A SYSTEMATIC REVIEW ASSESSING OUTCOMES OF CROSS-PROFESSIONAL EDUCATIONAL INITIATIVES FOR SOCIAL WORKERS, COMMUNITY SUPPORT STAFF, AND HEALTH SECURITY PERSONNEL IN EMERGENCY OUTBREAK MANAGEMENT AND READINESS
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Keywords
cross-professional education, social workers, community support staff, health security personnel, outbreak management, emergency preparedness, interprofessional training
Abstract
Background: Effective emergency outbreak management requires coordinated action among diverse professional groups, including social workers, community support staff, and health security personnel. Cross-professional education (CPE) initiatives have been proposed to enhance collaborative competencies, streamline response efforts, and improve readiness for public health emergencies. However, evidence regarding the outcomes of such educational programs across these sectors remains fragmented. Objective: This systematic review aims to evaluate the outcomes associated with cross-professional educational initiatives targeting social workers, community support staff, and health security personnel in the context of emergency outbreak management and readiness. Key outcomes include knowledge acquisition, skill development, interprofessional collaboration, confidence in outbreak response, and impacts on emergency preparedness and response performance. Methods: A comprehensive literature search was conducted in PubMed, Scopus, Web of Science, Embase, CINAHL, and ERIC from database inception to 31 December 2024. Eligible studies included quantitative, qualitative, and mixed-methods research evaluating cross-professional educational interventions for social workers, community support staff, and health security personnel in emergency outbreak management and readiness. Two reviewers independently screened studies, extracted data, and assessed methodological quality, with findings synthesized narratively due to heterogeneity. Results: Of the 24 studies included, most reported significant improvements in participant knowledge and self-reported confidence in outbreak response following cross-professional educational interventions. Several studies demonstrated enhanced interprofessional communication and collaborative problem-solving skills among social workers, community support staff, and health security personnel. Limited evidence indicated positive effects on real-world emergency preparedness and response practices; however, few studies incorporated long-term follow-up or objective performance indicators. Common methodological limitations included small sample sizes, heterogeneity in outcome measures, and the absence of control groups. Conclusions: Cross-professional educational initiatives show promise in improving foundational competencies among social workers, community support staff, and health security personnel for emergency outbreak management and readiness. Gains in knowledge, confidence, and interprofessional collaboration were frequently reported, yet evidence linking these educational outcomes to measurable improvements in emergency responses is sparse. Future research should prioritize rigorous study designs, standardized outcomes, and longitudinal assessments to establish the effectiveness and sustainability of CPE strategies in diverse emergency contexts.
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1. Abrams, L. S., & Dettlaff, A. J. (2020). Voices from the frontlines: Social workers confront the COVID-19 pandemic. Social Work, 65(3), 302–305. https://doi.org/10.1093/sw/swaa030 2. Banks, S., Cai, T., de Jonge, E., Shears, J., Shum, M., Sobočan, A. M., … Weinberg, M. (2020). Practising ethically during COVID-19: Social work challenges and responses. International Social Work, 63(5), 569–583. https://doi.org/10.1177/0020872820949614 3. Dominelli, L. (2015). Social work in disasters: A neglected field of practice. British Journal of Social Work, 45(3), 1–16. 4. Fisher, D., Teo, Y. Y., & Nabarro, D. (2020). Assessing national performance in response to COVID-19. The Lancet, 396(10252), 653–655. https://doi.org/10.1016/S0140-6736(20)31601-9 5. Gilbert, J. H. V., Yan, J., & Hoffman, S. J. (2010). A WHO report: Framework for action on interprofessional education and collaborative practice. Journal of Allied Health, 39(3), 196–197. 6. Gilmore, B., Ndejjo, R., Tchetchia, A., de Claro, V., Mago, E., Diallo, A. A., & Lopes, C. (2020). Community engagement for COVID-19 prevention and control. BMJ Global Health, 5(10), e003188. https://doi.org/10.1136/bmjgh-2020-003188 7. Glenton, C., Colvin, C. J., Carlsen, B., Swartz, A., Lewin, S., Noyes, J., & Rashidian, A. (2013). Barriers and facilitators to the implementation of lay health worker programmes. Cochrane Database of Systematic Reviews, (10), CD010414. 8. Hall, P., & Zierler, B. (2015). Interprofessional education and practice guide. Journal of Interprofessional Care, 29(1), 1–4. 9. Institute of Medicine. (2015). Measuring the impact of interprofessional education on collaborative practice and patient outcomes. National Academies Press. 10. Katz, R., & Dowell, S. F. (2015). Revising the International Health Regulations. The Lancet, 385(9974), 1489–1491. https://doi.org/10.1016/S0140-6736(14)61885-5 11. Katz, R., Standley, C. J., & Sorrell, E. M. (2018). Global health security agenda and the international health regulations: Moving forward. Biosecurity and Bioterrorism, 12(5), 231–238. https://doi.org/10.1089/bsp.2014.0038 12. Katz, R., Standley, C. J., & Sorrell, E. M. (2018). Global health security agenda. Biosecurity and Bioterrorism, 12(5), 231–238. 13. Palaganas, J. C., Epps, C., & Raemer, D. B. (2016). A history of simulation-enhanced interprofessional education. Journal of Interprofessional Care, 28(2), 110–115. https://doi.org/10.3109/13561820.2013.869198 14. Palaganas, J. C., Epps, C., & Raemer, D. B. (2016). Simulation-enhanced interprofessional education. Journal of Interprofessional Care, 28(2), 110–115. 15. Perry, H. B., Chowdhury, M., Were, M., LeBan, K., Crigler, L., Lewin, S., & Ballard, M. (2021). Community health workers at the dawn of a new era. Health Research Policy and Systems, 19(1), 1–17. https://doi.org/10.1186/s12961-021-00755-5 16. Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2016). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, (6), CD000072. https://doi.org/10.1002/14651858.CD000072.pub3 17. Savoia, E., Agboola, F., & Biddinger, P. D. (2017). Use of after action reports. Disaster Medicine and Public Health Preparedness, 6(2), 158–162. 18. World Health Organization. (2020). Managing epidemics: Key facts about major deadly diseases. WHO Press. 19. World Health Organization. (2022). Strengthening preparedness for health emergencies: Implementation of the International Health Regulations (2005). WHO Press. 20. World Health Organization. (2022). Strengthening preparedness for health emergencies. WHO Press. 21. World Health Organization. (2022). Strengthening preparedness for health emergencies: Implementation of the International Health Regulations (2005). WHO Press.
