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5.
J Nurs Adm ; 50(7-8): 372-374, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32701641

RESUMO

Nurses are experienced leaders, understand how to improve quality and access to care, and have the essential skills to be an elected official. Knowing the key tasks to running a campaign is critical to achieving an elected office role. This article presents a call to action for nurse leaders, advice on running for office, and lessons learned from a nurse running for State Senate.


Assuntos
Liderança , Enfermeiras e Enfermeiros , Política , Planejamento em Desastres/normas , Doações , Política de Saúde/legislação & jurisprudência , Humanos , Pandemias , Apoio Social , Estados Unidos
6.
Bull World Health Organ ; 98(6): 378-379, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-32514210

RESUMO

The COVID-19 pandemic has drawn attention to the international agreement governing responses to public health emergencies, with some experts calling for its revision. Lynn Eaton and Gary Humphreys report.


Assuntos
Infecções por Coronavirus/epidemiologia , Planejamento em Desastres/organização & administração , Pandemias , Pneumonia Viral/epidemiologia , Betacoronavirus , Comportamento Cooperativo , Planejamento em Desastres/normas , Saúde Global , Humanos , Organização Mundial da Saúde
7.
BMJ Glob Health ; 5(6)2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32546588

RESUMO

Urbanisation will be one of the defining demographic trends of the 21st century-creating unique opportunities for sustainable capacity development, as well as substantial risks and challenges for managing public health and health emergencies. Plans and policies for responding to public health emergencies are generally framed at higher levels of governance, but developing, improving and sustaining the capacities necessary for implementing these policies is a direct function of local-level authorities. Evaluating local-level public health capacities is an important process for identifying strengths and weaknesses that can impact the preparedness for, detection of and response to health security threats. However, while various evaluations and assessments exist for evaluating capacities at other levels, currently, there are no readily available health security assessments for the local-level. In this paper, we describe a tool-the Rapid Urban Health Security Assessment (RUHSA) Tool-that is based on a variety of other relevant assessments and guidance documents. Assessing capacities allow for local-level authorities to identify the strengths and weaknesses of their local health security systems, create multiyear action plans and prioritise opportunities for improving capacities, effectively engage with development partners to target resources effectively and develop compelling narratives and a legacy of leadership. While the RUHSA Tool was not designed to be used in the midst of a public health emergency, such as the ongoing COVID-19 pandemic, it may also be adapted to inform a checklist for prioritising what capacities and activities a city needs to rapidly develop or to help focus requests for assistance.


Assuntos
Planejamento em Desastres/normas , Saúde Pública/normas , Medição de Risco/métodos , Saúde da População Urbana/normas , Betacoronavirus , Infecções por Coronavirus , Humanos , Influenza Humana , Pandemias , Pneumonia Viral
11.
World J Emerg Surg ; 15(1): 26, 2020 04 09.
Artigo em Inglês | MEDLINE | ID: mdl-32272957

RESUMO

Since December 2019, the world is potentially facing one of the most difficult infectious situations of the last decades. COVID-19 epidemic warrants consideration as a mass casualty incident (MCI) of the highest nature. An optimal MCI/disaster management should consider all four phases of the so-called disaster cycle: mitigation, planning, response, and recovery. COVID-19 outbreak has demonstrated the worldwide unpreparedness to face a global MCI.This present paper thus represents a call for action to solicitate governments and the Global Community to actively start effective plans to promote and improve MCI management preparedness in general, and with an obvious current focus on COVID-19.


Assuntos
Defesa Civil/normas , Infecções por Coronavirus , Planejamento em Desastres/normas , Incidentes com Feridos em Massa , Pandemias , Pneumonia Viral , Assistência à Saúde/normas , Saúde Global , Direitos Humanos/normas , Humanos , Incidentes com Feridos em Massa/classificação , Medição de Risco
12.
Sci Rep ; 10(1): 4956, 2020 03 18.
Artigo em Inglês | MEDLINE | ID: mdl-32188901

RESUMO

Literature on earthquake impact on hospital admissions is lacking, particularly in low-resource settings. Our aim was to study the pattern of admissions before and after the 2015 earthquake in a tertiary hospital in Nepal. We used routine hospital data from 9,596 admissions, and defined four periods: pre-earthquake (pre-EQ), acute (EQ1), post-acute (EQ2), and post-earthquake (post-EQ). We compared length of hospital stay (LOS) across the study periods using negative binomial regressions. We used logistic regressions to study changes in probability of admission for diagnostic categories, and Generalized Additive Models to model the difference in number of admissions compared to pre-EQ baseline. LOS was longer in EQ1 than during pre-EQ, in particular for injury-related admissions. In EQ1, the odds of injury admissions increased, while they decreased for the majority of other diagnoses, with the odds of pregnancy-related admissions remaining low until post-EQ. The number of admissions dropped in EQ1 and EQ2, and returned to pre-EQ trends in post-EQ, accumulating 381 admissions lost (CI: 206-556). Our findings suggest that hospital disaster plans must not only foresee injury management after earthquakes, but also ensure accessibility, in particular for pregnant women, and promote a quick return to normality to prevent additional negative health outcomes.


Assuntos
Assistência à Saúde/estatística & dados numéricos , Planejamento em Desastres/normas , Terremotos , Serviço Hospitalar de Emergência/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Admissão do Paciente/estatística & dados numéricos , Centros de Atenção Terciária/estatística & dados numéricos , Adolescente , Adulto , Criança , Pré-Escolar , Assistência à Saúde/tendências , Serviço Hospitalar de Emergência/tendências , Feminino , Humanos , Lactente , Recém-Nascido , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Nepal , Admissão do Paciente/tendências , Gravidez , Adulto Jovem
13.
Disaster Med Public Health Prep ; 14(1): 155-157, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32148220

RESUMO

The objective of the Caribbean Strong Summit was to plan an intersectoral summit to address the equity of community health and resilience for disaster preparedness, response and recovery and develop a set of integrated and actionable recommendations for Puerto Rico and the Caribbean Region post Hurricanes Irma and Maria. A three-day meeting was convened with a wide range of community, organizational and private sector leaders along with representatives from Puerto Rico, the Caribbean, the Americas, and global experts to generate recommendations for enhanced resilience based upon lessons learned and evidence-based approaches. More than 500 participants from the region gave 104 presentations with recommendations for resilience. Over 150 recommendations were generated and ranked for importance and actionability by participants. A representative sample of these are presented along with five major themes for building health resilient communities in the Caribbean. This summit was successful in compiling a set of integrated recommendations from more than 19 diverse sectors and in defining five major thematic areas for future work to enhance resilience for all types of future disasters. A follow-up meeting should be planned to continue this discussion and to showcase work that has been accomplished in these areas. A complete set of the recommendations from the Caribbean Strong Summit and their analysis and compilation would be published and should serve as a foundational effort to enhance preparedness and resiliency towards future disasters in the Caribbean.


Assuntos
Equidade em Saúde/normas , Resiliência Psicológica , Região do Caribe , Planejamento em Desastres/métodos , Planejamento em Desastres/normas , Equidade em Saúde/estatística & dados numéricos , Humanos , Porto Rico
14.
Appl Ergon ; 84: 103031, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31987514

RESUMO

Multidisciplinary incident management teams (IMTs) are required to operate in resilient ways as emergency situations unfold unexpectedly. Although resilience in emergency management has been widely studied in many emergency contexts, the development of a new method to investigate actual resilient performance of the IMTs under realistic settings has been limited. To address such gap, this paper first introduces Interaction Episode Analysis (IEA), a novel approach to capture and describe emergent team performance. As an exploratory observation study, we apply the IEA to an information management aspect of the IMTs in two emergency exercises carried out in a high-fidelity environment. As a result, the IEA provides comparable sets of episodes as instances of work-as-done, rendering opportunities to further analyze essential elements of interactions between team members as well as information management activities. Moreover, the IEA enables comparisons between the observations and identification of challenges faced by the team in managing incident information and adaptive behaviors used to address the challenges. By gathering more evidences as well as addressing limitations identified in this study, the IEA is expected to serve as a method that facilitates the analysis of work-as-done of complex team work and the reconciliation between work-as-done and work-as-imagined to promote resilience in emergency management.


Assuntos
Planejamento em Desastres/normas , Emergências , Ergonomia/métodos , Gestão da Informação , Análise e Desempenho de Tarefas , Humanos , Avaliação de Programas e Projetos de Saúde
15.
Nurs Ethics ; 27(1): 184-193, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31088254

RESUMO

BACKGROUND: Since 2010, the United States has experienced 228 disasters, affecting over 86 million people. Because of population shifts, the growing number of people living with chronic conditions or disabilities, and the growing number of older citizens living independently, access and service gaps often exist for those without money or other transferable resources. There is a lack of evidence regarding individual community members' capacity to prepare for emergencies. RESEARCH OBJECTIVE: The purpose of this study is to highlight participant experiences in becoming better prepared for emergencies and provide insight from a social justice perspective. RESEARCH DESIGN: This is a descriptive qualitative study, staying very close to the data as an end product rather than a beginning for interpretation. PARTICIPANTS AND RESEARCH CONTEXT: A total of 13 low-income, uninsured, or under-insured attendees at a medical outreach clinic were interviewed. ETHICAL CONSIDERATIONS: Institutional Review Board approval was obtained from the University of Texas at Tyler. FINDINGS: Four themes emerged from the interview data: (a) evaluation of the emergency-preparedness education, (b) making emergency plans, (c) challenges in preparing for emergencies, and (d) facilitators of emergency preparedness. DISCUSSION: Identifying the potential challenges to individual emergency preparedness among vulnerable populations is the first step in overcoming them. The capacity to comply with such measures, especially the ability of those with limited incomes and other vulnerable populations, must be considered. CONCLUSION: Synchronized, well-ordered assistance will close gaps in recovery and enhance efficiency in pre- and post-event aid. Theoretically, doing so will promote engaged and resilient members of society who are better able to withstand adverse events. The importance of the relationship between individual preparedness levels and the resiliency of nations supports the social justice imperative to address the needs of vulnerable populations in the mitigation and planning phase of the emergency management cycle.


Assuntos
Defesa Civil/normas , Planejamento em Desastres/normas , Emergências , Pobreza , Justiça Social , Populações Vulneráveis , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Texas
16.
J Vet Med Educ ; 47(2): 230-238, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31194634

RESUMO

The veterinary medical education system faces increasing challenges in educating students in the most current technologies while responding to changing community needs and expectations. Communities expect veterinarians to be involved in disaster management at some level. The purpose of this study was to describe the level of disaster preparedness and educational needs of veterinary practitioners in Mississippi. A survey was mailed to 706 practitioners to assess disaster plans, disaster training, and familiarity with disaster-related organizations. Forty-three percent of veterinarians had a clinic disaster plan. Veterinary practitioners who had experienced a disaster were more likely to have a personal plan (odds ratio [OR] = 4.55, 95% confidence interval [CI] = 2.47-8.37) and a clinic plan (OR = 4.11, 95% CI = 2.28-7.44) than those who had not. Veterinarians residing in Mississippi Gulf Coast counties were more likely to have a personal plan (OR = 3.62, 95% CI = 1.54-8.72) and a clinic plan (OR = 3.09, 95% CI = 1.35-7.21) than were those residing in other areas. Only 17% of veterinarians had assistance agreements with other practices, and few veterinarians indicated having disaster education materials available for their clients. Twenty percent of respondents indicated having obtained formal disaster training, and more than two-thirds of respondents were interested in receiving disaster training, mostly in the form of online delivery. Results suggest that private veterinary practitioners have the desire and need to obtain disaster education. Providing opportunities for both veterinarians and veterinary students to obtain education in disaster management will result in better overall community disaster preparedness.


Assuntos
Planejamento em Desastres , Educação em Veterinária , Médicos Veterinários , Planejamento em Desastres/normas , Educação em Veterinária/estatística & dados numéricos , Humanos , Mississippi , Inquéritos e Questionários , Médicos Veterinários/estatística & dados numéricos
17.
Disaster Med Public Health Prep ; 14(1): 39-43, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31642420

RESUMO

The impact of hurricanes on emergency services is well-known. Recent history demonstrates the need for prehospital and emergency department coordination to serve communities during evacuation, storm duration, and cleanup. The use of telehealth applications may enhance this coordination while lessening the impact on health-care systems. These applications can address triage, stabilization, and diversion and may be provided in collaboration with state and local emergency management operations through various shelters, as well as during other emergency medical responses.


Assuntos
Tempestades Ciclônicas/estatística & dados numéricos , Serviços Médicos de Emergência/estatística & dados numéricos , Telemedicina/estatística & dados numéricos , Planejamento em Desastres/normas , Planejamento em Desastres/estatística & dados numéricos , Serviços Médicos de Emergência/métodos , Abrigo de Emergência , Humanos , Telemedicina/métodos
18.
Unfallchirurg ; 123(6): 453-463, 2020 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-31690983

RESUMO

Terrorist-related mass casualty incidents represent a medical and organizational challenge for all hospitals. The main reasons are the special patterns of injuries, the onset and development of the scenario, the lack of information at the beginning, the overall number of casualties and the number of uninjured but involved patients presenting at the hospital.Due to these circumstances and the high percentage of penetrating injuries with a permanent risk of uncontrollable bleeding and other life-threatening complications, a strategic and tactical initial surgical care is necessary.For these special terrorist-related mass casualty (MasCal) situations, the Terror and Disaster Surgical Care (TDSC®) course was developed and imparts special medical and surgical knowledge as well as a scenario-based training in surgical decision-making. The TDSC® course focusses on the scenario-related provision of surgical care and distribution of the limited resources to enable survival for as many patients as possible.To improve individualized trauma care course formats, such as the Advanced Trauma Life Support (ATLS®) were established and are nowadays widespread in Germany. It could be shown that standardized approaches and algorithm-based treatment could improve the outcome of trauma victims. Faced with the present day permanent risk of a possible terrorist-related MasCal situation, the question arises how and to what extent elements and principles of both course formats (TDSC® and ATLS®) could be used to improve and organize the initial care in a terrorist-linked MasCal incident.For the first time it is shown that the key elements of both courses (primary survey of the ATLS® and the TDSC® principles: categorization, prioritization, disposition and realization) could be established and integratively used to structure the initial intrahospital medical and surgical care.


Assuntos
Planejamento em Desastres/normas , Serviços Médicos de Emergência , Incidentes com Feridos em Massa , Terrorismo , Ferimentos e Lesões/terapia , Alemanha , Humanos
19.
Health Secur ; 17(6): 430-438, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31794674

RESUMO

In spring 2011, the Centers for Disease Control and Prevention (CDC) released Public Health Preparedness Capabilities: National Standards for State and Local Planning. The capability standards provide a framework that supports state, local, tribal, and territorial public health agency preparedness planning and response to public health threats and emergencies. In 2017, a project team at the CDC Division of State and Local Readiness incorporated input from subject matter experts, national partners, and stakeholders to update the 2011 capability standards. As a result, CDC released the updated capability standards in October 2018, which were amended in January 2019. The original structure of the 15 capability standards remained unchanged, but updates were made to capability functions, tasks, and resource elements to reflect advances in public health emergency preparedness and response practices since 2011. When the number of functions and tasks in the 2018 capability standards were compared to those in the 2011 capabilities, only 20% (3/15) of the capabilities had a decrease in function number. The majority of changes were at the task level (task numbers changed in 80%, or 12/15, capabilities) in the 2018 version. The capability standards provide public health agencies with a practical framework, informed by updated science and tools, which can guide prioritization of limited resources to strengthen public health agency emergency preparedness and response capacities.


Assuntos
Defesa Civil/normas , Planejamento em Desastres/normas , Saúde Pública/normas , Fortalecimento Institucional/normas , Centers for Disease Control and Prevention, U.S./normas , Humanos , Alocação de Recursos/normas , Estados Unidos
20.
Disaster Med Public Health Prep ; 13(5-6): 1090-1091, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31796138

RESUMO

Hurricane Dorian's impact on Eastern North Carolina and the Bahamas islands demonstrate the devastation and public health needs that can be left in the wake of a catastrophic event. The hurricane created a range of public health and healthcare challenges, strained further by the damage to infrastructure on which critical services, including the medical supply chain, depend. The recovery process is long, but offers an opportunity to build back better, more resilient communities that can withstand today's threats.


Assuntos
Tempestades Ciclônicas/estatística & dados numéricos , Planejamento em Desastres/métodos , Bahamas , Planejamento em Desastres/normas , Planejamento em Desastres/tendências , Humanos , North Carolina , Saúde Pública/métodos , Saúde Pública/normas , Saúde Pública/tendências
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