Medical Facility Employees’ Disaster Awareness, Attitude, Preparedness and Resilience in Northern Negros Occidental
DOI:
https://doi.org/10.5281/zenodo.14978051Keywords:
Disaster Preparedness, Resilience, Healthcare Facilities, Disaster Awareness, Employee Attitude, Northern Negros OccidentalAbstract
Disasters pose significant threats to healthcare facilities, necessitating robust disaster preparedness and resilience strategies to ensure continuity of care and minimize adverse impacts. This study investigates the levels of disaster awareness, attitude, preparedness, and resilience among 201 employees of medical facilities in Northern Negros Occidental and explores their interrelationships across demographic groups including age, sex, length of service, and department. Utilizing a mixed-methods approach, the research employed descriptive, comparative, and correlational methodologies. Data were collected through a validated survey questionnaire, achieving high internal consistency across all constructs (α > 0.89). Results indicate that overall disaster awareness, attitude, preparedness, and resilience are notably high among employees, with mean scores ranging from 4.60 to 5.54 on a six-point Likert scale. However, significant gaps were identified in misinformation about disaster preparedness, highlighting vulnerabilities in recognizing and managing misinformation during disaster events. Comparative analysis revealed significant differences in disaster resilience based on age, particularly in altruism and coping strategies. Correlational analysis demonstrated significant positive relationships between disaster awareness and both attitude (p = 0.010) and resilience (p = 0.003), as well as between attitude and both preparedness and resilience (p < 0.001). These findings highlight the need for healthcare institutions to integrate disaster misinformation management into standard emergency protocols. Policymakers should consider mandatory resilience training for medical personnel, incorporating psychological preparedness alongside logistical readiness. Strengthening disaster response frameworks by leveraging experienced staff as mentors and improving hospital-based disaster education can significantly enhance institutional preparedness.
References
Adini, B., Laor, D., Cohen, R., & Israeli, A. (2012). Decision to evacuate a hospital during an emergency: the safe way or the leader's way?. Journal of public health policy, 33, 257-268.
Ajzen, I. (1991). The theory of planned behavior. Organizational behavior and human decision processes, 50(2), 179-211.
Almedom, A. M. (2008). Resilience to disasters: a paradigm shift from vulnerability to strength. African Health Sciences, 8(Suppl 1), S1.
Biddle, L., Wahedi, K., & Bozorgmehr, K. (2020). Health system resilience: a literature review of empirical research. Health policy and planning, 35(8), 1084-1109.
Bollettino, V., Alcayna, T., Enriquez, K., & Vinck, P. (2018). Perceptions of disaster resilience and preparedness in the Philippines. Cambridge, MA, USA: Harvard Humanitarian Initiative.
Borbon, M. (2020). Evaluation on Disaster Preparedness among Resort Employees in Coastal Area situated in Batangas, Philippines.
Bureau, V., & Salomonsen, H. H. (2012). Comparing comparative research designs.
Çam, O., & Büyükbayram, A. (2017). Nurses' Resilience and Effective Factors. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi, 8(2).
Chan, J. L., & Purohit, H. (2020). Challenges to transforming unconventional social media data into actionable knowledge for public health systems during disasters. Disaster medicine and public health preparedness, 14(3), 352-359.
Congress of the Philippines. (2010). RA 10121: An Act Strengthening the Philippine Disaster Risk Reduction and Management System. Philippines, 3086, 1–34.
http://www.ndrrmc.gov.ph/attachments/article/45/Republic_Act_10121.pdf
Convoy, S., & Westphal, R. J. (2013). The importance of developing military cultural competence. Journal of Emergency Nursing, 39(6), 591-594.
Cutter, S. L., Barnes, L., Berry, M., Burton, C., Evans, E., Tate, E., & Webb, J. (2008). A place-based model for understanding community resilience to natural disasters. Global environmental change, 18(4), 598-606.
Dikmenli, Y., Yakar, H., & Konca, A. S. (2018). Development of disaster awareness scale: A validity and reliability study. Review of International Geographical Education Online, 8(2), 206-220.
Fallah-Aliabadi, S., Ostadtaghizadeh, A., Ardalan, A., Fatemi, F., Khazai, B., & Mirjalili, M. R. (2020). Towards developing a model for the evaluation of hospital disaster resilience: a systematic review. BMC health services research, 20, 1-11.
Fatoni, F., Panduragan, S. L., bin Sansuwito, T., & Pusporini, L. S. (2022). Disaster Preparedness: Knowledge, Attitude, and Practice Among Rural Communities in Indonesia: A Cross Sectional Survey. Malaysian Journal of Medicine and Health Sciences, 18(17 S), 163–170.
Federal Emergency Management Agency. (2019). Healthcare facilities and power outages: Guidance for state, local, tribal, territorial, and private sector partners. Healthcare Facilities and Power Outages, August, 1–40. https://www.fema.gov/sites/default/files/2020-07/healthcare-facilities-and-power-outages.pdf
Georgieva, M. G., Kostadinov, R., Semerdjieva-Filipova, M. A., & Valkanova, E. V. (2024). Hospital professional staff awareness of hospital plans for the provision of teams for medical support in case of disasters. Vojnosanitetski pregled, 81(04).
Girardet, L. H. (2020). United Nations Office for Disaster Risk Reduction (UNDRR).
Han, S. J., & Chun, J. (2021). Validation of the disaster preparedness evaluation tool for nurses—the Korean version. International Journal of Environmental Research and Public Health, 18(3), 1348.
Heale, R., & Twycross, A. (2015). Validity and reliability in quantitative studies. Evidence-based nursing, 18(3), 66-67.
Khalil, M., Ravaghi, H., Samhouri, D., Abo, J., Ali, A., Sakr, H., & Camacho, A. (2022). What is “hospital resilience”? A scoping review on conceptualization, operationalization, and evaluation. Frontiers in public health, 10, 1009400.
LePine, J. A., & Van Dyne, L. (2001). Voice and cooperative behavior as contrasting forms of contextual performance: evidence of differential relationships with big five personality characteristics and cognitive ability. Journal of applied psychology, 86(2), 326.
Lowe, S. R., Sampson, L., Gruebner, O., & Galea, S. (2015). Psychological resilience after Hurricane Sandy: the influence of individual-and community-level factors on mental health after a large-scale natural disaster. PloS one, 10(5), e0125761.
Mao, X., Loke, A. Y., & Hu, X. (2020). Developing a tool for measuring the disaster resilience of healthcare rescuers: a modified Delphi study. Scandinavian journal of trauma, resuscitation and emergency medicine, 28, 1-12.
Munasinghe, N. L., & Matsui, K. (2019). Examining disaster preparedness at Matara district general hospital in Sri Lanka. International Journal of Disaster Risk Reduction, 40, 101154.
Nevo, B. (1985). Face validity revisited. Journal of Educational Measurement, 22(4), 287-293.
Norris, F. H., Stevens, S. P., Pfefferbaum, B., Wyche, K. F., & Pfefferbaum, R. L. (2008). Community resilience as a metaphor, theory, set of capacities, and strategy for disaster readiness. American journal of community psychology, 41, 127-150.
Paton, D. (2006). Warning Systems: Issues and considerations for warning the public. University of Tasmania.
Pham, D., Vo, M., & Prevention, C. (2014). United Nations Development Programme (UNDP).
Pennings, J. M., & Grossman, D. B. (2008). Responding to crises and disasters: the role of risk attitudes and risk perceptions. Disasters, 32(3), 434-448.
Renn, O., Klinke, A., & Schweizer, P. J. (2018). Risk governance: application to urban challenges. International journal of disaster risk science, 9, 434-444.
Rojas, G. F., & Castro, E. G. De. (2023). Awareness and Practices On Disaster Management Of Healthcare Workers of Sorsogon Provincial Hospital. Arjhss.Com, 01, 43–57. https://www.arjhss.com/wp-content/uploads/2023/01/G614357.pdf
Samsuddin, N. M., Takim, R., Nawawi, A. H., & Alwee, S. N. A. S. (2018). Disaster preparedness attributes and hospital’s resilience in Malaysia. Procedia engineering, 212, 371-378.
Shanableh, S., Alomar, M. J., Palaian, S., Al-Ahmad, M. M., & Ibrahim, M. I. M. (2023). Knowledge, attitude, and readiness towards disaster management: A nationwide survey among healthcare practitioners in the United Arab Emirates. PloS one, 18(2), e0278056.
Simon, R. R. (2021). Disaster Management - Hospital Perspective. Interntional Journal of Research and Analytical Reviews (IJRAR), 8(1), 390–393. https://www.researchgate.net/publication/349027664_Disaster_Management_-Hospital_perspective
Toole, T. M., & Gambatese, J. A. (2002). Primer on federal occupational safety and health administration standards. Practice periodical on structural design and construction, 7(2), 56-60.
Türkan, A. H., Kılıç, İ., & Tiryakioğlu, M. (2019). Development of a disaster attitude scale and assessment of university students' attitudes towards disasters. Ege Academic Review, 19(4), 457-467.
Verheul, M. L., & Dückers, M. L. (2020). Defining and operationalizing disaster preparedness in hospitals: a systematic literature review. Prehospital and disaster medicine, 35(1), 61-68.
WHO (2022). A Policy Paper on Facility-Level Preparedness. 140.
Yousefi, K., Larijani, H. A., Golitaleb, M., & Sahebi, A. (2019). Knowledge, attitude and performance associated with disaster preparedness in Iranian nurses: a systematic review and meta-analysis. Advanced journal of emergency medicine, 3(4).
Zhong, S., Clark, M., Hou, X. Y., Zang, Y., & FitzGerald, G. (2014). Validation of a framework for measuring hospital disaster resilience using factor analysis. International journal of environmental research and public health, 11(6), 6335-6353.
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