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Ready to Respond: A Survey of Interdisciplinary Health-Care Students and Administrators on Disaster Management Competencies

Published online by Cambridge University Press:  30 September 2019

Rachel L. Charney ,
Roberta P. Lavin ,
Annah Bender ,
Joanne C. Langan ,
Rick S. Zimmerman  and
Tener Goodwin Veenema Open the ORCID record for Tener Goodwin Veenema [Opens in a new window]
Rachel L. Charney*
Affiliation:
School of Medicine, Saint Louis University, Saint Louis, Missouri
Roberta P. Lavin
Affiliation:
University of Tennessee, Knoxville, Tennessee
Annah Bender
Affiliation:
College of Nursing, University of Missouri-St. Louis, St. Louis, Missouri
Joanne C. Langan
Affiliation:
Saint Louis University School of Nursing, St. Louis, Missouri
Rick S. Zimmerman
Affiliation:
Louisiana State University Health New Orleans School of Nursing, New Orleans, Louisiana
Tener Goodwin Veenema
Affiliation:
Johns Hopkins School of Nursing, Johns Hopkins Bloomberg School of Public Health
*
Correspondence and reprint requests to Rachel Charney, 1465 S. Grand Blvd., Saint Louis, MO 63127 (e-mail: [email protected]).
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Abstract

Background:

A sense of competency and confidence in disaster management is linked to response willingness and efficacy. This study assessed current health-care student disaster competency curricula and resultant confidence.

Methods:

A survey was sent to students and administrators in nurse practitioner (NP), master of public health (MPH), and medical/osteopathic schools (MD/DO), assessing curriculum coverage of 15 disaster management competencies (1-4, total 15-60), and confidence in performing 15 related behaviors (1-7, total 15-105). One-way analysis of variance with Tukey’s post-hoc and Mann-Whitney U-tests were used to examine group differences.

Results:

A total of 729 students and 72 administrators completed the survey. Low coverage of all topics was reported by both students and administrators (mean 24.4; SD 9.6). Among students, NP students (21.66 ± 8.56) scored significantly lower than MD/DO (23.32 ± 8.19; P < 0.001) and MPH students (26.58 ± 9.06; P < 0.001) on curriculum coverage. Both administrators and students expressed low confidence in competence, with students significantly lower (P < 0.001). NP students scored higher (63.12 ± 20.69; P < 0.001) than both MPH (54.85 ± 17.82) and MD/DO (51.17 ± 19.71; P < 0.001) students.

Conclusions:

Health-care students report low coverage of topics considered to be necessary disaster response competencies, as well as their confidence to execute functions. This may negatively impact willingness and ability of these professionals to respond effectively in a disaster.

Keywords

collaborationcompetenciesdisaster responsedisaster preparednessstudent
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 6 , December 2020 , pp. 705 - 712
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Kuntz, S, Frable, P, Qureshi, K, et al. Association of Community Health Nursing Educators (ACHNE) Task Force on Disaster Preparedness. 2008. https://www.achne.org/files/public/DisasterPreparednessWhitePaper.pdf. Accessed May 24, 2018.Google Scholar
Cole, FL. The role of the nurse practitioner in disaster planning and response. Nurs Clin North Am. 2005;40(3):511-521. doi: 10.1016/j.cnur.2005.04.007 CrossRefGoogle ScholarPubMed
Ripoll Gallardo, A, Djalali, A, Foletti, M, et al. Core competencies in disaster management and humanitarian assistance: a systematic review. Disaster Med Public Health Prep. 2015;9(4):430-439. doi: 10.1017/dmp.2015.24 CrossRefGoogle ScholarPubMed
Gebbie, K, Gill, E. Competency-To-Curriculum Toolkit. 2008. http://www.phf.org/resourcestools/Documents/Competency_to_Curriculum_Toolkit08.pdf. Accessed February 19, 2019.Google Scholar
Walsh, L, Subbarao, I, Gebbie, K, et al. Core competencies for disaster medicine and public health. Disaster Med Public Health Prep. 2012;6(1):44-52. doi: 10.1001/dmp.2012.4 CrossRefGoogle ScholarPubMed
Polivka, BJ, Stanley, SAR, Gordon, D, et al. Public health nursing competencies for public health surge events. Public Health Nurs. 2008;25(2):159-165. doi: 10.1111/j.1525-1446.2008.00692.x CrossRefGoogle ScholarPubMed
Gebbie, KM, Qureshi, K. Emergency and disaster preparedness: core competencies for nurses. Am J Nurs. 2002;102(1):46-51.CrossRefGoogle ScholarPubMed
Walsh, L, Altman, BA, King, RV, et al. Enhancing the translation of disaster health competencies into practice. Disaster Med Public Health Prep. 2014;8(1):70-78. doi: 10.1017/dmp.2014.7 CrossRefGoogle Scholar
Stanley, J, Chastain, AR, Davies, K, et al. Educational Competencies for Registered Nurses Responding to Mass Casualty Incidents. 2003. http://www.aacnnursing.org/Portals/42/AcademicNursing/CurriculumGuidelines/INCMCECompetencies.pdf?ver=2017-05-18-101520-493. Accessed May 24, 2018.Google Scholar
Qureshi, K, Gershon, RRM, Sherman, MF, et al. Health care workers’ ability and willingness to report to duty during catastrophic disasters. J Urban Heal. 2005;82(3):378-388. doi: 10.1093/jurban/jti086 CrossRefGoogle ScholarPubMed
Charney, R, Rebmann, T, Flood, RG. Working after a tornado: a survey of hospital personnel in Joplin, Missouri. Biosecur Bioterror. 2014;12(4):190-200. doi: 10.1089/bsp.2014.0010 CrossRefGoogle ScholarPubMed
Goodhue, CJ, Burke, RV, Ferrer, RR, et al. Willingness to respond in a disaster: a pediatric nurse practitioner national survey. J Pediatr Heal Care. 2012;26(4):e7-e20. doi: 10.1016/j.pedhc.2010.11.003 CrossRefGoogle Scholar
Balicer, RD, Catlett, CL, Barnett, DJ, et al. Characterizing hospital workers’ willingness to respond to a radiological event. PLoS One. 2011;6(10):e25327. doi: 10.1371/journal.pone.0025327 CrossRefGoogle ScholarPubMed
Garrett, AL, Park, YS, Redlener, I. Mitigating absenteeism in hospital workers during a pandemic. Disaster Med Public Health Prep. 2009;3(S2):S141-S147. doi: 10.1097/DMP.0b013e3181c12959 CrossRefGoogle ScholarPubMed
Berg, BM, Muller, VM, Wilson, M, et al. Meeting children’s needs: a mixed-methods approach to a regionalized pediatric surge plan--the Los Angeles County experience. Am J Disaster Med. 2014;9(3):161-169. doi: 10.5055/ajdm.2014.0168 Google ScholarPubMed
Confidence | Definition of Confidence by Merriam-Webster. Merriam-Webster Dictionary. https://www.merriam-webster.com/dictionary/confidence. Accessed February 19, 2019.Google Scholar
Park, H-Y, Kim, J-S. Factors influencing disaster nursing core competencies of emergency nurses. Appl Nurs Res. 2017;37:1-5. doi: 10.1016/j.apnr.2017.06.004 CrossRefGoogle ScholarPubMed
Unver, V, Basak, T, Tastan, S, et al. Analysis of the effects of high-fidelity simulation on nursing students’ perceptions of their preparedness for disasters. Int Emerg Nurs. 2018;38:3-9. doi: 10.1016/j.ienj.2018.03.002 CrossRefGoogle ScholarPubMed
Kohn, S, Semon, N, Hedlin, HK, et al. Public health-specific personal disaster preparedness training: an academic-practice collaboration. J Emerg Manag. 2014;12(1):55-73. doi:10.5055/jem.2014.0162.CrossRefGoogle Scholar
Brice, JH, Gregg, D, Sawyer, D, et al Survey of hospital employees’ personal preparedness and willingness to work following a disaster. South Med J. 2017;110(8):516-522. doi: 10.14423/SMJ.0000000000000680 CrossRefGoogle ScholarPubMed
Conlon, KM, Ruhren, C, Johansen, S, et al. Developing and implementing a plan for large-scale burn disaster response in New Jersey. J Burn Care Res. 2014;35(1):e14-e20. doi: 10.1097/BCR.0b013e3182779b59 CrossRefGoogle ScholarPubMed
Saber, DA, Strout, K, Caruso, LS, et al. An interprofessional approach to continuing education with mass casualty simulation: planning and execution. J Contin Educ Nurs. 2017;48(10):447-453. doi: 10.3928/00220124-20170918-05 CrossRefGoogle ScholarPubMed
Chalcraft, B, Owens, MP, Lindemann, JC. Disaster-preparedness training for South Dakota health professions students. S D Med. 2009;62(4):170-171. http://www.ncbi.nlm.nih.gov/pubmed/19402304. Accessed June 7, 2018.Google ScholarPubMed
Everly, GS, Beaton, RD, Pfefferbaum, B, et al. On academics: training for disaster response personnel: the development of proposed core competencies in disaster mental health. Public Health Rep. 2008;123(4):539-542. doi: https://doi.org/10.1177/003335490812300418 CrossRefGoogle ScholarPubMed
Kaiser, HE, Barnett, DJ, Hsu, EB, et al. 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):210-216. doi: 10.1097/DMP.0b013e3181aa242a CrossRefGoogle ScholarPubMed
Schmidt, CK, Davis, JM, Sanders, JL, et al. Exploring nursing students’ level of preparedness for disaster response. Nurs Educ Perspect. 2011;32(6):380-383.Google ScholarPubMed
Subbarao, I, Lyznicki, JM, Hsu, EB, et al. A consensus-based educational framework and competency set for the discipline of disaster medicine and public health preparedness. Disaster Med Public Health Prep. 2008;2(1):57-68. doi: 10.1097/DMP.0b013e31816564af CrossRefGoogle ScholarPubMed
Wunderlich, R, Ragazzoni, L, Ingrassia, PL, et al. Self-perception of medical students’ knowledge and interest in disaster medicine: nine years after the approval of the curriculum in German universities. Prehosp Disaster Med. 2017;32(4):374-381. doi: 10.1017/S1049023X17000280 CrossRefGoogle ScholarPubMed
Kaji, AH, Coates, W, Fung, C-C. A disaster medicine curriculum for medical students. Teach Learn Med. 2010;22(2):116-122. doi: 10.1080/10401331003656561 CrossRefGoogle ScholarPubMed
Jasper, EH, Wanner, GK, Berg, D, et al. Implementing a disaster preparedness curriculum for medical students. South Med J. 2017;110(8):523-527. doi: 10.14423/SMJ.0000000000000681 CrossRefGoogle ScholarPubMed
Jasper, E, Berg, K, Reid, M, et al. Disaster preparedness: what training do our interns receive during medical school? Am J Med Qual. 2013;28(5):407-413. doi: 10.1177/1062860612471843 CrossRefGoogle ScholarPubMed
Curtis, T. Examining the importance of incorporating emergency preparedness and disaster training core competencies into allied health curricula. Am J Disaster Med. 2015;10(3):223-236. doi: 10.5055/ajdm.2015.0205 CrossRefGoogle ScholarPubMed
Smith, J, Levy, MJ, Hsu, EB, et al. Disaster curricula in medical education: pilot survey. Prehosp Disaster Med. 2012;27(5):492-494. doi: 10.1017/S1049023X12001215.Google ScholarPubMed
Markenson, D, Woolf, S, Redlener, I, et al. Disaster medicine and public health preparedness of health professions students: a multidisciplinary assessment of knowledge, confidence, and attitudes. Disaster Med Public Health Prep. 2013;7(5):499-506. doi: 10.1017/dmp.2013.96 CrossRefGoogle ScholarPubMed
Patel, R, Wattamwar, K, Kanduri, J, et al. Health care student knowledge and willingness to work in infectious disease outbreaks. Disaster Med Public Health Prep. 2017;11(6):694-700. doi: 10.1017/dmp.2017.18 CrossRefGoogle ScholarPubMed
Ingrassia, PL, Ragazzoni, L, Tengattini, M, et al. Nationwide program of education for undergraduates in the field of disaster medicine: development of a core curriculum centered on blended learning and simulation tools. Prehosp Disaster Med. 2014;29(5):508-515. doi: 10.1017/S1049023X14000831 CrossRefGoogle ScholarPubMed
Bajow, N, Djalali, A, Ingrassia, PL, et al. Proposal for a community-based disaster management curriculum for medical school undergraduates in Saudi Arabia. Am J Disaster Med. 2015;10(2):145-152. doi: 10.5055/ajdm.2015.0197 Google ScholarPubMed
Pollard, KA, Bachmann, DJ, Greer, M, et al. Development of a disaster preparedness curriculum for medical students: a pilot study of incorporating local events into training opportunities. Am J Disaster Med. 2015;10(1):51-59. doi: 10.5055/ajdm.2015.0188 Google ScholarPubMed
Bajow, N, Djalali, A, Ingrassia, PL, et al. Evaluation of a new community-based curriculum in disaster medicine for undergraduates. BMC Med Educ. 2016;16(1):1-8. doi: 10.1186/s12909-016-0746-6 CrossRefGoogle ScholarPubMed
Strout, K, Saber, DA, Caruso, LS, et al. Interprofessional mass casualty incident simulation design protocol to prepare prelicensure nursing students to respond to a disaster. Nurse Educ. 2017;42(5):E1-E4. doi: 10.1097/NNE.0000000000000365 CrossRefGoogle ScholarPubMed
Lebowitz, AJ. Community collaboration as a disaster mental health competency: a systematic literature review. Community Ment Health J. 2014;51(2):125-131. doi: 10.1007/s10597-014-9751-6 CrossRefGoogle ScholarPubMed
Farrell, K, Payne, C, Heye, M. Integrating interprofessional collaboration skills into the advanced practice registered nurse socialization process. J Prof Nurs. 2015;31(1):5-10. doi: 10.1016/j.profnurs.2014.05.006 CrossRefGoogle ScholarPubMed
Creative Inc M, Design C. Framework for Action on Interprofessional Education & Collaborative Practice Health Professions Networks Nursing & Midwifery Human Resources for Health. 2010. http://www.who.int/hrh/nursing_midwifery/en/. Accessed February 13, 2019.Google Scholar
Barnett, DJ, Thompson, CB, Errett, NA, et al. Determinants of emergency response willingness in the local public health workforce by jurisdictional and scenario patterns: a cross-sectional survey. BMC Public Health. 2012;12:164. doi: 10.1186/1471-2458-12-164 CrossRefGoogle ScholarPubMed
Blessman, J, Skupski, J, Jamil, M, et al. Barriers to at-home-preparedness in public health employees: implications for disaster preparedness training. J Occup Environ Med. 2007;49(3):318-326. doi: 10.1097/JOM.0b013e31803225c7 CrossRefGoogle ScholarPubMed