Should we offer disaster preparedness and response training workshops across Idaho? A feasibility study
Keywords:planning, disaster, mass casualties, disaster medicine, Idaho, United States
Introduction: It is important for individuals and families to prepare for potential disasters to enable communities to generate a consolidated response. It is estimated that 30 percent of residents of the fourth largest city in Idaho, Idaho Falls, are not prepared to deal with disasters. A 1-day training workshop for healthcare professionals and students at Idaho State University in Pocatello was organized to build their capacity for acute disaster response and preparedness. This study assesses the impact of the workshop in improving knowledge and attitudes of the participants toward disaster management.
Methods: A mixed methods study design was employed. Pre- and post-tests were administered to the participants (n = 18) to examine change in self-perceived understanding of disasters, and disaster preparedness and management. Core competencies encompassing knowledge of disaster preparedness were assessed via 18 multiple-choice questions. Participant attitudes toward disaster training exercises in colleges, universities, and healthcare facilities were recorded, and written feedback regarding the workshop obtained. Chi-square and paired t-tests were used to examine changes in disaster preparedness and cumulative knowledge score. Quantitative variables and comments were analyzed using Stata.v.13 and Maxqda, respectively.
Results: Our assessment indicates an improvement in mean knowledge score [pretest: 10.7 (2.8), post-test: 12.5 (2.9); p = 0.007] and self-perceived disaster preparedness and management. The attitude of audience toward training workshops was wholly positive in both the pre- and post-tests. Participants commented that the workshop was “excellent,” helped them polish their knowledge and skills, trained them to build emergency kits and communication plans, and perform triage amidst crises.
Conclusion: Training workshops should be offered to communities to build their capacity to prepare for and respond to disasters.
Ghebreyesus TA: All roads lead to universal health coverage. 2017. Available at https://www.who.int/news-room/commentaries/detail/all-roads-lead-to-universal-health-coverage. Accessed June 18, 2021.
The World Bank: Hospital beds (per 1,000 people). 2021. Available at https://data.worldbank.org/indicator/SH.MED.BEDS.ZS. Accessed June 10, 2021.
World Health Organization: The World Health Report 2007—A safer future: Global public health security in the 21st century. 2010. Available at https://www.who.int/whr/2007/whr07_en.pdf. Accessed June 4, 2021.
Coetzee C, Van Niekerk D: Tracking the evolution of the disaster management cycle: A general system theory approach. J Disaster Risk Stud. 2012; 4(1): 1-9.
Independent Panel for Pandemic Preparedness and Response: COVID-19. Make it the last pandemic. 2021. Available at https://theindependentpanel.org/mainreport/. Accessed June 10, 2021.
Dalglish SL: COVID-19 gives the lie to global health expertise. Lancet. 2020; 395(10231): 1189.
Lal A, Erondu NA, Heymann DL, et al.: Fragmented health systems in COVID-19: Rectifying the misalignment between global health security and universal health coverage. Lancet. 2021; 397(10268): 61-67.
Lal A, Ashworth HC, Dada S, et al.: Optimizing pandemic preparedness and response through health information systems: Lessons learned from Ebola to COVID-19. Disaster Med Public Health Prep. 2020; 1-8. DOI: 10.1017/dmp.2020.361.
US Department of Homeland Security: National preparedness guidelines. 2007. Available at https://www.fema.gov/pdf/emergency/nrf/National_Preparedness_Guidelines.pdf. Accessed September 1, 2021.
Usher AD: Health systems neglected by COVID-19 donors. Lancet. 2021; 397(10269): 83.
Gopinath G, Long A: Uneven and uncertain ascent; IMF blog. 2020. Available at https://blogs.imf.org/2020/10/13/a-long-unevenand-uncertain-ascent/. Accessed June 19, 2021.
Roberton T, Carter ED, Chou VB, et al.: Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: A modelling study. Lancet Glob Health. 2020; 8(7): e901-e908.
Ostadtaghizadeh A, Ardalan A, Paton D, et al.: Community disaster resilience: A systematic review on assessment models and tools. PLoS Curr. 2015; 7. DOI: 10.1371/currents.dis.f224ef8efbdfcf1d508dd0de4d8210ed.
Becker JS, Paton D, Johnston DM, et al.: The role of prior experience in informing and motivating earthquake preparedness. Int J Disaster Risk Reduct. 2017; 22: 179-193.
Kapucu NJD: Collaborative emergency management: Better community organising, better public preparedness and response. Disasters. 2008; 32(2): 239-262.
Annis H, Jacoby I, DeMers GJP, et al.: Prehosp Disaster Med. 2016; 31(2): 132-140.
Tanaka KJAG: The impact of disaster education on public preparation and mitigation for earthquakes: A cross-country comparison between Fukui, Japan and the San Francisco Bay Area, California, USA. Appl Geol. 2005; 25(3): 201-225.
Eisenman DP, Zhou Q, Ong M, et al.: Variations in disaster preparedness by mental health, perceived general health, and disability status. Disaster Med Public Health Prep. 2009; 3(1): 33-41.
Johnston D, Becker J, Gregg C, et al.: Developing warning and disaster response capacity in the tourism sector in coastal, Washington, USA. Disaster Preven Manag. 2007; 16(2): 210-216.
Conley J: Child labor–robbing children of their youth. Pediatr Nurs. 2000; 26(6): 637-638.
Kiltz L, Fonseca D, Rodriguez C, et al.: Assessment of pandemic preparedness in a socially vulnerable community in South Texas. J Health Hum Serv Adm. 2013; 36(2): 164-207.
Kohn S, Eaton JL, Feroz S, et al.: Personal disaster preparedness: An integrative review of the literature. Disaster Med Public Health Prep. 2012; 6(3): 217-231.
Chen S, Zhang Z, Yang J, et al.: Fangcang shelter hospitals: A novel concept for responding to public health emergencies. Lancet. 2020; 395(10232): 1305-1314.
Idaho Office of Emergency Management: State hazard mitigation plan. 2021. Available at https://ioem.idaho.gov/preparednessand-protection/mitigation/state-hazard-mitigation-plan/. Accessed September 16, 2021.
USGS: Magnitude 6.5 earthquake felt in Central Idaho. 2020. Available at https://www.usgs.gov/news/magnitude-65-earthquakefelt-central-idaho. Accessed September 15, 2021.
Oliver L: Providing end-of-life care in a nightingale hospital. Br J Nurs. 2020; 29(17): 1044-1045.
HealthCare New Zealand: Free mental wellbeing support for frontline health workers. 2020. Available at https://www.healthcarenz.co.nz/wellbeing-services/. Accessed June 10, 2021.
World Population Review: Idaho Falls, Idaho population. 2021. Available at https://worldpopulationreview.com/us-cities/idahofalls-id-population. Accessed August 30, 2021.
Idaho National Laboratory: The nation’s nuclear energy laboratory. Available at https://inl.gov/research-programs/nuclear-energy/. Accessed August 30, 2021.
Reuters Staff: Brazil to hire more doctors to fight coronavirus, including Cubans. Reuters. 2020. Available at https://www.reuters.com/article/us-health-coronavirus-brazil-cuba-idUKKBN21340F. Accessed June 10, 2021.
Disaster Response Complex: Idaho State University. 2020. Available at https://isu.edu/cee/research-facilities/drc/. Accessed September 15, 2020.
CEWT Talk Season 3-Ep. 31: A personal mission to change a system. 2021. Available at https://www.youtube.com/watch?v=HNsY75Nm1ZA. Accessed September 19, 2021.
Dayley I: Idaho State University. Dr. Meesha Iqbal: Invested in public health. 2021. Available at https://blog.cetrain.isu.edu/blog/dr.-meesha-iqbal-invested-in-public-health?fbclid=IwAR0RvdkBOm80a7xaj75mhHvXHFC30QjZ3O3XzKJxWQArFi5VDZPeyU9cp5I. Accessed September 19, 2021.
Béné C: Resilience of local food systems and links to food security—A review of some important concepts in the context of COVID-19 and other shocks. Food Sec. 2020; 12: 805-818.
Gallardo R, 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.
Kamal A, Songwathana P, Sia WS: Knowledge and skills of emergency care during disaster for community health volunteers: A literature review. Nurse Media. 2012; 2(2): 154914.
Mitchell CS, Doyle ML, Moran JB, et al.: Worker training for new threats: A proposed framework. Am J Ind Med. 2004; 46(5): 423-431.
Xia R, Li S, Chen B, et al.: Evaluating the effectiveness of a disaster preparedness nursing education program in Chengdu, China. Public Health Nurs. 2020; 37(2): 287-294.
Mubarak A, Amiruddin R, Gaus S, eds.: The effectiveness of disaster prevention and mitigation training for the students in disaster prone areas. In IOP Conference Series: Earth and Environmental Science. IOP Publishing, 2019.
Juanita F, Suratmi S, Maghfiroh IL: The effectiveness of basic training via disaster management pilot programs for disaster preparedness in the community. J INJEC. 2018; 2(2): 126-135.
Mirzaei S, Eftekhari A, Sadeghian MR, et al.: The effect of disaster management training program on knowledge, attitude, and practice of hospital staffs in natural disasters. J Dis Emer Res. 2020; 2(1): 9-16.
Bistaraki A, Waddington K, Galanis PJ: The effectiveness of a disaster training programme for healthcare workers in Greece. Int Nurs Rev. 2011; 58(3): 341-346.
Burki T: Global shortage of personal protective equipment. Lancet Infect Dis. 2020; 20(7): 785-786.
Blandford A, Wesson J, Amalberti R, et al.: Opportunities and challenges for telehealth within, and beyond, a pandemic. Lancet Glob Health. 2020; 8(11): e1364-e1365.
Hsu EB, Jenckes MW, Catlett CL, et al.: Effectiveness of hospital staff mass-casualty incident training methods: A systematic literature review. Prehosp Disaster Med. 2004; 19(3): 191-199.
Bogdan EEA, Roszko AM, Beckie MA: We’re ready! Effectiveness of community disaster preparedness workshops across different community groups in Alberta, Canada. Int J Dis Risk Reduc. 2021; 55: 102060.
Government of Sri Lanka: Part 1: Section (I)—General government notifications. Colombo. 2020.
Idaho State University: Disaster Preparedness and Response Conference. 2022. Available at https://cetrain.isu.edu/enrollment/course/disaster-preparedness-response-conference/. Accessed March 3, 2022.
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