scholarly journals What Should Public Health Nurses Do in the Preparedness Phase of Disaster?

2021 ◽  
Vol 9 (F) ◽  
pp. 724-729
Author(s):  
Ardia Putra ◽  
Hajjul Kamil ◽  
Yuswardi Yuswardi ◽  
Elly Wardani

Disasters will lead to various problems in the community that cannot be resolved through standard procedures and require the assistance of other resources. Natural and human-caused disasters have been and will continue to occur throughout the world. This event strongly encouraged the nursing profession to develop a strategic plan to address the situation, which challenges the PHNs to handle catastrophic situations. The goal of the study was to explore the perceived knowledge and skills of PHNs in disaster management. A systematic review approach was applied, sources of information derived from the literature were obtained through various methods. In this study, the knowledge and skills of the PHNs in disaster management are discussed at the disaster preparedness stage (disaster risk and population identification, including inter-agency collaboration). PHNs should always be aware and ready for future disaster occurrences by enhancing their knowledge and heightening their clinical practice skills, particularly in disaster management. In addition, the collaboration among the Health Department and other institutions is required to develop regular disaster drills between healthcare providers and communities to enhance self-awareness and preparedness regarding emergency and disaster events.

2019 ◽  
Vol 15 (1) ◽  
pp. 27-34
Author(s):  
Diana C. Sanchez-Ramirez, PhD, MPH, PT ◽  
Christine Polimeni, MD

Objective: To explore self-perceived knowledge and implementation of current opioid guidelines among healthcare providers, and to assess the effect of an opioid-related educational intervention.Design: Pre-post.Setting: Academic.Participants: Sixty-nine participants completed the pre-intervention survey, 45 percent of them also completed a post-survey.Intervention: A short presentation on current opioid guidelines incorporated in a larger accredited continuing professional development (CPD) event.Outcomes: The 5-point Likert scale to express their level of agreement with seven statements was used to estimate their knowledge and implementation of current opioids guideline, along with their self-perceived abilities and level of comfort in prescribing opioids (Moore's conceptual framework).Results: Fifty percent of the participants were familiar with current opioid prescribing protocols and 46 percent were implementing them, 62 percent stated that were able to identify drug seeking behaviors in patients, 82 percent knew patients’ risk factors and 78 percent evaluated them before prescribing opioids, 90 percent indicated that they prescribed non-opioid alternatives, and 35 percent expressed that they feel comfortable prescribing opioids. Self-reported levels of familiarity with the current opioid prescribing protocols (p 0.001) and knowledge of patients’ risk factors for prescribing opioids (p = 0.012) increased after the intervention. Improvements in their ability to identify drug seeking behavior in patients (p = 0.033), and in their comfort prescribing opioids for chronic non-cancer patients (p = 0.015) were also reported.Conclusions: Healthcare providers’ knowledge and implementation of current opioids guidelines need to be strengthened. A single presentation on the opioid crisis and guidelines incorporated within a larger CPD event showed significant gains in self-reported knowledge and skills among healthcare providers.


2018 ◽  
Vol 15 (2) ◽  
pp. 67
Author(s):  
Fatimah Sham ◽  
Lailatul Hazzliza Musa ◽  
Nor Marini Mohamed ◽  
Norjah Othman

Disasters are defined as extraordinary events which occur abruptly, bringing great damage or harm, loss, and destruction to people and the environment. Nurses may have a more conflict and difficulties in disaster decision making where the victim condition need to be treated in disaster place. Nurses play a key role in hospital as a leaders and managers in the disaster operation and command center but limited data shows that the nurses experience in disaster management. The aim of this study is to evaluate the perception of knowledge and skills on the preparedness in disaster management among nurses in community clinics. A descriptive cross-sectional study was conducted in 27 government clinics in one of the states in Malaysia with a convenient sampling, 260 participants are selected. The questionnaire consisted of three sections; socio-demographic characteristics, the perception of knowledge and skill towards preparedness for disaster management rated on a Likert scale.  In the effort to collect the intended data, a self-report questionnaire adapted and modified from Disaster Preparedness Evaluation Tool (DPET) was implemented (Alrazeeni, 2015). This study revealed that Nurses in these community clinics were moderate in terms of the perception of knowledge (Mean= 3.65,  SD= 0.61) and the perceived skills (Mean= 3.68, SD= 0.56) on the preparedness in Disaster Management. Nevertheless, they were interested in disaster preparedness management training (n=227, 87.3%) and were confident as first responders of disaster (Mean= 3.88, SD= 0.61). However, they were not much involved in disaster preparedness plan (Mean= 3.23, SD= 0.90) and claimed that there was a lack of leadership figure in disaster situation (Mean= 3.06, SD= 0.92). In conclusion, nurses in community clinics need to gain knowledge and skills by involving themselves in disaster planning and drills as the preparation for disaster management for them to be the first responders in helping and managing people in this situation.


F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 1938 ◽  
Author(s):  
Maciej Walczyszyn ◽  
Shalin Patel ◽  
Maly Oron ◽  
Bushra Mina

Objective: Natural disasters, domestic terrorism and other forms of catastrophe, though rare, pose a significant public health challenge when they do occur.  Hospital personnel must have the appropriate training to identify, treat, and possibly even oversee local disaster preparedness initiatives. Insufficient resources have been placed on the education received by healthcare providers in tertiary medical institutions. We intended to assess the current state of knowledge and interest in disaster preparedness among different tiers of hospital staff and training levels in order to identify potential barriers and areas for further training. Design: A cross-sectional online survey was given to hospital attending physicians, subspecialty fellows, residents, nurses, physician assistants, and their respective students. The survey questions were disseminated throughout the Society of Critical Care Medicine (SCCM) Members and the North Shore Long Island Jewish (NSLIJ) hospital system via e-mail newsletters. Main results: A total of 572 individuals participated between October 2013 and May 2014. 85% of respondents expected to be dealing with a disaster during their career. 61.5% of respondents noted they would not feel comfortable leading and directing a local disaster management initiative.  Yet 51.9% of respondents treated victims of natural disasters, 56.5% of transportation disasters and 34.8% of a structural collapse.  When asked about level of formal disaster management training: 27.5% noted that no training was provided and 33% noted that they received 12 hours of training and only a quarter had more than 48 hours of formal training. 86.6% of respondents noted an interest in participating in a disaster management training workshop. Conclusions: Many of our respondents had low level of disaster management training, did not feel comfortable leading a disaster initiative, however many have had to take care of victims of disasters.  Based on our findings, hospital professionals feel under prepared for disaster management, and disaster preparedness should be considered an integral part of medical training.


2018 ◽  
Vol 15 (2) ◽  
pp. 67
Author(s):  
Fatimah Sham ◽  
Lailatul Hazzliza Musa ◽  
Nor Marini Mohamed ◽  
Norjah Othman

Disasters are defined as extraordinary events which occur abruptly, bringing great damage or harm, loss, and destruction to people and the environment. Nurses may have a more conflict and difficulties in disaster decision making where the victim condition need to be treated in disaster place. Nurses play a key role in hospital as a leaders and managers in the disaster operation and command center but limited data shows that the nurses experience in disaster management. The aim of this study is to evaluate the perception of knowledge and skills on the preparedness in disaster management among nurses in community clinics. A descriptive cross-sectional study was conducted in 27 government clinics in one of the states in Malaysia with a convenient sampling, 260 participants are selected. The questionnaire consisted of three sections; socio-demographic characteristics, the perception of knowledge and skill towards preparedness for disaster management rated on a Likert scale.  In the effort to collect the intended data, a self-report questionnaire adapted and modified from Disaster Preparedness Evaluation Tool (DPET) was implemented (Alrazeeni, 2015). This study revealed that Nurses in these community clinics were moderate in terms of the perception of knowledge (Mean= 3.65,  SD= 0.61) and the perceived skills (Mean= 3.68, SD= 0.56) on the preparedness in Disaster Management. Nevertheless, they were interested in disaster preparedness management training (n=227, 87.3%) and were confident as first responders of disaster (Mean= 3.88, SD= 0.61). However, they were not much involved in disaster preparedness plan (Mean= 3.23, SD= 0.90) and claimed that there was a lack of leadership figure in disaster situation (Mean= 3.06, SD= 0.92). In conclusion, nurses in community clinics need to gain knowledge and skills by involving themselves in disaster planning and drills as the preparation for disaster management for them to be the first responders in helping and managing people in this situation.


2020 ◽  
Vol 3 (2) ◽  
pp. 211
Author(s):  
Hidayati Hidayati ◽  
Rima Rahmaniah ◽  
M Hudri ◽  
Irwandi Irwandi ◽  
Moh Fauzi Bafadal

ABSTRAKPenyelenggaraan penanggulangan bencana dalam situasi terdapat potensi terjadi bencana sebagaimana dimaksud dalam Pasal 34 huruf b meliputi kesiap siagaan, peringatan dini dan mitigasi bencana (Undang-Undang Republik Indonesia Nomor 24,2007 tentang Penanggulangan Bencana). Mitigasi bencana adalah serangkaian upaya untuk mengurangi resiko bencana, baik melalui pembangunan fisik maupun penyadaran dan peningkatan kemampuan menghadapi bencana, mitigasi bencana merupakan suatu aktivitas yang berperan sebagai tindakan pengurangan dampak bencana atau usaha-usaha yang dilakukan untuk mengurangi korban ketika bencana terjadi baik korban jiwa maupun harta. Besarnya potensi ancaman bencana di Indonesia menyebabkan peluang masyarakat menjadi korban sangat besar terutama anak-anak dikarenakan mereka masih sangat rentan dan memiliki pengetahuan yang minim berkaitan dengan mitigasi bencana. Pemberdayaan anak usia sejak dini untuk memahami mitigasi bencana merupakan langkah awal membangun masyarakat sadar bencana sehingga ketika terjadi bencana  maka partisipan PKM yaitu guru dan anak-anak usia dini di MBS Sang Surya yang berada ditempat ini tidak lagi kebingungan dan panik karena telah memahami bagaimana cara mengatasi dan mengurangi resiko bencana. Dengan harapan pengetahuan yang didapat selama PKM ini ditularkan pada lingkungan sekitar dalam rangka mengurangi risiko bencana, maka metode observasi partisipatoris atau observasi partisipan dan role play atau metode praktik dipergunakan dalam PKM ini. Kegiatan ini dalam pelaksanaannya juga melibatkan tenaga ahli dan Komunitas Relawan Mataram (KRM) yang juga tergabung dalam Muhammadiyah Disaster Management Centre (MDMC) Nusa Tenggara Barat. Hasil capaian dan kesimpulan dalam kegiatan ini sebagai berikut: a} Telah adanya pengetahuan dan pemahaman tentang mitigasi bencana sehingga setiap tindakan bertujuan untuk meningkatkan self awareness mereka tentang bencana yang potensial terjadi, dan b) Dimilikinya pengetahuan kesiapsiagaan akan mitigasi bencana yang bertujuan untuk mengatasi dan mengurangi dampak bencana atau resiko jangka panjang terhadap harta dan jiwa manusia. Kata kunci: mitigasi; bencana; anak usia dini. ABSTRACTImplementation of disaster management in potential situations as referred to in Article 34 letter b includes preparedness, early warning and disaster mitigation (Law of the Republic of Indonesia Number 24,2007 concerning Disaster Management). Disaster mitigation is a series of efforts to reduce the risk of disasters, both through physical development and awareness raising and capacity to deal with disasters, disaster mitigation is an activity that acts as an action to reduce the impact of disasters or efforts made to reduce casualties when disasters occur both casualties and treasure. The magnitude of the potential threat of disasters in Indonesia causes the opportunity for the community to become very large victims especially children because they are still very vulnerable and have minimal knowledge related to disaster mitigation. Empowerment of children from an early age to understand disaster mitigation is the first step in building a community aware of disasters occurs, PKM participants are teachers and early children in MBS Sang Surya who are in this place are no longer confused and panicked because they have understood how to overcome and reduce disaster risk. With the expectation that knowledge gained during PKM is transmitted to the surrounding environment in order to reduce disaster risk, participatory observation methods or participant observation and role play or practice methods are used. This activity in its implementation also involved experts and the Mataram Volunteer Community (KRM) who were also members of the West Nusa Tenggara Muhammadiyah Disaster Management Center (MDMC). The results and achievements in this activity are as follows: a} Knowledge and understanding of disaster mitigation has been created so that every action aims to increase their self-awareness about potential disasters, and b) Possess knowledge of disaster preparedness aimed at mitigating and reducing the impact of disasters or long-term risks on human assets and lives Keywords: mitigation; disaster; early children.


2002 ◽  
Vol 17 (S2) ◽  
pp. S25
Author(s):  
Rannveig Bremer Fjær ◽  
Knut Ole Sundnes

In frequent humanitarian emergencies during the last decades, military forces increasingly have been engaged through provision of equipment and humanitarian assistance, and through peace-support operations. The objective of this study was to evaluate how military resources could be used in disaster preparedness as well as in disaster management and relief.


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.


2021 ◽  
Vol 8 ◽  
pp. 238212052110207
Author(s):  
Brad D Gable ◽  
Asit Misra ◽  
Devin M Doos ◽  
Patrick G Hughes ◽  
Lisa M Clayton ◽  
...  

Background: Mass casualty and multi-victim incidents have increased in recent years due to a number of factors including natural disasters and terrorism. The Association of American Medical Colleges (AAMC) recommends that medical students be trained in disaster preparedness and response. However, a majority of United States medical students are not provided such education. Objective: The goal of this study was to evaluate the effectiveness of a 1 day, immersive, simulation-based Disaster Day curriculum. Settings and Design: Learners were first and second year medical students from a single institution. Materials and Methods: Our education provided learners with information on disaster management, allowed for application of this knowledge with hands-on skill stations, and culminated in near full-scale simulation where learners could evaluate the knowledge and skills they had acquired. Statistical analysis used: To study the effectiveness of our Disaster Day curriculum, we conducted a single-group pretest-posttest and paired analysis of self-reported confidence data. Results: A total of 40 first and second year medical students participated in Disaster Day as learners. Learners strongly agreed that this course provided new information or provided clarity on previous training, and they intended to use what they learned, 97.6% and 88.4%, respectively. Conclusions: Medical students’ self-reported confidence of key disaster management concepts including victim triage, tourniquet application, and incident command improved after a simulation-based disaster curriculum. This Disaster Day curriculum provides students the ability to apply concepts learned in the classroom and better understand the real-life difficulties experienced in a resource limited environment.


2016 ◽  
Vol 11 (3) ◽  
pp. 119 ◽  
Author(s):  
Abdullah AL-Mutairi ◽  
Muna Saeid

The attempt is made in this study to identify students’ motives and reasons behind enrolling in a MBA program offered by universities operating in Kuwait. It also explores criterion used to select the program. To achieve these objectives, data were collected through a well-designed and structured questionnaire and pre-testing was carried out to examine the efficiency of the instrument. The study showed that the main reasons behind selecting the MBA program by students are to satisfy their personal concerns and improve their knowledge and skills. Moreover, the students used program alumni and campus visit as main sources of information followed by friends’ suggestions and university websites. When evaluating the MBA programs, the students cited overseas accreditation as the most used criteria followed by faculty reputation, institution reputation and admission requirements.


2021 ◽  
Vol 7 (4) ◽  
pp. e001217
Author(s):  
Oriol Bonell Monsonís ◽  
Evert Verhagen ◽  
Jean-Francois Kaux ◽  
Caroline Bolling

In this study, we explored the perspectives about sports injury prevention of Belgium Olympic level athletes, coaches, managers and healthcare providers from various Olympic sports. We conducted a qualitative study, including 17 semistructured interviews. All interviews were transcribed verbatim and analysed by two independent coders through constant comparative data analysis based on Grounded Theory principles. Our findings overview the athlete’s journey to becoming an elite athlete, and how an elite sports context influences and modulates injury prevention practice at this level. Participants described an elite athletic career as a continuous and adaptive evolving process. According to athletes and all stakeholders, sports injury prevention is a learning process shaped by individual experiences. This embodiment provides athletes with insight into the importance of ownership of their bodies and self-awareness. Thus, experience, communication, empowerment, knowledge, education, the elite athlete context and sports culture, all play a fundamental role in sports injury prevention. Our findings support the importance of contextual factors in sports injury prevention in an elite sports context. These results also bring practical implications on how we should approach injury prevention differently along an athlete’s journey to becoming an elite athlete. Considering specific contextual factors and influencing the process through awareness, communication and a shared responsibility is essential to develop a healthy and successful athlete.


Sign in / Sign up

Export Citation Format

Share Document