Background: Although training and education have long been accepted as integral to disaster preparedness, many currently taught practices are neither evidence-based nor standardized. The need for effective evidence-based disaster training of healthcare staff at all levels, including the development of standards and guidelines for training in the multi-disciplinary health response to major events, has been designated by the disaster response community as a high priority. We describe the application of systematic evidence-based consensus building methods to derive educational competencies and objectives in criteria-based preparedness and response relevant to all hospital healthcare workers.
Methods: The conceptual development of cross-cutting competencies incorporated current evidence through a systematic consensus building process with the following steps: (1) review of peer-reviewed literature on relevant content areas and educational theory; (2) structured review of existing competencies, national level courses and published training objectives; (3) synthesis of new cross-cutting competencies; (4) expert panel review; (5) refinement of new competencies and; (6) development of testable terminal objectives for each competency using similar processes covering requisite knowledge, attitudes, and skills.
Results: Seven cross-cutting competencies were developed: (1) Recognize a potential critical event and implement initial actions; (2) Apply the principles of critical event management; (3) Demonstrate critical event safety principles; (4) Understand the institutional emergency operations plan; (5) Demonstrate effective critical event communications; (6) Understand the incident command system and your role in it; (7) Demonstrate the knowledge and skills needed to fulfill your role during a critical event. For each of the cross-cutting competencies, comprehensive terminal objectives are described.
Conclusion: Cross-cutting competencies and objectives developed through a systematic evidence-based consensus building approach may serve as a foundation for future hospital healthcare worker training and education in disaster preparedness and response.
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http://dx.doi.org/10.1186/1472-6920-6-19 | DOI Listing |
Environ Manage
December 2024
University of Illinois Urbana-Champaign, Department of Health and Kinesiology, Urbana, IL, USA.
We investigate the governance and environmental justice (EJ) outcomes from the hazard reclassification of ethylene oxide (EtO) by the Environmental Protection Agency in 2016. In response to EtO pollution after 2018, federal and state regulators engaged constituents to respond to complaints about EtO but adhered to a cost-benefit governance approach that ultimately inhibited risk mitigation. We argue risk mitigation was constrained by path dependent approaches that simultaneously enabled recognition of constituent concerns about EtO pollution while minimizing the costs of institutional change.
View Article and Find Full Text PDFMed Humanit
December 2024
University of Brighton, Brighton, UK
In May 2022, when the COVID-19 pandemic began to recede from public view, another infectious disease surprised the world-mpox (formerly monkeypox). It appeared to disproportionately affect gay, bisexual and other men who have sex with men (GBMSM). Using qualitative thematic analysis and social representations theory, we analysed a corpus of 91 items from a variety of news outlets that included GBMSM community members' personal accounts of living through an mpox outbreak.
View Article and Find Full Text PDFEnviron Int
December 2024
Institute for Global Health, University College London, London, United Kingdom.
Background: The health impacts of climate change have been increasingly recognised for the past years. However, it remains unclear how this has translated into funding for health adaptation and health co-benefits of climate mitigation.
Methods: We analysed the projects funded by the Green Climate Fund (GCF) between 2021 and 2023 and the Adaptation Fund between 2019 and 2024 to estimate the amount of funding provided for health adaptation and the health co-benefits of climate mitigation.
Prev Med Rep
December 2024
Centre for Epidemiology and Community Medicine, Region Stockholm, Sweden.
Objective: In Sweden, the prevalence of daily smoking has decreased substantially over the past few decades. However, a socioeconomic divide is evident, contributing to health inequities. The current study focuses on the needs, facilitators, and barriers in relation to quitting smoking among individuals in disadvantaged areas and explores their perception of digital tools for smoking cessation.
View Article and Find Full Text PDFConfl Health
December 2024
Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
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