Domestic application of lessons learned by Canadian health care professionals working in international disaster settings: a qualitative research study

CMAJ open Pub Date : 2022-01-01 DOI:10.9778/cmajo.20210127
L. Redwood-campbell, N. Arora, M. Hunt, L. Schwartz, M. Vanstone, Alexandra Hildebrand, Simran Sharma, S. Sohani
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引用次数: 1

Abstract

Background: Individuals with prior experience in international disaster response represent an essential source of expertise to support disaster response in their home countries. Our objective was to explore the experiences of personnel involved in international emergency health response regarding their perceptions of essential disaster response attributes and capacities and determine how these competencies apply to the Canadian context. Methods: For this qualitative study, we conducted semistructured interviews with key informants in person or over the telephone from May to December 2018. Participants were delegates deployed as part of the Canadian Red Cross medical response team in a clinical or technical, or administrative role within the last 5 years. Interviews were audio-recorded and transcribed. Conventional content analysis was performed on the transcripts, and themes were developed. Results: Eighteen key informants from 4 Canadian provinces provided perspectives on individual attributes acquired during international deployments, such as agility and stress management, and team capacities developed, including collaboration and conflict management. Key informants, including administrators (n = 5), technicians (n = 4), nurses (n = 4), physicians (n = 3) and psychosocial support workers (n = 2), described these experiences as highly relevant to the Canadian domestic context. Interpretation: Canadian physicians and health care workers involved with international disaster response have already acquired essential capacities, and this experience can be vital to building efficient disaster response teams in Canada. These findings complement the Canadian Medical Education Directives for Specialists (CanMEDS) roles and can inform course design, competency and curriculum development for physician and professional training programs related to disaster response and preparedness.
加拿大卫生保健专业人员在国际灾害环境中吸取的经验教训在国内的应用:一项定性研究
背景:具有国际救灾经验的个人是支持本国救灾的重要专业知识来源。我们的目标是探讨参与国际紧急卫生响应的人员对灾害响应的基本属性和能力的看法,并确定这些能力如何适用于加拿大的情况。方法:在这项定性研究中,我们于2018年5月至12月亲自或通过电话对关键线人进行了半结构访谈。参与者是在过去5年中作为加拿大红十字会医疗响应小组的一部分部署的临床、技术或行政代表。访谈被录音和转录。对转录本进行了常规的内容分析,并制定了主题。结果:来自加拿大4个省的18名关键线人就国际部署期间获得的个人特质提供了观点,如灵活性和压力管理,以及团队能力的发展,包括协作和冲突管理。主要信息提供者,包括管理人员(n=5)、技术人员(n=4)、护士(n=4。解释:参与国际救灾的加拿大医生和医护人员已经具备了基本能力,这一经验对于在加拿大建立高效的救灾团队至关重要。这些发现补充了加拿大专家医学教育指令(CanMEDS)的作用,可以为与灾害应对和准备相关的医生和专业培训项目的课程设计、能力和课程开发提供信息。
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