2.50
Hdl Handle:
http://hdl.handle.net/10755/162358
Type:
Presentation
Title:
Who Will Show Up? Estimating Hospital Staff Response in Disaster
Abstract:
Who Will Show Up? Estimating Hospital Staff Response in Disaster
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Adams, Lavonne, RN, PhD
P.I. Institution Name:University of Cincinnati
Title:Assistant Professor
Contact Address:3110 Vine Street, Cincinnati, OH, 45221-0038, USA
Contact Telephone:513-558-4384
Co-Authors:Devon Berry, RN, PhD
[ENA Annual Conference - Research Presentation]

Purpose: Health care organizations routinely make disaster plans. Inherent is the assumption that staff will be available to carry out the details of these plans. Recent studies suggest this assumption may be seriously flawed. Our purpose is to (1) determine the willingness of health care personnel to report to work and (2) to identify barriers to reporting to work in time of disaster.

Design: Cross-sectional survey

Setting: A Midwestern community-based healthcare network located near a high-value terrorism target.

Participants/Subjects: Over 8000 employees representing groups critical to a disaster response (e.g. engineering, nursing, medicine) drawn from six acute care settings.

Methods: Web-based and paper surveys are used to assess demographics and willingness/ability to report. A pre-survey was conducted to determine what format of survey staff groups would prefer. Depending on the response, the survey is being distributed as either hard copy or as web-based to the various groups. After first distribution, up to three reminders will be sent to employees encouraging participation. All responses will be anonymous to encourage honest and candid responses. The survey sets forth various scenarios particular to the locality where the research is being conducted (for example, a terrorist attack on a major nearby military installation). Participants are asked to indicate whether or not they would report to work, and to identify what potential barriers would prevent them from reporting. Demographic characteristics are also collected.

Results/Outcomes: Based on previously published studies, it is anticipated that rates of intention to report to work during a time of disaster will be far lower than the requirements of the institutionÆs disaster plan. In addition, it is likely that significant perceived and real barriers will be reported. We also anticipate that rates of intention to report and rationale for not reporting will vary by staff groups and other demographic characteristics. Groups considered to be front-line responders, such as emergency room personnel, will receive further analysis to determine if significant differences in response rates exist in comparison to other groups. Comparisons to studies made in the Northeast and Southwest will also be made. Data collection for this study is ongoing and will be complete by June of 2010.

Implications: The "ability to manage a sudden, unexpected increase in patient volume that would otherwise severely challenge or exceed the current capacity of the health care system" (or surge capacity) is a key component to disaster preparedness. Little research has focused on the staff component of surge capacity. Consistent with AHRQ and CDC goals, our study seeks to increase the knowledge in this arena of preparedness. Such knowledge can be used to develop disaster plans that account for realistic "report to work" rates and be used to develop interventions which will encourage a stronger staff response.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleWho Will Show Up? Estimating Hospital Staff Response in Disasteren_GB
dc.identifier.urihttp://hdl.handle.net/10755/162358-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Who Will Show Up? Estimating Hospital Staff Response in Disaster</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Adams, Lavonne, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Cincinnati</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3110 Vine Street, Cincinnati, OH, 45221-0038, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">513-558-4384</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">L.adams2@tcu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Devon Berry, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Research Presentation] <br/><br/>Purpose: Health care organizations routinely make disaster plans. Inherent is the assumption that staff will be available to carry out the details of these plans. Recent studies suggest this assumption may be seriously flawed. Our purpose is to (1) determine the willingness of health care personnel to report to work and (2) to identify barriers to reporting to work in time of disaster.<br/><br/>Design: Cross-sectional survey<br/><br/>Setting: A Midwestern community-based healthcare network located near a high-value terrorism target.<br/><br/>Participants/Subjects: Over 8000 employees representing groups critical to a disaster response (e.g. engineering, nursing, medicine) drawn from six acute care settings.<br/><br/>Methods: Web-based and paper surveys are used to assess demographics and willingness/ability to report. A pre-survey was conducted to determine what format of survey staff groups would prefer. Depending on the response, the survey is being distributed as either hard copy or as web-based to the various groups. After first distribution, up to three reminders will be sent to employees encouraging participation. All responses will be anonymous to encourage honest and candid responses. The survey sets forth various scenarios particular to the locality where the research is being conducted (for example, a terrorist attack on a major nearby military installation). Participants are asked to indicate whether or not they would report to work, and to identify what potential barriers would prevent them from reporting. Demographic characteristics are also collected.<br/><br/>Results/Outcomes: Based on previously published studies, it is anticipated that rates of intention to report to work during a time of disaster will be far lower than the requirements of the institution&AElig;s disaster plan. In addition, it is likely that significant perceived and real barriers will be reported. We also anticipate that rates of intention to report and rationale for not reporting will vary by staff groups and other demographic characteristics. Groups considered to be front-line responders, such as emergency room personnel, will receive further analysis to determine if significant differences in response rates exist in comparison to other groups. Comparisons to studies made in the Northeast and Southwest will also be made. Data collection for this study is ongoing and will be complete by June of 2010.<br/><br/>Implications: The &quot;ability to manage a sudden, unexpected increase in patient volume that would otherwise severely challenge or exceed the current capacity of the health care system&quot; (or surge capacity) is a key component to disaster preparedness. Little research has focused on the staff component of surge capacity. Consistent with AHRQ and CDC goals, our study seeks to increase the knowledge in this arena of preparedness. Such knowledge can be used to develop disaster plans that account for realistic &quot;report to work&quot; rates and be used to develop interventions which will encourage a stronger staff response.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:26:47Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:26:47Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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