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      What are the most common domains of the core competencies of disaster nursing? A scoping review

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Highlights

          • •

            A total of 12 articles were included.

          • •

            The number of domains varied across all of the selected studies.

          • •

            This scoping review indicates that communication and ICS are essential domains.

          • •

            Disaster planning is one of the most important core competencies for nurses.

          • •

            Another of the important domains are decontamination and ethics.

          Abstract

          Aim

          Scoping review was conducted to identify the most common domains of the core competencies of disaster nursing.

          Background

          Nurses play an essential role in all phases of disaster management. For nurses to respond competently, they must be equipped with the skills to provide comprehensive and holistic care to the populations affected by or at risk of disasters.

          Methods

          A scoping review was conducted using the Joanna Briggs Institute methodology. The review used information from six databases: the Cumulative Index to Nursing and Allied Health Literature, Ovid MEDLINE, ScienceDirect, ProQuest, Scopus and the Education Resources Information Center. Keywords and inclusion and exclusion criteria were identified as strategies to use in this review.

          Results

          Twelve studies were eligible for result extraction, as they listed domains of the core competencies. These domains varied among studies. However, the most common domains were related to communication, planning, decontamination and safety, the Incident Command System and ethics.

          Conclusion

          Knowledge of the domains of the core competencies, such as understanding the content and location of the disaster plan, communication during disaster and ethical issues is fundamental for nurses. Including these domains in the planning and provision of training for nurses, such as disaster drills, will strengthen their preparedness to respond competently to disaster cases. Nurses must be involved in future research in this area to explore and describe their fundamental competencies in each domain.

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          Most cited references28

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          Healthcare worker competencies for disaster training

          Edbert B. Hsu, Tamara L Thomas, Eric Bass … (2006)
          Background Although training and education have long been accepted as integral to disaster preparedness, many currently taught practices are neither evidence-based nor standardized. The need for effective evidence-based disaster training of healthcare staff at all levels, including the development of standards and guidelines for training in the multi-disciplinary health response to major events, has been designated by the disaster response community as a high priority. We describe the application of systematic evidence-based consensus building methods to derive educational competencies and objectives in criteria-based preparedness and response relevant to all hospital healthcare workers. Methods The conceptual development of cross-cutting competencies incorporated current evidence through a systematic consensus building process with the following steps: (1) review of peer-reviewed literature on relevant content areas and educational theory; (2) structured review of existing competencies, national level courses and published training objectives; (3) synthesis of new cross-cutting competencies; (4) expert panel review; (5) refinement of new competencies and; (6) development of testable terminal objectives for each competency using similar processes covering requisite knowledge, attitudes, and skills. Results Seven cross-cutting competencies were developed: (1) Recognize a potential critical event and implement initial actions; (2) Apply the principles of critical event management; (3) Demonstrate critical event safety principles; (4) Understand the institutional emergency operations plan; (5) Demonstrate effective critical event communications; (6) Understand the incident command system and your role in it; (7) Demonstrate the knowledge and skills needed to fulfill your role during a critical event. For each of the cross-cutting competencies, comprehensive terminal objectives are described. Conclusion Cross-cutting competencies and objectives developed through a systematic evidence-based consensus building approach may serve as a foundation for future hospital healthcare worker training and education in disaster preparedness and response.
          Article 0 comments Cited 41 times – based on 0 reviews     Review now
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            A consensus-based educational framework and competency set for the discipline of disaster medicine and public health preparedness.

            J Lyznicki, Scott R. Lillibridge, Austin Schwartz … (2008)
            Various organizations and universities have developed competencies for health professionals and other emergency responders. Little effort has been devoted to the integration of these competencies across health specialties and professions. The American Medical Association Center for Public Health Preparedness and Disaster Response convened an expert working group (EWG) to review extant competencies and achieve consensus on an educational framework and competency set from which educators could devise learning objectives and curricula tailored to fit the needs of all health professionals in a disaster. The EWG conducted a systematic review of peer-reviewed and non-peer reviewed published literature. In addition, after-action reports from Hurricane Katrina and relevant publications recommended by EWG members and other subject matter experts were reviewed for congruencies and gaps. Consensus was ensured through a 3-stage Delphi process. The EWG process developed a new educational framework for disaster medicine and public health preparedness based on consensus identification of 7 core learning domains, 19 core competencies, and 73 specific competencies targeted at 3 broad health personnel categories. The competencies can be applied to a wide range of health professionals who are expected to perform at different levels (informed worker/student, practitioner, leader) according to experience, professional role, level of education, or job function. Although these competencies strongly reflect lessons learned following the health system response to Hurricane Katrina, it must be understood that preparedness is a process, and that these competencies must be reviewed continually and refined over time.
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              Core competencies for disaster medicine and public health.

              Peter James, Kenneth Schor, Arthur Cooper … (2012)
              Effective preparedness, response, and recovery from disasters require a well-planned, integrated effort with experienced professionals who can apply specialized knowledge and skills in critical situations. While some professionals are trained for this, others may lack the critical knowledge and experience needed to effectively perform under stressful disaster conditions. A set of clear, concise, and precise training standards that may be used to ensure workforce competency in such situations has been developed. The competency set has been defined by a broad and diverse set of leaders in the field and like-minded professionals through a series of Web-based surveys and expert working group meetings. The results may provide a useful starting point for delineating expected competency levels of health professionals in disaster medicine and public health.
              Article 0 comments Cited 34 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Abdullelah Al Thobaity
                Virginia Plummer
                Brett Williams
                Journal
                Journal ID (nlm-ta): Int Emerg Nurs
                Journal ID (iso-abbrev): Int Emerg Nurs
                Title: International Emergency Nursing
                Publisher: Elsevier Ltd.
                ISSN (Print): 1755-599X
                ISSN (Electronic): 1878-013X
                Publication date PMC-release: 28 October 2016
                Publication date (Print): March 2017
                Publication date (Electronic): 28 October 2016
                Volume: 31
                Pages: 64-71
                Affiliations
                [a ]School of Nursing & Midwifery, Monash University, PO Box 527, Frankston 3199, Australia
                [b ]College of Applied Medical Science, Nursing Department, Taif University, Saudi Arabia
                [c ]Nursing Research, Monash University and Peninsula Health, PO Box 527, Frankston 3199, Australia
                [d ]Department of Community Emergency Health and Paramedic Practice, Monash University, Australia, PO Box 527, Frankston 3199, Australia
                Author notes
                [* ]Corresponding author at: School of Nursing & Midwifery, Monash University, McMahons Road, Frankston, Victoria 3199, Australia. abdulelahw@ 123456hotmail.com
                Article
                Publisher ID: S1755-599X(16)30163-X
                DOI: 10.1016/j.ienj.2016.10.003
                PMC ID: 7118449
                PubMed ID: 28029612
                SO-VID: 2609f0be-5726-4ca1-a1fa-dc15bcb6e7c1
                Copyright © © 2016 Elsevier Ltd. All rights reserved.
                License:

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                Date received : 16 March 2016
                Date revision received : 15 October 2016
                Date accepted : 17 October 2016
                Categories
                Subject: Article

                Keywords: disaster,management,competency,review,nursing,preparedness,skills,knowledge
                Data availability:
                Keywords: disaster, management, competency, review, nursing, preparedness, skills, knowledge

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