Nurses’ Competencies in Disaster Nursing: Implications for Curriculum Development and Public Health (original) (raw)
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What are the most common domains of the core competencies of disaster nursing? A scoping review
International Emergency Nursing, 2017
Aim: Scoping review was conducted to identify the most common domains of the core competencies of disaster nursing. Background: Nurses play an essential role in all phases of disaster management. For nurses to respond competently, they must be equipped with the skills to provide comprehensive and holistic care to the populations affected by or at risk of disasters. Methods: A scoping review was conducted using the Joanna Briggs Institute methodology. The review used information from six databases: the Cumulative Index to Nursing and Allied Health Literature, Ovid MEDLINE, ScienceDirect, ProQuest, Scopus and the Education Resources Information Center. Keywords and inclusion and exclusion criteria were identified as strategies to use in this review. Results: Twelve studies were eligible for result extraction, as they listed domains of the core competencies. These domains varied among studies. However, the most common domains were related to communication, planning, decontamination and safety, the Incident Command System and ethics. Conclusion: Knowledge of the domains of the core competencies, such as understanding the content and location of the disaster plan, communication during disaster and ethical issues is fundamental for nurses. Including these domains in the planning and provision of training for nurses, such as disaster drills, will strengthen their preparedness to respond competently to disaster cases. Nurses must be involved in future research in this area to explore and describe their fundamental competencies in each domain.
Hospital Nurses’ Disaster Competencies
2020
Background: Natural and man-made disasters have significant effects on the physical, psychological, and emotional health of society. Nurses play an essential role in disaster management. Therefore, nurses should have specific core competencies to provide care for affected people during disaster situations. Objectives: This study aimed to assess hospital nurses’ disaster competencies in such situations. Methods: This cross-sectional, descriptive study was conducted using a self-report questionnaire that included 50 questions on NCDS (Nurse Competence Disaster Scale) in four domains. The questionnaires were distributed among 142 nurses working in three teaching hospitals in Kerman, Iran, in 2018. Results: The average percentage scores of nurses on their responses to questions in the domains of management, ethical aspects, personal aspects, and technical aspects of disaster competencies were 39.76%, 19.53%, 32.02%, and 75.06%, respectively. In multiple regression analysis, nurses’ part...
Exploring Nurses' Perceptions of Disaster Preparedness Competencies
Nurse Media Journal of Nursing
Background: Indonesia frequently experiences natural disasters, underscoring the importance of nursing competencies in disaster preparedness. Nevertheless, especially among general nurses, the factors shaping these competencies are not well understood.Purpose: This study aimed to explore Indonesian nurses’ perceptions of disaster preparedness competencies and compare these perceptions across distinct characteristics.Methods: Adopting a cross-sectional design, 230 nurses from all wards of a public hospital in Jakarta Province were selected via quota sampling. The Nurses’ Perceptions of Disaster Core Competencies Scale (NPDCC) questionnaire was utilized to assess nurses’ perceptions of competencies across five domains. The study employed Chi-square, Fisher’s exact, and Likelihood ratio tests, followed by backward (likelihood ratio) multiple logistic regression, to analyze the relationship between nurses’ characteristics and their perception of disaster preparedness competencies.Resul...
Journal of Nursing Scholarship, 2010
Background: Nurses are often called upon to play the role of first responder when disaster occurs. Yet the lack of accepted competencies and gaps in education make it difficult to recruit nurses prepared to respond to a disaster and provide assistance in an effective manner. Design: Based on the International Council of Nurses (ICN) Framework of Disaster Nursing Competencies and Global Standards for the Initial Education of Professional Nurses and Midwives, a training course titled "Introduction to Disaster Nursing" was designed and implemented with 150 students. A prepost survey design was used to assess changes in participants' self-rated disaster nursing competencies. The impact of the training course on participants' attitudes toward disaster nursing and their learning experience were also assessed. Findings: All participants passed the assessments and examination with an average score of 70%. Pre-and posttraining self-ratings of the disaster nursing competencies increased from 2.09 to 3.71 (p < .001) on a Likert scale of 1 to 5, and the effect size was large, with Cohen's d higher than 0.8. No significant difference in both examination results (60% group assignments; 40% written examination) and self-rated competencies was noted between the senior year students and graduate nurse participants by Mann-Whitney U test (p value = .90). The majority of participants indicated their willingness to participate as a helper in disaster relief and saw themselves competent to work under supervision. Conclusions: The ICN Framework of Disaster Nursing Competencies was instrumental to guide the training curriculum development. This introductory training course could be incorporated into undergraduate nursing education programs as well as serve as a continuing education program for graduate nurses. Clinical Relevance: The training program can be used for preparing generalist nurses of their nursing competencies in disaster preparedness, response and post-disaster recovery and rehabilitation.
We Are Now Standing On Not Normal Land: Nurses' Competency in Disaster Management
Currently, the incidence of disasters is the biggest catastrophes that threaten people " s livelihoods, health, and others welfare around the world. This situation provides the challenges for health care professionals, particularly nurses. As a result, there is a global need for all healthcare workers to be prepared and be competent in disaster management. The purpose of this paper is to describe how the roles of nurses in disaster management and how much competencies is needed. By searching the related data sources of CINAL plus, Google scholar and research gate, this paper will discusses the nurses' roles and experiences in disaster management, the reason why nurses need competencies in disaster management and how should we do to achieve the competencies of nurses in disaster management. When a disaster strikes, nurses are the ones who receive the most challenging tasks among the health care team because they are the first responders to be called upon. For that reason, the nurses should have positive characteristics and competencies to be an appropriate role model in disaster care.
A literature review of disaster nursing competencies in Japanese nursing journals
Collegian, 2010
Introduction: Competencies is an important concept used for assessing health professionals' capability to perform their role. By means of a literature review of Japanese professional journals this paper will investigate the competencies concept, particularly with relation to disaster nursing. Methods: The literature research was conducted using the database ichu-shi (ver. 4). All literature is written and published in Japanese and was published between 2001 and 2008. Due to an unfamiliarity of the term 'competencies' in Japanese, the key words were sought while deconstructing the meaning and concepts of 'competencies' into terms more recognisable in the Japanese context. Twelve key words: disaster, capability, education, practice, licensure, ability, function, prevention, response, planning, emergency, and disaster nursing were chosen as being most likely to find literature relevant to the English language concept of competencies. The searched articles were then written into the disaster nursing competencies review worksheet for analysis. Result: One hundred and twenty articles were found by searching a combination of these key words. Of these articles, those that were not in the context of disaster nursing were eliminated. As a result, 43 articles were chosen as being suitable for analysis of the context. These articles are classified into four themes. Conclusion: These theme groups indicated a foundation for competencies in disaster nursing. The definition of competencies in Japanese nursing journals was quite varied and cannot be easily defined as common disaster nursing competencies. Given the variety of areas and the distinct phases in disaster nursing, as well as the 'what for' and 'who governs', disaster nursing competencies will need its own discussion in order to establish the common competencies internationally.
Nurse Preparedness in CHCs: Evaluating Disaster Response Competencies
Universal Journal of Public Health, 2024
This research aims to provide an overview of the competency of nurses in dealing with the disaster response phase at the Community Health Centers (CHCs) in Padang City. The research uses an exploratory descriptive approach with data collection techniques using a questionnaire in the form of a dichotomous scale. The sample was taken by total sampling from all nurses at two CHCs, namely Kuranji and Andalas in Padang City, totaling 40 people. The results of the analysis showed that the majority of respondents were women (80.81%), who had a Diploma III in Nursing (90.48%) and worked in General Polyclinics and Emergency Rooms (26.19%). Most respondents (78.04%) had never attended disaster training. However, 91.86% of respondents had disaster response competence at the CHC in the good category. It was concluded that the majority of respondents had good service competence in responding to disasters, both in services to individuals and families as well as in handling psychological problems and vulnerable groups. Nurses who respond quickly to disasters have an important role in reducing the impact of disasters and improving people's quality of life.
A new scale for disaster nursing core competencies: Development and psychometric testing
Background: All nurses must have core competencies in preparing for, responding to and recovering from a disaster. In the Kingdom of Saudi Arabia (KSA), as in many other countries, disaster nursing core competencies are not fully understood and lack reliable, validated tools. Thus, it is imperative to develop a scale for exploring disaster nursing core competencies, roles and barriers in the KSA. Objectives: This study's objective is to develop a valid, reliable scale that identifies and explores core competencies of disaster nursing, nurses' roles in disaster management and barriers to developing disaster nursing in the KSA. Methods: This study developed a new scale testing its validity and reliability. A principal component analysis (PCA) was used to develop and test psychometric properties of the new scale. The PCA used a purposive sample of nurses from emergency departments in two hospitals in the KSA. Participants rated 93 paper-based, self-report questionnaire items from 1 to 10 on a Likert scale. PCA using Varimax rotation was conducted to explore factors emerging from responses. Findings: The study's participants were 132 nurses (66% response rate). PCA of the 93 questionnaire items revealed 49 redundant items (which were deleted) and 3 factors with eigenvalues of >1. The remaining 44 items accounted for 77.3% of the total variance. The overall Cronbach's alpha was 0.96 for all factors: 0.98 for Factor 1, 0.92 for Factor 2 and 0.86 for Factor 3.
Journal of Advanced Nursing, 2011
Aims. To determine nursing skills most relevant for nurses participating in disaster response medical teams; make recommendations to enhance training of nurses who will be first responders to a disaster site; to improve the capacity of nurses to prepare and respond to severe natural disasters. Background. Worldwide, nurses play a key role in disaster response teams at disaster sites. They are often not prepared for the challenges of dealing with mass casualties; little research exists into what basic nursing skills are required by nurses who are first responders to a disaster situation. This study assessed the most relevant disaster nursing skills of first responder nurses at the 2008 Wenchuan earthquake disaster site. Method. Data were collected in China in 2008 using a self-designed questionnaire, with 24 participants who had been part of the medical teams that were dispatched to the disaster sites. Findings. The top three skills essential for nurses were: intravenous insertion; observation and monitoring; mass casualty triage. The three most frequently used skills were: debridement and dressing; observation and monitoring; intravenous insertion. The three skills performed most proficiently were: intravenous insertion; observation and monitoring; urethral catheterization. The top three ranking skills most important for training were: mass casualty transportation; emergency management; haemostasis, bandaging, fixation, manual handling. Conclusion. The core nursing skills for disaster response training are: mass casualty transportation; emergency management; haemostasis, bandaging, fixation, manual handling; observation and monitoring; mass casualty triage; controlling specific infection; psychological crisis intervention; cardiopulmonary resuscitation; debridement and dressing; central venous catheter insertion; patient care recording.