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EVALUATION OF EMERGENCY DEPARTMENT PERSONNEL'S PREPAREDNESS FOR CHEMICAL, BIOLOGICAL, RADIATION, AND NUCLEAR EMERGENCIES

Year 2023, Volume: 8 Issue: 3, 236 - 251, 03.01.2024
https://doi.org/10.54409/hod.1306939

Abstract

Purpose: The aim of this study is to determine the chemical, biological, radiation, and nuclear (CBRN) emergency preparedness levels of emergency department (ED) personnel.
Materials and Methods: This cross-sectional descriptive survey study was conducted with 49 emergency department personnel (emergency medicine specialists, emergency medicine research assistants, nurses, and nursing staffs) working in the ED of a university hospital through face-to-face. The questionnaire was created by the researchers and consisted of 5 demographic and 30 CBRN preparation information, 12 questions questioning the previous practice and educational status of CBRN subjects. The preparedness level of the participants was determined by evaluating the CBRN preparedness level responses.
Results: The Cronbach's Alpha reliability index obtained for the CBRN scale was obtained as α=0,856 for the whole scale and this value shows that the reliability of the whole scale is at a good level. The mean preparedness level score of the ED personnel is 59,7 (min-max:24-81). The mean CBRN preparedness level score of emergency medicine specialists (38) was found to be lower than the other groups. The number of those who received training on CBRN situations and medical management of cases during their professional training (bachelor-master- doctorate education) is 18 (36,7%). Most of the participants didn’t participate in any CBRN exercise during their professional life (n=43, 87,8%).
Conclusion: ED personnel's preparations for CBRN emergencies are insufficient. Their participation in training and exercises for the medical management of CBRN cases is low. Our study can be used as a tool to determine the CBRN preparations of ED personnel.

Project Number

Bu çalışma bir projeden üretilmemiştir, proje numarası bulunmamaktadır.

References

  • Aktuna, A. (2017). Knowledge, Attitude and Perception Levels of Employees in the Agriculture Sector in the Framework of Occupational Health and Safety: The Example of Tekirdağ Süleymanpaşa [Tekirdağ Namık Kemal Üniversitesi Sosyal Bilimler Enstitüsü]. Tekirdağ. https://acikerisim.nku.edu.tr/xmlui/handle/20.500.11776/2481, 14.02.2023.
  • Anathallee, M, Curphey, A, Beeching, N, Carley, S, Crawford, I, Mackway-Jones, K. (2007). Emergency departments (EDs) in the United Kingdom (UK) are not prepared for emerging biological threats and bioterrorism. Journal of Infection, 54(1), 12–17. https://doi.org/10.1016/j.jinf.2006.03.034.
  • Ayvacı, BM, Abuşka, D. (2019). KBRN ve Dekontaminasyon. Türkiye Klinikleri Acil Tıp - Özel Konular, 5(1), 9–16. Becker, SM, Middleton, SA. (2008). Improving Hospital Preparedness for Radiological Terrorism: Perspectives From Emergency Department Physicians and Nurses. Disaster Medicine and Public Health Preparedness, 2(3), 174–184. https://doi.org/10.1097/DMP.0b013e31817dcd9a.
  • Bıçakçı, N, Bıçakçı, S, Çetin, M. (2022). Evaluation of Disaster Medicine Knowledge Level and Educational Approaches of Future Health Professionals. Namık Kemal Tıp Dergisi, 10(1), 59–73. https://doi.org/10.4274/nkmj.galenos.2021.51422.
  • Council of Higher Education (CoHE). (2017). Higher Education Council CBRN (Chemical, Biological, Radiological, Nuclear) Charette. https://www.yok.gov.tr/Documents/Yayinlar/Yayinlarimiz/2017/kbrn_calistay_raporu.pdf, 14.03.2023.
  • Dobalian, A, Balut, MD, Der-Martirosian, C. (2020). Workforce preparedness for disasters: Perceptions of clinical and non-clinical staff at the U.S. Department of Veterans Affairs. BMC Public Health, 20(1), 1–9. https://doi.org/10.1186/s12889-020-09597-2.
  • Eyison, RK, Pakdemirli, A, Aydin, E, Sayin Ozturk, A, Kiliç, Z, Demirbag, B, et al. (2020). Evaluation of the Medical Chemical, Biological, Radiological, and Nuclear Awareness Level of Emergency Healthcare Professionals Serving on Different Centres. The Journal of Basic and Clinical Health Sciences, 174–179. https://doi.org/10.30621/jbachs.2020.1037.
  • Gawlik-Kobylińska, M. (2022). Current Issues in Combating Chemical, Biological, Radiological, and Nuclear Threats to Empower Sustainability: A Systematic Review. Applied Sciences (Switzerland), 12(16). https://doi.org/10.3390/app12168315.
  • Hung, KKC, Lam, ECC, Wong, MCS, Wong, TW, Chan, EYY, Graham, CA. (2013). Emergency physicians’ preparedness for CBRNE incidents in Hong Kong. Hong Kong Journal of Emergency Medicine, 20(2), 90–97. https://doi.org/10.1177/102490791302000204.
  • Jama, TJ, Kuisma, MJ. (2016). Preparedness of Finnish Emergency Medical Services for Chemical Emergencies. Prehospital and Disaster Medicine, 31(4), 392–396. https://doi.org/10.1017/S1049023X16000546.
  • Kollek, D, Welsford, M, Wanger, K. (2009). Chemical, biological, radiological and nuclear preparedness training for emergency medical services providers. Canadian Journal of Emergency Medicine, 11(4), 337–342. https://doi.org/10.1017/S1481803500011386.
  • Kotora, JG. (2015). An assessment of Chemical, Biological, Radiologic, Nuclear, and Explosive preparedness among emergency department healthcare providers in an inner city emergency department. Journal of Emergency Management, 13(5), 431–446. https://doi.org/10.5055/jem.2015.0253.
  • Liu, M, Cheng, SZ, Xu, KW, Yang, Y, Zhu, QT, Zhang, H, et al. (2020). Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: Cross sectional study. The BMJ, 369, 6–11. https://doi.org/10.1136/bmj.m2195.
  • Mitchell, CJ, Kernohan, WG, Higginson, R. (2012). Are emergency care nurses prepared for chemical, biological, radiological, nuclear or explosive incidents? International Emergency Nursing, 20(3), 151–161. https://doi.org/10.1016/j.ienj.2011.10.001.
  • Okumura, T, Suzuki, K, Fukuda, A, Kohama, A, Takasu, N, Ishimatsu, S, et al. (1998). The Tokyo Subway Sarin Attack: Disaster Management, Part 1: Community Emergency Response. Academic Emergency Medicine, 5(6), 613–617. https://doi.org/10.1111/j.1553-2712.1998.tb02470.x.
  • Olivieri, C, Ingrassia, PL, Della Corte, F, Carenzo, L, Sapori, JM, Gabilly, L, et al. (2017). Hospital preparedness and response in CBRN emergencies: TIER assessment tool. European Journal of Emergency Medicine, 24(5), 366–370. https://doi.org/10.1097/MEJ.0000000000000399.
  • Ozyar, E. (2003). Effects of Chernobyl Accident on Turkey. Environmental Protection Against Radioactive Pollution, 85–88. https://doi.org/10.1007/978-94-007-0975-1_13.
  • Patchen Dellinger, E, Pellegrini, CA, Gallagher, TH. (2017). The aging physician and the medical profession a review. JAMA Surgery, 152(10), 967–971. https://doi.org/10.1001/jamasurg.2017.2342.
  • Razak, S, Hignett, S, Barnes, J. (2018). Emergency Department Response to Chemical, Biological, Radiological, Nuclear, and Explosive Events: A Systematic Review. Prehospital and Disaster Medicine, 33(5), 543–549. https://doi.org/10.1017/S1049023X18000900.
  • Rebmann, T, Charney, RL, Loux, TM, Turner, JA, Nguyen, D. (2019). Firefighters’ and Emergency Medical Service Personnel’s Knowledge and Training on Radiation Exposures and Safety: Results from a Survey. Health Security, 17(5), 393–402. https://doi.org/10.1089/hs.2019.0086.
  • Republic of Türkiye Ministry of Energy and Natural Resources. (2022). Akkuyu Nuclear Power Plant Project. https://enerji.gov.tr/neupgm-akkuyu-nukleer-guc-santrali-projesi, 25.03.2023
  • Sheikh, S, McCormick, LC, Pevear, J, Adoff, S, Walter, FG, Kazzi, ZN. (2012). Radiological preparedness-awareness and attitudes: A crosssectional survey of emergency medicine residents and physicians at three academic institutions in the United States. Clinical Toxicology, 50(1), 34–38. https://doi.org/10.3109/15563650.2011.637047.
  • Veenema, TG, Burkle, FM, Dallas, CE. (2019). The nursing profession: A critical component of the growing need for a nuclear global health workforce. Conflict and Health, 13(1), 1–8. https://doi.org/10.1186/s13031-019-0197-x. World Health Organization and the International Labour Office. (2018). Occupational safety and health in public health emergencies: A manual for protecting health workers and responders. In Geneva. https://apps.who.int/iris/bitstream/handle/10665/275385/9789241514347-eng.pdf?ua=1&ua=1, 14.03.2023.
  • Yahya, NY, Ali, A.HBM., Rahmat, R, Ahmad Termizi, MS, Zazali, AK, Jamalluddin, SNF. (2022). Preparedness Towards Chemical, Biological, Radiological, Nuclear, and Explosive (Cbrne) Threats Among Healthcare Personnel in Pasir Gudang, Johor, Malaysia. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3998765.

ACİL SERVİS PERSONELLERİNİN KİMYASAL, BİYOLOJİK, RADYASYON VE NÜKLEER ACİLLERE HAZIRLIK DÜZEYLERİNİN DEĞERLENDİRİLMESİ

Year 2023, Volume: 8 Issue: 3, 236 - 251, 03.01.2024
https://doi.org/10.54409/hod.1306939

Abstract

Amaç: Bu çalışmanın amacı acil servis personellerinin kimyasal, biyolojik, radyasyon ve nükleer (KBRN) acillerine hazırlık düzeylerini tespit etmektir.
Yöntem: Bu kesitsel tanımlayıcı anket çalışması bir üniversite hastanesinin acil servisinde çalışan 49 acil servis (AS) personeli (acil tıp uzmanı, acil tıp araştırma görevlisi, hemşire, hasta bakım personeli) ile yüz yüze uygulama ile gerçekleştirildi. Araştırmacılar tarafından oluşturulan anket 5 demografik veri ve 30 adet KBRN hazırlık bilgisi, 12 adet KBRN konularındaki önceki uygulama ve eğitim durumlarını sorgulayan toplam 47 sorudan oluşmaktaydı. KBRN hazırlık düzeyi cevapları değerlendirilerek katılımcıların hazırlık düzeyi tespit edilmiştir. Ölçeğin güvenilirliğinin belirlenmesi için Cronbach Alpha katsayısı kullanılmıştır.

Bulgular: AS çalışanlarının ortalama hazırlık düzeyi puanı 59,7 (min-max:24-81) dir. KBRN durumları ve vakaların tıbbi yönetimi konusunda meslek eğitimleri süresince (lisans-yüksek lisans-doktora) eğitim görenlerin sayısı 18 (%36,7)’dir. Katılımcıların çoğu meslek hayatı boyunca herhangi bir KBRN tatbikatına katılmamıştır (n=43, %87,8).
Sonuç: AS çalışanlarının KBRN acillerine hazırlıkları yetersizdir. KBRN vakalarının tıbbi yönetimine yönelik eğitim ve tatbikatlara katılımları düşüktür. Çalışmamız acil servis personellerinin KBRN hazırlıklarının tespitinde bir araç olarak kullanılabilir.

Supporting Institution

Bu çalışma herhangi bir kurum tarafından desteklenmemiştir.

Project Number

Bu çalışma bir projeden üretilmemiştir, proje numarası bulunmamaktadır.

Thanks

Değerli katkıları için Dr. Koray Eyison'a teşekkürler.

References

  • Aktuna, A. (2017). Knowledge, Attitude and Perception Levels of Employees in the Agriculture Sector in the Framework of Occupational Health and Safety: The Example of Tekirdağ Süleymanpaşa [Tekirdağ Namık Kemal Üniversitesi Sosyal Bilimler Enstitüsü]. Tekirdağ. https://acikerisim.nku.edu.tr/xmlui/handle/20.500.11776/2481, 14.02.2023.
  • Anathallee, M, Curphey, A, Beeching, N, Carley, S, Crawford, I, Mackway-Jones, K. (2007). Emergency departments (EDs) in the United Kingdom (UK) are not prepared for emerging biological threats and bioterrorism. Journal of Infection, 54(1), 12–17. https://doi.org/10.1016/j.jinf.2006.03.034.
  • Ayvacı, BM, Abuşka, D. (2019). KBRN ve Dekontaminasyon. Türkiye Klinikleri Acil Tıp - Özel Konular, 5(1), 9–16. Becker, SM, Middleton, SA. (2008). Improving Hospital Preparedness for Radiological Terrorism: Perspectives From Emergency Department Physicians and Nurses. Disaster Medicine and Public Health Preparedness, 2(3), 174–184. https://doi.org/10.1097/DMP.0b013e31817dcd9a.
  • Bıçakçı, N, Bıçakçı, S, Çetin, M. (2022). Evaluation of Disaster Medicine Knowledge Level and Educational Approaches of Future Health Professionals. Namık Kemal Tıp Dergisi, 10(1), 59–73. https://doi.org/10.4274/nkmj.galenos.2021.51422.
  • Council of Higher Education (CoHE). (2017). Higher Education Council CBRN (Chemical, Biological, Radiological, Nuclear) Charette. https://www.yok.gov.tr/Documents/Yayinlar/Yayinlarimiz/2017/kbrn_calistay_raporu.pdf, 14.03.2023.
  • Dobalian, A, Balut, MD, Der-Martirosian, C. (2020). Workforce preparedness for disasters: Perceptions of clinical and non-clinical staff at the U.S. Department of Veterans Affairs. BMC Public Health, 20(1), 1–9. https://doi.org/10.1186/s12889-020-09597-2.
  • Eyison, RK, Pakdemirli, A, Aydin, E, Sayin Ozturk, A, Kiliç, Z, Demirbag, B, et al. (2020). Evaluation of the Medical Chemical, Biological, Radiological, and Nuclear Awareness Level of Emergency Healthcare Professionals Serving on Different Centres. The Journal of Basic and Clinical Health Sciences, 174–179. https://doi.org/10.30621/jbachs.2020.1037.
  • Gawlik-Kobylińska, M. (2022). Current Issues in Combating Chemical, Biological, Radiological, and Nuclear Threats to Empower Sustainability: A Systematic Review. Applied Sciences (Switzerland), 12(16). https://doi.org/10.3390/app12168315.
  • Hung, KKC, Lam, ECC, Wong, MCS, Wong, TW, Chan, EYY, Graham, CA. (2013). Emergency physicians’ preparedness for CBRNE incidents in Hong Kong. Hong Kong Journal of Emergency Medicine, 20(2), 90–97. https://doi.org/10.1177/102490791302000204.
  • Jama, TJ, Kuisma, MJ. (2016). Preparedness of Finnish Emergency Medical Services for Chemical Emergencies. Prehospital and Disaster Medicine, 31(4), 392–396. https://doi.org/10.1017/S1049023X16000546.
  • Kollek, D, Welsford, M, Wanger, K. (2009). Chemical, biological, radiological and nuclear preparedness training for emergency medical services providers. Canadian Journal of Emergency Medicine, 11(4), 337–342. https://doi.org/10.1017/S1481803500011386.
  • Kotora, JG. (2015). An assessment of Chemical, Biological, Radiologic, Nuclear, and Explosive preparedness among emergency department healthcare providers in an inner city emergency department. Journal of Emergency Management, 13(5), 431–446. https://doi.org/10.5055/jem.2015.0253.
  • Liu, M, Cheng, SZ, Xu, KW, Yang, Y, Zhu, QT, Zhang, H, et al. (2020). Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: Cross sectional study. The BMJ, 369, 6–11. https://doi.org/10.1136/bmj.m2195.
  • Mitchell, CJ, Kernohan, WG, Higginson, R. (2012). Are emergency care nurses prepared for chemical, biological, radiological, nuclear or explosive incidents? International Emergency Nursing, 20(3), 151–161. https://doi.org/10.1016/j.ienj.2011.10.001.
  • Okumura, T, Suzuki, K, Fukuda, A, Kohama, A, Takasu, N, Ishimatsu, S, et al. (1998). The Tokyo Subway Sarin Attack: Disaster Management, Part 1: Community Emergency Response. Academic Emergency Medicine, 5(6), 613–617. https://doi.org/10.1111/j.1553-2712.1998.tb02470.x.
  • Olivieri, C, Ingrassia, PL, Della Corte, F, Carenzo, L, Sapori, JM, Gabilly, L, et al. (2017). Hospital preparedness and response in CBRN emergencies: TIER assessment tool. European Journal of Emergency Medicine, 24(5), 366–370. https://doi.org/10.1097/MEJ.0000000000000399.
  • Ozyar, E. (2003). Effects of Chernobyl Accident on Turkey. Environmental Protection Against Radioactive Pollution, 85–88. https://doi.org/10.1007/978-94-007-0975-1_13.
  • Patchen Dellinger, E, Pellegrini, CA, Gallagher, TH. (2017). The aging physician and the medical profession a review. JAMA Surgery, 152(10), 967–971. https://doi.org/10.1001/jamasurg.2017.2342.
  • Razak, S, Hignett, S, Barnes, J. (2018). Emergency Department Response to Chemical, Biological, Radiological, Nuclear, and Explosive Events: A Systematic Review. Prehospital and Disaster Medicine, 33(5), 543–549. https://doi.org/10.1017/S1049023X18000900.
  • Rebmann, T, Charney, RL, Loux, TM, Turner, JA, Nguyen, D. (2019). Firefighters’ and Emergency Medical Service Personnel’s Knowledge and Training on Radiation Exposures and Safety: Results from a Survey. Health Security, 17(5), 393–402. https://doi.org/10.1089/hs.2019.0086.
  • Republic of Türkiye Ministry of Energy and Natural Resources. (2022). Akkuyu Nuclear Power Plant Project. https://enerji.gov.tr/neupgm-akkuyu-nukleer-guc-santrali-projesi, 25.03.2023
  • Sheikh, S, McCormick, LC, Pevear, J, Adoff, S, Walter, FG, Kazzi, ZN. (2012). Radiological preparedness-awareness and attitudes: A crosssectional survey of emergency medicine residents and physicians at three academic institutions in the United States. Clinical Toxicology, 50(1), 34–38. https://doi.org/10.3109/15563650.2011.637047.
  • Veenema, TG, Burkle, FM, Dallas, CE. (2019). The nursing profession: A critical component of the growing need for a nuclear global health workforce. Conflict and Health, 13(1), 1–8. https://doi.org/10.1186/s13031-019-0197-x. World Health Organization and the International Labour Office. (2018). Occupational safety and health in public health emergencies: A manual for protecting health workers and responders. In Geneva. https://apps.who.int/iris/bitstream/handle/10665/275385/9789241514347-eng.pdf?ua=1&ua=1, 14.03.2023.
  • Yahya, NY, Ali, A.HBM., Rahmat, R, Ahmad Termizi, MS, Zazali, AK, Jamalluddin, SNF. (2022). Preparedness Towards Chemical, Biological, Radiological, Nuclear, and Explosive (Cbrne) Threats Among Healthcare Personnel in Pasir Gudang, Johor, Malaysia. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3998765.
There are 24 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Araştırma Makaleleri
Authors

Nurcan Bıçakçı 0000-0003-1358-9224

Sercan Bıçakçı 0000-0002-3268-0499

Project Number Bu çalışma bir projeden üretilmemiştir, proje numarası bulunmamaktadır.
Publication Date January 3, 2024
Submission Date May 30, 2023
Published in Issue Year 2023 Volume: 8 Issue: 3

Cite

APA Bıçakçı, N., & Bıçakçı, S. (2024). EVALUATION OF EMERGENCY DEPARTMENT PERSONNEL’S PREPAREDNESS FOR CHEMICAL, BIOLOGICAL, RADIATION, AND NUCLEAR EMERGENCIES. Hastane Öncesi Dergisi, 8(3), 236-251. https://doi.org/10.54409/hod.1306939