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Disaster Preparedness in Hospitals in the Middle East: An Integrative Literature Review

  • Abdullah Alruwaili (a1), Shahidul Islam (a1) and Kim Usher (a1)

Abstract

Disasters occur rarely but have significant adverse consequences when they do. Recent statistics suggest that millions of lives and billions of US dollars have been lost in the last decade due to disaster events globally. It is crucial that hospitals are well prepared for disasters to minimize their effects. This integrative review study evaluates the preparedness level of hospitals in the Middle East for disasters using the Preferred Reporting Items for Systematic and Meta-Analyses (PRISMA) guidelines. The key terms include disaster preparedness OR disaster management OR emergency response AND Middle East AND hospitals. The study reviews articles published between January 2005 and December 2015, which focused on the hospitals’ preparedness for disasters in the Middle East nations. Based on their meeting 5 eligibility criteria, 19 articles were included in the review. Twelve of the articles focused on both natural and man-made disasters, whereas 6 of them were based on mass casualty events and 1 on earthquake. Thirteen of the reviewed articles ranked the level of preparedness of hospitals for disasters to be generally “very poor,” “poor,” or “moderate,” whereas 6 reported that hospitals were “well” or “very well prepared” for disasters. Factors affecting preparedness level were identified as a lack of contingency plans and insufficient availability of resources, among others. (Disaster Med Public Health Preparedness. 2019;page 1 of 11).

Copyright

Corresponding author

Correspondence and reprint requests to Abdullah Alruwaili, School of Health, University of New England, Armidale, NSW 2351, Australia (e-mail: aalruwai@myune.edu.au).

References

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1. Coppola, DP. Introduction to International Disaster Management, 3rd ed. New York: Elsevier; 2015.
2. Disaster Statistics. United Nations International Strategy for Disaster Reduction [UNISDR]. https://www.unisdr.org/we/inform/disaster-statistics. Accessed June 25, 2016.
3. Arab, M, Zeraati, H, Akbari Haghighi, F, Ravangard, R. A study on the executive managers’ knowledge and performance, and their hospitals preparedness against earthquake events and their relationships at public hospitals (affiliated by Tehran University of Medical Sciences [TUMS] 2005–2006). J Health Admin. 2009;11(34):7-14.
4. Abd elazeem, H, Adam, S, Mohamed, G . Awareness of hospital internal disaster management plan among health team members in a university hospital. Life Sci J. 2011;8:42-52.
5. Khorram-Manesh, A, Hedelin, A, Örtenwall, P. Hospital-related incidents: causes and its impact on disaster preparedness and prehospital organisations. Scand J Trauma Resusc Emerg Med. 2009:17:1.
6. Li, X, Huang, J, Zhang, H. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan. BMC Public Health. 2008;8:1.
7. Higgins, W, Wainright, C, Lu, N, et al. Assessing hospital preparedness using an instrument based on the Mass Casualty Disaster Plan Checklist: results of a statewide survey. Am J Infect Control. 2004;32:327-332.
8. Adini, B, Goldberg, A, Laor, D, et al. Factors that may influence the preparation of standards of procedures for dealing with mass-casualty incidents. Prehosp Disaster Med. 2007;22:175-180.
9. Al Khalaileh, MA, Bond, E, Alasad, JA. Jordanian nurses’ perceptions of their preparedness for disaster management. Int Emerg Nurs. 2012;20:14-23. doi:10.1016/j.ienj.2011.01.001.
10. Mahdaviazad, H, Abdolahifar, GR. Assessing hospital disaster preparedness in Shiraz, Iran 2011: teaching versus private hospitals. Am J Disaster Med. 2012;8:65-73. doi:10.5055/ajdm.2013.0112.
11. Zaboli, R, Sajadi, HS. Assessing hospital disaster preparedness in Tehran: lessons learned on disaster and mass casualty management system. Int J Health Syst Disaster Manage. 2014;2:220. doi:10.4103/2347-9019.144405.
12. Bajow, NA, Alkhalil, SM. Evaluation and analysis of hospital disaster preparedness in Jeddah. Health. 2014;6:2668-2687. doi:10.4236/health.2014.619306.
13. Moher, D, Liberati, A, Tetzlaff, J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8:336-341. doi:10.1016/j.ijsu.2010.02.007.
14. Whittemore, R, Knafl, K. The integrative review: updated methodology. J Adv Nurs. 2005;52:546-553.
15. Johnson, P, Fogarty, L, Fullerton, J, et al. An integrative review and evidence-based conceptual model of the essential components of pre-service education. Hum Resour Health. 2013;11(1):1.
16. NHMRC. How to review the evidence: systematic identification and review of the scientific literature. Canberra: National Health and Medical Research Council. Published 2000. https://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/cp65.pdf. Accessed June 2, 2016.
17. Ebell, MH, Siwek, J, Weiss, BD, et al. Simplifying the language of evidence to improve patient care: strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. J Fam Pract. 2004;53:111-121.
18. Burls, A. What is critical appraisal? Hayward Medical Communications; 2009.
19. NHMRC. NHMRC additional levels of evidence and grades for recommendations for developers of guidelines. Canberra: National Health and Medical Research Council. Published 2009. https://www.nhmrc.gov.au/_files_nhmrc/file/guidelines/developers/nhmrc_levels_grades_evidence_120423.pdf. Accessed July 15, 2016.
20. Fares, S, Femino, M, Sayah, A, et al. Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi. Disasters. 2014;38:420-433. doi:10.1111/disa.12047.
21. 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;18:156-164. doi:10.1016/j.aenj.2015.03.001.
22. Adini, B, Laor, D, Aharonson-Daniel, L. Factors affecting preparedness and capacity to manage pandemic influenza: perceptions of healthcare managers. Public Health (Elsevier). 2014;128:703-708. doi:10.1016/j.puhe.2014.06.002.
23. Rassin, M, Avraham, M, Nasi-Bashari, A, et al. Emergency department staff preparedness for mass casualty events involving children. Disaster Manag Response. 2007;5:36-44.
24. Al-Ali, NM, Abu Ibaid, AH. Health-care providers’ perception of knowledge, skills and preparedness for disaster management in primary health-care centres in Jordan. East Mediterr Health J. 2015;21:713-721.
25. Gomm, R. Social Research Methodology. New York: Palgrave Macmillan; 2004.
26. Flick, U. Introducing Research Methodology: A Beginner’s Guide to Doing a Research Project. New York: Sage; 2011.
27. Kumar, R. Research Methodology: A Step-by-Step Guide for Beginners. New York: Sage; 2010.
28. Robson, C. Real World Research: A Resource for Users of Social Research Methods in Applied Settings. Chichester: Wiley; 2011.
29. Kothari, CR. Research Methodology: Methods and Techniques. New Delhi: New Age International; 2004.
30. Sobhani, G, Khammarnia, M, Hayati, R, et al. Investigation of the preparedness level of the hospitals against disasters in Bandar Abbas, Iran, in 2012. J Pak Med Assoc. 2014;64:506-509.
31. Aladhrai, SA, Djalali, A, Della, CF, et al. Impact of the 2011 revolution on hospital disaster preparedness in Yemen. Disaster Med Public Health Prep. 2015;9:396-402. doi:10.1017/dmp.2015.30.
32. Djalali, A, Castren, M, Khankeh, H, et al. Hospital disaster preparedness as measured by functional capacity: a comparison between Iran and Sweden. Prehosp Disaster Med. 2013;28:454-461. doi:10.1017/S1049023X13008807.
33. Najafbagy, R. The crisis management capabilities and preparedness of organizations: a study of Iranian hospitals. Int J Manag. 2011;28(2):573.
34. Shojaei, P, Maleki, MR, Bagherzadeh, R. Studying preparedness in teaching hospitals affiliated to Iran University of Medical Sciences, 2006. Disaster Prev Manag. 2009;18:379-387.
35. Yarmohammadian, MH, Atighechian, G, Shams, L, et al. Are hospitals ready to respond to disasters? Challenges, opportunities and strategies of Hospital Emergency Incident Command System (HEICS). J Res Med Sci. 2011;16:1070-1077.
36. Eriksson, P, Kovalainen, A. Qualitative Methods in Business Research. New York: Sage; 2008.
37. Creswell, JW. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. New York: Sage; 2013.
38. Djalali, A, Castren, M, Hosseinijenab, V, et al. Hospital Incident Command System (HICS) performance in Iran; decision making during disasters. Scand J Trauma Resusc Emerg Med. 2012;20:14. doi:10.1186/1757-7241-20-14.
39. Adini, B, Laor, D, Hornik-Lurie, T, et al. Improving hospital mass casualty preparedness through ongoing readiness evaluation. Am J Med Qual. 2012;27:426-433. doi:10.1177/1062860611432303.
40. Shokouh, HSM, Anjomshoa, M, Mousavi, SM, et al. Prerequisites of preparedness against earthquake in hospital system: a survey from Iran. Glob J Health Sci. 2014;6:237-245. doi:10.5539/gjhs.v6n2p237.
41. Kaji, AH, Langford, V, Lewis, RJ. Assessing hospital disaster preparedness: a comparison of an on-site survey, directly observed drill performance, and video analysis of teamwork. Ann Emerg Med. 2008;52:195-201.
42. Barbera, JA, Yeatts, DJ, Macintyre, AG. Challenge of hospital emergency preparedness: analysis and recommendations. Disaster Med Public Health Prep. 2009;3(S1):S74-82.
43. O’Sullivan, TL, Dow, D, Turner, MC, et al. Disaster and emergency management: Canadian nurses’ perceptions of preparedness on hospital front lines. Prehosp Disaster Med. 2008;23(3):S11-18.
44. Manley, WG, Furbee, PM, Coben, JH, et al. Realities of disaster preparedness in rural hospitals. Disaster Manag Response. 2006;4(3):80-87.
45. Fung, OW, Loke, AY, Lai, CK. Disaster preparedness among Hong Kong nurses. J Adv Nurs. 2008;62(6):698-703.
46. Hammad, KS, Arbon, P, Gebbie, KM. Emergency nurses and disaster response: an exploration of South Australian emergency nurses’ knowledge and perceptions of their roles in disaster response. Australas Emerg Nurs J. 2011;14(2):87-94.
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Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
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