Mustafa, Muhamad Sukri
(2015)
A survey on knowledge, attitude & confidence level of disaster management among doctors in Terengganu.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background
Disasters are unpredictable events that kill and affect people, demolish properties and
disrupt environment. During such events, doctors play a vital role in dealing with the
victims. It is crucial for doctors especially doctors working in emergency department to
be prepared in facing the aftermath of disasters. The aim of this study was to evaluate
the level of knowledge, attitude and confidence level of disaster management among
doctors working in emergency department.
Methodology
This is a cross-sectional study using convenient sample conducted in all emergency
department in Terengganu. A questionnaire was designed based on National Security
Council under Directive No. 20, hospital disaster plan and review of relevant literature.
It was edited by two emergency physicians and pre-test was conducted in HUSM to
validate and test the reliability of the questionnaire. All doctors working in emergency
department in Terengganu were included in this study. The study was conducted from
January 2014 till March 2014. The questionnaires were circulated with help from
representative from each hospital. It was anonymous and no time limit. The
questionnaires were then collected and coded accordingly. Statistical analysis was used
using SPSS version 21.
Result
A total of 92 doctors were analyzed. Average age was 28 years and 62% of doctors
were from emergency department with in-house emergency physician. 28% of
respondent had attended disaster drill previously and only 13% of doctors who had
experienced in dealing with real disaster. The mean knowledge, attitude and confidence
level were 72.14, 75.20, and 16 percent, respectively. Previously attended disaster drill
was found to significant factors for good knowledge (p=0.000) and increase confidence
level (p=0.03). Service duration and duration of working in emergency department were
also found to be significant factors affecting knowledge (p=0.008) and attitude
(p=0.000) towards disaster management.
Conclusion
We concluded that the knowledge regarding disaster management among doctors in
Terengganu was at an average level. However, the majority of emergency doctors were
found to have positive attitude towards disaster management. Despite this, self reported
confidence was poor among doctors working in emergency department. Our results also
suggest that advanced life support (e.g. TLS, ATLS) and frequent involvement in
disaster drills are important for effective management of disaster in the future.
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