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Journal Article

Citation

King RV, North CS, Larkin GL, Downs DL, Klein KR, Fowler RL, Swienton RE, Pepe PE. Disaster Med. Public Health Prep. 2010; 4(4): 332-338.

Affiliation

Drs King, North, Fowler, Swienton, and Pepe and Mr Downs are with the University of Texas Southwestern Medical Center; Dr Larkin is with Yale University; and Dr Klein is with Maimonides Medical Center.

Copyright

(Copyright © 2010, Society for Disaster Medicine and Public Health, Publisher Cambridge University Press)

DOI

10.1001/dmphp.D-09-00059R1

PMID

21149236

Abstract

Methods:  An effective disaster response requires competent responders and leaders. The purpose of this study was to ask experts to identify attributes that distinguish effective from ineffective responders and leaders in a disaster. In this qualitative study, focus groups were held with jurisdictional medical directors for the 9-1-1 emergency medical services systems of the majority of the nation's largest cities. These sessions were recorded with audio equipment and later transcribed. Results:  The researchers identified themes within the transcriptions, created categories, and coded passages into these categories. Overall interrater reliability was excellent (κ = .8). The focus group transcripts yielded 138 codable passages. Ten categories were developed from analysis of the content: Incident Command System/Disaster Training/Experience, General Training/Experience, Teamwork/Interpersonal, Communication, Cognition, Problem Solving/Decision Making, Adaptable/Flexible, Calm/Cool, Character, and Performs Role. The contents of these categories included knowledge, skills, attitudes, behaviors, and personal characteristics. Conclusions:  Experts in focus groups identified a variety of competencies for disaster responders and leaders. These competencies will require validation through further research that involves input from the disaster response community at large.


Language: en

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