Measuring Hospital Resilience in Emergency Situations and Examining the Knowledge and Attitude of Emergency Department Staff toward Disaster Management
Irtiqa Imini Pishgiri Masdumiyat (Safety Promotion and Injury Prevention),
Vol. 8 No. 1 (1399),
29 Mordad 2020
,
Page 45 - 37
https://doi.org/10.22037/meipm.v8i1.30266
Abstract
Background and Objectives: Hospitals can play an important role during emergencies and disasters. Medical teams with other first-responder teams are the first ones who attend an emergency or disaster. This study aims to measure hospital resilience in emergency situations and to assess the knowledge and attitude of emergency department staff toward disaster management.
Materials and Methods: This cross-sectional study was divided into two parts. In the first, hospital disaster resilience was measured using a 58-item questionnaire. In the second part, knowledge levels and attitudes of 102 emergency department staff members towards emergency and disaster preparedness and management were assessed. Two types of self-reported questionnaires were used to assess the knowledge and attitude in hospital emergency preparedness and disaster management including knowledge test (11 items) and attitude test (6 items).
Results: The scores of hospital disaster resilience for emergency command, communication and cooperation system, hospital disaster plans, emergency stockpiles and logistics management, and emergency staff domains indicate moderate levels of resilience for the domains. Among emergency staff, 18% had fair and 2% had poor knowledge about emergency and disaster preparedness and management. The findings suggested a positive attitude of staff members toward hospital disaster preparedness and management.
Conclusion: Considering the moderate levels of resilience for some domains of hospital disaster resilience and for increasing staff knowledge, disaster-training programs can lead to increased knowledge and skills of key personnel and better management of emergency and disaster.
Keywords: Disaster; Hospital resilience; Knowledge; Attitude
How to cite this article: Bakhshi M, Omidi L, Omidi K, Moradi GH, Mayofpour F, Darvishi T. Measuring Hospital Resilience in Emergency Situations and Examining the Knowledge and Attitude of Emergency Department Staff toward Disaster Management . J Saf Promot Inj Prev. 2020; 8(1):37-45.
- Disaster; Hospital resilience; Knowledge; Attitude
How to Cite
References
Guha-Sapir D, Vos F, Below R, Ponserre S. Annual disaster statistical review 2011: the numbers and trends. Centre for Research on the Epidemiology of Disasters (CRED), 2012.
Albanese J, Birnbaum M, Cannon C, Cappiello J, Chapman E, Paturas J, et al. Fostering disaster resilient communities across the globe through the incorporation of safe and resilient hospitals for community-integrated disaster responses. Prehospital and disaster medicine. 2008;23(5):385-90. [Pubmed]
Zhong S, Clark M, Hou X-Y, Zang Y, FitzGerald G. Validation of a framework for measuring hospital disaster resilience using factor analysis. International journal of environmental research and public health. 2014;11(6):6335-53. [Pubmed]
Sauer LM, McCarthy ML, Knebel A, Brewster P. Major influences on hospital emergency management and disaster preparedness. Disaster medicine and public health preparedness. 2009;3(S1):S68-S73. [Pubmed]
Imani E, Hosseini Teshnizi S, Tafrihi M, Alavi A, Jafari A, Badri S. Nurses knowledge about crisis management and its related factors. Journal of Health and Care. 2011;13(4):10-8.
Bruneau M, Reinhorn A. Exploring the concept of seismic resilience for acute care facilities. Earthquake Spectra. 2007;23(1):41-62.
Zhong S, Clark M, Hou X-Y, Zang Y-L, Fitzgerald G. Development of hospital disaster resilience: conceptual framework and potential measurement. Emerg Med J. 2014;31(11):930-8. [Pubmed]
Carthey J, de Leval M, Reason J. Institutional resilience in healthcare systems. BMJ Quality & Safety. 2001;10(1):29-32. [Pubmed]
Rogers P. Development of resilient Australia: enhancing the PPRR approach with anticipation, assessment and registration of risks. Australian Journal of Emergency Management, The. 2011;26(1):54-8.
Amiri M, Raei M, Shirvani N, Seiyed D, Mohammadi GR, Afkar A, et al. preparedness of affiliated hospitals of universities in north of iran to confront disasters in the year 2011. Journal of Hospital. 2013;12(1):19-28.
Zhang Z, Wang W, Shi Z, Wang L, Zhang J. Mental health problems among the survivors in the hard-hit areas of the Yushu earthquake. PLoS One. 2012;7(10):e46449. [Pubmed]
Pietrzak RH, Tracy M, Galea S, Kilpatrick DG, Ruggiero KJ, Hamblen JL, et al. Resilience in the face of disaster: prevalence and longitudinal course of mental disorders following hurricane Ike. PLoS One. 2012;7(6):e38964. [Pubmed]
You C, Chen X, Yao L. How China responded to the May 2008 earthquake during the emergency and rescue period. Journal of public health policy. 2009;30(4):379-93. [Pubmed]
Ingrassia PL, Foletti M, Djalali A, Scarone P, Ragazzoni L, Della Corte F, et al. Education and training initiatives for crisis management in the European Union: a web-based analysis of available programs. Prehospital and disaster medicine. 2014;29(2):115-26. [Pubmed]
Hojat M. Disaster preparedness in hospitals of Jahrom University of Medical Sciences (2010). J Qazvin Univ Med Sci. 2012;16(3):72-7.
Naser WN, Saleem HB. Emergency and disaster management training; knowledge and attitude of Yemeni health professionals-a cross-sectional study. BMC emergency medicine. 2018;18(1):23.
Omidi L, Zakerian SA, Saraji JN, Hadavandi E, Yekaninejad MS. Safety performance assessment among control room operators based on feature extraction and genetic fuzzy system in the process industry. Process Safety and Environmental Protection. 2018;116:590-602.
Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975;28(4):563-75.
Arghami S, Bahramnia S, Sharifi F. Designing a self-report fatigue questionnaire for intercity bus drivers. Safety Promotion and Injury Prevention. 2016;4(2):129-34.
Hasanzadeh L, Jazani RK, Gholamnia R, Tehrani GM. Development a Questionnaire to Assess the Work Related Aaccidents in Open Pit Metal Mines According to Rules and Regulations. Safety Promotion and Injury Prevention. 2019;6(4):203-14.
Rad RM, Khodayari F, Jalilian M, Akbarzadeh A, Roshani S, Toori G. Reliability and validity assessment of a customized safety culture questionnaire in the petrochemical industry. Safety Promotion and Injury Prevention. 2016;4(3):193-200.
Ezzati E, Kaviannezhad R, Karimpour H, Mohammadi S. Preparedness of crisis and disaster management in social security hospitals in Kermanshah in 2016: A short report. Journal of Rafsanjan University of Medical Sciences. 2016;15(6):583-90.
Adenekan BA, Balogun MR, Inem V. Knowledge, attitude, and practices of emergency health workers toward emergency preparedness and management in two hospitals in Lagos. Journal of Clinical Sciences. 2016;13(1):23.
Kiongo JG. Disaster preparedness among members of staff at kenyatta national hospital, nairobi county, Kenya. Unpublished Masters Thesis, Kenyatta University. 2015.
Su T, Han X, Chen F, Du Y, Zhang H, Yin J, Tan X, Chang W, Ding Y, Han Y, Cao G. Knowledge levels and training needs of disaster medicine among health professionals, medical students, and local residents in Shanghai, China. PLoS One. 2013 Jun 24;8(6):e67041.
Ibrahim FA. Nurses’ knowledge, attitudes, practices and familiarity regarding disaster and emergency preparedness–Saudi Arabia. American Journal of Nursing Science. 2014 Jul 4;3(2):18-25.
Elaine Daily R, Padjen P. A review of competencies developed for disaster healthcare providers: limitations of current processes and applicability. Prehosp Disaster Med. 2010;25(5):387-95. [Pubmed]
UNISDR U. Hyogo framework for action 2005–2015: Building the resilience of nations and communities to disasters. InExtract from the final report of the World Conference on Disaster Reduction (A/CONF. 206/6) 2005 (Vol. 380). Geneva: The United Nations International Strategy for Disaster Reduction.
- Abstract Viewed: 1230 times