Self‐reported preparedness of New Zealand acute care providers to mass emergencies before the Canterbury Earthquakes: A national survey

EMA - Emergency Medicine Australasia - Tập 27 Số 1 - Trang 55-61 - 2015
Sultan Al‐Shaqsi1, Robin Gauld2, David McBride3, Ammar Al‐Kashmiri4, Abdullah Al‐Harthy5
1Plastic and Reconstructive Surgery, Khoula Hospital, Muscat, Oman
2Preventive and Social Medicine, Dunedin School of Medicine, Dunedin, New Zealand
3Southern District Health Board, Dunedin, New Zealand
4Emergency Department, Khoula Hospital Muscat, Oman
5Department of General Surgery, Sultan Qaboos University Hospital, Muscat, Oman

Tóm tắt

AbstractIntroductionDisasters occur more frequently. Acute care providers are the first to respond to mass emergencies from the healthcare sector. The preparedness of acute care providers in New Zealand to respond to mass emergencies has not been previously studied.ObjectiveTo assess the self‐reported training and experience of New Zealand acute care providers to respond to mass emergencies and the factors associated with strong preparedness.MethodsA cross‐sectional national survey of 1500 acute care providers in New Zealand carried out between 2009 and 2010. The survey assessed experience, training and self‐reported preparedness. It also determined the factors associated with strong perceived preparedness.ResultsThe response rate to this survey was 60.7%. Nurses had a higher response rate than doctors or paramedics. Only 29.2% of acute care providers reported responding to a previous mass emergency event. There were 53.5% of acute care providers who reported having formal training in how to deal with mass emergencies, whereas 58.1% of participants reported that they were aware of their role during a healthcare mass emergency response. The factors associated with self‐reported strong preparedness to deal with mass emergencies included: being a paramedic, previous training, participation in a drill, willingness to report to work during an infection or man‐made emergency, ability to triage and general awareness of the role during a mass emergency.ConclusionAlmost half of New Zealand acute healthcare providers have no training in dealing with mass emergency events. Training and general awareness of the role during a mass emergency response were the main factors associated with strong self‐reported preparedness of acute care providers. The apparent efficacy of training allied to lack of availability means that it should be a national priority.

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Tài liệu tham khảo

Smith E, 2009, Three decades of disasters: a review of disaster‐specific literature from 1977–2009, Prehospital Disaster Med., 24, 306, 10.1017/S1049023X00007020

10.1007/978-88-470-2014-6_27

Rodriguez H, 2006, Handbook of Disaster Research

10.1080/00401706.1997.10485175

10.2307/2982890

Sprinthall RC, 2003, Basic Statistical Analysis

Shapira Y, 1991, Isr. J. Med. Sci., 704

10.1111/j.1440-1584.2007.00949.x

10.1017/S1049023X00024043

10.1097/01.TA.0000127771.06138.7D

10.1016/j.aenj.2006.05.003

10.1016/j.aenj.2009.05.001

10.1046/j.1440-1622.2001.02056.x

10.1111/j.1553-2712.2011.01030.x

10.1007/BF00143739

10.1126/science.3563507

Edwards NA, 2008, Terror Australis 2004: preparedness of Australian hospitals for disasters and incidents involving chemical, biological and radiological agents, Crit. Care Resusc., 10, 125

10.1111/j.1365-2648.2008.04655.x

10.1089/bsp.2009.0061

10.1097/00001888-200506000-00002

Reilly M, 2007, Comfort level of emergency medical service providers in responding to weapons of mass destruction events: impact of training and equipment, Prehospital Disaster Med., 22, 297, 10.1017/S1049023X00004908

10.1177/145749690509400405

Romig LE, 2002, Pediatric triage. A system to Jump START your triage of young patients at MCIs, JEMS, 27, 52

McLean I, 2012, Review of the Civil Defence Emergency Management Response to the 22 February Christchurch Earthquake, 274

Kaner E, 1998, ‘So much post, so busy with practice – so, no time!’: a telephone survey of general practitioners' reasons for not participating in postal questionnaire surveys, Br. J. Gen. Pract., 48, 1067

10.1016/0895-4356(90)90060-3