Disaster medical support plan as an element of the hospital disaster resilience (original) (raw)
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Does hospital medical staff maintain hospital disaster resilience?
Vojnosanitetski pregled
Background/Aim. In case of a disaster, it is necessary for the medical personnel to demonstrate the operational component of disaster resilience, which requires certain knowledge and skills regarding disaster medical response algorithms. The aim of this study was to analyze the preparedness of hospital medical professionals for maintaining hospital disaster resilience. Methods. In the period from July to September 2019, an anonymous survey was conducted among 295 hospital medical staff employed in hospitals in the territory of the region of Plovdiv, Bulgaria. Pearson's chi-square test, Student's t-test and graphical analysis were used in the statistical analysis. Results. of the survey show that most of medical staff (85.8%) believed that disaster drills are not held regularly in hospitals, the training period was less than 2 years (30.8%), and that the majority (86.1%) did not participate in exercises. Conclusion. The level of preparedness for responding to disasters is not...
Disaster Preparedness Among Medical and Nursing Personnel
Hellenic Journal Of Nursing, 2014
Background: Disasters, as regards the health sector, are considered a sudden or gradual disease of an entire community, which is impossible to confront adequately without external assistance. Aim: The aim of the study was to explore the disaster preparedness among medical and nursing personnel. Methods: The statistical sample of this study consisted of 364 health care professionals. As a measuring tool, a special questionnaire designed by Fung et al in 2007 was used. Statistical analysis was produced using SPSS 17 and the performance of the chi-square test and Logistic regression. Results: By the descriptive analysis, it was detected that the biggest percentage of the medical and nursing personnel (61%) considered themselves not adequately prepared for disasters. Of the study participants, 64,6% state that if a disaster happen in their workplace they would follow the hospital disaster plan to manage the situation, while 55,7% they do not know if there is a disaster plan in their workplace. Furthermore, 54,8% of the responders who answered that their workplace has a disaster plan, they have not read it. 81,8% consider as disaster the fires in Peloponnese and Evia in 2007, while 30,3% the aviation accident in Grammatiko area in 2005. 77,1% state that the occurrence of earthquake is a very likely possibility for the Greek territory, while 77,5% state as unlikely the possibility of a nuclear accident. In regard to the specific materials or activities needing to be developed to prepare health care workers for disasters, 88,0% state that courses in disaster management would be useful, while 73,7% the disaster plan. By the statistical analysis it was detected that the administrative nurses perceive themselves more frequently as prepared for disaster management (p=0,002) as well the health care professionals with more than 16 years working experience (p=0,017), those who have done postgraduate studies (p=0,047), those who have participated in any disaster management activity in their workplace (p<0,001) and those who have attended formal disaster medicine-nursing lessons (p<0,001). With respect to the workplace disaster plan, the 46+ age group (p<0,001), the health care professionals with more than 16 years working experience (p=0,001), those who have done postgraduate studies (p<0,001), the administrative nurses (p<0,001) and the health professionals working in surgical units (p=0,009), state less frequently «I do not know» regarding its existence, while doctors more frequently (p<0,001). Conclusions: Education, working experience and the disaster plan existence in the workplace affect positively the knowledge on disasters as well the health-related disaster preparedness, therefore, it is necessary for the health care professionals, when in an undergraduate level, to attend more relevant courses.
Centre For Emergency Disaster Management Institute of Health and Biomedical Innovation School of Public Health Social Work Stronger Smarter Institute, 2015
Introduction: Building healthcare resilience is an important step towards creating more resilient communities to better cope with future disasters. To date, however, there appears to be little literature on how the concept of healthcare resilience should be defined and operationalized with a conceptual framework. This article aims to build a comprehensive healthcare disaster management approach guided by the concept of resilience. Methods: Google and major health electronic databases were searched to retrieve critical relevant publications. A total of 61 related publications were included, to provide a comprehensive overview of theories and definitions relevant to disaster resilience. Results and Discussions: Resilience is an inherent and adaptive capacity to cope with future uncertainty, through multiple strategies with all hazards approaches, in an attempt to achieve a positive outcome with linkage and cooperation. Healthcare resilience can be defined as the capability of healthcare organisations to resist, absorb, and respond to the shock of disasters while maintaining the most essential functions, then recover to their original state or adapt to a new state. It can be assessed by criteria, namely: robustness, redundancy, resourcefulness; and a complex of key dimensions, namely: vulnerability and safety, disaster resources and preparedness, continuity of essential health services, recovery and adaptation. Conclusions: This new concept places healthcare organisations' disaster capabilities, management tasks, activities and disaster outcomes together into a comprehensive whole view, using an integrated approach and establishing achievable goals.
Critical Components Contributing to Disaster Resilience Hospitals
The issues of hospital disaster resilience have been discussed for more than 30 years across the globe and gaining its prominence in recent years, yet it remains poorly defined. The inappropriate choice of components for disaster resilience hospitals will contribute to disruption and cause the hospital vulnerable towards disasters. Hence, the objective of the paper is to identify critical components of disaster resilience hospital. Qualitative research techniques were employed in the form of document analysis (i.e. guidelines and manuals from international public health agencies) and focus group among public agencies (i.e. MERCY Malaysia; hospital emergency physicians; and academicians). The findings revealed that three (3) critical components contributing to disaster resilience hospitals are: structural; non-structural and functional. The results of the study could offer valuable guideline for public hospitals in reducing the vulnerability to any types of disaster.
Strategies to Manage Disaster in the Emergency Department of A Multispeciality Hospital-A Study
Background of the study: A disaster may be a serious disruption ,occurring over a comparatively short time ,of the functioning of a community or a society involving widespread human ,material ,economic or environmental loss and impacts, which exceeds the power of the affected community or society to cope using its own resources. In a hospital there are two type of disaster can occur, external disaster and internal disaster, it can be natural as well as manmade disaster. When a disaster occur in a community, emergency department of each hospital plays a significant role on command and control, safe and security, surge capacity, continuity of essential services, human resources, logistics and supply management, post disaster recovery. Emergency preparedness program is the first step in preparing the hospital to respond effectively and quickly to emergencies that occur within the community or within the h ospital. Objective of the study: • To assess the disaster management plan in emergency department of selected hospital in related to National Disaster Management Authority • To analyze the preparedness about handling disaster among the staff in emergency department. • To report the gap and suggest corrective and preventive action for the analysis. Methodology: Cross sectional study was conducted in the Emergency department of a multi-speciality hospital in Mangalore, where a universal sampling technique was used to select the respondents. Predetermined questionnaire which was prepared with the guideline of NDMA, for managing disaster was administered to draw the information from all the staff working in the emergency department. The data analysis was descriptive, where demographic details of the respondents was collected in order to understand the profile of the respondents who presented the data. Result: Firstly, the awareness about the disaster management among the respondents was analysed. All of them also responded that there were standards, protocols, guidelines for the disaster preparedness and response. Conclusion: The present study was conducted in only one hospital, which showed the moderate preparedness to handle the mass disaster.
International Journal of Community & Family Medicine
Background: The hospital staff needs to be capable of utilizing the resources and training to cope up with an emergency situation. Objective: The study has aimed to assess the knowledge of hospital staff of Dhahran Al Janoub General Hospital regarding the disaster management during Hazm Storm Support 1436/2015. Design: A quantitative research design has been incorporated to assess the disaster management of hospital staff. An observational study was conducted to examine the aim of the study. Methods: Quantitative research approach has been opted and 84 individuals have been recruited from Dhahran Al Janoub General Hospital, which included physicians, nurses, technicians, officers, and housekeepers. Frequencies and percentages have been evaluated. Chi-square test has been applied to the data for the analysis of results by using SPSS. Setting: Participants were given a questionnaire to fill, through which their knowledge about management of disaster was assessed. Main outcome Measures: The obtained data was analyzed using Statistical Package of Social Sciences SPSS (version 20.0). Results: The staff (including all job categories) was aware that the hospital has an emergency response and awareness plan related to disasters. There was no statistically significant relationship identified between different job categories in the hospital and the level of knowledge about presence or absence of the emergency response plan. Conclusion: The hospital staff with fewer years of experience had lesser knowledge about the disaster as compared to the experienced employees. Limitations: The study measured the level of knowledge about emergency preparedness among the staff members of Dhahran Al Janoub General Hospital only. and causalities, include high population density, oil and reservoir tank explosion, and presence of factories. 202 disasters were reported in 2014; alone in Asia, injuring 10,107 people [4]. The health-care system plays a significant role in assisting and helping different communities from disasters. The previous training and nurses' experiences affect the preparedness and increase their self-confidence, skills, and awareness in disaster response and lessen the susceptibility to impulsive events [5,6]. Different studies have shown that most healthcare professionals are not ready to manage mass casualties; and their skills, education, and preparedness are not sufficient for a suitable response [7,8]. Therefore, it is the foremost duty of the management to fulfill the training requirement of emergency department personnel as the front line responders. Heavy damage and destruction are caused by the infrastructure of health-care and management system, resulting in the higher extent of
Natural catastrophes: Disaster management and implications for the acute care practitioner
2005
The year 2004 shook the world with earthquakes, hurricanes and Tsunamis in a way we would never imagine. Thousands of people died, were injured, missing or became homeless. Government agencies, health-care associations and citizens in general take part in planning for emergency preparedness and action when a natural disaster strikes a geographical area in such a devastating way. International humanitarian associations also participate in offering relief to the regions most critically affected. Hospitals and health-care organizations play an important role during these disaster and emergency situations. It is their duty to provide an efficient response in mass-casualty situations during natural catastrophes. For this reason, hospitals invest substantial efforts in developing disaster preparedness plans and training in coordination with public health systems and government agencies. Natural disasters impact a population in various ways. The victims’ environment may be severely affecte...
Middle black sea journal of health science, 2022
Objective: All communities around the world can face a devastating disaster at any time. Therefore, it is of great importance for hospitals to maintain their medical care functions in cases of injuries that may occur after disasters. An effective disaster response in critical situations in hospitals requires not only well-planned and coordinated efforts but also well-trained and experienced professional staff. Our purpose was to investigate and compare the preparedness levels of health professionals and hospitals they work in for disasters and emergencies. Methods: The questionnaire used for the evaluation of health personnel was developed by the authors. The questionnaire has items on the participants' demographic characteristics, assessment of hospital preparedness for disasters and emergencies (42 items) and assessment of health personnel preparedness for disasters and emergencies (29 items). Responses given to the items had options: "yes" or "no". Each response given by the participants was scored as "1" for the "Yes" answer and "0" for the "No" answer. Then statistical analysis was performed. Results: The mean score obtained from the first part of the questionnaire was 26.0±13.28. The question that received the highest number 223 (91.4%) of "yes" answers from the participants was "Are there any emergency exit signs?" The mean score obtained from the second part of the questionnaire was 12.6±11.41. The question that received the highest number 162 (66.4%) of "yes" answers from the participants was "Do you know the phone numbers you need to call in an emergency (fire department, police)?" There was a positive and highly significant relationship between the hospital's preparedness for disasters and emergencies and health personnel's preparedness for disasters and emergencies (p<0.001). Conclusion: In the study, most of the health personnel thought that the hospital they worked in was prepared for disasters. It can be said that the construction of hospitals based on certain standards, and their management according to certain rules affect health personnel's thoughts about their preparedness for disasters. However, health personnel think that their level of preparedness for disasters is low. Given important roles of health personnel in coping with disasters, health personnel are expected to know all stages of hospital disaster plans and to be capable of giving the necessary response in disaster situations.
Background: Disaster causes widespread destruction, disrupting people’s lives and causing human suffering with communities finding it difficult to cope. When the disaster occurs, human beings may not have the power to stop it from occurring, nevertheless they may have the power and ability to adapt or minimize the impact of the disaster on their lives. This study was aimed to assess the level of knowledge and awareness on disaster management among medical professionals. Methods: A cross-sectional study was conducted among the medical professionals from two selected medical college hospitals in Dhaka city of Bangladesh from January to April 2017. A total of 120 samples were selected purposively using two stages sampling technique. The data was collected using self-administered semi-structured questionnaire and was analysed using SPSS 20.0 version. Results: In this study half 60 (50.0%) of the study participants were in the age group 20-30 years and about 77.5% of the study participants were Muslims. About 64.2% of the study participants had less than 11 years of professional experience. Only 10 (8.3%) of the study participants had attended training on disaster management. About 30.0% of the study participants had good level of knowledge and only 49.2% had high level of awareness. Conclusions: The findings revealed that most of the study participants had not attended any training on disaster management. It also reported that the majority of the study participants had poor level of knowledge. Evacuation exercises need to be done for the entire hospital at least twice a year.
Disaster Management for Health Care Professionals
Disaster Management for Health Care Professionals, 2012
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