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Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Research article

The importance of pre-training gap analyses and the identification of competencies and skill requirements of medical personnel for mass casualty incidents and disaster training

Authors: Krzysztof Goniewicz, Mariusz Goniewicz, Anna Włoszczak-Szubzda, Frederick M. Burkle, Attila J. Hertelendy, Ahmed Al-Wathinani, Michael Sean Molloy, Amir Khorram-Manesh

Published in: BMC Public Health | Issue 1/2021

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Abstract

Background

Effective preparedness to respond to mass casualty incidents and disasters requires a well-planned and integrated effort by all involved professionals, particularly those who are working in healthcare, who are equipped with unique knowledge and skills for emergencies. This study aims to investigate and evaluate the level of knowledge and skills related to mass casualty and disaster management in a cohort of healthcare professionals.

Methods

A cross-sectional brief study was conducted using a validated and anonymous questionnaire, with a sample of 134 employees at a clinical hospital in Lublin, Poland.

Results

The findings of this study may indicate a need for standardization of training for hospitals employees. It also suggests a knowledge gap between different professional groups, which calls for adjusting such general training, to at least, the weakest group, while special tasks and mission can be given to other groups within the training occasion.

Conclusion

Pre-Training gap analyses and identification of participants’ competencies and skills should be conducted prior to training in mass casualty incidents and disasters. Such analyses provides an opportunity to develop training curriculum at various skill and knowledge levels from basic to advance. All training in mass casualty incidents and disasters should be subject to ongoing, not just periodic, evaluation, in order to assess continued competency.
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Literature
1.
go back to reference Fallah-Aliabadi S, Ostadtaghizadeh A, Ardalan A, et al. Towards developing a model for the evaluation of hospital disaster resilience: a systematic review. BMC Health Serv Res. 2020;20:64.PubMedPubMedCentralCrossRef Fallah-Aliabadi S, Ostadtaghizadeh A, Ardalan A, et al. Towards developing a model for the evaluation of hospital disaster resilience: a systematic review. BMC Health Serv Res. 2020;20:64.PubMedPubMedCentralCrossRef
2.
go back to reference Labarda C, Labarda MDP, Lamberte EE. Hospital resilience in the aftermath of typhoon Haiyan in the Philippines. Disaster Prev Manag Int J. 2017;26(4):424–36.CrossRef Labarda C, Labarda MDP, Lamberte EE. Hospital resilience in the aftermath of typhoon Haiyan in the Philippines. Disaster Prev Manag Int J. 2017;26(4):424–36.CrossRef
3.
go back to reference Hall ML, Lee AC, Cartwright C, Marahatta S, Karki J, Simkhada P. The 2015 Nepal earthquake disaster: lessons learned one year on. Public Health. 2017;145:39–44.PubMedCrossRef Hall ML, Lee AC, Cartwright C, Marahatta S, Karki J, Simkhada P. The 2015 Nepal earthquake disaster: lessons learned one year on. Public Health. 2017;145:39–44.PubMedCrossRef
4.
go back to reference Jafar E, Taneja U. Business continuity planning—a survey of hospitals in Delhi. J Public Health. 2017;25(6):699–709.CrossRef Jafar E, Taneja U. Business continuity planning—a survey of hospitals in Delhi. J Public Health. 2017;25(6):699–709.CrossRef
5.
go back to reference Walsh L, et al. Core Competencies for Disaster Medicine and Public Health. Disaster Med Public Health Prep. 2012;6(1):44–52.PubMedCrossRef Walsh L, et al. Core Competencies for Disaster Medicine and Public Health. Disaster Med Public Health Prep. 2012;6(1):44–52.PubMedCrossRef
7.
go back to reference Olu O. Resilient health system as conceptual framework for strengthening public health disaster risk management: an African viewpoint. Front Public Health. 2017;5:263.PubMedPubMedCentralCrossRef Olu O. Resilient health system as conceptual framework for strengthening public health disaster risk management: an African viewpoint. Front Public Health. 2017;5:263.PubMedPubMedCentralCrossRef
8.
go back to reference Samsuddin NM, Takim R, Nawawi AH. Disaster preparedness attributes and Hospital’s resilience in Malaysia. Proc Eng. 2018;212:371–8.CrossRef Samsuddin NM, Takim R, Nawawi AH. Disaster preparedness attributes and Hospital’s resilience in Malaysia. Proc Eng. 2018;212:371–8.CrossRef
9.
go back to reference Lane SJ, McGrady E. Measures of emergency preparedness contributing to nursing home resilience. J Gerontol Soc Work. 2018;61(7):751–74.PubMedCrossRef Lane SJ, McGrady E. Measures of emergency preparedness contributing to nursing home resilience. J Gerontol Soc Work. 2018;61(7):751–74.PubMedCrossRef
11.
go back to reference 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;4:332–8.PubMedCrossRef 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;4:332–8.PubMedCrossRef
13.
go back to reference Lakanmaa R, Suominen T, Perttilä J, Puukka P, Leino-Kilpi H. Competence requirements in intensive and critical care nursing–still in need of definition? A Delphi study. Intensive Crit Care Nurs. 2012;28:329–36.PubMedCrossRef Lakanmaa R, Suominen T, Perttilä J, Puukka P, Leino-Kilpi H. Competence requirements in intensive and critical care nursing–still in need of definition? A Delphi study. Intensive Crit Care Nurs. 2012;28:329–36.PubMedCrossRef
14.
go back to reference Takase M, Teraoka S. Development of the holistic nursing competence scale. Nurs Health Sci. 2011;13:396–403.PubMedCrossRef Takase M, Teraoka S. Development of the holistic nursing competence scale. Nurs Health Sci. 2011;13:396–403.PubMedCrossRef
16.
go back to reference Li H, Bi R, Zhong Q. The development and psychometric testing of a disaster response self-efficacy scale among undergraduate nursing students. Nurse Educ Today. 2017;59:16–20.PubMedCrossRef Li H, Bi R, Zhong Q. The development and psychometric testing of a disaster response self-efficacy scale among undergraduate nursing students. Nurse Educ Today. 2017;59:16–20.PubMedCrossRef
17.
go back to reference Al Thobaity A, Williams B, Plummer V. A new scale for disaster nursing core competencies: development and psychometric testing. Australas Emerg Nurs J. 2016;19:11–9.PubMedCrossRef Al Thobaity A, Williams B, Plummer V. A new scale for disaster nursing core competencies: development and psychometric testing. Australas Emerg Nurs J. 2016;19:11–9.PubMedCrossRef
18.
go back to reference Shim SM, Yoon HY, Choi YK. Lessons from the experiences of volunteers at the Sewol ferry disaster. Korean J Stress Res. 2017;25:105–19.CrossRef Shim SM, Yoon HY, Choi YK. Lessons from the experiences of volunteers at the Sewol ferry disaster. Korean J Stress Res. 2017;25:105–19.CrossRef
19.
go back to reference Ahn E, Kim S. Disaster experience, perception and core competencies on disaster nursing of nursing students. J Digital Convergence. 2013;11(6):257–67.CrossRef Ahn E, Kim S. Disaster experience, perception and core competencies on disaster nursing of nursing students. J Digital Convergence. 2013;11(6):257–67.CrossRef
21.
go back to reference Valentine MA, Nembhard IM, Edmondson AC. Measuring teamwork in health care settings: a review of survey instruments. Med Care. 2015;53:e16–30.PubMedCrossRef Valentine MA, Nembhard IM, Edmondson AC. Measuring teamwork in health care settings: a review of survey instruments. Med Care. 2015;53:e16–30.PubMedCrossRef
22.
go back to reference Regan S, Laschinger HK, Wong CA. The influence of empowerment, authentic leadership, and professional practice environments on nurses’ perceived interprofessional collaboration. J Nurs Manag. 2016;24:E54–61.PubMedCrossRef Regan S, Laschinger HK, Wong CA. The influence of empowerment, authentic leadership, and professional practice environments on nurses’ perceived interprofessional collaboration. J Nurs Manag. 2016;24:E54–61.PubMedCrossRef
24.
go back to reference Khorram-Manesh A, et al. Education in disaster management: what do we offer and what do we need? Proposing a new global program. Disaster Med Public Health Prep. 2016;10(6):854–73.PubMedCrossRef Khorram-Manesh A, et al. Education in disaster management: what do we offer and what do we need? Proposing a new global program. Disaster Med Public Health Prep. 2016;10(6):854–73.PubMedCrossRef
26.
go back to reference Khorram-Manesh A, Berlin J, Carlström E. Two validated ways of improving the ability of decision-making in emergencies, Results from a literature review. Bull Emerg Trauma. 2016;4(4):186.PubMedPubMedCentral Khorram-Manesh A, Berlin J, Carlström E. Two validated ways of improving the ability of decision-making in emergencies, Results from a literature review. Bull Emerg Trauma. 2016;4(4):186.PubMedPubMedCentral
27.
go back to reference Lee JI, et al. Evaluation of an international disaster relief team after participation in an ASEAN regional forum disaster relief exercise. Disaster Med Public Health Prep. 2016;10(5):734–8.PubMedCrossRef Lee JI, et al. Evaluation of an international disaster relief team after participation in an ASEAN regional forum disaster relief exercise. Disaster Med Public Health Prep. 2016;10(5):734–8.PubMedCrossRef
28.
go back to reference Khorram-Manesh A, et al. Education in disaster management and emergencies: defining a new European course. Disaster Med Public Health Prep. 2015;9(3):245–55.PubMedCrossRef Khorram-Manesh A, et al. Education in disaster management and emergencies: defining a new European course. Disaster Med Public Health Prep. 2015;9(3):245–55.PubMedCrossRef
31.
go back to reference Ryan K, et al. The use of field triage in disaster and mass casualty incidents: a survey of current practices by EMS personnel. Prehosp Emerg Care. 2018;22(4):520–6.PubMedCrossRef Ryan K, et al. The use of field triage in disaster and mass casualty incidents: a survey of current practices by EMS personnel. Prehosp Emerg Care. 2018;22(4):520–6.PubMedCrossRef
34.
go back to reference Albarqouni L, Hoffmann T, Straus S, Olsen NR, Young T, Ilic D, et al. Core competencies in evidence-based practice for health professionals: consensus statement based on a systematic review and Delphi survey. JAMA Netw Open. 2018;1(2):e180281.PubMedCrossRef Albarqouni L, Hoffmann T, Straus S, Olsen NR, Young T, Ilic D, et al. Core competencies in evidence-based practice for health professionals: consensus statement based on a systematic review and Delphi survey. JAMA Netw Open. 2018;1(2):e180281.PubMedCrossRef
35.
go back to reference De Rooij D, et al. Development of a competency profile for professionals involved in infectious disease preparedness and response in the air transport public health sector. PLoS One. 2020;15(5):e0233360.PubMedPubMedCentralCrossRef De Rooij D, et al. Development of a competency profile for professionals involved in infectious disease preparedness and response in the air transport public health sector. PLoS One. 2020;15(5):e0233360.PubMedPubMedCentralCrossRef
36.
go back to reference Agboola F, McCarthy T, Biddinger PD. Impact of emergency preparedness exercise on performance. J Public Health Manag Pract. 2013;19(Supl. 2):S77–83.PubMedCrossRef Agboola F, McCarthy T, Biddinger PD. Impact of emergency preparedness exercise on performance. J Public Health Manag Pract. 2013;19(Supl. 2):S77–83.PubMedCrossRef
37.
go back to reference Burnett A, Mcguire K. “This is not a drill—evacuate the building now!”: disaster preparedness at the outpatient surgery department: an experiential lesson. J Pediatr Surg Nurs. 2020;9(2):37–42. Burnett A, Mcguire K. “This is not a drill—evacuate the building now!”: disaster preparedness at the outpatient surgery department: an experiential lesson. J Pediatr Surg Nurs. 2020;9(2):37–42.
38.
go back to reference Wetta-Hall R, Jost JC, Jost G, Praheswari Y, Berg-Copas GM. Preparing for burn disasters: evaluation of a continuing education training course for pre-hospital and hospital professionals in Kansas. J Burn Care Res. 2007;28(1):97–104.PubMedCrossRef Wetta-Hall R, Jost JC, Jost G, Praheswari Y, Berg-Copas GM. Preparing for burn disasters: evaluation of a continuing education training course for pre-hospital and hospital professionals in Kansas. J Burn Care Res. 2007;28(1):97–104.PubMedCrossRef
39.
go back to reference Chan SS, Chan WS, Cheng Y, et al. Development and evaluation of an undergraduate training course for developing International Council of Nurses disaster nursing competencies in China. J Nurs Scholarsh. 2010;42(4):405–13.PubMedCrossRef Chan SS, Chan WS, Cheng Y, et al. Development and evaluation of an undergraduate training course for developing International Council of Nurses disaster nursing competencies in China. J Nurs Scholarsh. 2010;42(4):405–13.PubMedCrossRef
40.
go back to reference Landry LG, Stockton A. Evaluation of a collaborative project in disaster preparedness. Nurse Educ. 2008;33(6):254–8.PubMedCrossRef Landry LG, Stockton A. Evaluation of a collaborative project in disaster preparedness. Nurse Educ. 2008;33(6):254–8.PubMedCrossRef
42.
go back to reference Veenema TG, Boland F, Patton D, O'Connor T, Moore Z, Schneider-Firestone S. Analysis of emergency health care workforce and service readiness for a mass casualty event in the Republic of Ireland. Disaster Med Public Health Prep. 2019;13(2):243–55.PubMedCrossRef Veenema TG, Boland F, Patton D, O'Connor T, Moore Z, Schneider-Firestone S. Analysis of emergency health care workforce and service readiness for a mass casualty event in the Republic of Ireland. Disaster Med Public Health Prep. 2019;13(2):243–55.PubMedCrossRef
43.
go back to reference Pedersen MJ, Gjerland A, Rund BR, Ekeberg Ø, Skogstad L. Emergency preparedness and role clarity among rescue workers during the terror attacks in Norway July 22, 2011. PLoS One. 2016;11(6):e0156536.PubMedPubMedCentralCrossRef Pedersen MJ, Gjerland A, Rund BR, Ekeberg Ø, Skogstad L. Emergency preparedness and role clarity among rescue workers during the terror attacks in Norway July 22, 2011. PLoS One. 2016;11(6):e0156536.PubMedPubMedCentralCrossRef
44.
go back to reference Kaiser HE, Barnett DJ, Hsu EB, Kirsch TD, James JJ, Subbarao I. Perspectives of future physicians on disaster medicine and public health preparedness: challenges of building a capable and sustainable auxiliary medical workforce. Disaster Med Public Health Prep. 2009;3(4):210–6.PubMedCrossRef Kaiser HE, Barnett DJ, Hsu EB, Kirsch TD, James JJ, Subbarao I. Perspectives of future physicians on disaster medicine and public health preparedness: challenges of building a capable and sustainable auxiliary medical workforce. Disaster Med Public Health Prep. 2009;3(4):210–6.PubMedCrossRef
45.
go back to reference Sadat Sajadi H, Zaboli R. Assessing hospital disaster preparedness in Tehran: lessons learned on disaster and mass casualty management system. Int J Health Sys Dis Manag. 2014;2(4):220–4. Sadat Sajadi H, Zaboli R. Assessing hospital disaster preparedness in Tehran: lessons learned on disaster and mass casualty management system. Int J Health Sys Dis Manag. 2014;2(4):220–4.
46.
go back to reference Rebmann T, Charney RL, Loux TM, Turner JA, Abbyad YS, Silvestros M. Emergency medical services Personnel's pandemic influenza training received and willingness to work during a future pandemic. Prehosp Emerg Care. 2020;24:1–9.CrossRef Rebmann T, Charney RL, Loux TM, Turner JA, Abbyad YS, Silvestros M. Emergency medical services Personnel's pandemic influenza training received and willingness to work during a future pandemic. Prehosp Emerg Care. 2020;24:1–9.CrossRef
47.
go back to reference Goniewicz K, Misztal-Okońska P, Pawłowski W, et al. Evacuation from healthcare facilities in Poland: legal preparedness and preparation. Int J Environ Res Public Health. 2020;17(5):1779.PubMedCentralCrossRef Goniewicz K, Misztal-Okońska P, Pawłowski W, et al. Evacuation from healthcare facilities in Poland: legal preparedness and preparation. Int J Environ Res Public Health. 2020;17(5):1779.PubMedCentralCrossRef
48.
go back to reference Goniewicz K, Burkle FM. Challenges in implementing Sendai framework for disaster risk reduction in Poland. Int J Environ Res Public Health. 2019;16(14):2574.PubMedCentralCrossRef Goniewicz K, Burkle FM. Challenges in implementing Sendai framework for disaster risk reduction in Poland. Int J Environ Res Public Health. 2019;16(14):2574.PubMedCentralCrossRef
49.
go back to reference Goniewicz K, Goniewicz M, Burkle F. The territorial Defence force in disaster response in Poland: civil-military collaboration during a state of emergency. Sustainability. 2019;11(2):487.CrossRef Goniewicz K, Goniewicz M, Burkle F. The territorial Defence force in disaster response in Poland: civil-military collaboration during a state of emergency. Sustainability. 2019;11(2):487.CrossRef
50.
go back to reference Rebmann T, Charney RL, Loux TM, Turner JA, Nguyen D. Firefighters’ and emergency medical service Personnel's knowledge and training on radiation exposures and safety: results from a survey. Health Secur. 2019;17(5):393–402.PubMedPubMedCentralCrossRef Rebmann T, Charney RL, Loux TM, Turner JA, Nguyen D. Firefighters’ and emergency medical service Personnel's knowledge and training on radiation exposures and safety: results from a survey. Health Secur. 2019;17(5):393–402.PubMedPubMedCentralCrossRef
51.
go back to reference Weiner DL, Rosman SL. Just-in-time training for disaster response in the austere environment. Clin Pediatr Emerg Med. 2019;20(2):95–110.CrossRef Weiner DL, Rosman SL. Just-in-time training for disaster response in the austere environment. Clin Pediatr Emerg Med. 2019;20(2):95–110.CrossRef
53.
go back to reference Cicero MX, Auerbach MA, Zigmont J, Riera A, Ching K, Baum CR. Simulation training with structured debriefing improves residents’ pediatric disaster triage performance. Prehosp Disaster Med. 2012;27(3):239–44.PubMedCrossRef Cicero MX, Auerbach MA, Zigmont J, Riera A, Ching K, Baum CR. Simulation training with structured debriefing improves residents’ pediatric disaster triage performance. Prehosp Disaster Med. 2012;27(3):239–44.PubMedCrossRef
55.
go back to reference Alexander AJ, Bandiera GW, Mazurik L. A multiphase disaster training exercise for emergency medicine residents: opportunity knocks. Acad Emerg Med. 2005;12:404–9.PubMedCrossRef Alexander AJ, Bandiera GW, Mazurik L. A multiphase disaster training exercise for emergency medicine residents: opportunity knocks. Acad Emerg Med. 2005;12:404–9.PubMedCrossRef
56.
go back to reference Bartley B, Stella J, Walsh L. What a disaster?! Assessing utility of simulated disaster exercise and educational process for improving hospital preparedness. Prehosp Disaster Med. 2006;21:249–55.PubMedCrossRef Bartley B, Stella J, Walsh L. What a disaster?! Assessing utility of simulated disaster exercise and educational process for improving hospital preparedness. Prehosp Disaster Med. 2006;21:249–55.PubMedCrossRef
57.
go back to reference Khorram-Manesh A, et al. The Development of Swedish Military Healthcare System: Part II—Re-evaluating the Military and Civilian Healthcare Systems in Crises Through a Dialogue and Study Among Practitioners. Mil Med. 2020:usaa364. https://doi.org/10.1093/milmed/usaa364. Khorram-Manesh A, et al. The Development of Swedish Military Healthcare System: Part II—Re-evaluating the Military and Civilian Healthcare Systems in Crises Through a Dialogue and Study Among Practitioners. Mil Med. 2020:usaa364. https://​doi.​org/​10.​1093/​milmed/​usaa364.
Metadata
Title
The importance of pre-training gap analyses and the identification of competencies and skill requirements of medical personnel for mass casualty incidents and disaster training
Authors
Krzysztof Goniewicz
Mariusz Goniewicz
Anna Włoszczak-Szubzda
Frederick M. Burkle
Attila J. Hertelendy
Ahmed Al-Wathinani
Michael Sean Molloy
Amir Khorram-Manesh
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-10165-5

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