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      Knowledge, attitudes, and practices of emergency department staff towards disaster and emergency preparedness at tertiary health care hospital in central Saudi Arabia

      research-article
      , RN, MHHA, , RN, MA, , ABHS-EM, MHA, , FCEM, FRCP, , RN, MPH
      Saudi Medical Journal
      Saudi Medical Journal

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          Abstract

          Objectives:

          To assess the knowledge, practices, and attitudes regarding disaster and emergency preparedness among Emergency Department (ED) staff.

          Methods:

          This cross-sectional study was conducted at Tertiary health care hospital in central Riyadh, Kingdom of Saudi Arabia. A self-administered survey was utilized to collect data from ED physicians and nurses. The questionnaire was divided into 5 sections viz; demographics, knowledge about disaster management and preparedness, attitudes about disaster planning, current role and practices, and familiarity towards emergency.

          Results:

          A 189 participants have completed the questionnaire. Two-third of the participants were below 30 years, and more than 85% were female. One hundred and eleven (58.7%) had a clinical experience of more than 5 years, while 78 (41.3%) participants had more than 3 years of clinical service at the Tertiary care hospital in Riyadh, Kingdom of Saudi Arabia. Correct responses of knowledge towards disaster and emergency preparedness score was 6.2±2.5. Participants with more than 5-years of experience had a statistically significant ( p=0.009) knowledge scale score for disaster and emergency preparedness. Overall, 186 (98.4%) patients believed that training is necessary for all healthcare workers. Approximately 153 (81%) participants reported the conduct of disaster drill at their hospital. The mean score (Mean±SD) for the overall familiarity of the study participants with emergency preparedness information questionnaire (EPIQ) scale was 3.2±1.3.

          Conclusion:

          The level of knowledge was satisfactory among healthcare providers with neutral level of attitude, practice, and familiarity regarding disaster preparedness. Follow-up research is necessary for maximizing ED preparedness.

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          Most cited references20

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          Perceptions of knowledge of disaster management among military and civilian nurses in Saudi Arabia

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            Health care workers and disaster preparedness: barriers to and facilitators of willingness to respond

            Background There is limited research on preparation of health care workers for disasters. Prior research addressed systems-level responses rather than specific institutional and individual responses. Methods An anonymous online survey of hospital employees, who were grouped into clinical and non-clinical staff, was conducted. The objective of this study was to compare perceptions of clinical and non-clinical staff with regard to personal needs, willingness to report (WTR) to work, and level of confidence in the hospital‘s ability to protect safety and provide personal protective equipment (PPE) in the event of a disaster. Results A total of 5,790 employees were surveyed; 41 % responded (77 % were women and 63 % were clinical staff). Seventy-nine percent either strongly or somewhat agreed that they know what to do in the event of a disaster, and the majority was willing to report for duty in the event of a disaster. The most common barriers included ‘caring for children’ (55 %) and ‘caring for pets’ (34 %). Clinical staff was significantly more likely than non-clinical staff to endorse childcare responsibilities (58.9 % vs. 48 %) and caring for pets (36 % vs. 30 %, respectively) as barriers to WTR. Older age was a significant facilitator of WTR [odds ratio (OR) 1.49, 95 % CI: 1.27-1.65]. Non-clinical staff was more confident in the hospital’s ability to protect safety and provide PPE compared to clinical staff (OR 1.43, 95 % CI: 1.15-1.78). Conclusion Clinical and non-clinical staff differ in the types of barriers to WTR endorsed, as well as their confidence in the hospital’s ability to provide them with PPE and guarantee their safety.
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              Emergency nurse disaster preparedness during mass gatherings: a cross-sectional survey of emergency nurses' perceptions in hospitals in Mecca, Saudi Arabia

              Objectives To assess hospital emergency nurses' self-reported knowledge, role awareness and skills in disaster response with respect to the Hajj mass gathering in Mecca. Design Cross-sectional online survey with primary data collection and non-probabilistic purposive sample conducted in late 2014. Setting All 4 public hospitals in Mecca, Saudi Arabia. Participants 106 registered nurses in hospital emergency departments. Main outcome measure Awareness, knowledge, skills and perceptions of emergency nurses in Mecca with regard to mass gathering disaster preparedness. Results Although emergency nurses' clinical role awareness in disaster response was reported to be high, nurses reported limited knowledge and awareness of the wider emergency and disaster preparedness plans, including key elements of their hospital strategies for managing a mass gathering disaster. Over half of the emergency nurses in Mecca's public hospitals had not thoroughly read the plan, and almost 1 in 10 were not even aware of its existence. Emergency nurses reported seeing their main role as providing timely general clinical assessment and care; however, fewer emergency nurses saw their role as providing surveillance, prevention, leadership or psychological care in a mass gathering disaster, despite all these broader roles being described in the hospitals' emergency disaster response plans. Emergency nurses' responses to topics where there are often misconceptions on appropriate disaster management indicated a significant knowledge deficit with only 1 in 3 nurses at best or 1 in 6 at worst giving correct answers. Respondents identified 3 key training initiatives as opportunities to further develop their professional skills in this area: (1) hospital education sessions, (2) the Emergency Management Saudi Course, (3) bespoke short courses in disaster management. Conclusions Recommendations are suggested to help enhance clinical and educational efforts in disaster preparedness.
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                Author and article information

                Journal
                Saudi Med J
                Saudi Med J
                Saudi Medical Journal
                Saudi Medical Journal (Saudi Arabia )
                0379-5284
                2018
                : 39
                : 11
                : 1123-1129
                Affiliations
                [1] From the Disaster Management Unit (Nofal); from the Department of Emergency Medicine (Khan), College of Medicine; from the Department of Emergency Medicine and Critical Care (Al Aseri), King Saud University Medical City, and from the Research Center (Alfayyad, Abu-Shaheen), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
                Author notes
                Address correspondence and reprint request to: Dr. Amani Abu-Shaheen, Research Center, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail: aabushaheen@ 123456kfmc.med.sa ORCID ID: orcid.org/0000-0002-1019-5548
                Article
                SaudiMedJ-39-1123
                10.15537/smj.2018.11.23026
                6274652
                30397712
                62b1d84e-30c2-4fa4-aabe-6ad4fe5e9af8
                Copyright: © Saudi Medical Journal

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 03 July 2018
                : 26 September 2018
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