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[基于职业健康专业人员在熊本地震受损工作场所的个人工作经历,探讨灾害管理中所需的能力]

[Competencies required for occupational health professionals in disaster management based on their personal experiences of workplaces damaged by the Kumamoto earthquakes].

作者信息

Yoshikawa Etsuko, Abe Hitomi, Yokogawa Tomoko, Kubo Tatsuhiko, Tateishi Seiichiro, Mori Koji

机构信息

Department of Nursing, Japanese Red Cross College of Nursing.

Graduate School of Medicine, Tokai University.

出版信息

Sangyo Eiseigaku Zasshi. 2021 Nov 25;63(6):291-303. doi: 10.1539/sangyoeisei.2020-033-B. Epub 2021 Mar 2.

Abstract

OBJECTIVES

This study aimed to clarify the competencies required for occupational health professionals in disaster management based on their personal experiences of workplaces damaged by the Kumamoto earthquakes.

METHODS

This study adopted a qualitative descriptive design using semi-structured interviews. The study participants included eight occupational health professionals who had been engaged in occupational health practice at workplaces affected by the Kumamoto earthquakes and subsequently employed at the same workplace. Data analyses were performed using a qualitative data analysis method. The researcher read transcripts of the interviews verbatim and extracted subcategories and categories, seeking points of commonality among homogeneous and heterogeneous elements while identifying content related to the competencies of the professionals during a disaster.

RESULTS

Nine categories and 29 subcategories were extracted. The following competencies were identified as skills required for occupational health professionals when a disaster occurred: "perceiving the essentials of the situation through a comprehensive understanding of the health impacts caused by disasters," "prioritizing tasks while appropriately understanding a situation that is changing over time," "starting from what one can do while ensuring one's own health and safety," "continuing occupational health practice by devising efficient approaches while flexibly responding to the situation," "creating an environment that enables each occupational health team member to fulfill their role," and "adjusting the positions of occupational health departments within organizations to utilize networks." The following competencies were identified as skills required for occupational health professionals' disaster response and preparedness: "having the essential personal qualities of occupational health professionals," "establishing relationships of trust with employees and companies," and "linking one's experience of a disaster to future occupational health practice."

CONCLUSIONS

The competencies required for occupational health professionals in disaster management are disaster response and preparedness. Moreover, these aspects in disaster response and preparedness suggest that occupational health professionals are required to have strategic and creative thinking skills including organizational approaches such as boosting networking in the workplace and establishing employer-employee relationships based on multifaceted assessment and situational flexibility.

摘要

目的

本研究旨在基于职业健康专业人员在熊本地震中受损工作场所的个人工作经历,阐明灾害管理中职业健康专业人员所需的能力。

方法

本研究采用半结构化访谈的定性描述性设计。研究参与者包括八名职业健康专业人员,他们曾在受熊本地震影响的工作场所从事职业健康实践,随后仍在同一工作场所任职。使用定性数据分析方法进行数据分析。研究人员逐字阅读访谈记录,提取子类别和类别,在识别与专业人员在灾难期间能力相关内容的同时,寻找同质和异质元素之间的共性点。

结果

提取了九个类别和29个子类别。确定了以下能力为灾害发生时职业健康专业人员所需技能:“通过全面了解灾害造成的健康影响来洞察情况的本质”、“在适当理解随时间变化的情况时对任务进行优先级排序”、“在确保自身健康和安全的同时从自己能做的事情做起”、“通过设计高效方法并灵活应对情况来持续开展职业健康实践”、“营造一个使每个职业健康团队成员都能发挥作用的环境”以及“调整职业健康部门在组织内的位置以利用网络”。确定了以下能力为职业健康专业人员应对灾害和做好准备所需技能:“具备职业健康专业人员的基本个人素质”、“与员工和公司建立信任关系”以及“将灾难经历与未来职业健康实践联系起来”。

结论

职业健康专业人员在灾害管理中所需的能力是应对灾害和做好准备。此外,应对灾害和做好准备的这些方面表明,职业健康专业人员需要具备战略和创造性思维技能,包括诸如加强工作场所网络建设以及基于多方面评估和情境灵活性建立雇主 - 员工关系等组织方法。

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