Exploring disaster preparedness in an obstetric unit in a district hospital in the Western Cape Province.
Humans
Female
Disaster Planning
/ organization & administration
Hospitals, District
Adult
COVID-19
/ epidemiology
Pregnancy
Qualitative Research
Health Knowledge, Attitudes, Practice
Attitude of Health Personnel
Obstetrics and Gynecology Department, Hospital
/ organization & administration
Male
Nursing Staff, Hospital
/ psychology
SARS-CoV-2
Disaster
Emergency
Maternal
Midwives
Neonatal
Nurses
Obstetric
Pandemic
Preparedness
Public
Response
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
21 May 2024
21 May 2024
Historique:
received:
27
12
2023
accepted:
13
05
2024
medline:
22
5
2024
pubmed:
22
5
2024
entrez:
21
5
2024
Statut:
epublish
Résumé
Research on disaster preparedness in public hospitals is limited, and specialised units such as obstetric departments need to be even more prepared when rendering health care to vulnerable populations. Disasters can be natural, such as floods due to human interventions, sinkholes due to mining, or pandemic occurrences, such as the recent COVID-19 pandemic. Research on disaster preparedness is limited, and even more so in specialised units such as obstetrics and evacuating a ward of maternal and neonatal patients present unique challenges. Being prepared for any disaster is the only assurance of effective patient healthcare during a disaster. This study explored and described nurses' knowledge and attitudes regarding preparedness for a disaster in an obstetric unit in a public institution. The study aimed to make recommendations to improve disaster preparedness in an obstetric ward based on the nurses' knowledge and attitudes. This study utilised an exploratory, descriptive qualitative design within a contextual approach. The data were acquired through individual interviews that were done using a semi-structured interview schedule. An observational walkabout was performed with the unit manager to validate interviewee responses. The study employed purposive sampling with a sample size of 17 nurses (N = 32, n = 17) and a response rate of 53%. The interviews were transcribed verbatim, and later, the data underwent analysis using theme analysis and a co-coder. The results indicate that the participants demonstrate an awareness of disaster terminology but need more assertiveness in executing the institutional disaster policy. The results illustrate that more frequent training, disaster rehearsals, and simulations should be implemented to improve disaster readiness. Strategies are recommended to enhance preparedness for a disaster in the obstetric unit. The study findings recommend more education and training opportunities that should be regularly instilled as a practice within the obstetric ward. More disaster drills and simulation exercises should be performed to ensure confidence in disaster preparedness. Obstetric staff of all levels should be involved with policymaking and disaster plan development.
Sections du résumé
BACKGROUND
BACKGROUND
Research on disaster preparedness in public hospitals is limited, and specialised units such as obstetric departments need to be even more prepared when rendering health care to vulnerable populations. Disasters can be natural, such as floods due to human interventions, sinkholes due to mining, or pandemic occurrences, such as the recent COVID-19 pandemic. Research on disaster preparedness is limited, and even more so in specialised units such as obstetrics and evacuating a ward of maternal and neonatal patients present unique challenges. Being prepared for any disaster is the only assurance of effective patient healthcare during a disaster. This study explored and described nurses' knowledge and attitudes regarding preparedness for a disaster in an obstetric unit in a public institution. The study aimed to make recommendations to improve disaster preparedness in an obstetric ward based on the nurses' knowledge and attitudes.
METHODS
METHODS
This study utilised an exploratory, descriptive qualitative design within a contextual approach. The data were acquired through individual interviews that were done using a semi-structured interview schedule. An observational walkabout was performed with the unit manager to validate interviewee responses. The study employed purposive sampling with a sample size of 17 nurses (N = 32, n = 17) and a response rate of 53%. The interviews were transcribed verbatim, and later, the data underwent analysis using theme analysis and a co-coder.
RESULTS
RESULTS
The results indicate that the participants demonstrate an awareness of disaster terminology but need more assertiveness in executing the institutional disaster policy. The results illustrate that more frequent training, disaster rehearsals, and simulations should be implemented to improve disaster readiness. Strategies are recommended to enhance preparedness for a disaster in the obstetric unit.
CONCLUSION
CONCLUSIONS
The study findings recommend more education and training opportunities that should be regularly instilled as a practice within the obstetric ward. More disaster drills and simulation exercises should be performed to ensure confidence in disaster preparedness. Obstetric staff of all levels should be involved with policymaking and disaster plan development.
Identifiants
pubmed: 38773494
doi: 10.1186/s12913-024-11104-x
pii: 10.1186/s12913-024-11104-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
654Informations de copyright
© 2024. The Author(s).
Références
World Health Organization & EcoHealth Alliance (WHO & EHA). Disasters and emergencies: definitions training package. 2002. https://apps.who.int/disasters/repo/7656.pdf Accessed 14 May 2022.
Ortiz-Barrios M, Gul M, López-Meza P, Yucesan M, Navarro-Jiménez E. Evaluation of hospital disaster preparedness by a multi-criteria decision making approach: the case of Turkish hospitals. Int J Disaster risk Reduct. 2020;49. https://doi.org/10.1016/j.ijdrr.2020.101748
Farah B, Pavlova M, Groot W. Hospital disaster preparedness in sub-saharan Africa: a systematic review of English literature. BMC Emerg Med. 2023;23(71). https://doi.org/10.1186/s12873-023-00843-5
Ayenew T, Tassew SF, Workneh BS. Level of emergency and disaster preparedness of public hospitals in Northwest Ethiopia: a cross-sectional study. Afr J Emerg Med. 2022;12(3):246–51.
doi: 10.1016/j.afjem.2022.05.007
pubmed: 35795819
pmcid: 9249593
Shrivastava P. Principles of emergency planning and management. Risk Manage. 2002;5(2):67–67. https://doi.org/10.1057/palgrave.rm.8240152
doi: 10.1057/palgrave.rm.8240152
Australian Institute for Disaster Resilience. Australian Disaster Resilience Knowledge Hub -Glossary. 2017. https://knowledge.aidr.org.au/glossary/?wordOfTheDayId=&keywords=α=R&page=2&results=50ℴ=AZ . Accessed 24 April 2024.
World Health Organization. Hospital safety index: a guide for evaluators. 2015. Retrieved 26/09/2023 from https://iris.who.int/bitstream/handle/10665/258966/9789241548984-eng.pdf?sequence=1&isAllowed=y . Accessed 24 April 2024.
Sahoo KC, Negi S, Patel K, Mishra BK, Palo SK, Pati S. Challenges in maternal and child health services delivery and access during pandemics or public health disasters in low-and middle-income countries. Healthcare. 2021;9(282):1–15.
Samsuddin NM, Takim R, Nawawi AH, Alwee SNAS. Disaster preparedness attributes and hospital’s resilience in Malaysia. Procedia Eng. 2018;212:371–8.
doi: 10.1016/j.proeng.2018.01.048
Hodge AJ, Miller EL, Skaggs MKD. Nursing self-perceptions of emergency preparedness at a rural hospital. J Emerg Nurs. 2017;43(1):10–4.
doi: 10.1016/j.jen.2015.07.012
pubmed: 26454637
Kingsley JP, Vijay PK, Kumaresan J, Kumaresan J, Sathiakumar N. The changing aspects of motherhood in face of the COVID-19 pandemic in low- and middle-income countries. Matern Child Health J. 2021;25:15–21. https://doi.org/10.1007/s10995-020-03044-9
doi: 10.1007/s10995-020-03044-9
pubmed: 33244678
Boyles AL, Beverly BE, Fenton SE, Jackson CL, Jukic AZ, Sutherland VL, Baird DD, Chandler KJ. Environmental factors involved in maternal morbidity and mortality. J Women’s Health. 2021;30:2. https://doi.org/10.1089/jwh.2020.8855
doi: 10.1089/jwh.2020.8855
Statistics South Africa (Stats SA). South Africa Demographic and Health Survey 2016 Key Findings. 2017. https://dhsprogram.com/pubs/pdf/SR248/SR248.pdf . Accessed 16 August 2023.
Ngobeni V, Breitenbach MC, Aye GC. Technical efficiency of provincial public healthcare in South Africa. BMC J Cost Eff Resource Allocation. 2020;18(3). https://doi.org/10.1186/s12962-020-0199-y
Suzuki E, Kouame C, Mills S. Progress in reducing maternal mortality has stagnated and we are not on track to achieve the SDG target: New UN report. 2023. https://blogs.worldbank.org/opendata/progress-reducing-maternal-mortality-has-stagnated-and-we-are-not-track-achieve-sdg-target . Accessed 9 September 2023.
Department of Health [DoH]. South African Maternal, Perinatal, and Neonatal Health Policy. 2021. https://knowledgehub.health.gov.za/elibrary/south-african-maternal-perinatal-and-neonatal-health-policy . Accessed 26 February 2023.
Sharma SK, Rani R. Nurse-to-patient ratio and nurse staffing norms for hospitals in India: a critical analysis of national benchmarks. J Family Med Prim care. 2020;9(6):2631–7. https://doi.org/10.4103/jfmpc.jfmpc_248_20
doi: 10.4103/jfmpc.jfmpc_248_20
pubmed: 32984099
pmcid: 7491754
Saunders M, Lewis P, Thornhill A. Research methods for business students. 9th ed. Edinburgh: Pearson Education Limited; 2023.
Stander M. Hospital disaster planning in the Western Cape: Are we ready for 2010? [Dissertation- MA]. Cape Town: UCT. 2008.
Moabi MR. Knowledge, attitudes and practices of health care workers regarding disaster preparedness at Johannesburg hospital in Gauteng Province, South Africa. [Dissertation- MPH]. Johannesburg: University of the Witwatersrand. 2008.
Caulfield J. How to Do Thematic Analysis | A Step-by-Step Guide & Examples. 2022. https://www.scribbr.com/methodology/thematic-analysis/ . Accessed 16 May 2022.
Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2006;3:77–101.
doi: 10.1191/1478088706qp063oa
Aykan EB, Fidancı BE, Yıldız D. Assessment of nurses’ preparedness for disasters. Int J Disaster Risk Reduct. 2022;68. https://doi.org/10.1016/j.ijdrr.2021.102721
Al-Thobaity A, Alamri S, Plummer V, Williams B. Exploring the necessary disaster plan components in Saudi Arabian hospitals. Int J Disaster Risk Reduct. 2019;41. https://doi.org/10.1016/j.ijdrr
Skryabina EA, Betts N, Reedy G, Riley P, Amlôt R. The role of emergency preparedness exercises in the response to a mass casualty terrorist incident: a mixed methods study. Int J Disaster Risk Reduct. 2020;46. https://doi.org/10.1016/j.ijdrr.2020.101503
Mahdi SS, Jafri HA, Allana R, Battineni G, Khawaja M, Sakina S, Agha D, Rehman K, Amenta F. Systematic review on the current state of disaster preparation Simulation exercises (SimEx). BMC Emerg Med. 2023;23:52. https://doi.org/10.1186/s12873-023-00824-8
doi: 10.1186/s12873-023-00824-8
pubmed: 37226121
pmcid: 10206538
Al Harthi M, Al Thobaity A, Al Ahmari W, Almalki M. Challenges for nurses in disaster management: a scoping review. Risk Manage Healthc Policy. 2020;13:2627–34. https://doi.org/10.2147/RMHP.S279513
doi: 10.2147/RMHP.S279513
Schumacher L, Senhaji S, Gartner BA, et al. Full-scale simulations to improve disaster preparedness in hospital pharmacies. BMC Health Serv re. 2022;22:853. https://doi.org/10.1186/s12913-022-08230-9
doi: 10.1186/s12913-022-08230-9
Barfield WD, Krug SE. Disaster preparedness in neonatal intensive care units. Am Acad Pediatr. 2017;139(5). https://doi.org/10.1542/peds.2017-0507
Said NB, Molassiotis A, Chiang VCL. Psychological preparedness for disasters among nurses with disaster field experience: an international online survey. Int J Disaster Risk Reduct. 2023;46. https://doi.org/10.1016/j.ijdrr.2020.101533
Goniewicz K, Goniewicz M. Disaster preparedness and professional competence among Healthcare providers: pilot study results. Sustainability. 2020;12(12):4931.
doi: 10.3390/su12124931
Tas F, Cakir M. Nurses’ knowledge levels and preparedness for disasters: a systematic review. Int J Disaster Risk Reduct. 2022;80. https://doi.org/10.1016/j.ijdrr.2022.103230
Skryabina E, Reedy G, Amlôt R, Jaye P, Riley P. What is the value of health emergency preparedness exercises? A scoping review study. Int J Disaster Risk Reduct. 2017;21:274–83. https://doi.org/10.1016/j.ijdrr.2016.12.010
doi: 10.1016/j.ijdrr.2016.12.010
Monteblanco A, Leyser-Whalen O. Thinking outside of the hospital and nurse-midwife paradigms: a qualitative examination of midwifery in times of natural disasters. Int J Mass Emergencies Disaster. 2019;37(2):138–73. https://doi.org/10.1177/028072701903700204
doi: 10.1177/028072701903700204
Abir G, Daniels K. Multidisciplinary disaster planning for obstetrics. 2019. https://www.apsf.org/article/multidisciplinary-disaster-planning-for-obstetrics/ . Accessed 16 August 2023.
Sarma D, Das A, Dutta P, Bera UK. A cost minimization resource allocation model for disaster relief operations with an information crowdsourcing-based MCDM approach. IEEE Trans Eng Manage. 2022;69(5):2454–74. https://doi.org/10.1109/TEM.2020.3015775
doi: 10.1109/TEM.2020.3015775
World Medical Association. WMA Declaration of Helsinki – Ethical principles for medical research involving human subjects. 2023. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/ . Accessed 28 December 2023.