Increasing perceived levels of disaster preparedness among emergency department staff
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Taryn Amberson, BSN, RN, CEN; Christine Wells, RN, BA; Rose Colangelo, MSN, RN, CEN; Skyler D. Gossman, AS
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Poster presentation
Session C presented Monday, September 30, 1:00-2:00 pm
Purpose: Globally, disasters are increasing in both frequency and magnitude. Emergency department (ED) staff are recognized as being on the frontline of disaster response and have a key role in the success of disaster response efforts. Much of the existing literature on this topic is geographically limited and reveals that perceived levels of disaster preparedness and confidence among emergency nurses are lacking. This study seeks to measure and increase perceived levels of disaster preparedness among ED staff by the creation and implementation of an education initiative.
Design: This study utilizes a pre and post-test descriptive design with the implementation of an accompanying education initiative. Voluntary surveys were distributed during the month of December 2018 and will be redistributed June 2019. The first batch of surveys were completed by 54 emergency nurses and 15 emergency department technicians; with a response rate of 70.8%. An education curriculum was designed based on the categories of the Adapted Emergency Preparedness Information Questionnaire (EPIQ) and will be implemented January - June 2019. The paired t-tests will be used to evaluate the pre and post-test scores for each question to determine if statistically significant differences exist.
Setting: Urban level II trauma center (hospital).
Participants/Subjects: Surveys were distributed to emergency nurses (ENs) and emergency department technicians (EDTs) employed during the month of December 2019. Survey completion was anonymous and voluntary, and surveys not marked with a unique identifier were excluded.
Methods: The EPIQ was utilized along with demographic information and additional questions pertaining to personal and professional preparedness. Descriptive statistics were computed in Excel to determine which categories of the EPIQ ED staff were most and least familiar with. Likert scores of familiarities on a scale of 1 to 5 (least to most familiar) were analyzed for measures of central tendency, standard deviation and standard error for each question in the first batch of surveys. Once the post-tests are completed, data will be assessed for normalcy prior to using the paired t-tests to evaluate scores for each question to determine if statistically significant differences exist. Pearson's correlation coefficient can also be used to determine if additional demographic factors are associated with increased perceived levels of preparedness.
Results/Outcomes: Consistent with existing research, preliminary results revealed weak to moderate perceived levels of preparedness (3.03). The three highest mean familiarity scores were in triage (3.81), basic first aid (3.79) and psychological issues (3.47). The three lowest mean familiarity scores pertained to the Incident Command System (2.59, 2.56, 2.54). A moderate level of correlation (r= -0.41) was noted between perceived levels of preparedness and disaster response experience. Inconsistent with existing research, no substantial correlation was found between perceived levels of disaster preparedness and disaster education or training (r= -0.20).
Implications: The preliminary results of this survey confirm existing literature on this topic and will serve as a platform for the formulation of a disaster preparedness curriculum to be implemented over the next six months. Demographic data could be further analyzed to determine if additional factors correlate with increased levels of perceived disaster preparedness among ED staff.
Type | Poster |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Emergency Nursing; Disaster Response Education; Emergency Preparedness |
Name | Emergency Nursing 2019 |
Host | Emergency Nurses Association |
Location | Austin, Texas, USA |
Date | 2019 |
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