Perception of Preparedness of Health Care Professionals in Case of a Nuclear, Chemical, Biological Attack/Emergency in a Tertiary Care Hospital

被引:6
作者
Azeem, Abdul R. [1 ]
Sharif, Muhammad Waqar [2 ,3 ]
Akhtar, Ali [4 ]
Sohail, Chaudhry Saad [5 ]
Dar, Ahmed A. [6 ]
Khan, Maham [7 ]
Aleem, Maira [3 ,8 ]
机构
[1] Combined Mil Hosp, Gen Med, Lahore, Pakistan
[2] CMH Lahore, Med Coll, Combined Mil Hosp, Internal Med, Lahore, Pakistan
[3] Inst Dent, Lahore, Pakistan
[4] Pakistan Air Force Hosp, Internal Med, Islamabad, Pakistan
[5] Banner Univ Med Ctr, Med Ctr, Internal Med, Tucson, AZ USA
[6] Punjab Dent Hosp, Dent Demontmorency Coll Dent, Lahore, Pakistan
[7] Armed Forces Inst Radiol & Imaging, Radiol, Islamabad, Pakistan
[8] CMH Lahore Med Coll, Combined Mil Hosp, Biotechnol, Lahore, Pakistan
关键词
attack/incident; biological; chemical; health care; nuclear; professional; perception; preparedness; WARFARE; NURSES;
D O I
10.7759/cureus.4657
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background With the growth of global terrorism and rapid advancements in the field of science, the threat of a nuclear, biological, and chemical (NBC) attack remains imminent. This study assesses perceptions of preparedness of health care professionals in case of an NBC attack/incident in a tertiary care hospital. Patients and methods We conducted a descriptive, cross-sectional study of 200 health care workers (including nurses and doctors) in a tertiary care hospital, from October 2018 through December 2018. Participants answered 17 yes/no questions and five 5-point Likert scale questions. We analyzed the data using chi-square tests and one-way analysis of variance. Results Most participants (73.6%) reported availability to an isolation facility, and a majority of participants (72%) reported they had access to ventilators. Approximately 60% of participants reported they had access to beds, and 44.6% reported access to a laundry facility. Most participants (65.3%) knew of an employee assistance program while 31.1% did not know about such a program at their institution. More than 50% of the respondents think they can deal with an emergency involving an NBC attack while 60% of the respondents did not think that their institution would be able to protect them in the event of an NBC attack/incident. Overall, the participants were not adequately prepared for a mass scale NBC incident. The level of preparation was linked to the number of courses and training programs completed by the participants, with postgraduate medical personnel having the maximum level of preparedness, followed by medical graduates and nursing personnel. Conclusion Given the inadequate level of preparedness for an NBC incident as indicated by our findings, drills and seminars on large-scale emergencies such as an NBC attack should be included in the curriculum of undergraduate medical and nursing students in order to impart them the necessary training and confidence in dealing with an NBC incident.
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