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Nontechnical Competency Framework for Health Professionals in All-Hazard Emergency Environment: A Systematic Review

Published online by Cambridge University Press:  07 February 2020

Xuejun Hu
Affiliation:
Department of Health Services Administration, Air Force Medical University, Xi’an, China
Changnan He
Affiliation:
Fangshan Liangxiang Hospital, Beijing, China
Huoliang Chen
Affiliation:
Department of Health Services Administration, Air Force Medical University, Xi’an, China
Shu Liu
Affiliation:
Department of Health Services Administration, Academy of Military Medical Sciences, Beijing, China
Wenqiang Li
Affiliation:
Department of Health Services Administration, Academy of Military Medical Sciences, Beijing, China
Zhou Lu
Affiliation:
Department of Health Services Administration, Air Force Medical University, Xi’an, China
Jieqiong Zhang
Affiliation:
Department of Health Services Administration, Air Force Medical University, Xi’an, China
Min Yu*
Affiliation:
Department of Health Services Administration, Academy of Military Medical Sciences, Beijing, China
*
Correspondence and reprint requests to Min Yu, No. 27 Taiping Road, Beijing, China100850 (e-mail: yumin@bmi.ac.cn).

Abstract

Objectives:

To summarize characteristics and commonalities of non-technical competency frameworks for health professionals in emergency and disaster.

Methods:

An electronic literature search was conducted in PubMed, MEDLINE, ERIC, Scopus, Cochrane database, and Google Scholar to identify original English-language articles related to development, evaluation or application of the nontechnical competency frameworks. Reviewers assessed identified articles for exclusion/inclusion criteria and abstracted data on study design, framework characteristics, and reliability/validity evidence.

Results:

Of the 9627 abstracts screened, 65 frameworks were identified from 94 studies that were eligible for result extraction. Sixty (63.8%) studies concentrated on clinical settings. Common scenarios of the studies were acute critical events in hospitals (44;46.8%) and nonspecified disasters (39;41.5%). Most of the participants (76; 80.9%) were clinical practitioners, and participants in 36 (38.3%) studies were multispecialty. Thirty-three (50.8%) and 42 (64.6%) frameworks had not reported evidence on reliability and validity, respectively. Fourteen of the most commonly involved domains were identified from the frameworks.

Conclusions:

Nontechnical competency frameworks applied to multidisciplinary emergency health professionals are heterogeneous in construct and application. A fundamental framework with standardized terminology for the articulation of competency should be developed and validated so as to be accepted and adapted universally by health professionals in all-hazard emergency environment.

Type
Systematic Review
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Daily, E, Padjen, P, Birnbaum, M. A review of competencies developed for disaster healthcare providers: limitations of current processes and applicability. Prehosp Disaster Med. 2010;25(5):387-395.CrossRefGoogle ScholarPubMed
Crowe, RP, Wagoner, RL, Rodriguez, SA, et al. Defining components of team leadership and membership in prehospital emergency medical services. Prehosp Emerg Care. 2017;21(5):645-651.CrossRefGoogle ScholarPubMed
Jirativanont, T, Raksamani, K, Aroonpruksakul, N, et al. Validity evidence of non-technical skills assessment instruments in simulated anaesthesia crisis management. Anaesth Intensive Care. 2017;45(4):469-475.CrossRefGoogle ScholarPubMed
Flowerdew, L, Gaunt, A, Spedding, J, et al. A multicentre observational study to evaluate a new tool to assess emergency physicians’ non-technical skills. Emerg Med J. 2013;30(6):437-443.CrossRefGoogle ScholarPubMed
Rosenman, ED, Ilgen, JS, Shandro, JR, et al. A systematic review of tools used to assess team leadership in health care action teams. Acad Med. 2015;90(10):1408-1422.CrossRefGoogle ScholarPubMed
Klein, KJ, Ziegert, JC, Knight, AP, et al. Dynamic delegation: shared, hierarchical, and deindividualized leadership in extreme action teams. Admin Sci Q. 2016;51(4):590-621.CrossRefGoogle Scholar
Ellis, APJ, Bell, BS, Ployhart, RE, et al. An evaluation of generic teamwork skills training with action teams: effects on cognitive and skill-based outcomes. Pers Psychol. 2005;58(3):641-672.CrossRefGoogle Scholar
Porter, JE, Cant, RP, Cooper, SJ. Rating teams’ non-technical skills in the emergency department: a qualitative study of nurses’ experience. Int Emerg Nurs. 2018;38:15-20.CrossRefGoogle ScholarPubMed
Thoma, B, Poitras, J, Penciner, R, et al. Administration and leadership competencies: establishment of a national consensus for emergency medicine. CJEM. 2015;17(2):107-114.CrossRefGoogle ScholarPubMed
Munroe, B, Curtis, K, Murphy, M, et al. A structured framework improves clinical patient assessment and nontechnical skills of early career emergency nurses: a pre-post study using full immersion simulation. J Clin Nurs. 2016;25(15-16):2262-2274.CrossRefGoogle ScholarPubMed
Zhuravsky, L. Crisis leadership in an acute clinical setting: Christchurch Hospital, New Zealand ICU experience following the February 2011 earthquake. Prehosp Disaster Med. 2015;30(02):131-136.CrossRefGoogle Scholar
Linton, J, Farrell, MJ. Nurses’ perceptions of leadership in an adult intensive care unit: a phenomenology study. Intensive Crit Care Nurs. 2009;25(2):64-71.CrossRefGoogle Scholar
Taylor, KL, Ferri, S, Yavorska, T, et al. A description of communication patterns during CPR in ICU. Resuscitation. 2014;85(10):1342-1347.CrossRefGoogle ScholarPubMed
Kim, J, Neilipovitz, D, Cardinal, P, et al. A pilot study using high-fidelity simulation to formally evaluate performance in the resuscitation of critically ill patients: the University of Ottawa Critical Care Medicine, High-Fidelity Simulation, and Crisis Resource Management I Study. Crit Care Med. 2006;34(8):2167-2174.CrossRefGoogle ScholarPubMed
Dedy, NJ, Bonrath, EM, Ahmed, N, et al. Structured training to improve nontechnical performance of junior surgical residents in the operating room: a randomized controlled trial. Ann Surg. 2016;263(1):43-49.CrossRefGoogle ScholarPubMed
Dedy, NJ, Szasz, P, Louridas, M, et al. Objective structured assessment of nontechnical skills: reliability of a global rating scale for the in-training assessment in the operating room. Surgery. 2015;157(6):1002-1013.CrossRefGoogle ScholarPubMed
Jankouskas, TS, Haidet, KK, Hupcey, JE, et al. Targeted crisis resource management training improves performance among randomized nursing and medical students. Simul Health. 2011;6(6):316-326.CrossRefGoogle ScholarPubMed
Jernigan, PL, Wallace, MC, Novak, CS, et al. Measuring intangibles: defining predictors of non-technical skills in critical care air transport team trainees. Mil Med. 2016;181(10):1357-1362.CrossRefGoogle ScholarPubMed
Myers, JA, Powell, DM, Psirides, A, et al. Non-technical skills evaluation in the critical care air ambulance environment: introduction of an adapted rating instrument--an observational study. Scand J Trauma Resusc Emerg Med. 2016;24:24.CrossRefGoogle ScholarPubMed
Peller, J, Schwartz, B, Kitto, S. Nonclinical core competencies and effects of interprofessional teamwork in disaster and emergency response training and practice: a pilot study. Disaster Med Public Health Prep. 2013;7(4):395-402.CrossRefGoogle ScholarPubMed
Wickramasinghe, KK, Ishara, MH, Liyanage, P, et al. Outcome-based approach in development of a disaster management course for healthcare workers. Ann Acad Med Singapore. 2007;36(9):765-769.Google ScholarPubMed
Cox, RS, Danford, T. The need for a systematic approach to disaster psychosocial response: a suggested competency framework. Prehosp Disaster Med. 2014;29(2):183-189.CrossRefGoogle ScholarPubMed
Walsh, L, Subbarao, I, Gebbie, K, et al. Core competencies for disaster medicine and public health. Disaster Med Public Health Prep. 2012;6(1):44-52.CrossRefGoogle ScholarPubMed
Tachibanai, T, Takemura, S, Sone, T, et al. Competence necessary for Japanese public health center directors in responding to public health emergencies. Nihon Koshu Eisei Zasshi. 2005;52(11):943-956.Google ScholarPubMed
Savoia, E, Testa, MA, Biddinger, PD, et al. Assessing public health capabilities during emergency preparedness tabletop exercises: reliability and validity of a measurement tool. Public Health Rep. 2009;124(1):138-148.CrossRefGoogle ScholarPubMed
Cope, JR, Frost, M, Richun, L, et al. Assessing knowledge and application of emergency risk communication principles among public health workers in China. Disaster Med Public Health Prep. 2014;8(3):199-205.CrossRefGoogle ScholarPubMed
Dent, AW, Weiland, TJ, Paltridge, D. Australasian emergency physicians: a learning and educational needs analysis. Part Four: CPD topics desired by emergency physicians. Emerg Med Australas. 2008;20(3):260-266.Google ScholarPubMed
Flowerdew, L, Brown, R, Vincent, C, et al. Development and validation of a tool to assess emergency physicians’ nontechnical skills. Ann Emerg Med. 2012;59(5):376-385.CrossRefGoogle ScholarPubMed
Schultz, CH, Koenig, KL, Whiteside, M, et al. Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Ann Emerg Med. 2012;59(3):196-208.CrossRefGoogle ScholarPubMed
Willems, A, Waxman, B, Bacon, AK, et al. Interprofessional non-technical skills for surgeons in disaster response: a qualitative study of the Australian perspective. J Interprof Care. 2013;27(2):177-183.CrossRefGoogle ScholarPubMed
Bhangu, A, Bhangu, S, Stevenson, J, et al. Lessons for surgeons in the final moments of Air France Flight 447. World J Surg. 2013;37(6):1185-1192.CrossRefGoogle ScholarPubMed
Doumouras, AG, Hamidi, M, Lung, K, et al. Non-technical skills of surgeons and anaesthetists in simulated operating theatre crises. Br J Surg. 2017;104(8):1028-1036.CrossRefGoogle ScholarPubMed
Mosca, NW, Sweeney, PM, Hazy, JM, et al. Assessing bioterrorism and disaster preparedness training needs for school nurses. J Public Health Manag Pract. 2005;(Suppl):S38-S44.CrossRefGoogle ScholarPubMed
Gordon, CJ, Jorm, C, Shulruf, B, et al. Development of a self-assessment teamwork tool for use by medical and nursing students. BMC Med Educ. 2016;16(1):218.CrossRefGoogle ScholarPubMed
Yee, B, Naik, VN, Joo, HS, et al. Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education. Anesthesiology. 2005;103(2):241-248.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. Bioterrorism & emergency readiness: competencies for all public health workers. 2002. https://www.hsdl.org/?view&did=770983. (Accessed December 24, 2019).Google Scholar
King, RV, North, CS, Larkin, GL, et al. Attributes of effective disaster responders: focus group discussions with key emergency response leaders. Disaster Med Public Health Prep. 2010;4(4):332-338.CrossRefGoogle ScholarPubMed
King, RV, Larkin, GL, Fowler, RL, et al. Characteristics of effective disaster responders and leaders: a survey of disaster medical practitioners. Disaster Med Public Health Prep. 2016;10(5):720-723.CrossRefGoogle ScholarPubMed
Ripoll, GA, Djalali, A, Foletti, M, et al. Core competencies in disaster management and humanitarian assistance: a systematic review. Disaster Med Public Health Prep. 2015;9(4):430-439.CrossRefGoogle Scholar
Chalwin, RP, Flabouris, A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-969.CrossRefGoogle ScholarPubMed
Al Thobaity, A, Plummer, V, Williams, B. What are the most common domains of the core competencies of disaster nursing? A scoping review. Int Emerg Nurs. 2017;31:64-71.CrossRefGoogle ScholarPubMed
Mete, I, Brannick, MT. Estimating the reliability of nontechnical skills in medical teams. J Surg Educ. 2017;74(4):596-611.CrossRefGoogle ScholarPubMed
Rimstad, R, Braut, GS. Literature review on medical incident command. Prehosp Disaster Med. 2015;30(2):205-215.CrossRefGoogle ScholarPubMed
Weller, J, Shulruf, B, Torrie, J, et al. Validation of a measurement tool for self-assessment of teamwork in intensive care. Br J Anaesth. 2013;111(3):460-467.CrossRefGoogle ScholarPubMed
Flowerdew, L, Brown, R, Vincent, C, et al. Development and validation of a tool to assess emergency physicians’ nontechnical skills. Ann Emerg Med. 2012;59(5):376-385.CrossRefGoogle ScholarPubMed
Yule, S, Flin, R, Paterson-Brown, S, et al. Non-technical skills for surgeons in the operating room: a review of the literature. Surgery. 2006;139(2):140-149.CrossRefGoogle ScholarPubMed
Rehim, SA, DeMoor, S, Olmsted, R, et al. Tools for assessment of communication skills of hospital action teams: a systematic review. J Surg Educ. 2017;74(2):341-351.CrossRefGoogle ScholarPubMed
Liberati, A, Altman, DG, Tetzlaff, J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700.CrossRefGoogle ScholarPubMed
Savoldelli, GL, Naik, VN, Park, J, et al. Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback. Anesthesiology. 2006;105(2):279-285.CrossRefGoogle ScholarPubMed
Jankouskas, T, Bush, MC, Murray, B, et al. Crisis resource management: evaluating outcomes of a multidisciplinary team. Simul Healthc. 2007;2(2):96-101.CrossRefGoogle ScholarPubMed
Riem, N, Boet, S, Bould, MD, et al. Do technical skills correlate with non-technical skills in crisis resource management: a simulation study. Br J Anaesth. 2012;109(5):723-728.CrossRefGoogle ScholarPubMed
Fox-Robichaud, AE, Nimmo, GR. Education and simulation techniques for improving reliability of care. Curr Opin Crit Care. 2007;13(6):737-741.CrossRefGoogle ScholarPubMed
Wunder, LL. Effect of a nontechnical skills intervention on first-year student registered nurse anesthetists’ skills during crisis simulation. AANA J. 2016;84(1):46-51.Google ScholarPubMed
Watkins, SC, Roberts, DA, Boulet, JR, et al. Evaluation of a simpler tool to assess nontechnical skills during simulated critical events. Simul Healthc. 2017;12(2):69-75.CrossRefGoogle ScholarPubMed
Flin, R, Maran, N. Identifying and training non-technical skills for teams in acute medicine. Qual Saf Health Care. 2004;13(Suppl 1):i80-i84.CrossRefGoogle ScholarPubMed
Boet, S, Bould, MD, Bruppacher, HR, et al. Looking in the mirror: self-debriefing versus instructor debriefing for simulated crises. Crit Care Med. 2011;39(6):1377-1381.CrossRefGoogle ScholarPubMed
Kim, J, Neilipovitz, D, Cardinal, P, et al. A comparison of global rating scale and checklist scores in the validation of an evaluation tool to assess performance in the resuscitation of critically ill patients during simulated emergencies (abbreviated as “CRM simulator study IB”). Simul Healthc. 2009;4(1):6-16.CrossRefGoogle Scholar
Doumouras, AG, Engels, PT. Early crisis nontechnical skill teaching in residency leads to long-term skill retention and improved performance during crises: a prospective, nonrandomized controlled study. Surgery. 2017;162(1):174-181.CrossRefGoogle ScholarPubMed
Clarke, S, Horeczko, T, Carlisle, M, et al. Emergency medicine resident crisis resource management ability: a simulation-based longitudinal study. Med Educ Online. 2014;19:25771.CrossRefGoogle ScholarPubMed
Gebbie, K, Merrill, J, Hwang, I, et al. Identifying individual competency in emerging areas of practice: an applied approach. Qual Health Res. 2002;12(7):990-999.CrossRefGoogle Scholar
Hites, LS, Lafreniere, AV, Wingate, MS, et al. Expanding the public health emergency preparedness competency set to meet specialized local and evolving national needs: a needs assessment and training approach. J Public Health Manag Pract. 2007;13(5):497-505.CrossRefGoogle ScholarPubMed
Briggs, A, Raja, AS, Joyce, MF, et al. The role of nontechnical skills in simulated trauma resuscitation. J Surg Educ. 2015;72(4):732-739.CrossRefGoogle ScholarPubMed
Shewchuk, RM, O’Connor, SJ, Fine, DJ. Building an understanding of the competencies needed for health administration practice. J Healthc Manag. 2005;50(1):32-48.Google ScholarPubMed
Birnbaum, ML. Structure and science. Prehosp Disaster Med. 2006;21(06):369-371.CrossRefGoogle ScholarPubMed
Westera, W. Competences in education: a confusion of tongues. J Curric Stud. 2001;33(1):75-88.CrossRefGoogle Scholar
Reznek, M, Smith-Coggins, R, Howard, S, et al. Emergency medicine crisis resource management (EMCRM): pilot study of a simulation-based crisis management course for emergency medicine. Acad Emerg Med. 2003;10(4):386-389.CrossRefGoogle ScholarPubMed
Neira, VM, Bould, MD, Nakajima, A, et al. “GIOSAT”: a tool to assess CanMEDS competencies during simulated crises. Can J Anesth. 2013;60(3):280-289.CrossRefGoogle ScholarPubMed
Cooper, S, Cant, R, Connell, C, et al. Measuring teamwork performance: validity testing of the Team Emergency Assessment Measure (TEAM) with clinical resuscitation teams. Resuscitation. 2016;101:97-101.CrossRefGoogle Scholar
Endacott, R, Bogossian, FE, Cooper, SJ, et al. Leadership and teamwork in medical emergencies: performance of nursing students and registered nurses in simulated patient scenarios. J Clin Nurs. 2015;24(1-2):90-100.CrossRefGoogle ScholarPubMed
Cooper, S, Cant, R, Porter, J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. 2010;81(4):446-452.CrossRefGoogle Scholar
Cant, RP, Porter, JE, Cooper, SJ, et al. Improving the non-technical skills of hospital medical emergency teams: the Team Emergency Assessment Measure (TEAM). Emerg Med Australas. 2016;28(6):641-646.CrossRefGoogle Scholar
Deitchman, S. Enhancing crisis leadership in public health emergencies. Disaster Med Public Health Prep. 2013;7(5):534-540.CrossRefGoogle ScholarPubMed
Georgino, MM, Kress, T, Alexander, S, et al. Emergency preparedness education for nurses: core competency familiarity measured utilizing an adapted emergency preparedness information questionnaire. J Trauma Nurs. 2015;22(5):240-248, E1-E2.CrossRefGoogle ScholarPubMed
Wisniewski, R, Dennik-Champion, G, Peltier, JW. Emergency preparedness competencies: assessing nurses’ educational needs. J Nurs Adm. 2004;34(10):475-480.CrossRefGoogle ScholarPubMed
Smith, S, Farra, S, Dempsey, A, et al. Preparing nursing students for leadership using a disaster-related simulation. Nurse Educ. 2015;40(4):212-216.CrossRefGoogle ScholarPubMed
Davis, B, Welch, K, Walsh-Hart, S, et al. Effective teamwork and communication mitigate task saturation in simulated critical care air transport team missions. Mil Med. 2014;179(8 Suppl):19-23.CrossRefGoogle ScholarPubMed
Marin, SM, Witt, RR. Hospital nurses’ competencies in disaster situations: a qualitative study in the south of Brazil. Prehosp Disaster Med. 2015;30(6):548-552.CrossRefGoogle ScholarPubMed
Pryor, E, Heck, E, Norman, L, et al. Integrated decision-making in response to weapons of mass destruction incidents: development and initial evaluation of a course for healthcare professionals. Prehosp Disaster Med. 2006;21(1):24-30.CrossRefGoogle ScholarPubMed
Barbera, JA, Macintyre, AG, Shaw, G, et al. Healthcare emergency management competencies: competency framework final report. 2007. https://www.va.gov/VHAEMERGENCYMANAGEMENT/Documents/Education_Training/Healthcare_System_Emergency_Management_Competency_Framework_2007.pdf. (Accessed December 24, 2019).Google Scholar
Leenstra, NF, Jung, OC, Johnson, A, et al. Taxonomy of trauma leadership skills: a framework for leadership training and assessment. Acad Med. 2016;91(2):272-281.CrossRefGoogle ScholarPubMed
ICN. WPRO | ICN Framework of Disaster Nursing Competencies. 2009. https://asprtracie.hhs.gov/technical-resources/resource/4830/icn-framework-of-disaster-nursing-competencies. (Accessed December 24, 2019).Google Scholar
Lambden, S, DeMunter, C, Dowson, A, et al. The Imperial Paediatric Emergency Training Toolkit (IPETT) for use in paediatric emergency training: development and evaluation of feasibility and validity. Resuscitation. 2013;84(6):831-836.CrossRefGoogle ScholarPubMed
Veenema, TG, Deruggiero, K, Losinski, S, et al. Hospital administration and nursing leadership in disasters. Nurs Admin Q. 2017;41(2):151-163.CrossRefGoogle ScholarPubMed
von Wyl, T, Zuercher, M, Amsler, F, et al. Technical and non-technical skills can be reliably assessed during paramedic simulation training. Acta Anaesthesiol Scand. 2009;53(1):121-127.CrossRefGoogle ScholarPubMed
Steinemann, S, Berg, B, DiTullio, A, et al. Assessing teamwork in the trauma bay: introduction of a modified “NOTECHS” scale for trauma. Am J Surg. 2012;203(1):69-75.CrossRefGoogle ScholarPubMed
Wang, C, Wei, S, Xiang, H, et al. Development and evaluation of a leadership training program for public health emergency response: results from a Chinese study. BMC Public Health. 2008;8:377.CrossRefGoogle ScholarPubMed
Hsu, EB, Thomas, TL, Bass, EB, et al. Healthcare worker competencies for disaster training. BMC Med Educ. 2006;6:19.CrossRefGoogle ScholarPubMed
Wallin, CJ, Meurling, L, Hedman, L, et al. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. Med Educ. 2007;41(2):173-180.CrossRefGoogle ScholarPubMed
Ranse, J, Shaban, RZ, Considine, J, et al. Disaster content in Australian tertiary postgraduate emergency nursing courses: a survey. Australas Emerg Nurs J. 2013;16(2):58-63.CrossRefGoogle ScholarPubMed
Atack, L, Parker, K, Rocchi, M, et al. The impact of an online interprofessional course in disaster management competency and attitude towards interprofessional learning. J Interprof Care. 2009;23(6):586-598.CrossRefGoogle ScholarPubMed
Al Thobaity, A, Williams, B, Plummer, V. A new scale for disaster nursing core competencies: development and psychometric testing. Australas Emerg Nurs J. 2016;19(1):11-19.CrossRefGoogle ScholarPubMed
Bristowe, K, Siassakos, D, Hambly, H, et al. Teamwork for clinical emergencies. Qual Health Res. 2012;22(10):1383-1394.CrossRefGoogle ScholarPubMed
Hart, PL, Spiva, L, Baio, P, et al. Medical-surgical nurses’ perceived self-confidence and leadership abilities as first responders in acute patient deterioration events. J Clin Nurs. 2014;23(19-20):2769-2778.CrossRefGoogle ScholarPubMed
Meeker, J, Perry, A, Dolan, C, et al. Development of a competency framework for the nutrition in emergencies sector. Public Health Nutr. 2014;17(03):689-699.CrossRefGoogle ScholarPubMed
Subbarao, I, Lyznicki, JM, Hsu, EB, et al. A consensus-based educational framework and competency set for the discipline of disaster medicine and public health preparedness. Disaster Med Public Health Prep. 2008;2(1):57-68.CrossRefGoogle ScholarPubMed
Gebbie, KM, Qureshi, K. Emergency and disaster preparedness: core competencies for nurses. Am J Nurs. 2002;102(1):46-51.CrossRefGoogle ScholarPubMed
Yeager, V, Cooper, GJ, Burkle, FJ, et al. Twitter as a potential disaster risk reduction tool. Part IV: competency-based education and training guidelines to promote community resiliency. PLoS Curr. 2015;7. doi: 10.1371/currents.dis.ce3fad537bd666770a649a076ee71ba4.Google ScholarPubMed
Gebbie, KM, Weist, EM, McElligott, JE, et al. Implications of preparedness and response core competencies for public health. J Public Health Manag Pract. 2013;19(3):224-230.CrossRefGoogle ScholarPubMed
Bahrami, M, Aliakbari, F, Aein, F. Iranian nurses’ perception of essential competences in disaster response: a qualitative study. J Educ Health Promot. 2014;3:81.Google ScholarPubMed
Saleh, SS, Williams, D, Balougan, M. Evaluating the effectiveness of public health leadership training: the NEPHLI experience. Am J Public Health. 2004;94(7):1245-1249.CrossRefGoogle ScholarPubMed
Luo, Y, Liu, L, Huang, WQ, et al. A disaster response and management competency mapping of community nurses in China. Iran J Public Health. 2013;42(9):941-949.Google ScholarPubMed
Daniel, C, Nick, S, Vishal, P, et al. Tactical and operational response to major incidents_ feasibility and reliability of skills assessment using novel virtual environment. Resuscitation. 2013;84:992-998.Google Scholar
Weller, J, Frengley, R, Torrie, J, et al. Evaluation of an instrument to measure teamwork in multidisciplinary critical care teams. BMJ Qual Saf. 2011;20(3):216-222.CrossRefGoogle ScholarPubMed
Poremski, D, Lim, XY, Kunjithapatham, G, et al. Which skills boost service provider confidence when managing people presenting with psychiatric emergencies? Int J Ment Health Nurs. 2016;25(6):566-573.CrossRefGoogle ScholarPubMed
Cooper, S, Wakelam, A. Leadership of resuscitation teams: “Lighthouse Leadership”. Resuscitation. 1999;42(1):27-45.CrossRefGoogle Scholar
Al Khalaileh, MA, Bond, E, Alasad, JA. Jordanian nurses’ perceptions of their preparedness for disaster management. Int Emerg Nurs. 2012;20(1):14-23.CrossRefGoogle ScholarPubMed
Ahayalimudin, N, Osman, NN. Disaster management: emergency nursing and medical personnel’s knowledge, attitude and practices of the East Coast region hospitals of Malaysia. Australas Emerg Nurs J. 2016;19(4):203-209.CrossRefGoogle ScholarPubMed
Garbutt, SJ, Peltier, JW, Fitzpatrick, JJ. Evaluation of an instrument to measure nurses’ familiarity with emergency preparedness. Mil Med. 2008;173(11):1073-1077.CrossRefGoogle ScholarPubMed
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