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      Interprofessional Disaster Simulation During the COVID-19 Pandemic: Adapting to Fully Online Learning

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          Abstract

          This paper describes the rapid conversion of a face-to-face interprofessional (IP) disaster simulation to an online format in response to COVID-19 campus closures. The online disaster simulation utilized internet-based tools allowing real-time collaboration between IP students. Team exercises involved disaster triage, disease outbreak investigation, and disaster response. Surveys measuring self-assessment of various IP skills and simulation learning outcomes (SLOs) were compared with responses from previous face-to-face simulations. Results indicated mean scores for IP skills were higher for online students when compared with in-person simulations, and all SLOs were met. The online disaster simulation provided an effective, innovative IP educational opportunity.

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          Most cited references6

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          Core competencies for disaster medicine and public health.

          Effective preparedness, response, and recovery from disasters require a well-planned, integrated effort with experienced professionals who can apply specialized knowledge and skills in critical situations. While some professionals are trained for this, others may lack the critical knowledge and experience needed to effectively perform under stressful disaster conditions. A set of clear, concise, and precise training standards that may be used to ensure workforce competency in such situations has been developed. The competency set has been defined by a broad and diverse set of leaders in the field and like-minded professionals through a series of Web-based surveys and expert working group meetings. The results may provide a useful starting point for delineating expected competency levels of health professionals in disaster medicine and public health.
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            The Interprofessional Collaborative Competency Attainment Survey (ICCAS): A replication validation study.

            This study replicates a validation of the Interprofessional Collaboration Competency Attainment Survey (ICCAS), a 20-item self-report instrument designed to assess behaviours associated with patient-centred, team-based, collaborative care. We appraised the content validity of the ICCAS for a foundation course in interprofessional collaboration, investigated its internal (factor) structure and concurrent validity, and compared results with those obtained previously by ICCAS authors. Self-assessed competency ratings were obtained from a broad spectrum of pre-licensure, health professions students (n = 785) using a retrospective, pre-/post-design. Moderate to large effect sizes emerged for 16 of 20 items. Largest effects (1.01, 0.94) were for competencies emphasized in the course; the smallest effect (0.35) was for an area not directly taught. Positive correlations were seen between all individual item change scores and a separate item assessing overall change, and item-total correlations were moderate to strong. Exploratory factor analysis was used to understand the interrelationship of ICCAS items. Principal component analysis identified a single factor (Cronbach's alpha = 0.96) accounting for 85% of the total variance-slightly higher than the 73% reported previously. Findings suggest strong overlaps in the proposed constructs being assessed; use of a total average score is justifiable for assessment and evaluation.
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              Call to Action: The Case for Advancing Disaster Nursing Education in the United States.

              Climate change, human conflict, and emerging infectious diseases are inexorable actors in our rapidly evolving healthcare landscape that are triggering an ever-increasing number of disaster events. A global nursing workforce is needed that possesses the knowledge, skills, and abilities to respond to any disaster or large-scale public health emergency in a timely and appropriate manner. The purpose of this article is to articulate a compelling mandate for the advancement of disaster nursing education within the United States with clear action steps in order to contribute to the achievement of this vision.
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                Author and article information

                Journal
                Clin Simul Nurs
                Clin Simul Nurs
                Clinical Simulation in Nursing
                Published by Elsevier Inc. on behalf of International Nursing Association for Clinical Simulation and Learning.
                1876-1399
                1876-1402
                19 November 2021
                19 November 2021
                Affiliations
                [a ]School of Nursing and Dental Hygiene, University of Hawaii at Manoa, 2528 McCarthy Mall, Webster Hall, Honolulu, Hawaii 96822
                [b ]Office of Public Health Studies, University of Hawaii at Manoa, 1960 East-West Road, Honolulu, Hawaii, 96822
                [c ]Thompson School of Social Work and Public Health, University of Hawaii at Manoa, 2430 Campus Road, Gartley Hall, Honolulu, Hawaii, 96822
                [d ]John A. Burns School of Medicine, University of Hawaii at Manoa, Ilalo Stree, Honolulu, Hawaii 96813
                Author notes
                [* ]Corresponding author: Joanne R. Loos, Ph.D., 2528 McCarthy Mall, Webster Hall 401, Honolulu, Hawaii, 96822, Tel.: 440-864-1901.
                Article
                S1876-1399(21)00134-1
                10.1016/j.ecns.2021.11.004
                8602997
                0c573363-4ca5-4b58-b5d0-c2907d30516c
                © 2021 Published by Elsevier Inc. on behalf of International Nursing Association for Clinical Simulation and Learning.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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                emergency preparedness,covid-19,interprofessional,simulation,nursing,public health,disaster,pandemic

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