جستجوی مقالات مرتبط با کلیدواژه « مانور » در نشریات گروه « پزشکی »

The preparedness of nurses, especially military nurses, is one of the main factors in reducing casualties during crisis, and standard methods to improve this readiness is is great importance

The present study aimed to determine the effect of triage maneuvering of patients referred to the emergency department during the crisis on knowledge and attitude of military nurses.

The present study is quasi-experimental. Consisting of two groups with pre-test and post-test design. The statistical population consisted of all nurses working in military medical centers of Lorestan province in the second half of 2020. Sixty nurses were included in the study and randomly divided into intervention and control groups based on the inclusion criteria. Both groups participated in a one-day workshop (through lectures) on crisis preparedness; and a one-day maneuver based on the scenario. Two questionnaires including nurses’ demographic information and researcher-made questionnaire were used to measure knowledge and attitude of triage. Data were analyzed using SPSS 21.

Results showed no difference between the two groups in terms of distribution of demographic variables. Before the intervention, the mean scores of knowledge and attitude in the two groups were not statistically significant (P>0.05). Still, after the intervention, it was significantly higher in the intervention group than in the control group (P<0.05). There was no significant difference between the knowledge and attitude scores in the control group before and after the intervention (P<0.05).

Performing triage maneuvers for the injured referring to the emergency room during the crisis affects knowledge and attitude of nurses.
Itis recommended to improve nurses’ preparednessduring the crisis using theoretical training and lectures.

Due to the increasing number of accidents and disasters in the world and the existence of nurses as the largest group responding to such accidents, their readiness to respond to accidents and disasters is very necessary and important. Therefore, the present study was conducted to investigate studies on effective methods in preparing nurses for accidents and disasters with emphasis on maneuver training.

In this review study, articles published between (2011-2020) were reviewed. In order to obtain relevant scientific documentation, electronic search in both Persian and English using Keywords (Maneuver, simulation, preparation, nurse and training methods) in Academic Database of Academic Jihad (SID), Magiran Database, Iranian Medical Science Database (Iran Medex), PubMed, Science Direct, Ovid, ProQuest and Google scholar. A total of 281 articles were found. 34 articles were extracted from them. Inclusion criteria included originality and research, writing in Persian and English and compatibility with the purpose of study, and exclusion criteria also included not having access to the full version of the article.

Studies have shown that paying attention to accidents and disasters and improving the preparedness of nurses and even other medical staff has a high priority that should be considered in all countries and from the student period. Training is an important and effective method for obtaining information and improving knowledge. Among the training methods, maneuvering and simulation in this field is very common and has been used for various purposes that promote knowledge, skills, competence and readiness of nurses to deal with accidents and disasters have been one of these important goals.

Discussion and Conclusion:

According to the results of studies and the effectiveness of using maneuvering and simulation training methods in improving the preparedness of medical staff, especially nurses, therefore, it is recommended to use this method to improve the preparedness and skills of nurses in the face of disasters.

Evidence from past wars of human history and the present century presents undeniable examples revealing the importance of civil defense. In Iran, there have been numerous attacks with a varietyof chemical gases during the eight years of the battle with Iraq. In addition, unintended accidents during earthquakes, hurricanes, and car accidents while transporting chemicals and chemical gases, although rare, are inevitable. For example, large-scale chlorine gas emissions have occurred. Because these events are rare, ED personnel are often not prepared enough to play an effective role in such situation, especially in the early golden hours after their happening. Due to lack of observation and repetition, preparedness of medical centers in terms of equipment and trained staff after the occurrence of attacks and accidents is a basic necessity. According to its inherent duties, Iranian civil defense organization is responsible for training and taking action to prepare hospital staff. This project, supported by this organization, aims to report how to confront with an accident or chemical attack in Loghman Hakim Hospital, a tertiary referral center for poisonings in Tehran, Iran, in 2019.

This project was performed as a maneuver with participation of 65 physicians, hospital personnel, and students at Loghman Hakim Hospital affiliated to Shahid Beheshti University of Medical Sciences. Initially, training workshops were held to raise theawareness and preparedness of the members of the crisis team and all active staff using existing texts and instructions. Then, a designed imaginary scenario was presented and acted as a maneuver on a non-holiday day between 9.30 AM and 4 PM.

Sixty-five physicians, hospital staff, and students attended the maneuver. The findings are reported in three levels of A: directorship and management level reaching almost 70% of its goals; B: operational level reaching about 70% of its goals, andC: termination of the maneuver and initiation of rehabilitation reaching almost 40% of its goals.

The maneuver was performed with almost 65% of the aims reached. Physicians and staff readiness was assessed to be moderate. Lack of equipment was undeniably obvious, especially in decontamination tools and protective clothing for employees. In general, our referral center of poisoning is not prepared enough to deal with any chemical accident or attack if it happens. More attention is needed to chemical accident/attack preparedness at least in all referral centers for clinical poisoning throughout the country.

Use of a comprehensive and standard-based scenario is of pivotal importance in conducting emergency exercises. Despite the importance of such scenarios, there is no approved, universal pattern used by Iranian industries for designing them. This study firstly aimed at providing a pattern for developing emergency scenarios. Secondly, a set of scenarios which currently are used by major Iranian industries were selected and the confirmatory of them with the proposed pattern were investigated.
At first the content of ISO 22398 and HSEEP standards were studied thoroughly and, by integrating these two, a new pattern was constructed, next, its validity and reliability were determined. Finally, 61 scenarios used by process industries in Iran were collected and the conformity of them with the new pattern was surveyed.
The extracted pattern contained five main sections and 41 subsections. The conformity of examined scenarios with the proposed pattern showed that only subsections such scenario preparation and scenario implementation were considered in all of the scenarios.
The findings of this study emphasize the necessity of using a universal pattern for developing emergency exercise scenarios. Training of this pattern to individuals who involved in developing emergency scenarios would improve the quality of scenarios used by industries and make them stronger against real emergencies.

In hospitals disaster is regarded as a crisis and must be properly managed and controlled to prevent its conversion into a scandal. The aim of this study was to determine the effect of manouver on the readiness of employees in a military hospital.
A quasi-experimental study (before and after design) was conducted on the 70 personnel in a military hospital. Data were collected using a valid and reliable questionnaire and analyzed using SPSS software( v. 20).
The mean score of readiness scopes before and after the manouver were 22.74 and 23.74, respectively. This difference was not statistically significant (p=0.693). Except for planning and knowledge & attitude scope (p=0.049) and attitude (p=0.000) , there were no significant difference regarding different scopes such as staff’s concept a bout the disaster (p=0.337), organizing (p=0.219), education (p=0.228), Awareness (p=0.928) and skill (p=0.112).
Some degree of heterogenity in the process of the promotion of the scopes have seen during the intervention (trauma manouver).One of the reasons is weakness in designing the scenarios .Therefore readiness of health workers should be considered by policy-makers and senior managers of the health system.

The sound planning is needed for effective implementation of an emergency exercise. The exercise planning is manifested in the scenario development process. Despite the frequent execution of exercises in the industries and the public domain, there is no uniform pattern for designing scenarios. The present paper aims at devising a new pattern based on the project management body of knowledge (PMBOK) approach. Ten principles of the PMBOK and their substructures were analyzed. The application processes were extracted in two parts; the structural and executive parts. Then, these processes were translated into the its equivalent norms in the emerging scenario development process. Finally, a pattern was proposed for preparing an emergency scenario. The proposed method was developed in a ten step process. Step by step implementation of these processes can help one to make an acceptable scenario. In comparison with the two most common international patterns for developing a scenario, the present method has some unique characteristics. Quality, Time, Cost and Interested Parties management are the mentioned properties. In general, the present method has some components that represent more details for users. Using the project management body of knowledge approach one can develop a standard frame for developing an emergency scenario.

Nurses, as the pioneers of healthcare in societies, play an important role before, during, and after disasters. Enhancement of their professional skills for the purpose of helping the injured is one of the basic principles in health management in accidents and disasters. The aim of this study is to investigate the effects of a disaster nursing education program on the improvement of nurses’ preparedness.

It was a quasi-experimental, single group study. The sample including 113 nurses working in Razi psychiatric hospital were selected by census and asked to fill out the “preparedness for confronting disasters” questionnaire, which was developed by the authors. The preparedness program, which consisted of a one-day workshop on disaster management, top-table maneuver, and an operational maneuver, were performed for the participants. The preparedness of all participating nurses was measured one week and also one month after the program. Data were analyzed ANOVA for repeated measures by SPSS-PC (v.17).

Our results showed that the mean scores of knowledge, attitude, and performance improved from 5.55 to 19.88, from 66.18 to 72.41, and from 3.36 to 12.48, respectively in pretest and follow up measurements, which indicated a statistically significant difference (p<0.001). In addition, the mean score for total preparedness was increased from 75.14 in pretest to 104.77 in follow up, which is statistically significant (p<0.001)

According to the findings in order to promote and maintain the preparedness of nursing staff, inclusion of disaster programs in their academic educational curriculum and as a continued educational program is recommended.

Introdoction: Islamic Republic of Iran was frequently attacked by Chemical Warfare Agents (CWA) during IraqIran war. Today and after 15 to 20 years of exposure many injured patients are constantly suffering from long-term effects of these agents. But nowadays danger of chemical terrorism and also bioterrorism are not merely related to war time and most communities are liable to such threats. In this regard OPCW conducts several educational programs for physicians and specific relief agents of the associated countries each year. Ukraine maneuver, from 2005/10/8 until 2005/10/13, was the second medical and non-medical chemical defense conducted by OPCW in collaboration with NATO members. Iranian chemical defense team, member of International chemical injured treatment and education station, has participated very actively in this maneuver. Current study has performed according to scientific issues about acute and chronic complications due to chemical warfare’s’, managements protocols and challenging with chemical attacks, prevention methods and treatment of injured patients and also triage and structure of chemical emergency and obtain experiences from 8 years war of Iraq against Iran and also participation in national and international chemical maneuvers with an analytic view to different medical, operational and technical aspects of chemical maneuver in Ukrain with participation of all the NATO countries, we would compared it with Iranian national maneuver We could define several weaknesses and strengths of our anti-biochemical training programs. We have also designed a sketch for future collaboration with other countries in an international level to respond properly in case of biochemical accidents. Although we have experienced valuable results during chemical war Iraq against Iran, but if we don’t publish these experiences about management of chemical veterans and don’t education them, they would be forgotten. Nowadays world has a lot of worries about terrorist chemical attacks and education of prevention and medical aspects is an issue of importance and also publishing and educating of such findings would result increasing in self esteem about our scientific practical, technical and tactical knowledge if accompanied with using experiences of other countries to repair our defects.