Global nursing in an Ebola viral haemorrhagic fever outbreak: before, during and after deployment

Autor: Stéphanie Paillard-Borg, Eva von Strauss, Jessica Holmgren, Panu Saaristo
Rok vydání: 2017
Předmět:
Adult
Male
Risk
Health Knowledge
Attitudes
Practice

Inservice Training
global health care
Nurses
global health
Article
viral haemorrhagic fever
Disease Outbreaks
03 medical and health sciences
0302 clinical medicine
Nursing
Adaptation
Psychological

Global health
Humans
Medicine
030212 general & internal medicine
Nurse education
Ebola Virus Disease
Cultural Characteristics
training
030504 nursing
business.industry
lcsh:Public aspects of medicine
Health Policy
nursing education
Public Health
Environmental and Occupational Health

Outbreak
lcsh:RA1-1270
Hemorrhagic Fever
Ebola

Middle Aged
preparedness
Africa
Western

Leadership
Cross-Sectional Studies
Socioeconomic Factors
Software deployment
disaster
Preparedness
Viral haemorrhagic fever
global nursing
Original Article
Female
0305 other medical science
business
Zdroj: Global Health Action, Vol 10, Iss 1 (2017)
Global Health Action
ISSN: 1654-9880
1654-9716
Popis: Background: Nurses are on the forefront and play a key role in global disaster responses. Nevertheless, they are often not prepared for the challenges they are facing and research is scarce regarding the nursing skills required for first responders during a disaster situation. Objectives: To investigate how returnee nursing staff experienced deployment before, during and after having worked for the Red Cross at an Ebola Treatment Center in Kenema, West Africa, and to supply knowledge on how to better prepare and support staff for viral haemorrhagic fever outbreaks. Methods: A descriptive, cross-sectional approach. Questionnaires were administered to nurses having worked with patients suffering from Ebola in 2014 and 2015. Data collection covered aspects of pre-, during and post-deployment on clinical training, personal health, stress management, leadership styles, socio-cultural exposure and knowledge transfer, as well as attitudes from others. Data was analysed using both quantitative and qualitative methods. Results: Response-rate was 88%: forty-four nurses from 15 different countries outside West Africa answered the questionnaire. The respondents identified the following needs for improvement: increased mental health and psychosocial support and hands-on coping strategies with focus on pre- and post-deployment; more pre-deployment task-oriented clinical training; and workload reduction, as exhaustion is a risk for safety. Conclusions: This study supplies knowledge on how to better prepare health care staff for future viral haemorrhagic fever outbreaks and other disasters. Participants were satisfied with their pre-deployment physical health preparation, whereas they stressed the importance of mental health support combined with psychosocial support after deployment. Furthermore, additional pre-clinical training was requested.
Databáze: OpenAIRE