Health outcomes of the July 14, 2016 Nice terror attack among hospital-based professionals and students: the « ECHOS de Nice » health survey protocol

Abstract Background The terror attack of July 14, 2016, in Nice, France, resulted in 86 deaths, including children, and several hundred wounded, with a major psychological impact on the population. Hospital staff had to cope with exceptional circumstances which made them vulnerable to detrimental ef...

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Main Authors: Laurence Bentz, Philippe Pirard, Yvon Motreff, Stéphanie Vandentorren, Thierry Baubet, Roxane Fabre, Pia Touboul Lundgren, Christian Pradier
Format: Article
Language:English
Published: BMC 2019-08-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-019-7489-3
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author Laurence Bentz
Philippe Pirard
Yvon Motreff
Stéphanie Vandentorren
Thierry Baubet
Roxane Fabre
Pia Touboul Lundgren
Christian Pradier
author_facet Laurence Bentz
Philippe Pirard
Yvon Motreff
Stéphanie Vandentorren
Thierry Baubet
Roxane Fabre
Pia Touboul Lundgren
Christian Pradier
author_sort Laurence Bentz
collection DOAJ
description Abstract Background The terror attack of July 14, 2016, in Nice, France, resulted in 86 deaths, including children, and several hundred wounded, with a major psychological impact on the population. Hospital staff had to cope with exceptional circumstances which made them vulnerable to detrimental effects on their own health. This paper describes the method that was selected for the survey entitled “ECHOS de Nice 14 Juillet” which aimed to assess the impact of the attack on the psychological, psycho-traumatic and somatic health condition of the Nice University and Lenval hospital staff who were directly or indirectly exposed to the attack, and also to describe the support and care facilities they were offered. Method ECHOS de Nice 14 juillet is an observational, cross-sectional, multicentre study focusing on all the hospital staff and students of both institutions, i.e. 10,100 persons in June 2017. A web-based questionnaire based on the model developed by Santé Publique France (IMPACTS and ESPA 13 novembre 2015) was adapted to the contexts of the healthcare professionals and students employed in these healthcare institutions in Nice and published on line from June 21 to October 30, 2017. The paper describes the tools that were used to meet the aims of the study, i.e. identification of exposure categories (‘civilian’ exposure for those present during the attack and/or ‘professional’ exposure); indicators of psychological impact (anxiety, depression, burnout, compassion fatigue, suicidal states, tobacco and alcohol use, self-medications), psycho-traumatic and somatic impact; professional and social impact. Lastly, awareness of availability and use of psychological support and care-follow-up facilities by professionals were investigated. Respondents could include extensive qualitative comments on the various themes explored in the questionnaire, with text analysis complementing that of quantitative data. Discussion The benefits and limitations of the selected methodology are discussed, in view of contributing useful information to help anticipate and manage health issues among hospital staff who have been victims of traumatic events.
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spelling doaj.art-3c756b9ae4414cae9bc8d796a17adadd2022-12-21T22:27:01ZengBMCBMC Public Health1471-24582019-08-0119111110.1186/s12889-019-7489-3Health outcomes of the July 14, 2016 Nice terror attack among hospital-based professionals and students: the « ECHOS de Nice » health survey protocolLaurence Bentz0Philippe Pirard1Yvon Motreff2Stéphanie Vandentorren3Thierry Baubet4Roxane Fabre5Pia Touboul Lundgren6Christian Pradier7Public Health Department, Cote d’Azur University, Nice University HospitalNon-communicable Diseases and Trauma Division, French National Public Health Agency (Santé Publique France)Non-communicable Diseases and Trauma Division, French National Public Health Agency (Santé Publique France)Department of Social Epidemiology, National Health and Medical Research Institute (INSERM), Pierre Louis Institute of Epidemiology and Public Health (IPLESP), Sorbonne University,Epidemiology and Population Health Research Centre (CESP), National Health and Medical Research Institute (INSERM)Public Health Department, Cote d’Azur University, Nice University HospitalPublic Health Department, Cote d’Azur University, Nice University HospitalPublic Health Department, Cote d’Azur University, Nice University HospitalAbstract Background The terror attack of July 14, 2016, in Nice, France, resulted in 86 deaths, including children, and several hundred wounded, with a major psychological impact on the population. Hospital staff had to cope with exceptional circumstances which made them vulnerable to detrimental effects on their own health. This paper describes the method that was selected for the survey entitled “ECHOS de Nice 14 Juillet” which aimed to assess the impact of the attack on the psychological, psycho-traumatic and somatic health condition of the Nice University and Lenval hospital staff who were directly or indirectly exposed to the attack, and also to describe the support and care facilities they were offered. Method ECHOS de Nice 14 juillet is an observational, cross-sectional, multicentre study focusing on all the hospital staff and students of both institutions, i.e. 10,100 persons in June 2017. A web-based questionnaire based on the model developed by Santé Publique France (IMPACTS and ESPA 13 novembre 2015) was adapted to the contexts of the healthcare professionals and students employed in these healthcare institutions in Nice and published on line from June 21 to October 30, 2017. The paper describes the tools that were used to meet the aims of the study, i.e. identification of exposure categories (‘civilian’ exposure for those present during the attack and/or ‘professional’ exposure); indicators of psychological impact (anxiety, depression, burnout, compassion fatigue, suicidal states, tobacco and alcohol use, self-medications), psycho-traumatic and somatic impact; professional and social impact. Lastly, awareness of availability and use of psychological support and care-follow-up facilities by professionals were investigated. Respondents could include extensive qualitative comments on the various themes explored in the questionnaire, with text analysis complementing that of quantitative data. Discussion The benefits and limitations of the selected methodology are discussed, in view of contributing useful information to help anticipate and manage health issues among hospital staff who have been victims of traumatic events.http://link.springer.com/article/10.1186/s12889-019-7489-3Terrorist attackHospital staffStress disordersPost-traumaticNeeds assessmentResearch design
spellingShingle Laurence Bentz
Philippe Pirard
Yvon Motreff
Stéphanie Vandentorren
Thierry Baubet
Roxane Fabre
Pia Touboul Lundgren
Christian Pradier
Health outcomes of the July 14, 2016 Nice terror attack among hospital-based professionals and students: the « ECHOS de Nice » health survey protocol
BMC Public Health
Terrorist attack
Hospital staff
Stress disorders
Post-traumatic
Needs assessment
Research design
title Health outcomes of the July 14, 2016 Nice terror attack among hospital-based professionals and students: the « ECHOS de Nice » health survey protocol
title_full Health outcomes of the July 14, 2016 Nice terror attack among hospital-based professionals and students: the « ECHOS de Nice » health survey protocol
title_fullStr Health outcomes of the July 14, 2016 Nice terror attack among hospital-based professionals and students: the « ECHOS de Nice » health survey protocol
title_full_unstemmed Health outcomes of the July 14, 2016 Nice terror attack among hospital-based professionals and students: the « ECHOS de Nice » health survey protocol
title_short Health outcomes of the July 14, 2016 Nice terror attack among hospital-based professionals and students: the « ECHOS de Nice » health survey protocol
title_sort health outcomes of the july 14 2016 nice terror attack among hospital based professionals and students the echos de nice health survey protocol
topic Terrorist attack
Hospital staff
Stress disorders
Post-traumatic
Needs assessment
Research design
url http://link.springer.com/article/10.1186/s12889-019-7489-3
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