Disaster Nursing Preparedness in Local Wisdom - A Systematic Review (original) (raw)
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Disaster nursing and the challenges that nurses encounter within it
2019
Disaster nursing is a specialized area of nursing in which nurses participate and care for individuals affected by a disaster. The purpose of this article is to describe what disaster nursing involves and offer an overview of the challenges that a nurse can face. An explanation of the word disaster along with what it entails is also provided. Details such as how disasters are classified, along with how certain aspects of the community and daily living are affected are discussed. There are three phases of a disaster; preparedness, relief response and recovery and nurses do and should assist in each of them. However, disaster relief response rarely, if ever, is smooth and there are challenges. Difficulties within disaster nursing such as logistical problems and ethical dilemmas are investigated in this article. Raising awareness to these problems and educating others about disaster nursing in general is the final goal of this article.
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.
Disaster preparedness among nurses: a systematic review of literature
International Nursing Review, 2017
Aim: This review explored peer-reviewed publications that measure nurses' preparedness for disaster response. Background: The increasing frequency of disasters worldwide necessitates nurses to adequately prepare to respond to disasters to mitigate the negative consequences of the event on the affected population. Despite growing initiatives to prepare nurses for any disasters, evidence suggests they are under prepared for disaster response. Methods: This is a systematic review of scientific articles conducted from 2006 to 2016 on nurses' preparedness for disasters. SCOPUS, MEDLINE, PubMed, CINAHL and PsychINFO were the primary databases utilized for search of literature. Keywords used in this review were as follows: 'emergency', 'disaster', 'disaster preparedness', 'disaster competencies', 'disaster nursing', 'disaster role' and 'nurse'. Seventeen (17) articles were selected for this review. Findings: Factors that increase preparedness for disaster response include previous disaster response experience and disaster-related training. However, it is widely reported that nurses are insufficiently prepared and do not feel confident responding effectively to disasters. Conclusion: The findings of this review contribute to a growing body of knowledge regarding disaster preparedness in nurses and have implications for academia, hospital administration and nursing educators. The findings of this review provide evidence that could be used by nurse educators and nurse administrators to better prepare nurses for disaster response. Implications for nursing and health policy: The findings from this review place an emphasis on hospitals to implement policies to address lack of preparedness among their employees. Furthermore, this review highlights the benefit of further research and provision of well-grounded disaster exercises that mimic actual events to enhance the preparedness of the nursing workforce.
Factors affecting nurses’ ability to provide effective care in a disaster response: a review
Journal of Public Health Research
Disasters cause death, trauma, and psychological distress. Comprising the largest number of healthcare workers, nurses play a crucial role in reducing the impact of a disaster. The objective of this review is to identify the factors that influence nurses’ ability during a disaster emergency response to provide adequate care. This research was conducted by doing a literature search from the Pro-Quest and Science-Direct databases using the PRISMA-ScR to screen the articles. The final results included 13 articles. An analysis was performed to identify themes in line with the purpose of the review. All factors affecting nurses’ ability to respond to a disaster situation were classified into three themes: 1) factors increasing nurses’ ability, 2) barriers to delivering effective nursing care, and 3) support needed to maintain the nurses’ ability. During an emergency situation due to a disaster, adequate knowledge and skill to save lives, treat injuries, manage stress and coordinate betwe...
Nurses' Preparedness for Disaster in South Khorasan Province, Iran
Background: Nurses, as the largest group in providing relief during disasters with their specialized skills, should be sufficiently prepared to provide the highest level of health care. By compiling predisaster preparedness programs, the provided healthcare would be promoted and number of casualties and incoordination in allocated tasks be reduced. This study was conducted to evaluate nurses’ preparedness in response to disasters in South Khorasan Province, Iran. Materials and Methods: In this correlational descriptive study, working nurses in provincial hospitals were chosen by systematic random sampling. The study data were collected with a 3-part questionnaire: demographic information, items assessing the capabilities in disaster (clinical competency, survival skills, operational competency), and items regarding their viewpoints (personal and psychological readiness, team integration, and administrative support). The questionnaire was rated on a 5-point Likert-type scale. Total score in each field is divided by the number of questions, in which 5 is the highest, and 1 the lowest. All data were analyzed by SPSS16. The significant level was set at P ≤ 0.05. Results: Out of 304 hospital nurses working in 10 health centers throughout the province, 71.1% were female, 27.21% had 3-5 years of job experience, 96.4% had BS in nursing, and 57.9% were the staff of educational hospitals. The mean (SD) score for nurses’ preparedness (competency and attitude) was 3.4(0.64). The mean (SD) score for nurses’ competency was 3.25 (0.72), and average score for nurses’ attitude was 3.53(0.5). There was a significant correlation between nurses’ competency score and their gender and work experience (P ≤ 0.05). Conclusion: Regarding the nurses’ preparedness score, it is recommended that they be provided with training courses on disaster preparedness through workshops and or training exercises.
Journal of Nursing Education and Practice, 2016
Background: Recently, the disasters in Nepal as elsewhere has caused a large number of deaths, injury and left hundreds of thousands of people homeless. It has also alerted all nurses to be prepared with adequate knowledge in order to respond to a disaster event effectively. This descriptive study aimed to describe and compare the level of knowledge in an earthquake disaster among Nepalese nurses working in government and non-government hospitals. Methods: Three hundred working registered nurses (RNs) were randomly selected from fourteen government and four nongovernmental hospitals located in different parts of Nepal. Nurses' knowledge in earthquake disaster was obtained through self-reported questionnaires. Descriptive and inferential statistics were used for data analysis. Results: The majority of the RNs worked in government hospitals (63.2%), more than half (59%) of the respondents had diploma level of education with the majority (66.3%) of them working in a hospital for less than six years. Two thirds (78%) had never attended disaster training drills and nearly half (47.7%) of the RNs determined that they themselves were not ready to face a future disaster. The knowledge of the RNs regarding earthquake disaster was at a moderate level (70.07 ± 10.01). The lowest score of nurses' knowledge was related to assessment and triage in earthquake disaster response. Nurses working in governmental hospitals have a higher mean score of knowledge than those working in non-governmental hospitals (P < .05). Conclusion: A disaster nursing training course should be provided for nurses particularly in non-governmental hospitals who had never received disaster training which will improve their knowledge in order to respond to future disasters.
Nurses' Preparedness for Disaster in South Khorasan Province, Ian
Health in Emergencies and Disasters Quarterly, 2017
Background: Nurses, as the largest group in providing relief during disasters with their specialized skills, should be sufficiently prepared to provide the highest level of health care. By compiling predisaster preparedness programs, the provided healthcare would be promoted and number of casualties and incoordination in allocated tasks be reduced. This study was conducted to evaluate nurses' preparedness in response to disasters in South Khorasan Province, Iran. Materials and Methods: In this correlational descriptive study, working nurses in provincial hospitals were chosen by systematic random sampling. The study data were collected with a 3-part questionnaire: demographic information, items assessing the capabilities in disaster (clinical competency, survival skills, operational competency), and items regarding their viewpoints (personal and psychological readiness, team integration, and administrative support). The questionnaire was rated on a 5-point Likert-type scale. Total score in each field is divided by the number of questions, in which 5 is the highest, and 1 the lowest. All data were analyzed by SPSS16. The significant level was set at P ≤ 0.05. Results: Out of 304 hospital nurses working in 10 health centers throughout the province, 71.1% were female, 27.21% had 3-5 years of job experience, 96.4% had BS in nursing, and 57.9% were the staff of educational hospitals. The mean (SD) score for nurses' preparedness (competency and attitude) was 3.4(0.64). The mean (SD) score for nurses' competency was 3.25 (0.72), and average score for nurses' attitude was 3.53(0.5). There was a significant correlation between nurses' competency score and their gender and work experience (P ≤ 0.05). Conclusion: Regarding the nurses' preparedness score, it is recommended that they be provided with training courses on disaster preparedness through workshops and or training exercises.
Emergency and Disaster Preparedness in Nurses: A Concept Analysis
Journal of Holistic Nursing and Midwifery, 2017
Introduction: Given the growing rate of accidents and disasters in the world, preparing nurses as the main group responding to these events is crucial; however, a review of literature suggests no comprehensive and theoretical or practical definitions for this concept in nursing, which has been often misunderstood and used as an alternative to other similar concepts. Objective: The present study was conducted to analyze the concept and provide a practical definition for emergency and disaster preparedness in nurses. Materials and Methods: The eight-step Walker and Avant's approach was used to clarify the concept of disaster preparedness in nurses. A total of 40 articles selected on the subject through an extensive review of literature up to 2013 were analyzed and the relevant definitions, applications, attributes, antecedents, consequences and empirical referents were extracted. Results: According to the analysis conducted, the concept attributes include gaining the disaster knowledge and management capability, response planning strategies, response behavior exercises and the evaluation of the knowledge level and the response program content. Improved knowledge and skills, professional accountability, more comprehensive programs and more accurate response behaviors were found to be the outcomes of disaster preparedness in nurses. Conclusion: According to the present study, disaster preparedness in nurses refers to the knowledge, skills, abilities and comprehensive functions required for responding to natural or man-made events and disasters. Nurses' preparedness in disasters refers to a process in which nurses involve to properly prepare and effectively respond to emergencies and disasters. Given the wide range of the concept, further studies are recommended.
Health in Emergencies and Disasters Quarterly (HDQ), 2021
Background: Nurses play an essential role in the hospital's response to accidents and disasters. Assessing nurses' preparedness is the starting point to improve and increase their preparedness for disasters. Therefore, this study aimed to investigate the preparedness of nurses of a 650-bed district hospital in Herat, Afghanistan in the face of disasters in 2020. Materials and Methods: This was a cross-sectional study, and the study subjects included all nurses working in a 650-bed district hospital in Herat Province. The data collection tool was a standard questionnaire to determine the level of preparedness of nurses against accidents and disasters, which was localized. This questionnaire included three areas of knowledge, attitude, and performance. The maximum score in each of the domains was 100. To analyze the data, descriptive indicators, such as mean, median, standard deviation, and quartiles, and analytical methods such as independent t-test, 1-way analysis of variance, the Mann-Whitney and Friedman nonparametric tests, and the Spearman correlation coefficient-test were used. Results: The Mean±SD scores obtained by the participants in each of the areas of knowledge, attitude, and performance (behavior) were 30±12, 81±12, and 40±7, respectively. The study's findings showed a statistically significant relationship between knowledge score and the duration of disaster education and management history. Also, a statistically significant association was observed between performance and variables of age, gender, marital status, education level, work experience, management history, duration of training received on disasters, and history of previous disaster exposure. Conclusion: Considering that the preparedness of nurses participating in this study was lower than average in two of the three areas, the level of preparedness of nurses for disasters is low and undesirable and requires measures, such as holding regular theoretical and practical training courses to increase it.