that educational work is a fundamental means of correcting various categories of convicts (regulated by article 9 of the criminal code). Based on this criterion fixes will become sustainable human behavior, demonstrating a conscious rejection of the violation of legal norms with the aim of securing sustainable patterns of law-abiding behavior. There is a need to use the psychological and pedagogical Program for restructuring and self-assessment of convicts, which allows to form on this basis their readiness for self-realization, when the awareness of the crimes committed becomes internally unacceptable. In this regard, the self-correction of a person depends on a number of areas, namely, moral, legal, physical education, basic General education, profession, forming the basis of educational work. It is obvious that in order to consolidate a positive result in penitentiary institutions, the activities of all departments and services should be carried out a process of re-socialization on the basis of comprehensive Programs developed taking into account the specifics and different ages of convicts.


2021 ◽  
Vol 36 (3) ◽  
pp. 362-369
Author(s):  
Katie A. Willson ◽  
Gerard J. FitzGerald ◽  
David Lim

AbstractObjective:This scoping review aims to map the roles of rural and remote primary health care professionals (PHCPs) during disasters.Introduction:Disasters can have catastrophic impacts on society and are broadly classified into natural events, man-made incidents, or a mixture of both. The PHCPs working in rural and remote communities face additional challenges when dealing with disasters and have significant roles during the Prevention, Preparedness, Response, and Recovery (PPRR) stages of disaster management.Methods:A Johanna Briggs Institute (JBI) scoping review methodology was utilized, and the search was conducted over seven electronic databases according to a priori protocol.Results:Forty-one papers were included and sixty-one roles were identified across the four stages of disaster management. The majority of disasters described within the literature were natural events and pandemics. Before a disaster occurs, PHCPs can build individual resilience through education. As recognized and respected leaders within their community, PHCPs are invaluable in assisting with disaster preparedness through being involved in organizations’ planning policies and contributing to natural disaster and pandemic surveillance. Key roles during the response stage include accommodating patient surge, triage, maintaining the health of the remaining population, instituting infection control, and ensuring a team-based approach to mental health care during the disaster. In the aftermath and recovery stage, rural and remote PHCPs provide long-term follow up, assisting patients in accessing post-disaster support including delivery of mental health care.Conclusion:Rural and remote PHCPs play significant roles within their community throughout the continuum of disaster management. As a consequence of their flexible scope of practice, PHCPs are well-placed to be involved during all stages of disaster, from building of community resilience and contributing to early alert of pandemics, to participating in the direct response when a disaster occurs and leading the way to recovery.


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