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Disaster competencies

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https://www.readbyqxmd.com/read/29032912/experiences-of-civilian-nurses-in-triage-during-the-iran-iraq-war-an-oral-history
#1
Mohammadreza Firouzkouhi, Ali Zargham-Boroujeni, Mayumi Kako, Abdolghani Abdollahimohammad
PURPOSE: Nurses played a critical role in performing triage during the Iran-Iraq War. However, their experiences in triage have not been discussed. Therefore, the current study aimed to investigate the triage experiences of civilian nurses during the Iran-Iraq War. METHODS: Oral history method and in-depth interviews were used to collect data to gain the nurses' experiences in triage. RESULTS: Four themes were extracted from the data, which were the development of triage, challenging environment to perform triage, development of mobile triage teams, and challenges of triage chemical victims for nurses...
September 20, 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/28985913/factors-influencing-disaster-nursing-core-competencies-of-emergency-nurses
#2
Hye-Young Park, Ji-Soo Kim
BACKGROUND: Emergency nurses are expected to provide required nursing services by using their professional expertise to reduce the risk posed by disasters. Thus, emergency nurses' disaster nursing core competencies are essential for coping with disasters. The purpose of the study reported here was to identify factors influencing the disaster nursing core competencies of emergency nurses. METHODS: A survey was conducted among 231 emergency nurses working in 12 hospitals in South Korea...
October 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/28961656/a-framework-for-integrating-environmental-and-occupational-health-and-primary-care-in-a-postdisaster-context
#3
Katherine Kirkland, Mya Sherman, Hannah Covert, Grace Barlet, Maureen Lichtveld
CONTEXT: Integration of environmental and occupational health (EOH) into primary care settings is a critical step to addressing the EOH concerns of a community, particularly in a postdisaster context. Several barriers to EOH integration exist at the physician, patient, and health care system levels. PROGRAM: This article presents a framework for improving the health system's capacity to address EOH after the Deepwater Horizon oil spill and illustrates its application in the Environmental and Occupational Health Education and Referral (EOHER) program...
November 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28960808/development-of-a-course-on-complex-humanitarian-emergencies-preparation-for-the-impact-of-climate-change
#4
Holly Williams, Elizabeth Downes
PURPOSE: The effects of climate change are far-reaching and multifactorial, with potential impacts on food security and conflict. Large population movements, whether from the aftermath of natural disasters or resulting from conflict, can precipitate the need for humanitarian response in what can become complex humanitarian emergencies (CHEs). Nurses need to be prepared to respond to affected communities in need, whether the emergency is domestic or global. The purpose of the article is to describe a novel course for nursing students interested in practice within the confines of CHEs and natural disasters...
September 28, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28854997/midwives-professional-competencies-for-preventing-maternal-mortality-in-disasters-a-cross-sectional-study-in-iran
#5
Ziba Taghizadeh, Mahsa Khoshnam Rad, Anoshirvan Kazemnejad
OBJECTIVE: Maternal mortality may increase after a disaster. Because midwives are at the frontline of offering reproductive health care services in disasters, they should be competent. METHODS: This was a cross-sectional, descriptive study carried out in 2015 in Tehran. The sample consisted of 361 midwives selected by use of a cluster random sampling method. Data were collected by using a questionnaire on professional competency for preventing maternal mortality in disasters...
August 31, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28854146/evaluation-of-the-carcinogenic-risks-at-the-influence-of-pops
#6
Aiman Nazhmetdinova, Adlet Kassymbayev, Altinay Chalginbayeva
INTRODUCTION: Kazakhstan is included in the list of environmentally vulnerable countries and Kyzylorda oblast in particular. This is due to its geographical, spatial and temporal and socioeconomic features. MATERIALS AND METHODS: As part of the program "Integrated approaches in the management of public health in the Aral region", we have carried out an expertise on many samples of natural environments and products. Samples were selected in accordance with sampling procedures according to regulatory documents by specialists of the Pesticide Toxicology Laboratory...
August 30, 2017: Reviews on Environmental Health
https://www.readbyqxmd.com/read/28841765/enabling-a-disaster-resilient-workforce-attending-to-individual-stress-and-collective-trauma
#7
Victoria H Raveis, Nancy VanDevanter, Christine T Kovner, Robyn Gershon
PURPOSE: Superstorm Sandy forced the evacuation and extended shutdown of New York University Langone Medical Center. This investigation explored how nurses were impacted by the disasters and how they can best be supported in their nursing responsibilities. DESIGN: Sequential mixed methods were used to explore the psychosocial issues nurses experienced throughout the course of this natural disaster and its lingering aftermath. METHODS: In-depth interviews were conducted from April to June 2013 with a subsample of nurses who participated in the evacuation deployment (n = 16)...
August 25, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28829007/how-do-doctors-and-nurses-in-emergency-departments-in-hong-kong-view-their-disaster-preparedness-a-cross-sectional-territory-wide-online-survey
#8
Rex P K Lam, Satchit Balsari, Kevin K C Hung, Kai-Hsun Hsiao, L P Leung, Jennifer Leaning
OBJECTIVES: To assess the level of all-hazards disaster preparedness and training needs of emergency department (ED) doctors and nurses in Hong Kong from their perspective, and identify factors associated with high perceived personal preparedness. DESIGN: This study was a cross-sectional territory-wide online survey conducted from 9 September to 26 October, 2015. Participants The participants were doctors from the Hong Kong College of Emergency Medicine and nurses from the Hong Kong College of Emergency Nursing...
August 22, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28822211/healthcare-students-interprofessional-critical-event-disaster-response-course
#9
Tae Eung Kim, Tamara Shankel, Ellen T Reibling, Jacqueline Paik, Dolores Wright, Michelle Buckman, Kathi Wild, Ehren Ngo, Alireza Hayatshahi, Lee H Nguyen, T Kent Denmark, Tamara L Thomas
OBJECTIVE: Numerous disasters confirm the need for critical event training in healthcare professions. However, no single discipline works in isolation and interprofessional learning is recognized as a necessary component. An interprofessional faculty group designed a learning curriculum crossing professional schools. DESIGN: Faculty members from four healthcare schools within the university (nursing, pharmacy, allied health, and medicine) developed an interdisciplinary course merging both published cross-cutting competencies for critical event response and interprofessional education competencies...
2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28810500/anxiety-effects-on-disaster-precautionary-behaviors-a-multi-path-cognitive-model
#10
Philip W Wirtz, Cynthia A Rohrbeck, Katherine M Burns
Previous studies have revealed a negative relationship between anxiety and health-promoting behavior. This study identified three cognitive pathways through which anxiety operates on preparedness behaviors for terrorist attacks. Preparedness was regressed on trait anxiety, perceived threat, and self-efficacy based on data from 306 adults. Mediating paths through perceived threat (positive) and self-efficacy (negative) and an independent negative path were identified. Results suggest that the anxiety/precautionary behavior relationship is more complex than previously thought, involving multiple pathways of competing directionality...
July 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28752949/haitian-people-s-expectations-regarding-post-disaster-humanitarian-aid-teams-actions
#11
Lonzozou Kpanake, Ronald Jean-Jacques, Paul Clay Sorum, Etienne Mullet
The way people at the receiving end of humanitarian assistance perceive this intervention may provide invaluable bottom-up feedback to improve the quality of the intervention. We analyzed and mapped Haitians' views regarding international humanitarian aid in cases of natural disaster. Two hundred fifty participants-137 women and 113 men aged 18-67-who had suffered from the consequences of the earthquake in 2010 were presented with a series of vignettes depicting a humanitarian team's action and were asked to what extent these actions corresponded to what ought to be expected from an international aid mission...
July 28, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/28715481/a-preliminary-evaluation-of-the-training-effects-of-a-didactic-and-simulation-based-psychological-first-aid-program-in-students-and-school-counselors-in-south-korea
#12
Jong-Sun Lee, Sungeun You, Yun-Kyeung Choi, Hyae-Young Youn, Hye Sook Shin
The present study aimed to examine the training effects of a didactic and simulation-based psychological first aid (PFA) program. Based on the competency-based model, the study sought to examine whether the PFA training would enhance knowledge, skills, and attitudes. Study 1 examined the training effects of the PFA program in a sample of undergraduate and graduate students in psychology. Study 2 was conducted with school counselors. In both studies, all participants completed a one-day PFA workshop with a 3-hour didactic lecture and a 3-hour simulation-based practice...
2017: PloS One
https://www.readbyqxmd.com/read/28569712/reconstructing-the-linear-no-threshold-model-in-japan-a-historical-perspective-on-the-technics-of-evaluating-radiation-exposure
#13
Lisa Onaga
The 2011 nuclear power plant disaster and subsequent medical surveys of citizens in Fukushima Prefecture have helped reopen questions about competing models' effects of long-term, low-dose radiation exposure on human health. A reconstruction of how Japanese scientists studied low-dose effects of radiation in the years following the 1954 Castle Bravo detonation can deepen understandings as to why questions about the reliability of such risk analysis tools persist. Greater attention to the hopes associated with local research contributions to building international safety standards can begin to shed historical light upon how different technics of evaluating radiation effects have allowed scientists to envision either uncertain or certain futures in Japan with respect to radiation...
2017: Technology and Culture
https://www.readbyqxmd.com/read/28566110/society-for-the-advancement-of-disaster-nursing-exploring-the-path-to-excellence
#14
Roberta Proffitt Lavin, Deborah S Adelman, Tener Goodwin Veenema
OBJECTIVE: Major disasters occurring within the Unites States require nursing participation as a component of a successful response. Disaster nursing includes the care of populations affected by disasters, public health emergencies, and mass casualty events, both natural and man-made. A unique knowledge base, abilities, and skills are needed to respond appropriately to health care and human service needs resulting from these events. METHODS: Despite prior efforts to advance disaster nursing as a specialty, none were sustainable and a professional framework for establishing standards and guidelines remains lacking...
June 1, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28524371/out-of-hospital-emergency-care-providers-work-and-challenges-in-a-changing-care-environment
#15
Riitta Mikkola, Eija Paavilainen, Mari Salminen-Tuomaala, Päivi Leikkola
Acutely ill patients are often treated on site instead of being transported to hospital, so wide-ranging professional competence is required from staff. The aim of this study was to describe and produce new information about out-of-hospital emergency care providers' competence, skills and willingness to engage in self-development activities, and to uncover challenges experienced by care providers in the midst of changing work practices. A quantitative questionnaire was sent to out-of-hospital emergency care providers (N = 142, response rate 53%) of one Finnish hospital district...
May 19, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28451076/dsm-5-and-icd-11-as-competing-models-of-ptsd-in-preadolescent-children-exposed-to-a-natural-disaster-assessing-validity-and-co-occurring-symptomatology
#16
Annette M La Greca, BreAnne A Danzi, Sherilynn F Chan
Background: Major revisions have been made to the DSM and ICD models of post-traumatic stress disorder (PTSD). However, it is not known whether these models fit children's post-trauma responses, even though children are a vulnerable population following disasters. Objective: Using data from Hurricane Ike, we examined how well trauma-exposed children's symptoms fit the DSM-IV, DSM-5 and ICD-11 models, and whether the models varied by gender. We also evaluated whether elevated symptoms of depression and anxiety characterized children meeting PTSD criteria based on DSM-5 and ICD-11...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/28428815/service-user-and-care-giver-involvement-in-mental-health-system-strengthening-in-nepal-a-qualitative-study-on-barriers-and-facilitating-factors
#17
Dristy Gurung, Nawaraj Upadhyaya, Jananee Magar, Nir Prakash Giri, Charlotte Hanlon, Mark J D Jordans
BACKGROUND: Service user and caregiver involvement has become an increasingly common strategy to enhance mental health outcomes, and has been incorporated in the mental healthpolicies of many developed nations. However, this practice is non-existent or fragmented in low and middle income countries (LMICs). Instances of service user and caregiver involvement have been rising slowly in a few LMICs, but are rarely described in the literature. Very little is known about the context of user and caregiver participation in mental health system strengthening processes in a low-income, disaster- and conflict-affected state such as Nepal...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28376993/a-model-to-improve-preparedness-and-strategically-enhance-resiliency-at-a-community-level-the-garden-state-approach
#18
Rodric Bowman, Alexander Newman
This paper focuses on community resiliency planning in high-density areas, concentrating on balancing critical infrastructure recovery needs with real-life limitations in funding, and knowledge for how emergency management is done. A case study examines how a New Jersey government agency and state university were able to pilot a community resiliency concept in order to rapidly inject emergency management knowledge into a community that was affected by Superstorm Sandy. The lessons learned are intuitively understood by emergency planning professionals: preparing continuity of operations plans, conducting training and exercises, and mitigating risk for future disasters...
December 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28319151/ethical-problems-in-an-era-where-disasters-have-become-a-part-of-daily-life-a-qualitative-study-of-healthcare-workers-in-turkey
#19
M Murat Civaner, Kevser Vatansever, Kayihan Pala
BACKGROUND: Natural disasters, armed conflict, migration, and epidemics today occur more frequently, causing more death, displacement of people and economic loss. Their burden on health systems and healthcare workers (HCWs) is getting heavier accordingly. The ethical problems that arise in disaster settings may be different than the ones in daily practice, and can cause preventable harm or the violation of basic human rights. Understanding the types and the determinants of ethical challenges is crucial in order to find the most benevolent action while respecting the dignity of those affected people...
2017: PloS One
https://www.readbyqxmd.com/read/28318478/disaster-education-a-survey-study-to-analyze-disaster-medicine-training-in-emergency-medicine-residency-programs-in-the-united-states
#20
Ritu R Sarin, Srihari Cattamanchi, Abdulrahman Alqahtani, Majed Aljohani, Mark Keim, Gregory R Ciottone
BACKGROUND: The increase in natural and man-made disasters occurring worldwide places Emergency Medicine (EM) physicians at the forefront of responding to these crises. Despite the growing interest in Disaster Medicine, it is unclear if resident training has been able to include these educational goals. Hypothesis This study surveys EM residencies in the United States to assess the level of education in Disaster Medicine, to identify competencies least and most addressed, and to highlight effective educational models already in place...
August 2017: Prehospital and Disaster Medicine
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