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Veterans Health Administration’s Disaster Emergency Medical Personnel System (DEMPS) Training Evaluation: Potential Implications for Disaster Health Care Volunteers

Published online by Cambridge University Press:  20 February 2018

Susan Schmitz*
Affiliation:
US Department of Veterans Affairs, Veterans Health Administration, Veterans Emergency Management Evaluation Center, Los Angeles, California
Tiffany A. Radcliff
Affiliation:
US Department of Veterans Affairs, Veterans Health Administration, Veterans Emergency Management Evaluation Center, Los Angeles, California Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station, Texas
Karen Chu
Affiliation:
US Department of Veterans Affairs, Veterans Health Administration, Veterans Emergency Management Evaluation Center, Los Angeles, California
Robert E. Smith
Affiliation:
US Department of Veterans Affairs, Veterans Health Administration, Veterans Emergency Management Evaluation Center, Los Angeles, California
Aram Dobalian
Affiliation:
US Department of Veterans Affairs, Veterans Health Administration, Veterans Emergency Management Evaluation Center, Los Angeles, California Division of Health Systems Management and Policy, School of Public Health, University of Memphis, Memphis, Tennessee
*
Correspondence and reprint requests to Susan Schmitz, MAIDP, US Department of Veterans Affairs, 16111 Plummer Street, MS 152, North Hills, CA 91343 (e-mail: [email protected]).

Abstract

Objective

The US Veterans Health Administration’s Disaster Emergency Medical Personnel System (DEMPS) is a team of employee disaster response volunteers who provide clinical and non-clinical staffing assistance when local systems are overwhelmed. This study evaluated attitudes and recommendations of the DEMPS program to understand the impact of multi-modal training on volunteer perceptions.

Methods

DEMPS volunteers completed an electronic survey in 2012 (n=2120). Three training modes were evaluated: online, field exercise, and face-to-face. Measures included: “Training Satisfaction,” “Attitudes about Training,” “Continued Engagement in DEMPS.” Data were analyzed using χ2 and logistic regression. Open-ended questions were evaluated in a manner consistent with grounded theory methodology.

Results

Most respondents participated in DEMPS training (80%). Volunteers with multi-modal training who completed all 3 modes (14%) were significantly more likely to have positive attitudes about training, plan to continue as volunteers, and would recommend DEMPS to others (P-value<0.001). Some respondents requested additional interactive activities and suggested increased availability of training may improve volunteer engagement.

Conclusions

A blended learning environment using multi-modal training methods, could enhance satisfaction and attitudes and possibly encourage continued engagement in DEMPS or similar programs. DEMPS training program modifications in 2015 expanded this blended learning approach through new interactive online learning opportunities. (Disaster Med Public Health Preparedness. 2018;12:744-751)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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References

1. Rottman, SJ, Shoaf, KI, Dorian, A. Development of a training curriculum for public health preparedness. J Public Health Manag Pract. 2005;Suppl:S128-S131.Google Scholar
2. James, JJ, Benjamin, GC, Burkle, FM, et al. Disaster medicine and public health preparedness: a discipline for all health professionals. Disaster Med Public. 2010;4(2):102-107.Google Scholar
3. Frasca, DR. The medical reserve corps as part of the federal medical and public health response in disaster settings. Biosecur Bioterror. 2010;8(3):1-7.Google Scholar
4. Davidson, JE, Sekayan, A, Agan, D, et al. Disaster dilemma factors affecting decision to come to work during a natural disaster. Adv Emerg Nurs J. 2009;31(3):248-257.Google Scholar
5. US Department of Veterans Affairs. Office of Budget page. Department of Veterans Affairs – Budge in Brief 2018. https://www.va.gov/budget/docs/summary/fy2018VAbudgetInBrief.pdf. Accessed July 13, 2017.Google Scholar
6. Zagelbaum, NK, Heslin, KC, Stein, JA, et al. Factors influencing readiness to deploy in disaster response: findings from a cross-sectional survey of the Department of Veterans Affairs Disaster Emergency Medical Personnel System. BMC Emerg Med. 2014;14(16). https://doi.org/10.1186/1471-227X-14-16 Google Scholar
7. Jose, MM, Dufrene, C. Educational competencies and technologies for disaster preparedness in undergraduate nursing education: an integrative review. Nures Educ Today. 2014;34:543-551.Google Scholar
8. Collander, B, Green, B, Millo, Y, et al. Development of an “all-hazards” hospital disaster preparedness training course utilizing multi-modality teaching. Prehosp Disaster Med. 2008;23(1):63-67.Google Scholar
9. Ye, J, Stanford, S, Gousse, T, et al. Developing strong response capacity: training volunteers in the medical reserve corps. Disaster Med Public. 2014;8:527-532.Google Scholar
10. Hsu, EB, Jenckes, MW, Catlett, CL, et al. Training of hospital staff to respond to a mass casualty incident. Evidence Report/Technology Assessment No. 95. AHRQ Publication No. 04-E015-2. Agency for Healthcare Research and Quality, Rockville, MD; 2004.Google Scholar
11. Miller, GT, Scott, JA, Issenberg, SB, et al. Development, implementation and outcomes of a training program for responders to acts of terrorism. Prehosp Emerg Care. 2006;10:239-246.Google Scholar
12. Chung, S, Mandl, KD, Shannon, M, et al. Efficacy of an educational web site for educating physicians about bioterrorism. Acad Emerg Med. 2004;11(2):143-148.Google Scholar
13. Summerhill, EM, Mathew, MC, Stipho, S, et al. A simulation-based biodefense and disaster preparedness curriculum for internal medicine residents. Med Teach. 2008;30:e145-e151.Google Scholar
14. Idrose, AM, Adnan, WAW, Villa, GF, et al. The use of classroom training and simulation in the training of medical responders for airport disaster. Emerg Med J. 2007;24:7-11.Google Scholar
15. Chaput, CJ, Deluhery, MR, Stake, CE, et al. Disaster training for prehospital providers. Prehosp Emerg Care. 2007;11(4):458-465.Google Scholar
16. Ingrassia, PL, Ragazzoni, L, Tengattini, M, et al. Nationwide program of education for undergraduates in the field of disaster medicine: development of a core curriculum centered on blended learning and simulation tools. Prehosp Disaster Med. 2014;29(5):1-8.Google Scholar
17. Curran, V, Reid, A, Reis, P, et al. The use of information and communication technologies in the delivery of interprofessional education: a review of evaluation outcome levels. J Interprof Care. 2015;29(6):541-550.Google Scholar
18. Qureshi, K, Gershon, RM, Conde, F. Factors that influence medical reserve corps recruitment. Prehosp Disaster Med. 2008;23(suppl 1):s27-s34.Google Scholar
19. 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.Google Scholar