Skip to main content Accessibility help
×
Home

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

  • Rachel L. Charney (a1), Roberta P. Lavin (a2), Annah Bender (a3), Joanne C. Langan (a4), Rick S. Zimmerman (a5) and Tener Goodwin Veenema (a6)...

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.

Copyright

Corresponding author

Correspondence and reprint requests to Rachel Charney, 1465 S. Grand Blvd., Saint Louis, MO 63127 (e-mail: rachel.charney@health.slu.edu).

References

Hide All
1. 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.
2. 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
3. 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
4. Gebbie, K, Gill, E. Competency-To-Curriculum Toolkit. 2008. http://www.phf.org/resourcestools/Documents/Competency_to_Curriculum_Toolkit08.pdf. Accessed February 19, 2019.
5. 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
6. 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
7. Gebbie, KM, Qureshi, K. Emergency and disaster preparedness: core competencies for nurses. Am J Nurs. 2002;102(1):46-51.
8. 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
9. 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.
10. 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
11. 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
12. 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
13. 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
14. 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
15. 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
16. Confidence | Definition of Confidence by Merriam-Webster. Merriam-Webster Dictionary. https://www.merriam-webster.com/dictionary/confidence. Accessed February 19, 2019.
17. 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
18. 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
19. 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.
20. 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
21. 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
22. 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
23. 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.
24. 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
25. 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
26. 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.
27. 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
28. 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
29. 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
30. 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
31. 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
32. 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
33. 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.
34. 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
35. 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
36. 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
37. 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
38. 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
39. 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
40. 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
41. 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
42. 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
43. 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.
44. 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
45. 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

Keywords

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

  • Rachel L. Charney (a1), Roberta P. Lavin (a2), Annah Bender (a3), Joanne C. Langan (a4), Rick S. Zimmerman (a5) and Tener Goodwin Veenema (a6)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed