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Published on: February 23, 2024
International Burn Disaster Nursing: Care, Commitment, Compassion, and Cost
Gideon Agyenim-Boateng1, Natalia Ridkodim2, Elizabeth Leitch3
1Gideon Agyenim-Boateng is a staff nurse in the burn intensive care unit at Temple University Hospital, Philadelphia, Pennsylvania. He was a member of a team deployed to Sierra Leone in November 2021 to assist local health care providers with management of a burn mass casualty event.
International burn care teams improved local capacity through education and culturally humble practices. This collaboration enhanced patient care and knowledge sharing in austere environments, demonstrating the effectiveness of global health partnerships.
Area of Science:
- Global Health
- Disaster Medicine
- Burn Care Education
Background:
- Mass casualty burn incidents can overwhelm local healthcare systems.
- International collaboration is crucial for providing advanced burn care and education.
- A fuel tanker explosion in Sierra Leone necessitated an international response for burn survivors.
Purpose of the Study:
- To assess the impact of an international burn care team's educational intervention in Sierra Leone.
- To evaluate improvements in local healthcare practitioners' knowledge and skills in burn management.
- To foster collaboration and build sustainable local burn care capacity.
Main Methods:
- US burn specialists provided education on wound care, physical therapy, and pain management.
- Educational methods included lectures, case studies, and bedside teaching.
- Emphasis was placed on cultural competence, humility, and communication to ensure effective collaboration.
Main Results:
- Pretest scores averaged 53.9%, while posttest scores improved to 79.3% after the intervention.
- Local providers demonstrated increased attention to patient comfort and knowledge sharing.
- The educational program successfully enhanced the skills of local healthcare practitioners.
Conclusions:
- Optimal burn care in austere settings requires cultural humility and a collaborative spirit.
- Effective communication and cultural sensitivity are key to successful international medical education.
- This intervention successfully built local burn care capacity and improved patient outcomes.
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