Attributes of Effective Disaster Responders: Focus Group Discussions With Key Emergency Response Leaders

¹ Drs King, North, Fowler, Swienton, and Pepe and Mr Downs are with the University of Texas Southwestern Medical Center; Dr Larkin is with Yale University; and Dr Klein is with Maimonides Medical Center.

^* To whom correspondence should be addressed. E-mail: richard.king{at}utsouthwestern.edu.

Abstract

Methods: An effective disaster response requires competent responders and leaders. The purpose of this study was to ask experts to identify attributes that distinguish effective from ineffective responders and leaders in a disaster. In this qualitative study, focus groups were held with jurisdictional medical directors for the 9-1-1 emergency medical services systems of the majority of the nation's largest cities. These sessions were recorded with audio equipment and later transcribed.

Results: The researchers identified themes within the transcriptions, created categories, and coded passages into these categories. Overall interrater reliability was excellent ( = .8). The focus group transcripts yielded 138 codable passages. Ten categories were developed from analysis of the content: Incident Command System/Disaster Training/Experience, General Training/Experience, Teamwork/Interpersonal, Communication, Cognition, Problem Solving/Decision Making, Adaptable/Flexible, Calm/Cool, Character, and Performs Role. The contents of these categories included knowledge, skills, attitudes, behaviors, and personal characteristics.

Conclusions: Experts in focus groups identified a variety of competencies for disaster responders and leaders. These competencies will require validation through further research that involves input from the disaster response community at large.

Key Words: competency-based education, disaster medicine, public health/emergency preparedness, health personnel education/training, consensus