Education and Ebola: initiating the cascade of emergency healthcare training

Eardley, William; Bowley, Douglas M.; Hunt, Paul; Round, Jonathan A.; Tarmey, Nick T; Williams, Andrew

doi:10.1136/jramc-2014-000394

Cited by 9 publications

(5 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Again, some good practices are identified that are crucial components of successful CMC. These include pre-existing relationships, early involvement of stakeholders and the use of liaisons to improve mutual trust and support for programmes 56–61. For example, during the West African Ebola crisis, the UK military training programme on the use of personal protective equipment was initiated with early engagement of local staff and handed over to a non-governmental organisation for a more long-term and sustainable execution 56.…”

Section: Resultsmentioning

confidence: 99%

“…Despite being trained to work in challenging contexts, military risk aversion and inflexibility on mission objectives has been frequently observed 1 64 66 67 71. Furthermore, language barriers, including the use of operational terminology, can create challenges in communication,57 58 65 72 as do differences in organisational cultures regarding authority, backgrounds and interests 57 60–62. The directness of military personnel does not remedy this situation,58 62 64 but instead, has resulted in growing aversion among civilian agencies 62…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Civil–military cooperation in the management of infectious disease outbreaks: a scoping review

Janse

Kalkman

Burchell³

et al. 2022

BMJ Glob Health

View full text Add to dashboard Cite

IntroductionCivil–military cooperation (CMC) in infectious disease outbreak responses has become more common, and has its own cooperation dynamics. These collaborations fit WHO’s call for multisectoral cooperation in managing health emergencies according to the emergency management cycle (EMC). However, the literature on CMC on this topic is fragmented. The core aim of this review is to understand the breadth and dynamics of this cooperation by using the EMC as a framework and by identifying challenges and opportunities in the management of outbreaks.MethodsA scoping review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guideline was conducted. A systematic search for peer-reviewed journals was performed in PubMed, Embase, Web of Science and Scopus. Eligible papers addressed substantive contributions to the understanding of CMC. Papers were categorised by EMC phase and relevant information on study characteristics and areas of cooperation were extracted from the data. Recurring themes on challenges and opportunities in cooperation were identified by means of qualitative interpretation analysis.ResultsThe search resulted in 8360 papers; 54 were included for analysis. Most papers provided a review of activities or expert opinions. CMC was described in all EMC phases, with the fewest references in the recovery phase (n=1). In total, eight areas of CMC were explored. Regarding the better understanding of cooperative dynamics, the qualitative analysis of the papers yielded five recurring themes covering challenges and opportunities in CMC: managing relations, framework conditions, integrating collective activities, governance and civil–military differences.ConclusionGuided by these five themes, successful CMC requires sustainable relations, binding agreements, transparency, a clear operational perspective and acknowledgement of organisational cultural differences. Early and continuous engagement proves crucial to avoid distrust and tension among stakeholders, frequently caused by differences in strategical goals. Original research on this topic is limited.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Civil–military cooperation in the management of infectious disease outbreaks: a scoping review

Janse

Kalkman

Burchell³

et al. 2022

BMJ Glob Health

View full text Add to dashboard Cite

show abstract

“…For knowledge evaluation, 101 studies [ 18 , 19 , 34 , 42 , 43 , 49 , 66 , 80 , 91 , 95 , 96 , 98 , 100 , 101 , 104 , 108 , 110 , 112 , 117 , 156 , 164 , 169 , 170 , 173 , 176 , 178 – 181 , 183 , 186 – 188 , 190 , 195 – 199 , 201 , 203 , 206 – 208 , 212 , 213 , 215 , 217 , 218 , 220 , 222 , 224 – 229 , 231 – 236 , 238 , 240 , 244 – 246 , 249 , 250 , 253 , …”

Section: Prominent Topic Areasunclassified

Learning interventions and training methods in health emergencies: A scoping review

Utunen,

Balaciano,

Arabi

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background Keeping the health workforce and the public informed about the latest evolving health information during a health emergency is critical to preventing, detecting and responding to infectious disease outbreaks or other health emergencies. Having a well-informed, ready, willing, and skilled workforce and an informed public can help save lives, reduce diseases and suffering, and minimize socio-economic loss in affected communities and countries. Providing “just in time” support and opportunities for learning in health emergencies is much needed for capacity building. In this paper, ‘learning intervention’ refers to the provision of ad-hoc, focused, or personalized training sessions with the goal of preparing the health workers for emergencies or filling specific knowledge or skill gaps. We refer to ‘training methods’ as instructional design strategies used to teach someone the necessary knowledge and skills to perform a task. Methods We conducted a scoping review to map and better understand what learning interventions and training methods have been used in different types of health emergencies and by whom. Studies were identified using six databases (Pubmed/Medline, Embase, Hinari, WorldCat, CABI and Web of Science) and by consulting with experts. Characteristics of studies were mapped and displayed and major topic areas were identified. Results Of the 319 records that were included, contexts most frequently covered were COVID-19, disasters in general, Ebola and wars. Four prominent topic areas were identified: 1) Knowledge acquisition, 2) Emergency plans, 3) Impact of the learning intervention, and 4) Training methods. Much of the evidence was based on observational methods with few trials, which likely reflects the unique context of each health emergency. Evolution of methods was apparent, particularly in virtual learning. Learning during health emergencies appeared to improve knowledge, general management of the situation, quality of life of both trainers and affected population, satisfaction and clinical outcomes. Conclusion This is the first scoping review to map the evidence, which serves as a first step in developing urgently needed global guidance to further improve the quality and reach of learning interventions and training methods in this context.

show abstract

“…By the time of handover to the International Organisation for Migration in December 2014, the Training Academy had trained 4000 healthcare staff from across the country to WHO standards enabling them to more safely deliver care. 22 In Kerrytown, an Ebola Treatment Centre (ETC) had been constructed, co-located with the NGO Save the Children, and was receiving patients within six weeks of activation -the first in-country ETC dedicated to providing care to international and local healthcare workers infected with Ebola. The care provided included advanced techniques usually only available in critical care environments such as ultrasound-guided fluid management and specialised medications delivered via central venous lines.…”

Section: The Ebola Epidemic and Operation Gritrockmentioning

confidence: 99%

Defence Healthcare Engagement: A UK Military Perspective to Improve Healthcare Leadership and Quality of Care Overseas

Tallowin¹,

Naumann²,

Bowley³

2021

JHL

View full text Add to dashboard Cite

Defence Healthcare Engagement (DHE) describes the use of military medical capabilities to achieve health effects overseas through enduring partnerships. It forms a key part of a wider strategy of Defence Engagement that utilises defence assets and activities, short of combat operations, to achieve influence. UK Defence Medical Services have significant recent DHE experience from conflict and stabilisation operations (e.g. Iraq and Afghanistan), health crises (e.g. Ebola epidemic in Sierra Leone), and as part of a long-term partnership with the Pakistan Armed Forces. Taking a historical perspective, this article describes the evolution of DHE from ad hoc rural health camps in the 1950s, to a modern integrated, multi-sector approach based on partnerships with local actors and close civil-military cooperation. It explores the evidence from recent UK experiences, highlighting the decisive contributions that military forces can make to healthcare leadership and quality of care overseas, particularly when conflict and health crisis outstrips the capacity of local healthcare providers to respond. Lessons identified include the need for long-term engagement with partners and the requirement for DHE activities to be closely coordinated with humanitarian agencies and local providers to prevent adverse effects on the local health economy and ensure a sustainable transition to civilian oversight.

show abstract

Education and Ebola: initiating the cascade of emergency healthcare training

Cited by 9 publications

References 9 publications

Civil–military cooperation in the management of infectious disease outbreaks: a scoping review

Civil–military cooperation in the management of infectious disease outbreaks: a scoping review

Learning interventions and training methods in health emergencies: A scoping review

Defence Healthcare Engagement: A UK Military Perspective to Improve Healthcare Leadership and Quality of Care Overseas

Contact Info

Product

Resources

About