Health emergency management in Aotearoa New Zealand: Making sense of professional development

Authors

  • Denise Blake, PhD
  • Patricia Niland, PhD
  • David M. Johnston, PhD

DOI:

https://doi.org/10.5055/jem.2019.0435

Keywords:

emergency management, health professional, Aotearoa New Zealand, training, skill, competencies

Abstract

Objective: To explore how health emergency management (HEM) personnel make sense of professional development, such as education and training, in their everyday roles and responsibilities within an increasingly complex emergency management and disaster field.

Design: This in-depth qualitative study comprised of semistructured interviews with 10 Aotearoa New Zealand HEM personnel from a range of healthcare professions, including emergency managers, nurses, clinical support, and paramedics. The thematic, data-driven approach was exploratory. The research identified inductively significant thematic concepts relating to professional development from the health emergency personnel’s talk about their roles and responsibilities.

Results: The authors identified four themes relating to professional development in the participants’ talk: test yourself under pressure; selling what we do; under the pump; and real stuff that actually makes a difference. These themes represent shared sense-making about how the participants negotiated their professional development needs and the needs of others while performing their everyday roles and responsibilities.

Conclusions: Our findings support the production of local and contextually driven knowledge that highlights how HEM personnel discuss professional development as strengths, tensions, challenges, and knowledge gaps. These insights contribute to a broader understanding of what needs to be taken into account when developing competencies, skill sets, and training programs to promote professional development in an increasingly complex emergency management and disaster field.

Author Biographies

Denise Blake, PhD

Senior Lecturer, Joint Centre for Disaster Research, Massey University, Wellington, Aotearoa New Zealand

Patricia Niland, PhD

Academic Researcher, Joint Centre for Disaster Research, Massey University, Wellington, Aotearoa New Zealand

David M. Johnston, PhD

Professor, Director, Joint Centre for Disaster Research, Massey University, Wellington, Aotearoa New Zealand

References

Kapucu N: Developing competency-based emergency management degree programs in public affairs and administration. J Public Aff Educ. 2011; 17(4): 501-521. doi:10.1080/15236803.2011.12001659.

Feldmann-Jensen S, Jensen S, Maxwell Smith S: The next generation core competencies for emergency management professionals: Handbook of behavioral anchors and key actions for measurement. 2017. Available at https://training.fema.gov/hiedu/docs/emcompetencies/final_%20ngcc_and_measures_aug2017.pdf. Accessed September 25, 2018.

GNS Science: The geology of New Zealand. 2018. Available at https://www.gns.cri.nz/Home/Our-Science/Earth-Science/Regional-Geology/The-Geology-of-New-Zealand. Accessed November 3, 2018.

Ministry of Health: Primary health care. 2018. Available at https://www.health.govt.nz/our-work/primary-health-care. Accessed November 1, 2018.

Ministry of Health: Overview of the health system. 2018. Available at https://www.health.govt.nz/new-zealand-health-system/overview-health-system. Accessed March 1, 2018.

Ministry of Health: National health emergency plan: A framework for the health and disability sector. 2015. Available at https://www.health.govt.nz/publication/national-health-emergency-planframework-health-and-disability-sector. Accessed June 10, 2018.

Ministry of Health: National health emergency plan. 2015. Available at https://www.health.govt.nz/our-work/emergency-management/national-health-emergency-plan. Accessed March 25, 2018.

Hart P, Sundelius B: Crisis management revisited: A new agenda for research training and capacity building within Europe. Coop Confl. 2013; 48(3): 444-461. doi:10.1177/0010836713485711.

Ingrassia PL, Foletti M, Djalali A, et al.: Education and training initiatives for crisis management in the European Union: A web-based analysis of available programs. Prehosp Disaster Med. 2014; 29(2): 115-126. doi:10.1017/S1049023X14000235.

Bosomworth B, Owen C, Curnin F: Addressing challenges for future strategic-level emergency management: Reframing, networking, and capacity-building. Disasters. 2017; 41(2): 306-323. doi:10.1111/disa.12196.

Gillardo AR, Djalali A, Foletti M, et al.: Core competencies in disaster management and humanitarian assistance: A systematic review. Disaster Med Public Health Prep. 2015; 9(4): 430-439. doi:10.1017/dmp.2015.24.

Ministry of Civil Defence & Emergency Management: Civil Defence Emergency Management Competency Framework. Technical Standard for the CDEM Sector [TS 02/09]. Wellington, Aotearoa New Zealand: Ministry of Civil Defence & Emergency Management, 2009. Available at www.civildefence.govt.nz. Accessed October 25, 2018.

Lee B: Working together, building capacity: A case study of civil defence emergency management in New Zealand. J Disaster Res. 2010; 5(5): 565-575.

Department of the Prime Minister and Cabinet: Ministerial Review: Better Responses to Natural Disasters and Emergencies. Wellington, New Zealand: Ministry of Civil Defence & Emergency Managment, 2017.

Ministry of Civil Defence & Emergency Management: Wellington Earthquake National Initial Response Plan: Supporting Plan [SP 02/17]. Wellington, Aotearoa New Zealand: Ministry of Civil Defence & Emergency Management, 2017. Available at https://www.civildefence.govt.nz/cdem-sector/cdem-framework/guidelines/wellingtonearthquake-national-initial-response-plan/. Accessed June 8, 2018.

Ministry of Civil Defence & Emergency Management: CDEM Capability Assessment Report: Part 2. Wellington, New Zealand: Ministry of Civil Defence & Emergency Management, 2012.

Fogarty ST: Exploring New Zealand’s Capability to Strategically Manage Logistical Responses to Major Civil Defence and Emergency Management Events [master’s thesis]. Palmerston North, New Zealand: Massey University, 2014. Available at http://hdl.handle.net/10179/5815. Accessed July 1, 2018.

Burr V: Social Constructionism. 2nd ed. New York, NY: Routledge, 2003.

Bruner J: Acts of Meaning. Cambridge, MA: Harvard University Press, 1990.

Braun V, Clarke V: Using thematic analysis in psychology. Qual Res Psychol. 2006; 3(2): 77-101. doi:10.1191/1478088706qp063oa.

Hayes N: Doing Psychological Research. Buckingham, UK: Open University Press, 2000.

Hsu E, Jenckes M, Catlett C, et al.: Effectiveness of hospital staff mass-casualty incident training methods: A systematic literature review. Prehosp Disaster Med. 2004; 19(3): 191-199. doi:10.1017/S1049023X00001771.

Rojek A, Little M: Review article: Evacuating hospitals in Australia: What lessons can we learn from the world literature? Emerg Med Australas. 2013; 25: 496-502. doi:10.1111/1742-6723.12160.

Skryabinaa E, Reedyb G, Amlôta R, et al.: What is the value of health emergency preparedness exercises?. A scoping review study. Int J Disaster Risk Reduct. 2017; 21: 274-283. doi:10.1016/j.ijdrr.2016.12.010.

Blake D, Lyons A: Opioid substitution treatment planning in a disaster context: Perspectives from emergency management and health professionals in Aotearoa/New Zealand. Int J Environ Res Public Health. 2016; 13(1122): 2-14. doi:10.3390/ijerph13111122.

Blake D, Marlowe J, Johnston D: Get prepared: Discourse for the privileged? Int J Disaster Risk Reduct. 2017; 25: 283-288. doi:10.1016/j.ijdrr.2017.09.012.

Naser-Hall E: The disposable class: Ensuring poverty consciousness in natural disaster preparedness. DePaul J Soc Justice. 2013; 7(1): 55-86.

Published

09/01/2019

How to Cite

Blake, PhD, D., P. Niland, PhD, and D. M. Johnston, PhD. “Health Emergency Management in Aotearoa New Zealand: Making Sense of Professional Development”. Journal of Emergency Management, vol. 17, no. 5, Sept. 2019, pp. 359-6, doi:10.5055/jem.2019.0435.