Background:
Few studies address preparedness and role clarity in rescue workers after a disaster. On July 22, 2011, Norway was struck by two terror attacks; 77 people were killed and many injured. Healthcare providers, police officers and firefighters worked under demanding conditions. The aims of this study were to examine the level of preparedness, exposure and role clarity. In addition, the relationship between demographic variables, preparedness and exposure and a) role clarity during the rescue operations and; b) achieved mastering for future disaster operations.
Methods:
In this cross-sectional study, healthcare providers (n = 859), police officers (n = 252) and firefighters (n = 102) returned a questionnaire approximately 10 months after the terror attacks.
Results:
The rescue personnel were trained and experienced, and the majority knew their professional role (healthcare providers M = 4.1 vs. police officers: M = 3.9 vs. firefighters: M = 4.2, p < .001, [scale 1-5]). The police officers reported significantly more lack of control (p < .001). In the multivariable analysis, being female (OR 1.4, p < .05), having more years of work experience (OR 2.3, p = < .001), previous training (OR 1.6, p < .05) and the experience of an event with > 5 fatalities (OR 1.6, p < .05) were all associated with role clarity, together with a feeling of control, not being obstructed in work and perceiving the rescue work as a success. Moreover, independent predictors of being more prepared for future operations were arousal during the operation (OR 2.0, p < .001) and perceiving the rescue work as a success (OR 1.5, p < .001).
Conclusion:
Most of the rescue workers were experienced and knew their professional role. Training and everyday-work-experience must be a focal point when preparing rescue workers for disaster.
Citing Articles
Criminal justice interventions for preventing radicalisation, violent extremism and terrorism: An evidence and gap map.
Sydes M, Hine L, Higginson A, McEwan J, Dugan L, Mazerolle L
Campbell Syst Rev. 2023; 19(4):e1366.
PMID: 38024779
PMC: 10644945.
DOI: 10.1002/cl2.1366.
Police programmes that seek to increase community connectedness for reducing violent extremism behaviour, attitudes and beliefs.
Mazerolle L, Eggins E, Cherney A, Hine L, Higginson A, Belton E
Campbell Syst Rev. 2023; 16(3):e1111.
PMID: 37131910
PMC: 8356323.
DOI: 10.1002/cl2.1111.
Symptoms of Anxiety, Depression, and Post-Traumatic Stress Disorder in Health Care Personnel in Norwegian ICUs during the First Wave of the COVID-19 Pandemic, a Prospective, Observational Cross-Sectional Study.
Stafseth S, Skogstad L, Raeder J, Hovland I, Hovde H, Ekeberg O
Int J Environ Res Public Health. 2022; 19(12).
PMID: 35742259
PMC: 9222786.
DOI: 10.3390/ijerph19127010.
Healthcare professionals in COVID-19-intensive care units in Norway: preparedness and working conditions: a cohort study.
Lie I, Stafseth S, Skogstad L, Hovland I, Hovde H, Ekeberg O
BMJ Open. 2021; 11(10):e049135.
PMID: 34635518
PMC: 8506047.
DOI: 10.1136/bmjopen-2021-049135.
Disaster preparedness should represent an augmentation of the everyday trauma system, but are we prepared?.
Jorgensen J, Monrad-Hansen P, Gaarder C, Naess P
Trauma Surg Acute Care Open. 2021; 6(1):e000760.
PMID: 34307894
PMC: 8264881.
DOI: 10.1136/tsaco-2021-000760.
Exploring Barriers and Facilitators of Inter-Organizational Management in Response to Mass Casualty Traffic Incidents: A Qualitative Study.
Sadat S, Afrasiabifar A, Khorasani-Zavarehg D, Moradian M, Vafaeenasab M, Dehghani Tafti A
Bull Emerg Trauma. 2021; 9(2):86-95.
PMID: 34150919
PMC: 8195833.
DOI: 10.30476/BEAT.2021.89416.
A 36-Hour Unplugged Full-Scale Exercise: Closing the Gaps in Interagency Collaboration between the Disaster Medical Assistance Team and Urban Search and Rescue Team in Disaster Preparedness in Taiwan.
Foo N, So E, Lu N, Hsieh S, Pan S, Chen Y
Emerg Med Int. 2021; 2021:5571009.
PMID: 33880192
PMC: 8046556.
DOI: 10.1155/2021/5571009.
The importance of pre-training gap analyses and the identification of competencies and skill requirements of medical personnel for mass casualty incidents and disaster training.
Goniewicz K, Goniewicz M, Wloszczak-Szubzda A, Burkle F, Hertelendy A, Al-Wathinani A
BMC Public Health. 2021; 21(1):114.
PMID: 33422033
PMC: 7796807.
DOI: 10.1186/s12889-021-10165-5.
Survey of awareness of radiation disasters among firefighters in a Japanese prefecture without nuclear power plants.
Yamada K, Yamaguchi I, Urata H, Hayashida N
PLoS One. 2020; 15(7):e0236640.
PMID: 32716980
PMC: 7384620.
DOI: 10.1371/journal.pone.0236640.
Sex and Gender in Research on Healthcare Workers in Conflict Settings: A Scoping Review.
Habib R, Halwani D, Mikati D, Hneiny L
Int J Environ Res Public Health. 2020; 17(12).
PMID: 32560496
PMC: 7346087.
DOI: 10.3390/ijerph17124331.
Trauma in the newsroom: social support, post-traumatic stress and post-traumatic growth among journalists working with terror.
Idas T, Backholm K, Korhonen J
Eur J Psychotraumatol. 2019; 10(1):1620085.
PMID: 31231480
PMC: 6566646.
DOI: 10.1080/20008198.2019.1620085.
Training to improve resilience and coping to monitor PTSD in rescue workers.
Scuri S, Petrelli F, Nguyen T, Grappasonni I
J Prev Med Hyg. 2019; 60(1):E58-E63.
PMID: 31041412
PMC: 6477563.
DOI: 10.15167/2421-4248/jpmh2019.60.1.1134.
Self reported involvement in emergency medicine among GPs in Norway.
Hjortdahl M, Zakariassen E, Halvorsen P
Scand J Prim Health Care. 2018; 36(2):161-169.
PMID: 29633648
PMC: 6066289.
DOI: 10.1080/02813432.2018.1459234.