Humanitarian healthcare workers are indispensable for treating weapon-wounded patients in armed conflict, and the international humanitarian community should ensure adequate preparedness for this task. This study aims to assess deployed humanitarian healthcare workers’ self-perceived preparedness, training requirements and mental support needs. Medical professionals deployed with the International Committee of the Red Cross (ICRC) between October 2018 and June 2020 were invited to participate in this longitudinal questionnaire. Two separate questionnaires were conducted pre- and post-deployment to assess respondents’ self-perceived preparedness, preparation efforts, deployment experiences and deployment influence on personal and professional development. Response rates for the pre- and post-deployment questionnaires were 52.5% (114/217) and 26.7% (58/217), respectively. Eighty-five respondents (85/114; 74.6%) reported feeling sufficiently prepared to treat adult trauma patients, reflected by predeployment ratings of 3 or higher on a scale from 1 (low) to 5 (high). Significantly lower ratings were found among nurses compared to physicians. Work experience in a high-volume trauma centre before deployment was associated with a greater feeling of preparedness (mean rank 46.98 vs. 36.89; p = 0.045). Topics most frequently requested to be included in future training were neurosurgery, maxillofacial surgery, reconstructive surgery, ultrasound, tropical diseases, triage, burns and newborn noncommunicable disease management. Moreover, 51.7% (30/58) of the respondents regarded the availability of a mental health professional during deployment as helpful to deal with stress. Overall, deployed ICRC medical personnel felt sufficiently prepared for their missions, although nurses reported lower preparedness levels than physicians. Recommendations were made concerning topics to be covered in future training and additional preparation strategies to gain relevant clinical experience. Future preparatory efforts should focus on all medical professions, and their training needs should be continuously monitored to ensure the alignment of preparation strategies with preparation needs.

中文翻译：

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医疗人员在人道主义任务中的自我感知准备和培训需求：部署前和部署后调查

人道主义医护人员对于治疗武装冲突中的武器伤员是必不可少的，国际人道主义界应确保为这项任务做好充分准备。本研究旨在评估部署的人道主义医护人员的自我感知准备、培训要求和精神支持需求。邀请 2018 年 10 月至 2020 年 6 月期间在红十字国际委员会 (ICRC) 部署的医疗专业人员参与了这份纵向问卷调查。在部署前和部署后分别进行了两份问卷调查，以评估受访者的自我感知准备、准备工作、部署经验以及部署对个人和职业发展的影响。部署前和部署后问卷的响应率为 52.5% (114/217) 和 26。分别为 7% (58/217)。85 名受访者 (85/114; 74.6%) 表示感觉已经为治疗成年创伤患者做好了充分的准备，这反映在从 1（低）到 5（高）的范围内为 3 或更高的部署前评级。与医生相比，护士的评分显着降低。部署前在大容量创伤中心的工作经验与更好的准备感相关（平均排名 46.98 对 36.89；p = 0.045）。未来培训中最常被要求纳入的主题是神经外科、颌面外科、重建外科、超声、热带疾病、分诊、烧伤和新生儿非传染性疾病管理。此外，51.7% (30/58) 的受访者认为在部署期间提供心理健康专业人员有助于应对压力。总体，部署的红十字国际委员会医务人员为他们的任务做好了充分的准备，尽管护士报告的准备水平低于医生。就未来培训中涵盖的主题和获得相关临床经验的额外准备策略提出了建议。未来的准备工作应侧重于所有医学专业，并应持续监测他们的培训需求，以确保准备策略与准备需求保持一致。