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1.
Nurs Manag (Harrow) ; 30(1): 25-31, 2023 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-36727446

RESUMO

BACKGROUND: Any country is at risk of disasters associated with natural, biological, technological and societal hazards. Such disasters pose ever greater challenges for healthcare systems. Nurses and nursing students have a crucial role in responding dynamically to disasters in their communities. AIM: To investigate nursing students' knowledge of and self-perceived competence in disaster nursing and attitudes towards disaster preparedness. METHOD: A descriptive cross-sectional study design was used to investigate knowledge, competence and attitudes in a convenience sample of 300 nursing students in their third and fourth years at a nursing college in Saudi Arabia. Students were asked to complete an online questionnaire on disaster nursing and disaster preparedness. A 96% response rate was obtained. RESULTS: Most participating students had a favourable attitude towards disaster preparedness. They also perceived themselves as having a relatively high degree of competence in disaster nursing. However, most participants had inadequate knowledge of disaster nursing and may not have been fully aware of their role in disaster relief operations. CONCLUSION: Enhancing nursing students' awareness of the importance of disaster preparedness and competence in disaster nursing can potentially save lives. Disaster nursing and disaster preparedness should be part of undergraduate nurse education curricula and nurse educators should develop innovative educational interventions on these topics.


Assuntos
Planejamento em Desastres , Desastres , Estudantes de Enfermagem , Humanos , Estudos Transversais , Currículo , Inquéritos e Questionários
2.
Artigo em Inglês | MEDLINE | ID: mdl-36673708

RESUMO

This study aimed to identify factors influencing disaster preparedness capability, measure and compare the relative importance of evaluation indicators of preparedness capability in a rainstorm disaster, and analyze the impact of these factors on disaster preparedness so as to improve disaster preparedness capability. The evaluation model was proposed by constructing the target level (the first level) as an indicator system; this was divided into four indicators (the second level): planning, organization, equipment, and education and exercise, and 14 tertiary evaluation indicators (the third level). The validity of the evaluation index system was demonstrated, and the weight of each level was calculated using the Analytic Hierarchical Process and expert survey methods, taking the example of the Zhengzhou "7.20" rainstorm to conduct an empirical analysis of the proposed model. The weak points of disaster preparedness capability were identified. The empirical analysis revealed that organization scored the highest, followed by planning, equipment, and education and exercise, indicating the lack of disaster management equipment and resources, disaster management training, and exercise and public emergency safety education. These results will help in future decision-making, as they provide a clear understanding of what needs to be done to improve disaster preparedness capability.


Assuntos
Planejamento em Desastres , Desastres , Governo Local , Escolaridade
3.
Br J Gen Pract ; 73(727): 51, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36702600
4.
Curr Sports Med Rep ; 22(1): 4-9, 2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-36606629

RESUMO

ABSTRACT: Few sports medicine physicians have extensive experience in managing mass casualty trauma. Yet many, or most, of us find ourselves covering competitions, races, and events in venues where thousands of athletes and spectators gather, and these could quickly become mass casualty events in the setting of an explosion/bombing, active shooter, or similar incident. When this happens, the sports medicine team, already on site, is in a unique position to provide immediate assistance until additional resources arrive. In this article, we will discuss a framework for this initial trauma response to the mass casualty event at a mass participation sporting event.


Assuntos
Planejamento em Desastres , Incidentes com Feridos em Massa , Medicina Esportiva , Esportes , Humanos , Triagem
5.
Appl Ergon ; 108: 103948, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36621184

RESUMO

Teams are critical in developing effective responses to various disasters and crises. This study defines a new type of response team: a disaster intervention development team, charged with rapidly developing emergent and innovative interventions to aid disaster response. In this case study, we analyzed the SHIELD Enterprise, a disaster intervention development team that developed and deployed a diagnostic testing system for community surveillance and diagnosis to respond to the COVID-19 infectious disease outbreak. We conducted interviews with 27 team members to identify the work system barriers and facilitators they experienced and to analyze the influence on team performance to inform sociotechnical system design for future teams. We identified 215 barriers and 238 facilitators, which we inductively categorized into eight overarching groups, i.e., categories, that included ambiguity, team processes, technology, design and project requirements, knowledge and expertise, organization, task work and environment. Our findings led to eight sociotechnical system design principles to support future disaster intervention development teams.


Assuntos
COVID-19 , Planejamento em Desastres , Desastres , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle
6.
BMC Emerg Med ; 23(1): 6, 2023 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-36683030

RESUMO

BACKGROUND: Incident management systems and disaster planning processes facilitate maximal use of available resources. Evaluation of the Incident Command System (ICS) is one of the top five key areas of research priority in the field of surge. The study was aimed at assessing the disaster preparedness and ICS of the public healthcare institutions for the disaster management in a disaster-prone district of Sri Lanka. METHODS: A descriptive cross-sectional study was conducted among all public sector healthcare institutions (n = 74), including curative-healthcare institutions (n = 46) which have inward-care facilities for patient care and preventive healthcare institutions (n = 28) in Kurunegala district, Sri Lanka from May-September 2019 using a validated interviewer administered questionnaire which was based on 'CO-S-TR Model' for ICS assessment including 'Clear need for increased capacity (≤25%), Basic level (26 - 50%), Moderate level (51 - 75%) and High level (>75%)'. RESULTS: Focal points for disaster management were nominated by the majority of the curative sector (n = 33; 76.7%) and preventive sector (n = 19; 73.1%) healthcare institutions. A written disaster preparedness and response plans were available in 72% (n= 31) curative sector and 76% (n= 19) preventive sector institutions. The higher proportion of the curative sector institutions had moderate level capacity in the area of providing treatment, and basic level capacities were in the areas of 'staff mobilization, coordination of activities, supplying of special needs, triage of cases and transportation'. There is a clear need for improvement in the areas of communication commanding, management of controlling the incidence and tracking of the cases in the curative sector. The majority of the preventive sector institutions had moderate level capacity in commanding, control, coordination and tracking of cases. The basic level capacity in the areas of staff mobilization, stuff management and triage of cases. There is a clear need for improvement in the areas of communication in preventive sector. Of the public sector healthcare institutions, the higher proportion of the preventive sector (n = 20; 76.9%) and curative sector (n = 29; 67.4%) had basic level overall surge capacity of ICS for disaster management. CONCLUSION: Coordination, communication, commanding, management of controlling the incidence and tracking of cases following outbreaks need to be improved and capacity development programmes could implement to develop the preparedness for future disasters.


Assuntos
Planejamento em Desastres , Desastres , Humanos , Sri Lanka/epidemiologia , Estudos Transversais , Incidência , Atenção à Saúde
7.
Sci Prog ; 106(1): 368504231152770, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36691679

RESUMO

Cities are vulnerable to a range of disasters that can occur simultaneously due to their complexity. Therefore, an effective disaster response plan is needed to reduce the disaster vulnerability of cities. In particular, evacuation route management is important for reducing the losses from a disaster. Efficient disaster response can be realized by searching for suitable evacuation routes and effective road network management. In this paper, we propose a disaster response framework based on a multilayered road network structure and evacuation routes based on our road network. The suggested road structure consists of three layers for the effective management of the network. An A* algorithm-based search for multiple evacuation routes under different conditions in response to an individual disaster on the configured road map provides a safe route for evacuees. As a result, the damage caused by disasters in urban areas can be ameliorated.


Assuntos
Planejamento em Desastres , Desastres
8.
Sci Rep ; 13(1): 63, 2023 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-36627329

RESUMO

Great earthquakes along the Nankai megathrust in south-western Japan feature in the top priority list of Japan's disaster management agenda. In May 2019, an alert system was incepted to issue public warnings when the probability of an earthquake occurrence along the Nankai megathrust became higher than usual. One of the cases that trigger the issuance of public warnings is when a great earthquake occurred and another one of the same scale is anticipated within a short period of time. Although such "twin ruptures" have occurred multiple times along the Nankai megathrust, the quantification of the probability of such twin ruptures has never been attempted. Based on global statistics and local earthquake occurrence history, we estimated the probability of a successive occurrence of two M8 or larger earthquakes within 3 years globally and along the Nankai megathrust to be 5.0-18% and 4.3-96%, respectively. The timing of the second earthquake followed the Omori-Utsu law in global statistics, which allowed the estimation of the probability for the successive occurrence of Nankai megathrust earthquakes in arbitrary time frames. The predicted probability for the one-week timeframe was 100-3600-fold higher than that of the norm, endorsing the necessity for the warning scheme.


Assuntos
Planejamento em Desastres , Desastres , Terremotos , Japão
17.
Nurse Educ ; 48(1): E21-E24, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-35763780

RESUMO

BACKGROUND: Disaster planning is an essential component for nursing students to learn. PROBLEM: Clinical experiences of disasters are typically unavailable for nursing students. Increasing frequency of disaster events around the globe has made disaster planning knowledge and skills a critical component in nursing education and professional practice. APPROACH: An unfolding tabletop disaster planning exercise was created as a simulation training strategy meant to strengthen essential disaster response skills. The exercise involves 5 realistic scenarios related to a mass casualty event, taking students from the disaster site to the hospital-based disaster response. OUTCOMES: Implementation of a tabletop disaster planning simulation in one nursing program replaced the traditional lecture-based disaster content. CONCLUSION: An unfolding tabletop disaster planning simulation is a comprehensive, interactive, sustainable, and low-cost teaching strategy that draws on nursing students' fundamental knowledge. Students had the opportunity to practice clinical skills required during a disaster, such as communication, prioritization, teamwork, and delegation.


Assuntos
Planejamento em Desastres , Treinamento por Simulação , Estudantes de Enfermagem , Humanos , Pesquisa em Educação de Enfermagem , Competência Clínica
18.
Przegl Epidemiol ; 76(3): 330-335, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36520080

RESUMO

INTRODUCTION: In the present times, natural and man-made threats have questioned our existence on this planet. Health care professionals need to be aware of all the procedures to follow during such an event that threatens to paralyze the entire community and should be able to respond effectively. OBJECTIVE: The present study was conducted to assess the willingness and attitude of dental professionals to render help during any disaster or catastrophic event. MATERIAL AND METHODS: The present cross-sectional study among 480 subjects who were residing in Tricity (Chandigarh, Mohali and Panchkula). Informed consent was taken from all the subjects. Systematic random sampling methodology was employed for selection for study sample. The study utilized a self-designed close-ended questionnaire written in English and verified by experts. The questionnaire was divided into two parts to collect the required information. The data was analyzed using SPSS software version 21; chi-square test and multiple regression analysis were used to arrive at the results. RESULTS: More than 85% of subjects had awareness regarding natural and manmade disasters. A positive response was given by 79.2% of subjects regarding willingness to help during disaster. Educational qualification of subjects was significantly associated with attitude towards some aspects of disaster response (p<0.05). Postgraduate subjects and subjects who were academicians were more willing to render help (OR: 2.18 & 3.65 respectively). CONCLUSIONS: The study emphasizes the need for educational and training programs for dentists' regarding disaster management. A short course on emergency and disaster management can be included in undergraduate and postgraduate dental curriculum.


Assuntos
Planejamento em Desastres , Desastres , Humanos , Estudos Transversais , Odontólogos , Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Polônia , Inquéritos e Questionários
19.
Artigo em Inglês | MEDLINE | ID: mdl-36554351

RESUMO

The Indonesian Disaster Risk Index (IRBI) in 2018 found that 52.33% of districts or cities in Indonesia were at high risk of natural disasters and the others were at moderate risk. The World Risk Index places Indonesia at number 33 in the very high-risk category. The policy direction of the Implementation of Disaster Management in Indonesia in 2020-2024 is to increase disaster resilience toward sustainable prosperity for sustainable development. PURPOSE: This study aims to identify the various needs for a culturally sensitive PHN-based disaster risk-reduction preparedness training model. METHODS: This study used a descriptive qualitative research design. Data collection was done through in-depth interviews, Focus Group Discussions (FGDs), and expert panel stages in the Indonesian language. Samples involved in the research included 4 experts and 11 informants. RESULTS: There were 10 themes generated from the results. The analysis results revealed that the level of knowledge, attitudes, and skills of the community is still low. Almost all of the people of Mekar Mukti Village stated that they had never received community-based disaster management training. CONCLUSIONS: The study findings highlighted the importance of the Disaster Risk-Reduction Preparedness Model Based on Culturally Sensitive Public Health Nursing for the community.


Assuntos
Planejamento em Desastres , Desastres , Humanos , Planejamento em Desastres/métodos , Enfermagem em Saúde Pública , Inquéritos e Questionários , Comportamento de Redução do Risco
20.
Artigo em Inglês | MEDLINE | ID: mdl-36554462

RESUMO

In this paper, we validate PREDIS, a decision support system for disaster management using serious games to collect experts' judgments on its performance. PREDIS is a model for DISaster response supplier selection (PREDIS). It has a PREDictive component (PRED) for predicting the disaster human impact and an estimation component to Estimate the DISaster (EDIS) needs to optimise supplier-based resource allocation. A quasi-experiment design embedded in a participatory simulation game is conducted to compare the opinions of equal samples of 22 experts and non-experts. The following questions are put forward. First, "Does PREDIS model assists the decision makers to make the same decisions faster?" Second, "Does the PREDIS model assist the non-experts as simulated decision makers to decide like an expert?" Using AHP weights of decision makers' preferences as well as Borda counts, the decisions are compared. The result shows that PREDIS helps to reduce the decision-making time by experts and non-experts to 6 h after the disaster strike, instead of the usual 72 h. It also assists 71% of the non-experts to make decisions similar to those made by experts. In summary, the PREDIS model has two major capabilities. It enables the experts and non-experts to predict the disaster results immediately using widely available data. It also enables the non-experts to decide almost the same as the experts; either in predicting the human impact of a disaster and estimating the needs or in selecting suitable suppliers.


Assuntos
Planejamento em Desastres , Desastres , Humanos , Simulação por Computador , Tomada de Decisões
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