Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-22T17:59:11.834Z Has data issue: false hasContentIssue false
  • English
  • Français

Nonclinical Core Competencies and Effects of Interprofessional Teamwork in Disaster and Emergency Response Training and Practice: A Pilot Study

Published online by Cambridge University Press:  03 May 2013

Jennifer Peller ,
Brian Schwartz  and
Simon Kitto
Jennifer Peller
Affiliation:
Continuing Education and Professional Development, Toronto
Brian Schwartz
Affiliation:
Department of Family and Community Medicine, Toronto University of Toronto; Emergency Preparedness, Public Health Ontario, Toronto
Simon Kitto*
Affiliation:
Continuing Education and Professional Development, Toronto Wilson Centre, University Health Network, Public Health Ontario, Toronto
*
Address correspondence and reprint requests to Simon Kitto, PhD, Director of Research, Continuing Education and Professional Development, University of Toronto; 500 University Ave, Ste 650, Toronto, Ontario, M5G 1V7, Canada e-mail [email protected].
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To define and delineate the nontechnical core competencies required for disaster response, Disaster Medical Assistance Team (DMAT) members were interviewed regarding their perspectives and experiences in disaster management. Also explored was the relationship between nontechnical competencies and interprofessional collaboration.

Methods

In-depth interviews were conducted with 10 Canadian DMAT members to explore how they viewed nontechnical core competencies and how their experiences influenced their perceptions toward interprofessonalism in disaster response. Data were examined using thematic analysis.

Results

Nontechnical core competencies were categorized under austere skills, interpersonal skills, and cognitive skills. Research participants defined interprofessionalism and discussed the importance of specific nontechnical core competencies to interprofessional collaboration.

Conclusions

The findings of this study established a connection between nontechnical core competencies and interprofessional collaboration in DMAT activities. It also provided preliminary insights into the importance of context in developing an evidence base for competency training in disaster response and management. (Disaster Med Public Health Preparedness. 2013;0:1–8)

Keywords

interprofessionalismdisasterteamcompetency
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 7 , Issue 4 , August 2013 , pp. 395 - 402
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Dara, SI, Ashton, RW, Farmer, JC, Carlton, PK Jr. Worldwide disaster medical response: an historical perspective. Crit Care Med. 2005;33(1):S2-S6.CrossRefGoogle ScholarPubMed
2.Aitken, P, Canyon, D, Hodge, J, Leggat, P, Speare, R. Disaster Medical Assistance Teams: A Literature Review. Townsville, Queensland, Australia: James Cook University; 2006.Google Scholar
3.Bolton, PA, Weiss, WM. Communicating across cultures: improving translation to improve complex emergency program effectiveness. Prehosp Disaster Med. 2001;16(4):252-256.Google Scholar
4.Sundnes, KO. Health disaster management: guidelines for evaluation and research in the Utstein style: executive summary. Task Force on Quality Control of Disaster Management. Prehosp Disaster Med. 1998;14(2):43-52.Google Scholar
5.Henstra, D, McBean, G. Canadian disaster management policy: moving toward a paradigm shift? Canadian Public Policy/Analyse de Politiques. 2005;31(3):303-318.CrossRefGoogle Scholar
6.Hsu, EB, Thomas, TL, Bass, EB, Whyne, D, Kelen, GD, Green, GB. Healthcare worker competencies for disaster training. BMC Med Edu. 2006;6(1):19.CrossRefGoogle ScholarPubMed
7.Elaine Daily, R, Padjen, P. A review of competencies developed for disaster healthcare providers: limitations of current processes and applicability. Prehosp Disaster Med. 2010;25(5):387-395.Google Scholar
8.Gebbie, K, Merrill, J. Public health worker competencies for emergency response. J Public Health Manag Pract. 2002;8(3):73-81.Google Scholar
9.Willems, A, Waxman, B, Bacon, AK, Smith, J, Peller, J, Kitto, S. Interprofessional non-technical skills for surgeons in disaster response: a qualitative study of the Australian perspective. J Interprof Care. 2013;27:177-183.Google Scholar
10.Markenson, D, DiMaggio, C, Redlener, I. Preparing health professions students for terrorism, disaster, and public health emergencies: core competencies. Acad Med. 2005;80(6):517-526.CrossRefGoogle Scholar
11.Berger, PL, Luckmann, AS. The Social Construction of Reality: A Treatise in the Sociology of Knowledge. New York, NY: Anchor; 1967.Google Scholar
12.Rolfe, G. Validity, trustworthiness and rigour: quality and the idea of qualitative research. J Adv Nurs. 2006;53(3):304-310.CrossRefGoogle ScholarPubMed
13.Denzin, NK, Lincoln, YS. Handbook of Qualitative Research. Thousand Oaks, CA: Sage Publications; 1994.Google Scholar
14.Britten, N. Qualitative interviews in medical research. BMJ. 1995;311:251-253.CrossRefGoogle ScholarPubMed
15.Flick, U. An Introduction to Qualitative Research. Thousand Oaks, CA: Sage Publications; 2009.Google Scholar
16.Walker, D, Myrick, F. Grounded theory: an exploration of process and procedure. Qual Health Res. 2006;16(4):547-559.CrossRefGoogle ScholarPubMed
17.Kitto, SC, Chesters, J, Grbich, C. Quality in qualitative research. Med J Aust. 2008;188(4):243-246.Google Scholar
18.Liamputtong, P, Ezzy, D. Qualitative Research Methods. Malden, MA: John Wiley & Sons; 2006.Google Scholar
19.Hsieh, HF, Shannon, SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-1288.CrossRefGoogle ScholarPubMed
20.Bissell, RA, Becker, BM, Burkle, FM Jr. Health care personnel in disaster response. reversible roles or territorial imperatives? Emerg Med Clin North Am. 1996;14(2):267-288.CrossRefGoogle ScholarPubMed
21.Frisch, T. The international aid perspective. Crisis Response J. 2005;1(2):22-23.Google Scholar
22.McCall, M, Salama, P. Selection, training, and support of relief workers: an occupational health issue. BMJ. 1999;318(7176):113-116.CrossRefGoogle ScholarPubMed
23.Birch, M, Miller, S. Humanitarian assistance: standards, skills, training, and experience. BMJ. 2005;330(7501):1199-1201.CrossRefGoogle Scholar
24.Moore, S, Blasser, E. A new look at disaster medical assistance teams. Mil Med. 1991;156(10):543-546.Google Scholar
25.Wood, F. Burn survival in mass-casualty situation planning, preparation, response: what is the key? Prehosp Disaster Med. 2008;23(04):295-296.CrossRefGoogle ScholarPubMed
26.Ford, JK, Schmidt, AM. Emergency response training: strategies for enhancing real-world performance. J Hazard Mater. 2000;75(2):195-215.CrossRefGoogle ScholarPubMed
27.Reeves, S. An overview of continuing interprofessional education. J Contin Edu Health Prof. 2009;29(3):142-146.Google Scholar
28.Headrick, LA, Wilcock, PM, Batalden, PB. Continuing medical education: interprofessional working and continuing medical education. BMJ. 1998;316(7133):771-774.CrossRefGoogle ScholarPubMed
29.Reeves, S, Rice, K, Conn, LG, Miller, KL, Kenaszchuk, C, Zwarenstein, M. Interprofessional interaction, negotiation and non-negotiation on general internal medicine wards. J Interprof Care. 2009;23(6):633-645.CrossRefGoogle ScholarPubMed
30.Devereaux, AV, Dichter, JR, Christian, MD, et al. Definitive care for the critically ill during a disaster: a framework for allocation of scarce resources in mass critical care: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, IL. Chest. 2008;133(suppl 5):51S-66S.Google Scholar
31.Autrey, P, Moss, J. High-reliability teams and situation awareness: implementing a hospital emergency incident command system. J Nurs Admin. 2006;36(2):67-72.Google Scholar
32.Aitken, P, Leggat, P, Robertson, A, Harley, H, Speare, R, Leclercq, M. Pre-and post-deployment health support provided to Australian Disaster Medical Assistance Team members: results of a national survey. Travel Med Infect Dis. 2009;7(5):305-311.Google Scholar
33.Arnold, JL. Disaster medicine in the 21st century: future hazards, vulnerabilities, and risk. Prehosp Disaster Med. 2002;17(1):3-11.Google Scholar
34.Arnold, JL, Dembry, LM, Dainiak, N, etal. Recommended modifications and applications of the Hospital Emergency Incident Command System for hospital emergency management. Prehosp Disaster Med. 2005;20(05):290-300.CrossRefGoogle Scholar
35.Smiley, DR, Loboda, A, Starling, C, Rubin, J. Transformation from planning to operations: emergency medical services in disaster response. Ann Disaster Med. 2004;3(1):11-26.Google Scholar
36.Mace, SE, Jones, JT, Bern, AI. An analysis of disaster medical assistance team (DMAT) deployments in the United States. Prehosp Emerg Care. 2007;11(1):30-35.CrossRefGoogle ScholarPubMed
37.Franco, C, Toner, E, Waldhorn, R, Inglesby, TV, O'Toole, T. The national disaster medical system: past, present, and suggestions for the future. Biosecur Bioterror. 2007;5(4):319-325.Google Scholar
38.Zane, RD, Prestipino, AL. Implementing the Hospital Emergency Incident Command System: an integrated delivery system's experience. Prehosp Disaster Med. 2004;19(4):311-317.Google Scholar
39.Thomas, TL, Hsu, EB, Kim, HK, Colli, S, Arana, G, Green, GB. The incident command system in disasters: evaluation methods for a hospital-based exercise. Prehosp Disaster Med. 2005;20(01):14-23.Google Scholar
40.Briggs, SM. Disaster management teams. Curr Opin Crit Care. 2005;11(6):585-589.Google Scholar
41.Mccallin, A. Interdisciplinary practice–a matter of teamwork: an integrated literature review. J Clin Nurs. 2001;10(4):419-428.Google Scholar
42.Baxter, SK, Brumfitt, SM. Professional differences in interprofessional working. J Interprof Care. 2008;22(3):239-251.Google Scholar
43.Reeves, S, Lewin, S. Interprofessional collaboration in the hospital: strategies and meanings. J Health Serv Res Policy. 2004;9(4):218-225.Google Scholar