Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-05-20T05:03:42.119Z Has data issue: false hasContentIssue false
  • English
  • Français

Common Domains of Core Competencies for Hospital Health Care Providers in Armed Conflict Zones: A Systematic Scoping Review

Published online by Cambridge University Press:  27 April 2020

Zakaria A. Mani Open the ORCID record for Zakaria A. Mani [Opens in a new window] ,
Lisa Kuhn  and
Virginia Plummer
Zakaria A. Mani*
Affiliation:
School of Nursing and Midwifery, Monash University, Frankston, Australia Disaster and Emergency Administration in Gizan, Ministry of Health, Saudi Arabia
Lisa Kuhn
Affiliation:
School of Nursing and Midwifery, Monash University, Frankston, Australia Monash Health, Clayton, Australia
Virginia Plummer
Affiliation:
School of Nursing and Midwifery, Monash University, Frankston, Australia Peninsula Health, Frankston, Australia
*
Correspondence: Zakaria Mani, RN, MN, PhD Candidate, Monash University, School of Nursing and MidwiferyFaculty of Medicine, Nursing, and Health Sciences, Moorooduc Highway, Frankston3199, Australia, E-mail: Zakaria.mani@monash.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

High rates of mortality and morbidity result from disasters of all types, including armed conflicts. Overwhelming numbers of casualties with a myriad of illnesses and patterns of injuries are common in armed conflicts, leading to unpredictable workloads for hospital health care providers (HCPs). Identifying domains of hospital HCPs’ core competency for armed conflicts is essential to inform standards of care, educational requirements, and to facilitate the translation of knowledge into safe and quality care.

Objective:

The objective of this study is to identify the common domains of core competencies among HCPs working in hospitals in armed conflict areas.

Methods:

A scoping review was conducted using the Joanna Briggs Institute framework. The review considered primary research and peer-reviewed literature from the following databases: Ovid Medline, Ovid EmCare, Embase, and CINAHL, as well as the reference lists of articles identified for full-text review. Eligibility criteria were outlined a priori to guide the literature selection.

Results:

Four articles met the inclusion criteria. The studies were conducted in different countries and were published from 2011 through 2017. The methods included three surveys and one Delphi study.

Conclusion:

This review maps the scope of knowledge, skills, and attitudes required by HCPs who are practicing in hospitals in areas of major armed conflict. Incorporation of identified core competency domains can improve the future planning, education, and training, and may enhance the HCPs’ response in armed conflicts.

Keywords

armed conflictscompetencecompetencyhealth care providershospitals
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 35 , Issue 4 , August 2020 , pp. 442 - 446
Copyright
© World Association for Disaster and Emergency Medicine 2020

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

International Federation of Red Cross and Red Crescent Societies. World disasters report 2010: focus on urban risk. https://media.ifrc.org/ifrc/document/wdr-2010/. Accessed January 20, 2019.Google Scholar
Sangkala, MS, Gerdtz, MF. Disaster preparedness and learning needs among community health nurse coordinators in South Sulawesi Indonesia. Australas Emerg Care. 2018;21(1):23–30.CrossRefGoogle ScholarPubMed
Levy, BS, Sidel, VW. Documenting the effects of armed conflict on population health. Ann Rev Public Health. 2016;37(1):205–218.CrossRefGoogle ScholarPubMed
Dupuy, K, Rustad, SA. Trends in Armed Conflict, 1946-2017. https://reliefweb.int/sites/reliefweb.int/files/resources/Dupuy%2C%20Rustad-%20Trends%20in%20Armed%20Conflict%2C%201946%E2%80%932017%2C%20Conflict%20Trends%205-2018.pdf. Accessed November 4, 2019.Google Scholar
Conlon, L, Wiechula, R. Preparing nurses for future disasters—the Sichuan experience. Australas Emerg Nurs J. 2011;14(4):246–250.CrossRefGoogle Scholar
Al Thobaity, A, Plummer, V, Innes, K, Copnell, B. Perceptions of knowledge of disaster management among military and civilian nurses in Saudi Arabia. Australas Emerg Nurs J. 2015;18(3):156–164.CrossRefGoogle ScholarPubMed
Al Khalaileh, MA, Bond, E, Alasad, JA. Jordanian nurses’ perceptions of their preparedness for disaster management. Int Emerg Nurs. 2012;20(1):14–23.CrossRefGoogle ScholarPubMed
National Centre for Injury Prevention and Control. In a Moment’s Notice: Surge Capacity for Terrorist Bombings USA: Centers for Disease Control and Prevention 2007. https://www.facs.org/~/media/files/quality%20programs/trauma/disaster/moments_notice.ashx. Accessed February 10, 2019.Google Scholar
Bajow, N, Djalali, A, Ingrassia, PL, Ageely, H, Bani, I, Della Corte, F. Proposal for a community-based disaster management curriculum for medical school undergraduates in Saudi Arabia. Am J Disaster Med. 2015;12(2):145–152.CrossRefGoogle Scholar
Birnbaum, ML, Daily, EK. Competency and competence. Prehosp Disaster Med. 2009;24(1):1.CrossRefGoogle ScholarPubMed
Gebbie, KM, Hutton, A, Plummer, V. Update on competencies and education. Ann Rev Nurs Res. 2012;30(1):169–192.CrossRefGoogle ScholarPubMed
ICN & WHO. ICN Framework of disaster nursing competencies 2009. www.wpro.who.int/hrh/documents/icn_framework.pdf?ua=1. Accessed December 2018.Google Scholar
Hsu, EB, Thomas, TL, Bass, EB, Whyne, D, Kelen, GD, Green, GB. Healthcare worker competencies for disaster training. BMC Med Educ. 2006;6:19.CrossRefGoogle ScholarPubMed
Schultz, CH, Koenig, KL, Whiteside, M, Murray, R. Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Ann Emerg Med. 2012;59(3):196–208.CrossRefGoogle ScholarPubMed
Walsh, L, Subbarao, I, Gebbie, K, et al.Core competencies for disaster medicine and public health. Disaster Med Public Health Prep. 2012;6(1):44–52.CrossRefGoogle ScholarPubMed
Daily, E, Padjen, P, Birnbaum, M. A review of competencies developed for disaster healthcare providers: limitations of current processes and applicability. Prehosp Disaster Med. 2010;25(5):387–395.CrossRefGoogle ScholarPubMed
Joanna Briggs Institute. Joanna Briggs Institute Reviewers’ Manual. Adelaide, Australia: The Joanna Briggs Institute; 2014.Google Scholar
Peters, MD, Godfrey, CM, Khalil, HB, McInerney, P, Parker, D, Soares, C. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc. 2015;13(3):141–146.CrossRefGoogle ScholarPubMed
Tricco, AC, Lillie, E, Zarin, W, et al.PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–473.CrossRefGoogle ScholarPubMed
Uppsala University. Definitions of armed conflicts. http://www.pcr.uu.se/research/ucdp/definitions/. Accessed March 16, 2019.Google Scholar
Linney, AC, Kernohan, WG, Higginson, R. The identification of competencies for an NHS response to chemical, biological, radiological, nuclear and explosive (CBRNe) emergencies. Int Emerg Nurs. 2011;19(2):96–105.CrossRefGoogle ScholarPubMed
Mitchell, CJ, Kernohan, WG, Higginson, R. Are emergency care nurses prepared for chemical, biological, radiological, nuclear or explosive incidents? Int Emerg Nurs. 2012;20(3):151–161.CrossRefGoogle ScholarPubMed
Donaldson, RI, Shanovich, P, Shetty, P, et al.A survey of national physicians working in an active conflict zone: the challenges of emergency medical care in Iraq. Prehosp Disaster Med. 2012;27(2):153–161.CrossRefGoogle Scholar
Oun, AM, Hadida, EM, Stewart, C. Assessment of the knowledge of blast injuries management among physicians working in Tripoli hospitals (Libya). Prehosp Disaster Med. 2017;32(3):311–316.CrossRefGoogle Scholar
Miner, KR, Childers, WK, Alperin, M, Cioffi, J, Hunt, N. The MACH Model: from competencies to instruction and performance of the public health workforce. Public Health Rep. 2005;120(Suppl 1):9–15.CrossRefGoogle ScholarPubMed
Al Thobaity, A, Plummer, V, Williams, B. What are the most common domains of the core competencies of disaster nursing? A scoping review. Int Emerg Nurs. 2017;31:64–71.CrossRefGoogle ScholarPubMed
Al Thobaity, A, Williams, B, Plummer, V. A new scale for disaster nursing core competencies: development and psychometric testing. Australas Emerg Nurs J. 2016;19(1):11–19.CrossRefGoogle ScholarPubMed
Wexler, P, Gilbert, S, Hakkinen, P, Mohapatra, A. Information Resources in Toxicology. 4th ed. Amsterdam, The Netherlands: Elsevier/Academic Press; 2009.Google Scholar
Martin, SD. Nurses’ ability and willingness to work during pandemic flu. J Nurs Manag. 2011;19(1):98–108.CrossRefGoogle ScholarPubMed
Veenema, TG, Walden, B, Feinstein, N, Williams, JP. Factors affecting hospital-based nurses’ willingness to respond to a radiation emergency. Disaster Med Public Health Prep. 2008;2(4):224–229.CrossRefGoogle ScholarPubMed
Supplementary material: File

Mani et al. supplementary material

Mani et al. supplementary material 1

Download Mani et al. supplementary material(File)
File 14.1 KB
Supplementary material: File

Mani et al. supplementary material

Mani et al. supplementary material 2

Download Mani et al. supplementary material(File)
File 111.4 KB