The purpose of this study was to examine effective ways to evaluate public health workers' competence for preparedness.
Methods.
The Public Health Ready project, developed by the National Association of County and City Public Health Officials and the Centers for Disease Control and Prevention, is a pilot program designed to prepare local public health agencies to respond to emergency events. Workers at a Public Health Ready site (N=265) rated their need for training and their competence in meeting generic emergency response goals. Cluster analysis of cases was conducted on the self-assessed need for training.
Results.
Three groups of workers emerged, differing in their overall ratings of need for training. A given worker tended to report similar needs for training across all training goals.
Conclusions.
In this study, workers' ratings of need for training may reflect an overall interest in training rather than need for training in a particular area. Caution should be exercised in interpretation when generic goals and self-assessment are used to measure need for training. Future assessments of training needs may be more effective if they use objective measures of specific local plans.
References
1.
LichtveldMCioffiJHendersonJSageMSteeleL. People protected: public health prepared through a competent workforce. J Public Health Manag Pract2003;9:340–3.
2.
RosenfieldAMorseSSYandaK. September 11: the response and role of public health. Am J Public Health2002;92:10–1.
3.
Association of Schools of Public Health. Framework document: Academic Centers for Public Health Preparedness: a network of schools of public health partnering with state and local health agencies and CDC to protect the nation from bioterrorism, infectious disease outbreaks and other emergent public health threats. May 2002 [cited 2004 May 28]. Available from: URL: http://www.asph.org/uploads/a-cphp%20framework%20outline.pdf
4.
AtchisonCGUden-HolmanTGreeneBRPrybilLD. Developing the academic institution's role in response to terrorism: the Iowa Center for Public Health Preparedness. J Public Health Manag Pract2003;9:418–26.
5.
MorseSS. Building academic-practice partnerships: the Center for Public Health Preparedness at the Columbia University Mailman School of Public Health, before and after 9/11. J Public Health Manag Pract2003;9:427–32.
6.
FraserMRMcDonaldS. Public Health Ready prepares agencies for emergency responses. Northwest Public Health2003;20:16–7.
7.
MorseSS. The vigilance defense. Sci Am2002;287(Oct):88–9.
8.
GebbieKMerrillJ. Public health worker competencies for emergency response. J Public Health Manag Pract2002;8:73–81.
9.
ChauvinSWAndersonACBowdishBE. Assessing the professional development needs of public health professionals. J Public Health Manag Pract2001;7:23–37.
10.
QureshiKAMerrillJAGershonRRMCalero-BreckmeimerA. Emergency preparedness training for public health nurses: a pilot study. J Urban Health2002;79:413–6.
11.
LichtveldM. A look at the year in review. Presented at Academic Centers for Public Health Preparedness conference; 2003 Sep 8–9; Phoenix, AZ.
12.
OrtonSUmbleKDavisMVPorterJE. From the Schools of Public Health: Disasters and bioterrorism: does management training develop readiness?Public Health Rep2002;117:596–8.
13.
BashirZLofronzaVFraserMRBrownCKCopeJR. Local and state collaboration for effective preparedness training. J Public Health Manag Pract2003;9:344–51.
14.
KrugerJDunningD. Unskilled and unaware of it: how difficulties in recognizing one's own incompetence lead to inflated self-assessments. J Pers Soc Psychol1999;77:1121–34.
15.
EhrlingerJDunningD. How chronic self-views influence (and potentially mislead) estimates of performance. J Pers Soc Psychol2003;84:5–17.
16.
QuestTEOtsukiJABanjaJRatcliffJJHeronSLKaslowNJ. The use of standardized patients within a procedural competency model to teach death disclosure. Acad Emerg Med2002;9:1326–33.
17.
TraceyJArrollBBarhamPRichmondD. The validity of general practitioners' self assessment of knowledge: cross sectional study. BMJ1997;315:1426–8.
18.
MarteauTMJohnstonMWynneGEvansTR. Cognitive factors in the explanation of the mismatch between confidence and competence in performing basic life support. Psychol Health1989;3:173–82.
19.
TousignantMDesMarchaisJE. Accuracy of student self-assessment ability compared to their own performance in a problem-based learning medical program: a correlation study. Adv Health Sci Educ Theory Pract2002;7:19–27.
20.
SPSS, Inc.SPSS base 10.0 user's guide. Chicago: SPSS, Inc.; 1999.
21.
WardJH. Hierarchical grouping to optimize an objective function. J Am Stat Assoc1963;58:236–44.
22.
LathropRGWilliamsJE. The reliability of the inverse scree test for cluster analysis. Educ Psychol Meas1987;47:953–9.
23.
HartiganJA. Clustering algorithms. New York: Wiley; 1975.
24.
RapkinBDLukeDA. Cluster analysis in community research: epistemology and practice. Am J Community Psychol1993;21:247–77.
25.
MilliganGW. An examination of the effect of error perturbation on fifteen clustering algorithms. Psychometrika1980;45:325–42.
26.
WallerNGKaiserHAIllianJBManryM. A comparison of the classification capabilities of the 1-dimensional Kohonen neural network with two partitioning and three hierarchical cluster analysis algorithms. Psychometrika1998;63:5–22.
KirkpatrickDL. Evaluating training programs: the four levels. New York: Berrett-Koehler; 1998.
29.
SarpySAChauvinSWAndersonAC. From the Schools of Public Health: Evaluation of the effectiveness of the South Central Center for Public Health Preparedness training. Public Health Rep2003; 118:568–72.
