Interprofessional Strategies for Emergency Preparedness and Response to Infectious Disease Outbreaks in Healthcare Settings: Integrating Nursing, Laboratory, Health Security, and Administrative Practices

AbdulLatif Najr Iqbal Al-Otaibi (1), Saad Majed Saad Aldawsari (2), Saud Aedh Safr Al Dossari (3), Mohammad Saeed Mordi Al Dawseri (4), Ali Mordi Fahad Aldosari (4), Moubark Obaid Saad Aldawsari (4), Abdullah Fehaid Alruqi (5), Abdullah Waleed Jafar (5), Hezam Mubarak Aldosari , Mohammad Abdulrahman Alfahad (6), Zaied M Saud Almoteri (7)
(1) Al-Iman General Hospital, Ministry of Health, Saudi Arabia,
(2) Al-Sulayyil Hospital, Ministry of Health, Saudi Arabia,
(3) Wadi Al-Dawasir Hospital, Ministry of Health, Saudi Arabia,
(4) Wadi Al-Dawasir General Hospital, Ministry of Health, Saudi Arabia,
(5) King Fahad Hospital, Madinah, Ministry of Health, Saudi Arabia,
(6) Prince Salman bin Mohammed Hospital – Dalam, Ministry of Health, Saudi Arabia,
(7) Medical Licensing Administration, Riyadh Health, Ministry of Health, Saudi Arabia

Abstract

Background: Pandemics exert profound pressure on healthcare systems, requiring coordinated responses across clinical, laboratory, health security, and administrative sectors. Historical outbreaks demonstrate how delayed detection, inadequate preparedness, and fragmented communication amplify transmission and mortality. 


Aim: This paper aims to examine interprofessional strategies that enhance emergency preparedness and response to infectious disease outbreaks, emphasizing integrated roles for nursing, laboratory personnel, health security professionals, and administrators.


Methods: A comprehensive narrative review of historical pandemics, epidemiological models, and current international preparedness frameworks was conducted, synthesizing practices recommended by WHO and national health agencies. 


Results: Findings highlight three critical components of pandemic management: early detection through surveillance and diagnostics; implementation of nonpharmaceutical interventions; and coordinated interprofessional collaboration to ensure continuity of care, resource allocation, and public communication. The analysis identifies key pearls and pitfalls, including diagnostic delays, limited surge capacity, PPE shortages, and the societal impact of prolonged outbreaks. 


Conclusion: Effective pandemic response requires synchronized efforts among nurses, laboratory teams, health security personnel, and administrators. A unified, multidisciplinary model strengthens preparedness, reduces morbidity and mortality, and supports healthcare system resilience. 

Full text article

Generated from XML file

References

World Health Organization. Definitions: Emergencies. Available from: https://www.who.int/hac/about/definitions/en/. Updated 2008.

Kelly H. The classical definition of a pandemic is not elusive. Bull World Health Organ. 2011;89(7):540–1.

Frith J. The history of plague – Part 1. The three great pandemics. History. 2012;20(2):11–6.

World Health Organization. Plague. Available from: https://www.who.int/news-room/fact-sheets/detail/plague. Updated 2017.

Centers for Disease Control and Prevention. Symptoms of Plague. Available from: https://www.cdc.gov/plague/symptoms/index.html. Updated 2018.

Centers for Disease Control and Prevention. History of 1918 Flu Pandemic. Available from: https://www.cdc.gov/flu/pandemic-resources/1918-commemoration/1918-pandemic-history.htm. Updated 2018.

Taubenberger JK, Morens DM. 1918 influenza: the mother of all pandemics. Emerg Infect Dis. 2006;12(1):15–22.

Chan-Yeung M, Xu R. SARS: Epidemiology. Respirology. 2003;8(Suppl):S9–14.

Centers for Disease Control and Prevention. CDC SARS Response Timeline. Available from: https://www.cdc.gov/about/history/sars/timeline.htm. Updated 2013.

Hui DSC, Chan MCH, Wu AK, Ng PC. Severe acute respiratory syndrome (SARS): epidemiology and clinical features. Postgrad Med J. 2004;80(945):373–81.

Centers for Disease Control and Prevention. 2014–2016 Ebola Outbreak in West Africa. Available from: https://www.cdc.gov/vhf/ebola/history/2014-2016-outbreak/index.html. Updated 2019.

World Health Organization. One Year into the Ebola Epidemic. Chapter 2. World Health Organization; 2015.

World Health Organization. One Year into the Ebola Epidemic. Chapter 3. World Health Organization; 2015.

World Health Organization. Listings of WHO’s Response to COVID-19. Available from: https://www.who.int/news/item/29-06-2020-covidtimeline. Updated 2020.

World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard. Available from: https://covid19.who.int/. Updated 2021.

Forman R, Atun R, McKee M, Mossialos E. 12 lessons learned from the management of the coronavirus pandemic. Health Policy. 2020;124(6):577–80.

Morse SS, Mazet JA, Woolhouse M, et al. Prediction and prevention of the next pandemic zoonosis. Lancet. 2012;380(9857):1956–65.

Hassell JM, Begon M, Ward MJ, Fèvre EM. Urbanization and disease emergence: dynamics at the wildlife–livestock–human interface. Trends Ecol Evol. 2017;32(1):55–67.

Adalja AA, Watson M, Toner ES, Cicero A, Inglesby TV. Characteristics of microbes most likely to cause pandemics and global catastrophes. In: Global Catastrophic Biological Risks. Cham: Springer International Publishing; 2019. p. 1–20.

Delamater PL, Street EJ, Leslie TF, Yang YT, Jacobsen KH. Complexity of the basic reproduction number (R0). Emerg Infect Dis. 2019;25(1).

World Health Organization. Pandemic Influenza Preparedness and Response: A WHO Guidance Document. 2009. Available from: http://www.ncbi.nlm.nih.gov/books/NBK143062/.

Homeland Security Council. The National Strategy for Pandemic Influenza. 2005.

U.S. Department of Health and Human Services. Pandemic Influenza Plan, 2017 Update. HHS; 2017.

Fedson DS. Pandemic influenza and the global vaccine supply. Clin Infect Dis. 2003;36(12):1552–61.

Qualls N, Levitt A, Kanade N, et al. Community mitigation guidelines to prevent pandemic influenza — United States, 2017. MMWR Recomm Rep. 2017;66(1):1–34.

Hatchett RJ, Mecher CE, Lipsitch M. Public health interventions and epidemic intensity during the 1918 influenza pandemic. Proc Natl Acad Sci USA. 2007;104(18):7582–7.

Odusanya OO, Odugbemi BA, Odugbemi TO, Ajisegiri WS. COVID-19: a review of the effectiveness of non-pharmacological interventions. Niger Postgrad Med J. 2020;27(4):261–7.

Mouchtouri VA, Christoforidou EP, An der Heiden M, et al. Exit and entry screening practices for infectious diseases among travelers at points of entry: looking for evidence on public health impact. Int J Environ Res Public Health. 2019;16(23).

Quilty BJ, Clifford S, Flasche S, Eggo RM. Effectiveness of airport screening at detecting travellers infected with novel coronavirus (2019-nCoV). Euro Surveill. 2020;25(5).

Selvey LA, Antão C, Hall R. Entry screening for infectious diseases in humans. Emerg Infect Dis. 2015;21(2):197–201.

Brown CM, Aranas AE, Benenson GA, et al. Airport exit and entry screening for Ebola-August-November 10, 2014. MMWR Morb Mortal Wkly Rep. 2014;63(49):1163–7.

Bell D, Nicoll A, Fukuda K, et al. Non-pharmaceutical interventions for pandemic influenza, international measures. Emerg Infect Dis. 2006;12(1):81–7.

Copeland DL, Basurto-Davila R, Chung W, et al. Effectiveness of a school district closure for pandemic influenza A (H1N1) on acute respiratory illnesses in the community: a natural experiment. Clin Infect Dis. 2013;56(4):509–16.

Gerwin LE. The challenge of providing the public with actionable information during a pandemic. J Law Med Ethics. 2012;40(3):630–54.

Ratzan SC, Sommariva S, Rauh L. Enhancing global health communication during a crisis: lessons from the COVID-19 pandemic. Public Health Res Pract. 2020;30(2).

Upadhyay DK, Sittig DF, Singh H. Ebola US patient zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283.

U.S. Food and Drug Administration. Pooled Sample Testing and Screening Testing for COVID-19. Available from: https://www.fda.gov/medical-devices/coronavirus-covid-19-and-medical-devices/pooled-sample-testing-and-screening-testing-covid-19. Updated 2020.

Kashour Z, Riaz M, Garbati MA, et al. Efficacy of chloroquine or hydroxychloroquine in COVID-19 patients: a systematic review and meta-analysis. J Antimicrob Chemother. 2021;76(1):30–42.

Calain P. The Ebola clinical trials: a precedent for research ethics in disasters. J Med Ethics. 2018;44(1):3–8.

Short B, Parekh M, Ryan P, et al. Rapid implementation of a mobile prone team during the COVID-19 pandemic. J Crit Care. 2020;60:230–4.

Prachand VN, Milner R, Angelos P, et al. Medically necessary, time-sensitive procedures: scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. J Am Coll Surg. 2020;231(2):281–8.

National Institute for Occupational Safety and Health. Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings. Available from: https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html. Updated 2020.

Redelmeier DA, Shafir E. Pitfalls of judgment during the COVID-19 pandemic. Lancet Public Health. 2020;5(6):e306–8.

Maas S. Social and economic impacts of the 1918 influenza epidemic. The Digest. National Bureau of Economic Research; 2020. Available from: https://www.nber.org/digest/may20/social-and-economic-impacts-1918-influenza-epidemic

Smith J, Lipsitch M, Almond JW. Vaccine production, distribution, access and uptake. Lancet. 2011;378(9789):428–38.

Authors

AbdulLatif Najr Iqbal Al-Otaibi
AbNiAlotaibi@moh.gov.sa (Primary Contact)
Saad Majed Saad Aldawsari
Saud Aedh Safr Al Dossari
Mohammad Saeed Mordi Al Dawseri
Ali Mordi Fahad Aldosari
Moubark Obaid Saad Aldawsari
Abdullah Fehaid Alruqi
Abdullah Waleed Jafar
Hezam Mubarak Aldosari
Mohammad Abdulrahman Alfahad
Zaied M Saud Almoteri
Al-Otaibi, A. N. I., Saad Majed Saad Aldawsari, Saud Aedh Safr Al Dossari, Mohammad Saeed Mordi Al Dawseri, Ali Mordi Fahad Aldosari, Moubark Obaid Saad Aldawsari, … Zaied M Saud Almoteri. (2024). Interprofessional Strategies for Emergency Preparedness and Response to Infectious Disease Outbreaks in Healthcare Settings: Integrating Nursing, Laboratory, Health Security, and Administrative Practices. Saudi Journal of Medicine and Public Health, 1(2), 2117–2125. https://doi.org/10.64483/202412593

Article Details