An update on US Ebola treatment center personnel management and training
| Autor: | Jocelyn J. Herstein, Aurora B. Le, Lily A. McNulty, Sean A. Buehler, Paul D. Biddinger, Angela L. Hewlett, John J. Lowe, Shawn G. Gibbs |
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| Rok vydání: | 2020 |
| Předmět: |
Isolation (health care)
Epidemiology Health Personnel Personnel Staffing and Scheduling Staffing Training (civil) Personnel Management 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Team composition 0303 health sciences 030306 microbiology business.industry Health Policy Public Health Environmental and Occupational Health Retraining Hemorrhagic Fever Ebola medicine.disease United States Treatment center Infectious Diseases Preparedness Human resource management Communicable Disease Control Workforce Medical emergency business |
| Zdroj: | American Journal of Infection Control. 48:375-379 |
| ISSN: | 0196-6553 |
| Popis: | Background In 2014, 56 US hospitals were designated as Ebola treatment centers (ETCs). ETCs had minimum augmented capability requirements for Ebola virus disease care, including for staffing and training. We sought to identify current ETC staffing challenges and frequency of staff retraining. Methods In May 2019, an electronic survey was distributed to representatives of the 56 ETCs. Results Sixty-six percent (37/56) of ETCs responded. Registered nurses comprised the majority of ETC staff. All responding units required orientation training (average = 15.21 hours) and all but one required retraining. Among the top challenges that ETCs reported to maintaining high-level isolation capabilities were staff training time, staff recruitment, staff retention, and training costs. Discussion Five years after ETC designation, units face staffing challenges. Research is lacking on the effective number of hours and optimal frequency of staff training. ETCs reported smaller staffing teams compared to our 2016 assessment, but team composition remains similar. As units continue to maintain capabilities with decreasing external support and attention, the need for retraining must be balanced with logistical constraints and competing demands for staff time. Conclusions Our study shows that US preparedness capabilities are reduced. More research, support, and funding are needed to sustain the unique knowledge and proficiency acquired by ETC teams to ensure domestic preparedness for highly hazardous communicable diseases. |
| Databáze: | OpenAIRE |
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