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Disaster Preparedness among Health Professionals and Support Staff: What is Effective? An Integrative Literature Review

Published online by Cambridge University Press:  16 March 2017

Jeremy R. Gowing Open the ORCID record for Jeremy R. Gowing [Opens in a new window] ,
Kim N. Walker ,
Shandell L. Elmer Open the ORCID record for Shandell L. Elmer [Opens in a new window]  and
Elizabeth A. Cummings Open the ORCID record for Elizabeth A. Cummings [Opens in a new window]
Jeremy R. Gowing*
Affiliation:
St Vincent’s Private Hospital Sydney, New South Wales, Australia University of Tasmania, School of Health Science, Tasmania, Australia
Kim N. Walker
Affiliation:
St Vincent’s Private Hospital Sydney, New South Wales, Australia University of Tasmania, School of Health Science, Tasmania, Australia
Shandell L. Elmer
Affiliation:
University of Tasmania, School of Health Science, Tasmania, Australia
Elizabeth A. Cummings
Affiliation:
University of Tasmania, School of Health Science, Tasmania, Australia
*
Correspondence: Jeremy R. Gowing MN St Vincent’s Private Hospital Sydney 406 Victoria St. Darlinghurst, NSW, 2010 Australia E-mail: Jeremy.gowing@svha.org.au
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Abstract

Introduction

It is important that health professionals and support staff are prepared for disasters to safeguard themselves and the community during disasters. There has been a significantly heightened focus on disasters since the terrorist attacks of September 11, 2001 in New York (USA); however, despite this, it is evident that health professionals and support staff may not be adequately prepared for disasters.

Report

An integrative literature review was performed based on a keyword search of the major health databases for primary research evaluating preparedness of health professionals and support staff. The literature was quality appraised using a mixed-methods appraisal tool (MMAT), and a thematic analysis was completed to identify current knowledge and gaps.

Discussion

The main themes identified were: health professionals and support staff may not be fully prepared for disasters; the most effective content and methods for disaster preparedness is unknown; and the willingness of health professionals and support staff to attend work and perform during disasters needs further evaluation. Gaps were identified to guide further research and the creation of new knowledge to best prepare for disasters. These included the need for: high-quality research to evaluate the best content and methods of disaster preparedness; inclusion of the multi-disciplinary health care team as participants; preparation for internal disasters; the development of validated competencies for preparedness; validated tools for measurement; and the importance of performance in actual disasters to evaluate preparation.

Conclusion

The literature identified that all types of disaster preparedness activities lead to improvements in knowledge, skills, or attitude preparedness for disasters. Most studies focused on external disasters and the preparedness of medical, nursing, public health, or paramedic professionals. There needs to be a greater focus on the whole health care team, including allied health professionals and support staff, for both internal and external disasters. Evaluation during real disasters and the use of validated competencies and tools to deliver and evaluate disaster preparedness will enhance knowledge of best practice preparedness. However, of the 36 research articles included in this review, only five were rated at 100% using the MMAT. Due to methodological weakness of the research reviewed, the findings cannot be generalized, nor can the most effective method be determined.

GowingJR, WalkerKN, ElmerSL, CummingsEA. Disaster Preparedness among Health Professionals and Support Staff: What is Effective? An Integrative Literature Review. Prehosp Disaster Med. 2017;32(3):321–328.

Keywords

disaster planningdisastershealth personnellearningpersonnel, hospital
Type
Comprehensive Review
Information
Prehospital and Disaster Medicine , Volume 32 , Issue 3 , June 2017 , pp. 321 - 328
Copyright
© World Association for Disaster and Emergency Medicine 2017 

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Footnotes

Conflicts of interest: none

References

1. Al Khalaileh, MA, Bond, E, Alasad, J. Jordanian nurses’ perceptions of their preparedness for disaster management. Int Emerg Nurs. 2012;20(1):14-23.Google Scholar
2. Robison, JL. Army nurses’ knowledge base for determining triage categories in a mass casualty. Mil Med. 2002;167(10):812-816.Google Scholar
3. Baack, S, Alfred, D. Nurses’ preparedness and perceived competence in managing disasters. J Nurs Scholarsh. 2013;45(3):281-287.CrossRefGoogle ScholarPubMed
4. Abatemarco, A, Beckley, J, Borjan, M, Robson, M. Assessing and improving bioterrorism preparedness among first responders: a pilot study. J Environl Health. 2007;69(6):16-123.Google ScholarPubMed
5. Thorne, C, Oliver, M, Al-Ibrahim, M, Gucer, PW, McDiarmid, MA. Terrorism-preparedness training for non-clinical hospital workers: tailoring content and presentation to meet workers’ needs. J Occup Environ Med. 2004;46(7):668-676.Google Scholar
6. Yang, YN, Xiao, LD, Cheng, HY, Zhu, JC, Arbon, P. Chinese nurses’ experiences in the Wenchuan earthquake relief. Int Nurs Rev. 2010;57(2):217-223.Google Scholar
7. Olson, D, Scheller, A, Larson, S, Lindeke, L, Edwardson, S. Using gaming simulation to evaluate bioterrorism and emergency readiness education. Public Health Rep. 2010;125(3):468.Google Scholar
8. Nyamathi, AM, Casillas, A, King, L, et al. Computerized bioterrorism education and training for nurses on bioterrorism attack agents. J Contin Educ Nurs. 2010;41(8):375-3384.Google Scholar
9. Bartley, B, Fisher, J, Stella, J. Video of a disaster drill is effective in educating registrars on the hospital disaster plan. Emerg Med Australas. 2007;19(1):39-44.CrossRefGoogle ScholarPubMed
10. Tebruegge, M, Pantazidou, A, Ritz, N, et al. Perception, attitudes, and knowledge regarding the 2009 swine-origin Influenza A (H1N1) virus pandemic among health-care workers in Australia. J Pediatr. 2010;46(11):673-679.Google Scholar
11. Whittemore, R, Knafl, K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-553.Google Scholar
12. Kumar, R. Research Methodology: A Step-By-Step Guide for Beginners. London, UK: Sage Publications Ltd.; 1999.Google Scholar
13. Pace, R, Pluye, P, Bartlett, G, et al. Testing the reliability and efficiency of the pilot Mixed Methods Appraisal Tool (MMAT) for systematic mixed studies review. Int J Nurs Stud. 2012;49(1):47-53.Google Scholar
14. Andreatta, PB, Maslowski, E, Petty, S, et al. Virtual reality triage training provides a viable solution for disaster-preparedness. Acad Emerg Med. 2010;17(8):870-876.Google Scholar
15. Worrall, J. Are emergency care staff prepared for disaster? Emerg Nurse. 2012;19(9):31-37.Google Scholar
16. Wetta-Hall, R, Berg-Copas, GM, Jost, JC, Jost, G. Preparing for burn disasters: predictors of improved perceptions of competency after mass burn care training. Prehosp Disaster Med. 2007;22(5):448-453.Google Scholar
17. Thomas, JR. Self-study: an effective method for bioterrorism training in the OR. AORN J. 2008;87(5):915-916, 918, 920.Google Scholar
18. Subbarao, I, Bond, WF, Johnson, C, Hsu, EB, Wasser, TE. Using innovative simulation modalities for civilian-based, chemical, biological, radiological, nuclear, and explosive training in the acute management of terrorist victims: a pilot study. Prehosp Disaster Med. 2006;21(4):272-275.Google Scholar
19. 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.Google Scholar
20. Qureshi, KA, Gershon, RR, Merrill, JA, et al. Effectiveness of an emergency preparedness training program for public health nurses in New York City. Fam Community Health. 2004;27(3):242-249.Google Scholar
21. 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 health care professionals. Prehosp Disaster Med. 2006;21(1):24-30.Google Scholar
22. Glow, SD, Colucci, VJ, Allington, DR, Noonan, CW, Hall, EC. Managing multiple-casualty incidents: a rural medical preparedness training assessment. Prehosp Disaster Med. 2013;28(4):334-341.Google Scholar
23. Gershon, RR, Vandelinde, N, Magda, LA, Pearson, JM, Werner, A, Prezant, D. Evaluation of a pandemic preparedness training intervention for Emergency Medical Services personnel. Prehosp Disaster Med. 2009;24(6):508-511.Google Scholar
24. Collander, B, Green, B, Millo, Y, Shamloo, C, Donnellan, J, DeAtley, C. Development of an “all-hazards” hospital disaster preparedness training course utilizing multi-modality teaching. Prehosp Disaster Med. 2008;23(1):63-67.Google Scholar
25. Chiu, M, Polivka, B, Stanley, S. Evaluation of a disaster-surge training for public health nurses. Public Health Nurs. 2012;29(2):136-142.Google Scholar
26. Báez, AA, Sztajnkrycer, MD, Smester, P, Giraldez, E, Vargas, LE. Effectiveness of a simple Internet-based disaster triage educational tool directed toward Latin-American EMS providers. Prehosp Emerg Care. 2005;9(2):227-230.Google Scholar
27. Melnikov, S, Itzhaki, M, Kagan, I. Israeli nurses’ intention to report for work in an emergency or disaster. J Nurs Scholarsh. 2014;46(2):134-142.Google Scholar
28. McKibbin, AE, Sekula, K, Colbert, A, Peltier, J. Assessing the learning needs of South Carolina nurses by exploring their perceived knowledge of emergency preparedness: evaluation of a tool. J Contin Educ Nurs. 2011;42(12):547-558.Google Scholar
29. Fung, O, Loke, A, Lai, C. Disaster preparedness among Hong Kong nurses. J Adv Nurs. 2008;62(6):698-703.CrossRefGoogle ScholarPubMed
30. Burke, RV, Goodhue, CJ, Chokshi, NK, Upperman, JS. Factors associated with willingness to respond to a disaster: a study of health care workers in a tertiary setting. Prehosp Disaster Med. 2011;26(4):244-250.Google Scholar
31. Zhiheng, Z, Caixia, W, Jiaji, W, Huajie, Y, Chao, W, Wannian, L. The knowledge, attitude, and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province, China. BMC Health Serv Res. 2012;12:338.Google Scholar
32. Arbon, P, Ranse, J, Cusack, L, et al. Australasian emergency nurses’ willingness to attend work in a disaster: a survey. Australas Emerg Nurs J. 2013;16(2):52-57.CrossRefGoogle Scholar
33. Willems, A, Waxman, B, Bacon, AK, Smith, J, Peller, J, Kitto, S. Inter-professional non-technical skills for surgeons in disaster response: a qualitative study of the Australian perspective. J Interprof Care. 2013;27(2):177-183.Google Scholar
34. Wetta-Hall, R, Fredrickson, DD, Ablah, E, Cook, DJ, Molgaard, CA. Knowing who your partners are: terrorism-preparedness training for nurses. J Contin Educ Nurs. 2006;37(3):106-112.CrossRefGoogle ScholarPubMed
35. Pitts, J, Lynch, M, Mulholland, M, Curtis, A, Simpson, J, Meacham, J. Disaster planning: using an “evolving scenario” approach for pandemic influenza with primary care doctors in training. Educ Prim Care. 2009;20(5):346-352.Google Scholar
36. Nasrabadi, AN, Naji, H, Mirzabeigi, G, Dadbakhs, M. Earthquake relief: Iranian nurses’ responses in Bam, 2003, and lessons learned. Int Nurs Rev. 2007;54(1):13-18.Google Scholar
37. Hawley, SR, Hawley, GC, Ablah, E, St Romain, T, Molgaard, CA, Orr, SA. Mental health emergency preparedness: the need for training and coordination at the state level. Prehosp Disaster Med. 2007;22(3):199-204; discussion 205-206.Google Scholar
38. Djalali, A, Ingrassia, PL, Corte, FD, et al. Identifying deficiencies in national and foreign medical team responses through expert opinion surveys: implications for education and training. Prehosp Disaster Med. 2014;29(4):364-368.Google Scholar
39. Ablah, E, Tinius, AM, Horn, L, Williams, C, Gebbie, KM. Community health centers and emergency preparedness: an assessment of competencies and training needs. J Community Health. 2008;33(4):241-247.Google Scholar