Lam Rex P K, Balsari Satchit, Hung Kevin K C, Hsiao Kai-Hsun, Leung L P, Leaning Jennifer
Emergency Medicine Unit, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Harvard TH Chan School of Public Health, François-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Cambridge, Massachusetts.
Disaster Med Public Health Prep. 2018 Jun;12(3):329-336. doi: 10.1017/dmp.2017.71. Epub 2017 Aug 22.
To assess the level of all-hazards disaster preparedness and training needs of emergency department (ED) doctors and nurses in Hong Kong from their perspective, and identify factors associated with high perceived personal preparedness.
This study was a cross-sectional territory-wide online survey conducted from 9 September to 26 October, 2015.ParticipantsThe participants were doctors from the Hong Kong College of Emergency Medicine and nurses from the Hong Kong College of Emergency Nursing.
We assessed various components of all-hazards preparedness using a 25-item questionnaire. Backward logistic regression was used to identify factors associated with perceived preparedness.
A total of 107 responses were analyzed. Respondents lacked training in disaster management, emergency communication, psychological first aid, public health interventions, disaster law and ethics, media handling, and humanitarian response in an overseas setting. High perceived workplace preparedness, length of practice, and willingness to respond were associated with high perceived personal preparedness.
Given the current gaps in and needs for increased disaster preparedness training, ED doctors and nurses in Hong Kong may benefit from the development of core-competency-based training targeting the under-trained areas, measures to improve staff confidence in their workplaces, and efforts to remove barriers to staff willingness to respond. (Disaster Med Public Health Preparedness. 2018; 12: 329-336).
从香港急诊科医生和护士的角度评估其对全灾种灾害的准备水平和培训需求，并确定与较高的个人准备认知度相关的因素。
本研究是一项于2015年9月9日至10月26日进行的全港性横断面在线调查。参与者为香港急诊医学学院的医生和香港急诊护理学院的护士。
我们使用一份包含25个条目的问卷评估全灾种准备的各个组成部分。采用向后逻辑回归来确定与准备认知度相关的因素。
共分析了107份回复。受访者缺乏灾害管理、应急通信、心理急救、公共卫生干预、灾害法律与伦理、媒体应对以及海外人道主义救援方面的培训。较高的工作场所准备认知度、从业年限和响应意愿与较高的个人准备认知度相关。
鉴于目前在灾害准备培训方面存在差距且有增加培训的需求，香港的急诊科医生和护士可能会从针对培训不足领域开展基于核心能力的培训、采取措施提高员工在工作场所的信心以及努力消除阻碍员工响应意愿的障碍中受益。（《灾害医学与公共卫生防范》。2018年；12: 329 - 336）
