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Physicians' Response and Preparedness of Terrorism-Related Disaster Events in Quetta City, Pakistan: A Qualitative Inquiry

BACKGROUND: Besides catastrophes, infrastructural damages, and psychosocial distress, terrorism also imposes an unexpected burden on healthcare services. Considerably, adequately-prepared and responsive healthcare professionals affirms effective management of terrorism-related incidences. Accordingl...

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Autores principales: Khilji, Fazal Ur Rehman, Zil-e-Huma, Baloch, Nosheen Sikander, Shoaib, Maryam, Iqbal, Zaffar, Raziq, Abdul, Sadaf, Nabila, Ainuddin, Syed, Haider, Sajjad, Saleem, Fahad, Iqbal, Qaiser, Hussain, Tanveer, Ayaz, Asfandyar, Ishaq, Rabia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9271701/
https://www.ncbi.nlm.nih.gov/pubmed/35832271
http://dx.doi.org/10.3389/fpubh.2022.912762
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author Khilji, Fazal Ur Rehman
Zil-e-Huma,
Baloch, Nosheen Sikander
Shoaib, Maryam
Iqbal, Zaffar
Raziq, Abdul
Sadaf, Nabila
Ainuddin, Syed
Haider, Sajjad
Saleem, Fahad
Iqbal, Qaiser
Hussain, Tanveer
Ayaz, Asfandyar
Ishaq, Rabia
author_facet Khilji, Fazal Ur Rehman
Zil-e-Huma,
Baloch, Nosheen Sikander
Shoaib, Maryam
Iqbal, Zaffar
Raziq, Abdul
Sadaf, Nabila
Ainuddin, Syed
Haider, Sajjad
Saleem, Fahad
Iqbal, Qaiser
Hussain, Tanveer
Ayaz, Asfandyar
Ishaq, Rabia
author_sort Khilji, Fazal Ur Rehman
collection PubMed
description BACKGROUND: Besides catastrophes, infrastructural damages, and psychosocial distress, terrorism also imposes an unexpected burden on healthcare services. Considerably, adequately-prepared and responsive healthcare professionals affirms effective management of terrorism-related incidences. Accordingly, the present study aimed to evaluate physicians' preparedness and response toward terrorism-related disaster events in Quetta city, Pakistan. METHODS: A qualitative design was adopted. Physicians practicing at the Trauma Center of Sandeman Provincial Hospital (SPH), Quetta, were approached for the study. We conducted in-depth interviews; all interviews were audio-taped, transcribed verbatim, and analyzed for thematic contents by a standard content analysis framework. RESULTS: Fifteen physicians were interviewed. The saturation was achieved at the 13th interview however we conducted another two to validate the saturation. The thematic content analysis revealed five themes and 11 subthemes. All physicians have experienced, responded to, and managed terrorism-related disaster events. They were prepared professionally and psychologically in dealing with a terrorism-related disaster. Physicians identified lack of disaster-related curricula and training, absence of a standardized protocol, recurrence of the disaster, and hostile behavior of victim's attendants during an emergency as critical barriers to effective terrorism-related disaster management. Among limitations, all respondents mentioned workspace, and resources as a foremost constraint while managing a terrorism-related disaster event. CONCLUSION: Although physicians understood the abilities and had the required competencies to mitigate a terrorism-related disaster, lack of workspace and resources were identified as a potential barrier to effective disaster management. Based on the results, we propose reconsideration and integration of the medical curriculum, particularly for terrorism-related disaster management, collaboration, and communication among various stakeholders to manage terrorism-related disaster events competently.
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spelling pubmed-92717012022-07-12 Physicians' Response and Preparedness of Terrorism-Related Disaster Events in Quetta City, Pakistan: A Qualitative Inquiry Khilji, Fazal Ur Rehman Zil-e-Huma, Baloch, Nosheen Sikander Shoaib, Maryam Iqbal, Zaffar Raziq, Abdul Sadaf, Nabila Ainuddin, Syed Haider, Sajjad Saleem, Fahad Iqbal, Qaiser Hussain, Tanveer Ayaz, Asfandyar Ishaq, Rabia Front Public Health Public Health BACKGROUND: Besides catastrophes, infrastructural damages, and psychosocial distress, terrorism also imposes an unexpected burden on healthcare services. Considerably, adequately-prepared and responsive healthcare professionals affirms effective management of terrorism-related incidences. Accordingly, the present study aimed to evaluate physicians' preparedness and response toward terrorism-related disaster events in Quetta city, Pakistan. METHODS: A qualitative design was adopted. Physicians practicing at the Trauma Center of Sandeman Provincial Hospital (SPH), Quetta, were approached for the study. We conducted in-depth interviews; all interviews were audio-taped, transcribed verbatim, and analyzed for thematic contents by a standard content analysis framework. RESULTS: Fifteen physicians were interviewed. The saturation was achieved at the 13th interview however we conducted another two to validate the saturation. The thematic content analysis revealed five themes and 11 subthemes. All physicians have experienced, responded to, and managed terrorism-related disaster events. They were prepared professionally and psychologically in dealing with a terrorism-related disaster. Physicians identified lack of disaster-related curricula and training, absence of a standardized protocol, recurrence of the disaster, and hostile behavior of victim's attendants during an emergency as critical barriers to effective terrorism-related disaster management. Among limitations, all respondents mentioned workspace, and resources as a foremost constraint while managing a terrorism-related disaster event. CONCLUSION: Although physicians understood the abilities and had the required competencies to mitigate a terrorism-related disaster, lack of workspace and resources were identified as a potential barrier to effective disaster management. Based on the results, we propose reconsideration and integration of the medical curriculum, particularly for terrorism-related disaster management, collaboration, and communication among various stakeholders to manage terrorism-related disaster events competently. Frontiers Media S.A. 2022-06-27 /pmc/articles/PMC9271701/ /pubmed/35832271 http://dx.doi.org/10.3389/fpubh.2022.912762 Text en Copyright © 2022 Khilji, Zil-e-Huma, Baloch, Shoaib, Iqbal, Raziq, Sadaf, Ainuddin, Haider, Saleem, Iqbal, Hussain, Ayaz and Ishaq. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Khilji, Fazal Ur Rehman
Zil-e-Huma,
Baloch, Nosheen Sikander
Shoaib, Maryam
Iqbal, Zaffar
Raziq, Abdul
Sadaf, Nabila
Ainuddin, Syed
Haider, Sajjad
Saleem, Fahad
Iqbal, Qaiser
Hussain, Tanveer
Ayaz, Asfandyar
Ishaq, Rabia
Physicians' Response and Preparedness of Terrorism-Related Disaster Events in Quetta City, Pakistan: A Qualitative Inquiry
title Physicians' Response and Preparedness of Terrorism-Related Disaster Events in Quetta City, Pakistan: A Qualitative Inquiry
title_full Physicians' Response and Preparedness of Terrorism-Related Disaster Events in Quetta City, Pakistan: A Qualitative Inquiry
title_fullStr Physicians' Response and Preparedness of Terrorism-Related Disaster Events in Quetta City, Pakistan: A Qualitative Inquiry
title_full_unstemmed Physicians' Response and Preparedness of Terrorism-Related Disaster Events in Quetta City, Pakistan: A Qualitative Inquiry
title_short Physicians' Response and Preparedness of Terrorism-Related Disaster Events in Quetta City, Pakistan: A Qualitative Inquiry
title_sort physicians' response and preparedness of terrorism-related disaster events in quetta city, pakistan: a qualitative inquiry
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9271701/
https://www.ncbi.nlm.nih.gov/pubmed/35832271
http://dx.doi.org/10.3389/fpubh.2022.912762
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