Coordination problems experienced by volunteer healthcare providers in disasters: Challenges and risks
DOI:
https://doi.org/10.5055/ajdm.0508Keywords:
coordination, disaster, disaster coordination, healthcare providers, Kahramanmaraş EarthquakeAbstract
This study aimed to explain the coordination problems that were experienced by volunteer healthcare providers in the acute period of disasters, with a special focus on the February 6 Kahramanmaraş Earthquakes. The population comprised of volunteer healthcare providers in the earthquake area participating in the health service in the first 72 hours after the Kahramanmaraş Earthquakes. A phenomenological type of study and criterion sampling method were used, and 12 people participated in the study. Data were collected through semistructured in-depth interviews. The transcripts were evaluated via the content analysis technique, and the process was from codes to categories and from categories to themes. This study observed that the organizational problems during the transfer caused loss of time and motivation. Experiencing disasters provided an advantage in adaptation to the area, whereas the lack of experience, organization, adaptation, and physical needs were obstructive in professional roles and in orientation. Individuals created reactive solutions to problems. There were differences in thought, approach, and behavior in coordination between healthcare providers from different regions. Healthcare providers experienced significant coordination problems in the earthquakes centered in Kahramanmaraş. However, there is a benefit in experience for future disasters.
References
Scholtens A: Controlled collaboration in disaster and crisis management in The Netherlands, history and practice of an overestimated and underestimated concept. J Contingen Crisis Manag. 2008; 16(4): 195-207. DOI: 10.1111/j.1468-5973.2008.00550.x.
McEntire DA: Coordinating multi-organizational responses to disaster: Lessons from the March 28, 2000 Fort Worth Tornado. Disaster Prev Manag. 2002; 11(5): 369-379. DOI: 10.1108/09653560210453416.
Ekşi A, Çelikli S: Evaluation of the incident scene management system in terms of coordination in public administration in mass events. Dicle Univ J Soc Sci Inst. 2016; 16: 105-118.
Lannella R, Henricksen K: Managing information in the disaster coordination center: Lessons and opportunities. In 4th International Conference on Information Systems for Crisis Response and Management (ISCRAM). 2007: 1-11.
Kondo H, Koido Y, Morino K, et al.: Establishing disaster medical assistance teams in Japan. Prehosp Disaster Med. 2009; 24(6): 556-564.
Moosazadeh M, Zolala F, Sheikhzadeh K, et al.: Response to the Bam earthquake: A qualitative study on the experiences of the top and middle-level health managers in Kerman, Iran. Prehosp Disaster Med. 2014; 29(4): 388-391. DOI: 10.1017/S1049023X14000727.
Küçükkömürler S: The psychological effects of uncertainty. Object Psychol J. 2017; 5(10): 329-344. DOI: 10.7816/nesne-05-10-07.
Yılmaz G, Yıldırım D: Evaluation of methods and current approaches used in urban search and rescue during disasters. J Nat Disasters Environ. 2020; 6(1): 196-208. DOI: 10.21324/dacd.533639.
Türk A: Disability-inclusive disaster management model specific to earthquakes. Disaster Risk J. 2022; 5(1): 61-77. DOI: 10.35341/afet.1078869.
Kavuncubaşı Ş, Yıldırım S: Hospital and Healthcare Institutions Management. 5th ed. Ankara: Political Bookstore, 2000.
Özşahin E: An evaluation of natural disasters that have occurred in Turkey (1970-2012). In Turkey Earthquake Engineering and Seismology Conference, September 25-27, 2013, Hatay, Turkey.
Ergünay O: Turkey’s disaster profile. In Union of Chambers of Turkish Engineers and Architects Disaster Symposium. 2007; 5(7): 1-14.
Department of Civil Engineering, Hacettepe University: Investigation report on the Kahramanmaraş Pazarcık (Mw=7.7) and Kahramanmaraş Elbistan (Mw=7.6) earthquakes. 2023. Available at https://fs.hacettepe.edu.tr/etkinlik/2023/03-Mart/rapor.pdf. Accessed August 15, 2023.
Yılmaz S, Karakayali O, Yilmaz S, et al.: Emergency medicine association of Turkey disaster committee summary of field observations of February 6th Kahramanmaraş earthquakes. Prehosp Disaster Med. 2023; 38(3): 415-418. DOI: 10.1017/S1049023X23000523.
Republic of Turkey: Strategy and budget presidency report on the Kahramanmaraş and Hatay earthquakes. 2023. Available at https://www.sbb.gov.tr/wp-content/uploads/2023/03/2023-Kahramanmarasve-Hatay-Depremleri-Raporu.pdf. Accessed July 27, 2023.
Republic of Turkey: Prime Ministry disaster and emergency management authority Turkey disaster response plan. 2022. Available at https://www.afad.gov.tr/kurumlar/afad.gov.tr/e_kutuphane/planlar/tamp.pdf. Accessed July 27, 2023.
Khankeh HR, Khorasani-Zavareh D, Johanson E, et al.: Disaster health-related challenges and requirements: A grounded theory study in Iran. Prehosp Disaster Med. 2011; 26(3): 151-158. DOI: 10.1017/S1049023X11006200.
Berben SA, Vloet LC, Lischer F, et al.: Medical coordination rescue members’ and ambulance nurses’ perspectives on a new model for mass casualty and disaster management and a novel terror attack mitigation approach in The Netherlands: A qualitative study. Prehosp Disaster Med. 2021; 36(5): 519-525. DOI: 10.1017/S1049023X21000790.
Altunay E, Gülşin O, Yalçınkaya M: A qualitative study on mobbing practices in educational institutions. Sakarya Univ J Educ. 2014; 4(1): 62-80. DOI: 10.19126/suje.37750.
Baltacı A: Qualitative research process: How to conduct qualitative research? Ahi Evran Univ J Soc Sci Inst. 2019; 5(2): 368-388.
Eysenbach G, Köhler C: How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews. Br Med J. 2002; 324(7337): 573-577. DOI: 10.1136/bmj.324.7337.573.
Miles MB, Huberman AM: Qualitative Data Analysis: An Expanded Sourcebook. Thousand Oaks, CA: Sage, 1994.
Djalali A, Khankeh H, Öhlén G, et al.: Facilitators and obstacles in pre-hospital medical response to earthquakes: A qualitative study. Scand J Trauma Resusc Emerg Med. 2011; 19: 30. DOI: 10.1186/1757-7241-19-30.
Chan YF, Alagappan K, Gandhi A, et al.: Disaster management following the Chi-Chi earthquake in Taiwan. Prehosp Disaster Med. 2006; 21(3): 196-202.
Azizpour M, Zengiabadi A, Esmaeilian Z: Prioritizing the effective factors in urban crisis management against natural disasters (studying sample: The organizations related to Isfahan’s crisis). Geogr Environ Plann. 2012; 22(3): 107-124.
Shiomitsu Y, Yamaguchi T, Imamura K, et al.: A comparison of the contents of disaster nursing practices and perceived difficulties among nurses working at welfare evacuation shelters during natural disasters and multiple disasters: A qualitative study. Int J Environ Res Public Health. 2022; 19(24): 16610. DOI: 10.3390/ijerph192416610.
Rajapaksha NU, Abeysena C, BalasuriyaA, et al.: Incidence management system of the healthcare institutions for disaster management in Sri Lanka. BMC Emerg Med. 2023; 23(1): 6. DOI: 10.1186/s12873-023-00777-y.
Pesik N, Keim M, Sampson TR: Do US emergency medicine residency programs provide adequate training for bioterrorism? Ann Emerg Med. 1999; 34(2): 173-176. DOI: 10.1016/S0196-0644(99)70226-X.
Zhiheng Z, Caixia W, Jiaji W, et al.: The knowledge, attitude, and behavior about public health emergencies and the response capacity of primary care medical staff of Guangdong province, China. BMC Health Serv Res. 2012; 12(1): 1-9. DOI: 10.1186/1472-6963-12-338.
Martin SD, Bush AC, Lynch JA: A national survey of terrorism preparedness training among pediatric, family practice, and emergency medicine programs. Pediatrics. 2006; 118(3): e620-e626. DOI: 10.1542/peds.2005-1875.
Ablah E, Tinius AM, Konda K: Pediatric emergency preparedness training: Are we on a path toward national dissemination? J Trauma Acute Care Surg. 2009; 67(2): S152-S158. DOI: 10.1097/TA.0b013e3181ad345e.
Asef MR: Modeling the elements of a country’s vulnerability to earthquake disasters. Disasters. 2008; 32(3): 480-498.
Ece Ü: Gender inequality in disaster management: Gender-based vulnerability differences in natural disasters. Istanbul Aydin Univ J Soc Sci. 2021; 13(2): 351-381.
Ekşi A: Management of environmental risks that may arise after disasters. Prehosp J. 2016; 1(2): 15-25.
Parmar S, Lobb A, Purdin S, et al.: Enhancing collaboration during humanitarian response: An interim report from stakeholders survey. Prehosp Disaster Med. 2007; 22(5): 414-417. DOI: 10.1017/S1049023X00005136.
Waugh WL, Jr, Streib G: Collaboration and leadership for effective emergency management. Public Adm Rev. 2006; 66: 131-140. DOI: 10.1111/j.1540-6210.2006.00673.x.
Broby N, Lassetter JH, Williams M, et al.: Effective international medical disaster relief: A qualitative descriptive study. Prehosp Disaster Med. 2018; 33(2): 119-126. DOI: 10.1017/S1049023X18000225.
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