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Hasan MK, Beeva S, Hasan F, Sagor MMR, Purba ZA, Maruf MSH, Taiba ST, Roy P, Fahmida M, Rahman SI, Jahan N, Hossain F. Disaster response self-efficacy of nursing students: Perceived level and associated factors. NURSE EDUCATION TODAY 2024; 139:106254. [PMID: 38781823 DOI: 10.1016/j.nedt.2024.106254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Revised: 04/30/2024] [Accepted: 05/11/2024] [Indexed: 05/25/2024]
Abstract
OBJECTIVES The study aimed to assess the level of disaster response self-efficacy (DRSE) among nursing students in Bangladesh and examine the factors influencing their level of DRSE. METHODS A cross-sectional study design was used for this research. A self-administered descriptive structured questionnaire was used to collect survey data from 573 students of nursing colleges in four districts: Chattogram, Dhaka, Khulna, and Rajshahi. The Bengali version of the DRSE Scale was adopted and used to measure the outcome variable. RESULTS The nursing students exhibited a moderate level of disaster response self-efficacy (Mean = 3.63; SD = 0.73), as well as moderate levels of knowledge (Mean = 3.87; SD = 0.71), skills (Mean = 4.24; SD = 0.91), and preparedness (Mean = 4.31; SD = 0.76) in disaster management. Significant positive correlations were found between respondents' disaster knowledge (r = 0.447, p < 0.01), skills (r = 0.516, p < 0.01), and preparedness (r = 0.701, p < 0.01) with disaster response self-efficacy. Gender, age, having children in the household, post-basic BSc in nursing students, and disaster knowledge were significantly associated with nursing students' DRSE. Female respondents had a 0.27-unit lower DRSE (β = -0.270 (95 % CI: -0.389, -0.115), p < 0.001) than male respondents. Besides, the respondents per unit increase in disaster knowledge occurred a 0.438-unit increase in DRSE (β = 0.438 (95 % CI: 0.367, 0.510), p < 0.001). However, no statistically significant associations were found between the respondents' disaster experience and disaster-related training with their DRSE scores. CONCLUSION Improving disaster management knowledge by including disaster management-related courses and organizing more training, drills, seminars, and workshops may improve their DRSE.
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Affiliation(s)
- Md Khalid Hasan
- School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia; Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh.
| | - Saptarshi Beeva
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
| | - Farzana Hasan
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
| | - Md Masud Rana Sagor
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
| | - Zarin Anan Purba
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
| | - Md Shaiful Hossain Maruf
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
| | - Sadia Tut Taiba
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
| | - Pranto Roy
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
| | - Mayisha Fahmida
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
| | - Shaquif Ibrahim Rahman
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
| | - Nusrat Jahan
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
| | - Fahad Hossain
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, Bangladesh
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Salik H, Şahin M, Uslu Ö. Experiences of Nurses Providing Care to Individuals in Earthquake-Affected Areas of Eastern Turkey: A Phenomenological Study. J Community Health Nurs 2024; 41:110-122. [PMID: 38053360 DOI: 10.1080/07370016.2023.2285964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2023]
Abstract
PURPOSE The aim of this study is to examine the experiences of nurses who provide care to individuals in earthquake-affected areas of eastern Turkey. DESIGN A phenomenological design from qualitative research methods was utilized in this study. METHODS The study was conducted between May 29, 2023, and August 15, 2023, with 11 nurses working in the western region of Turkey's provinces through one-on-one semi-structured interviews. The interviews were conducted online and recorded on video. Content analysis was performed using the MAXQDA software package. FINDINGS Themes and sub-themes were identified from the expressions of nurses in line with research findings. Accordingly, 5 themes were determined for nurses providing care to individuals in the earthquake. zone: "challenges they face,""emotions they felt,""coping methods,""knowledge and skills"and "effects of earthquake". CONCLUSION The results obtained from this study demonstrated that nurses experienced difficulties due to environmental (hygiene, cold weather, shelter) and work-related (lack of coordination, psychosocial issues) conditions during the earthquake event. While providing care to individuals in earthquake-affected areas of eastern Turkey, nurses reported feelings of sadness, inadequacy, anxiety, and fear. They employed coping methods such as talking to family/friends, attempting not to dwell on thoughts, and turning to religious practices to manage these negative emotions. Nurses emphasized the necessity of having professional knowledge and crisis management skills to care for individuals during the earthquake period. In accordance with the findings of the research, it is recommended that nurses are provided with realistic training through simulations and drills in disaster management, as well as psychological support interventions.
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Affiliation(s)
- Hava Salik
- Faculty of Economics and Administrative Sciences, Department of Health Management, Hakkari University, Hakkari, Turkey
| | - Merve Şahin
- Bergama Necla-Mithat Öztüre State Hospital, Hakkari, İzmir, Turkey
| | - Ömer Uslu
- Söke Fehime Faik Kocagöz Clinic, Community Mental Health Center Nurse, Hakkari, Turkey
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Ediz Ç, Yanik D. Disaster preparedness perception, pyschological resiliences and empathy levels of nurses after 2023 Great Turkiye earthquake: Are nurses prepared for disasters: A risk management study. Public Health Nurs 2024; 41:164-174. [PMID: 37985459 DOI: 10.1111/phn.13267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 10/27/2023] [Accepted: 11/11/2023] [Indexed: 11/22/2023]
Abstract
OBJECTIVE The purpose of the study is to determine the disaster preparedness perceptions, psychological resilences and empathy levels of nurses after 2023 Great Turkiye Earthquake. METHOD This descriptive study was conducted in 2023 using with E-Anket. This study was carried out with voluntary participation of 464 nurses living in different geographical regions of Turkiye. The data of the study were obtained utilizing Nurses' Disasters Prepardeness Perception Scale (NDPPS), Pyschological Resileince Scale (PRS) and Empathy Scale (ES). RESULTS In this study, the disaster preparedness perception of the nurses was found to be at medium level. More than half of the nurses (65.1%) reported that they did not received any disaster training before. A meaningful was found between the nurses' disaster preparedness perceptions and their empathy levels and psychological resilence. CONCLUSIONS As in many countries, it is possible to state that also in Turkiye, the training of nurses for disasters are inadequate and that the studies on this subject are limited. This study will provide a theoretical platform to develop nurses' awareness of disaster preparedness and pyschological resilience and empathic approach programs to increase disaster resilience, and to conduct future research on disaster nursing.
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Affiliation(s)
- Çiçek Ediz
- Department of Psychiatric Nursing, Faculty of Health Sciences, University of Hakkari, Hakkari, Turkiye
| | - Derya Yanik
- Department of Psychiatric Nursing, Faculty of Health Sciences, University of Batman, Batman, Turkiye
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Guo XE, Bian LF, Li Y, Li CY, Lin Y. Common domains of nurses' competencies in public health emergencies: a scoping review. BMC Nurs 2023; 22:490. [PMID: 38124048 PMCID: PMC10734140 DOI: 10.1186/s12912-023-01655-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 12/11/2023] [Indexed: 12/23/2023] Open
Abstract
BACKGROUND A public health emergency can cause large numbers of deaths in a short period, with devastating social, economic and health consequences. Nurses are the main healthcare providers during such emergencies, and their competencies affect the control and outcomes of the situation. Studies on nurses' competencies in public health emergencies vary between countries and healthcare systems. Therefore, we conducted a scoping review to identify the common domains of nurses' competencies in public health emergencies worldwide. METHODS We searched the PubMed, CINHAL, Scopus, Web of Science, Science Direct, Embase, Cochrane Library, WanFang and ECRI databases from their inception to 2023. All published articles on nurses' competencies in public health emergencies that were published in English and Chinese were included. We mainly analyzed and synthesized nurses' competencies, assessment instruments and the training described in the included studies. RESULTS A total of 27 competency domains were identified following an analysis and summary. The most frequently cited domains were communication skills, self-protection skills, basic knowledge of a public health emergency, laws and ethics and the capacity for organizational collaboration. The Disaster Preparedness Evaluation Tool and the Emergency Preparedness Information Questionnaire were the most commonly used tools for assessing competencies. Most training was conducted online and the content that was covered varied by country. CONCLUSIONS Given the significant roles and responsibilities of nurses in public health emergencies, knowing the domains of their competencies is essential to evaluating, developing, and conducting clinical training.
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Affiliation(s)
- Xue-E Guo
- Department of Nursing, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang Province, China
| | - Li-Fang Bian
- Department of Nursing, Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qing Chun Road, Hangzhou, 310003, Zhejiang Province, China.
| | - Yan Li
- Department of Nursing, Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qing Chun Road, Hangzhou, 310003, Zhejiang Province, China
| | - Chun-Yan Li
- Department of Nursing, Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qing Chun Road, Hangzhou, 310003, Zhejiang Province, China
| | - Yu Lin
- Department of Nursing, Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qing Chun Road, Hangzhou, 310003, Zhejiang Province, China
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Li T, Zhang Y, Yao L, Bai S, Li N, Ren S. Knowledge, attitudes, and practices associated with bioterrorism preparedness in healthcare workers: a systematic review. Front Public Health 2023; 11:1272738. [PMID: 37869204 PMCID: PMC10587418 DOI: 10.3389/fpubh.2023.1272738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 09/25/2023] [Indexed: 10/24/2023] Open
Abstract
Introduction Bioterrorism is an important issue in the field of biosecurity, and effectively dealing with bioterrorism has become an urgent task worldwide. Healthcare workers are considered bioterrorism first responders, who shoulder essential responsibilities and must be equipped to deal with bioterrorism. This study aims to extract and summarize the main research components of the bioterrorism knowledge, attitude, and practice dimensions among healthcare workers. Method This study utilized a systematic review research design based on the PRISMA 2020 guidelines. A literature search was conducted in the PubMed, Web of Science, and Scopus databases for peer-reviewed literature, and the Mixed Methods Appraisal Tool (MMAT) version 2018 was used to assess the quality of the literature. Result A total of 16 studies were included in the final selection. Through the analysis and summary of the included studies, three main aspects and 14 subaspects of the knowledge dimension, three main aspects and 10 subaspects of the attitude dimension, and two main aspects and six subaspects of the practice dimension were extracted. Conclusion This study conducted a literature review on bioterrorism knowledge, attitudes, and practices for healthcare workers based on the PRISMA 2020 guidelines. The findings can guide improvements in health literacy and provide beneficial information to professional organizations that need to respond effectively to bioterrorism.
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Affiliation(s)
- Tiantian Li
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Yongzhong Zhang
- Epidemiology and Health Statistics, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Lulu Yao
- Emergency Medicine, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Song Bai
- Evaluation and Optimization of Health Emergency Response Capacity, SD, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
| | - Nan Li
- School of Management and Economics, Tianjin University, Tianjin, China
| | - Shaotong Ren
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China
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Koçak HS, Kaplan Serin E. Are Nurses Ready for a Disaster in Turkey? A Hospital Case. Disaster Med Public Health Prep 2023; 17:e436. [PMID: 37485823 DOI: 10.1017/dmp.2023.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2023]
Abstract
OBJECTIVE In Turkey, which is a land of disasters, it is vital for nurses to be prepared before a disaster, and to exhibit an effective attitude and behavior during it. Having a large number of casualties during a disaster may cause inadequacies in receiving basic health care in the hospital. METHODS This study was conducted in a descriptive and cross-sectional style to determine the disaster preparedness and preparedness perceptions of nurses. Data were collected with the Personal Information Form and Nurses' Perception of Disaster Preparedness Scale (NPDPS). RESULTS Nurses' disaster experience, drill experience, and perusal of the disaster plan positively affected the perception of disaster. The disaster preparedness of the institution positively affected the perception of disaster preparation. A significant difference was determined between the requests for information regarding disaster education and NPDPS. A statistically significant relationship was found between terrorist attacks, earthquake exposure, and the total scale score of NPDPS. CONCLUSIONS Consequently, nurses and health institutions, whose responsibilities become graver in disasters, have duties such as providing treatment and medical support. Therefore, it was suggested that disaster nursing and disaster management should have been included in the in-service training of nurses.
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Affiliation(s)
- Hatice Serap Koçak
- Gaziantep University, Faculty of Health Sciences, Public Health Nursing Department, Gaziantep, Turkey
| | - Emine Kaplan Serin
- Mersin University, Faculty of Nursing, Internal Medicine Nursing Department, Mersin, Turkey
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Wang W, Li H, Huang M. A literature review on the impact of disasters on healthcare systems, the role of nursing in disaster management, and strategies for cancer care delivery in disaster-affected populations. Front Oncol 2023; 13:1178092. [PMID: 37519811 PMCID: PMC10382130 DOI: 10.3389/fonc.2023.1178092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Accepted: 05/15/2023] [Indexed: 08/01/2023] Open
Abstract
This review article highlights the critical role of nurses in disaster management, with a specific focus on addressing blood tumors in disaster-affected populations. Disasters have a significant impact on healthcare systems and populations, and nurses play a crucial role in disaster preparedness, response, and recovery. The article provides case studies and successful examples of nursing interventions in disaster settings and tumor management, emphasizing the challenges and opportunities in providing cancer care in disaster settings. Recommendations for future research and practice in disaster nursing and blood tumor care are also presented. This information is essential for healthcare professionals and policymakers involved in disaster management, as well as researchers and clinicians working in the field of cancer care.
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Comparison of the Level of Disaster Preparedness Between Private and Government Hospitals in Saudi Arabia: A Cross-Sectional Study. Disaster Med Public Health Prep 2023; 17:e335. [PMID: 36847257 DOI: 10.1017/dmp.2023.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
OBJECTIVE The objective of this study was to describe and compare almost all the components of disaster preparedness between private and government hospitals in the Eastern Province of the Kingdom of Saudi Arabia, using the World Health Organization's (WHO) checklist. METHODS We assessed and compared the disaster preparedness between government and private hospitals in Province, using the 10-key component WHO checklist in a descriptive cross-sectional study. Of 72 hospitals in the region, 63 responded to the survey. RESULTS All 63 hospitals had an HDP plan and reported having a multidisciplinary HDP committee. In all responding hospitals, HDP was acceptable in most indicators of preparedness; however, some hospitals to some extent fell short of preparedness in surge capacity, equipment and logistic services, and post-disaster recovery. Government and private hospitals were generally comparable in disaster preparedness. However, government hospitals were more likely to have HDP plans that cover WHO's "all-hazard" approach, both internal and external disasters, compared to private hospitals. CONCLUSION HDP was acceptable, however, preparedness in surge capacity, equipment and logistic services, and post-disaster recovery fell short. Government and private hospitals were comparable in preparedness with regards to all indicators except surge capacity, post-disaster recovery, and availability of some equipment.
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Alruwaili AS, Islam MS, Usher K. Factors Influencing Hospitals' Disaster Preparedness in the Eastern Province of Saudi Arabia. Disaster Med Public Health Prep 2023; 17:e301. [PMID: 36785527 DOI: 10.1017/dmp.2022.261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
OBJECTIVE The study aimed to identify the factors that influence the disaster preparedness of hospitals and validate an evaluation framework to assess hospital disaster preparedness (HDP) capability in the Eastern Province of Saudi Arabia. METHODS A cross-sectional survey of all hospitals (n = 72) in the Eastern Region of Saudi Arabia was conducted. A factor analysis method was used to identify common factors and validate the evaluation framework to assess HDP capacity. RESULTS Sixty-three (63) hospitals responded to the survey. A 3-factor structure was identified as key predicators of HDP capacity. The first factor was the most highly weighted factor, which included education and training (0.849), monitoring and assessing HDP (0.723), disaster planning (0.721), and command and control (0.713). The second factor included surge capacity (0.708), triage system (0.844), post-disaster recovery (0.809), and communication (0.678). The third factor represented safety and security (0.638) as well as logistics, equipment, and supplies (0.766). CONCLUSION The identified 3-factor structure provides an innovative approach to assist the operationalization of the concept of HDP capacity building and service improvement, as well as serve as a groundwork to further develop instrument for assessing HDP in future studies.
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Affiliation(s)
- Abdullah Saleh Alruwaili
- Emergency Medical Services Program, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Al Ahsa, Saudi Arabia
- King Abdullah International Medical Research Center, Al Ahsa, Saudi Arabia
| | - Md Shahidul Islam
- School of Health, University of New England, Armidale, 2350, Australia
| | - Kim Usher
- School of Health, University of New England, Armidale, 2350, Australia
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Zhang J, Yang L, Cao X, Ren Y, Han X, Zang S, Cai F, Xu L, Qin L, Zhang P, Cheng Y. Assessment of disaster preparedness and related impact factors among emergency nurses in tertiary hospitals: descriptive cross-sectional study from Henan Province of China. Front Public Health 2023; 11:1093959. [PMID: 37213610 PMCID: PMC10192630 DOI: 10.3389/fpubh.2023.1093959] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 04/10/2023] [Indexed: 05/23/2023] Open
Abstract
Background The aim of this study was to investigate the current state of disaster preparedness and to determine associated factors among emergency nurses from tertiary hospitals in Henan Province of China. Methods This multicenter descriptive cross-sectional study was conducted with emergency nurses from 48 tertiary hospitals in Henan Province of China between September 7, 2022-September 27, 2022. Data were collected through a self-designeds online questionnaire using the mainland China version of the Disaster Preparedness Evaluation Tool (DPET-MC). Descriptive analysis and multiple linear regression analysis were used to evaluate disaster preparedness and to determine factors affecting disaster preparedness, respectively. Results A total of 265 emergency nurses in this study displayed a moderate level of disaster preparedness with a mean item score of 4.24 out 6.0 on the DPET-MC questionnaire. Among the five dimensions of the DPET-MC, the mean item score for pre-disaster awareness was highest (5.17 ± 0.77), while that for disaster management (3.68 ± 1.36) was the lowest. Female gender (B = -9.638, p = 0.046) and married status (B = -8.618, p = 0.038) were negatively correlated with the levels of disaster preparedness. Five factors positively correlated with the levels of disaster preparedness included having attended in the theoretical knowledge training of disaster nursing since work (B = 8.937, p = 0.043), having experienced the disaster response (B = 8.280, p = 0.036), having participated in the disaster rescue simulation exercise (B = 8.929, p = 0.039), having participated in the disaster relief training (B = 11.515, p = 0.025), as well as having participated in the training of disaster nursing specialist nurse (B = 16.101, p = 0.002). The explanatory power of these factors was 26.5%. Conclusion Emergency nurses in Henan Province of China need more education in all areas of disaster preparedness, especially disaster management, which needs to be incorporated into nursing education, including formal and ongoing education. Besides, blended learning approach with simulation-based training and disaster nursing specialist nurse training should be considered as novel ways to improve disaster preparedness for emergency nurses in mainland China.
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Affiliation(s)
- Jiange Zhang
- Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People's Hospital, Zhengzhou, China
| | - Lei Yang
- Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
| | - Xue Cao
- Department of Rheumatology and Immunology, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
| | - Ying Ren
- Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People's Hospital, Zhengzhou, China
| | - Xu Han
- Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People's Hospital, Zhengzhou, China
| | - Shuting Zang
- Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
- Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People's Hospital, Zhengzhou, China
| | - Fangfang Cai
- Henan University School of Nursing and Health, Zhengzhou, China
| | - Lijun Xu
- Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
| | - Lijie Qin
- Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
| | - Peirong Zhang
- Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
- *Correspondence: Peirong Zhang
| | - Yanwei Cheng
- Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China
- Yanwei Cheng
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Massive influx of victims: staff preparedness and facility readiness of Tunisian general University Hospitals. Afr J Emerg Med 2022; 12:484-488. [DOI: 10.1016/j.afjem.2022.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 10/26/2022] [Accepted: 11/23/2022] [Indexed: 12/03/2022] Open
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Al-qbelat RM, Subih MM, Malak MZ. Effect of Educational Program on Knowledge, Skills, and Personal Preparedness for Disasters Among Emergency Nurses: A Quasi-Experimental Study. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2022; 59:469580221130881. [PMID: 36281566 PMCID: PMC9608037 DOI: 10.1177/00469580221130881] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Continuous nursing education has a significant correlation with increasing knowledge, improving skills, and personal preparedness for disasters among nurses which leads to a decrease in mortality rate and enhances the quality of care. However, there is limited literature evaluating the effect of educational programs on the knowledge, skills, and personal preparedness for disaster preparedness among emergency nurses at Arab countries including, Jordan. This study evaluated the effect of an educational program on knowledge, skills, and personal preparedness for disasters among emergency nurses. A quasi-experimental study and one-group pretest-posttest design was used. A convenience sample was adopted to recruit registered nurses who are working in emergency rooms in the private and government health sectors in Jordan (N = 50). This study was conducted between May and June 2021. The intervention included an educational program consisting of 5 topics about disasters. The participants attended this program for 8 h over 1 week via Zoom application. There were significant differences between the pre-post educational intervention for knowledge (t = 4.79, P ≤ .001), skills (t = 6.66, P ≤ .001), and personal preparedness (t = 9.56, P ≤ .001) for disasters. These findings suggested the importance of implementing continuous education and training programs for emergency nurses about disasters due to increasing frequency of disasters worldwide.
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Affiliation(s)
| | | | - Malakeh Z. Malak
- Al-Zaytoonah University of Jordan, Amman, Jordan,Malakeh Z. Malak, Community Health Nursing, Faculty of Nursing, A-Zaytoonah University of Jordan, Airport Street, P.O. Box: 130 Amman 11733, Jordan. Emails: ;
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Duan Y, He J, Zheng R, Feng X, Xiao H. The relationship between disaster preparedness, psychological capital, and coping style among nurses: A cross-sectional study from China. Perspect Psychiatr Care 2022; 58:2577-2584. [PMID: 35478409 DOI: 10.1111/ppc.13097] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 03/14/2022] [Accepted: 04/10/2022] [Indexed: 02/05/2023] Open
Abstract
PURPOSE To find the relationship between psychological capital, coping style, and disaster preparedness in public hospital nurses. DESIGN AND METHODS A cross-sectional study of 515 registered nurses from a public hospital in northeast Sichuan Province, China who were enrolled to complete self-reported questionnaires sent through the WeChat app. RESULTS Disaster preparedness and psychology capital (r = 0.73, p < 0.01), disaster preparedness and coping style (r = 0.55, p < 0.01), and psychological capital and coping style (r = 0.56, p < 0.01) were positively correlated. Psychological capital (B = 1.81, p < 0.01) and coping style (B = 0.87, p < 0.01) accounted for 50% of disaster preparedness. Coping style partly mediated the effect of psychological capital on disaster preparedness (ab: 0.33, 95% confidence interval [CI]: 0.21-0.45). PRACTICAL IMPLICATIONS The level of psychological capital of nurses can provide an objective reference for administrators to establish intervention strategies and to promote positive psychological resources among nurses.
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Affiliation(s)
- Ying Duan
- West China School of Nursing, Sichuan University/West China Hospital, Sichuan University, 610041, Chengdu, No. 37 Guoxue Alley, Wuhou, District, China.,Department of Nursing, Affiliated Hospital of North Sichuan Medical College, 637100, Nanchong, No. 1 Maoyuan Road, China
| | - Jie He
- Department of Nursing, Affiliated Hospital of North Sichuan Medical College, 637100, Nanchong, No. 1 Maoyuan Road, China
| | - Rujun Zheng
- West China School of Nursing, Sichuan University/West China Hospital, Sichuan University, 610041, Chengdu, No. 37 Guoxue Alley, Wuhou, District, China.,Department of Thoracic Oncology, West China Hospital, Sichuan University, 610041, Chengdu, No. 37 GuoXue Alley, Wuhou District, China
| | - Xianqiong Feng
- West China School of Nursing, Sichuan University/West China Hospital, Sichuan University, 610041, Chengdu, No. 37 Guoxue Alley, Wuhou, District, China
| | - Hengyi Xiao
- Department of Geriatrics, West China, Sichuan University, Chengdu, Wuhou, China.,Lab for Aging Research, National Clinical Research Center for Geriatrics, State Key Laboratory of Biotherapy, Chengdu, China
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Hospitals Disaster Preparedness and Management in the Eastern Province of the Kingdom of Saudi Arabia: A Cross-sectional study. Disaster Med Public Health Prep 2022; 16:1038-1045. [PMID: 33818364 DOI: 10.1017/dmp.2020.484] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
OBJECTIVE The current study was conducted to assess disaster preparedness of hospitals in the Eastern region of Saudi Arabia. METHODS A descriptive cross-sectional study of all hospitals in the Eastern Region of KSA was conducted between July 2017 and July 2018. The included hospitals were selected using convenience sampling. The questionnaire was distributed together with an official letter providing information about the aim and objectives of the study as well as ethical issues guiding their participation in the exercise. RESULTS All the included hospitals had a disaster plan that was completely accessible by all staff members. About 70% of the included hospitals established an educational program on disaster preparedness once per year. Assessment of hospital disaster preparedness was conducted using disaster drills in 62 (n= 98%) of the hospitals. However, only 9.5% of the hospitals had post-disaster recovery assistance programs like counseling and support services. CONCLUSION Most hospitals involved in this study had sufficient resources for disaster management; however, the overall effectiveness of hospitals' disaster preparedness was slight to moderate. Some recommendations to improve hospitals' disaster preparedness should be proposed, including improved staff training and testing, better communications and safety procedures, and adoption of a holistic approach for disaster management.
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Lopo C, Razak A, Maidin A, Suarayasa K, Nadjib M, Masni M, Rivai F, Mallongi A, Hendra S, Ngemba HR. The Effect of Knowledge and Skills of Hospital Staff on the Hospitals’ Alertness and Security in Encountering Earthquake in Palu City, Central Sulawesi, Indonesia. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.9117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION: Indonesia is one country that particularly experiences disasters, especially natural disasters.
AIM: The current research was carried out aiming to determine the effect of knowledge and skills of hospitals staff on the hospital alertness and security in encountering earthquake.
METHODS: This study applied an analytical survey method involving 184 health workers from three major hospitals in Palu City, Indonesia. In this case, data were collected through interviews and questionnaires which were then analyzed using the t-test and f-test to determine the partial and simultaneous effect of the independent on the dependent variable.
RESULTS: Based on the analysis of the data collected from 184 questionnaires involving voluntary, contracted, and civil servant health workers, it was revealed that the knowledge of health workers significantly affected the effectiveness of preparedness and security for hospitals in encountering multiple disasters in Palu City with p < 0.01 and T value of 3.467 > T table value 2.60326. Meanwhile, the health workers’ skills on the effectiveness of preparedness and security in hospitals facing multiple disasters in Palu City obtained p < 0.00 and a T value of 4.771 > T table value 2.60326. Meanwhile, the effect of knowledge and skills of health workers simultaneously and significantly affected the effectiveness of preparedness and security of the hospitals in encountering multiple disasters with an F value of 47.459 > F table value 3.89.
CONCLUSION: The findings revealed in the current research provided useful basic information indicating the need for regular disaster-related education and training programs for emergency health workers so that they can effectively handle disaster situations and carry out their duties confidently and professionally. Such training and education are aimed to improving the health workers’ knowledge and skills so that they can be more alert and prepared when disaster occurs.
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Husna C, Furqan M, Kasih LC, Darliana D, Amalia R. Preparedness of Nurses for Controlling and Preventing the COVID-19 Infection: A Study from Referral Hospitals in Banda Aceh, Indonesia. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.9301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: The spread of COVID-19 infection has led to high morbidity and mortality rates worldwide. Nurses are the frontline health workers in handling COVID-19 infections, so adequate preparedness is needed for them to contribute to controlling and preventing the infections.
AIM: This study examines the differences in nurses’ preparedness to control and prevent COVID-19 infection at the two hospitals in Banda Aceh, Indonesia.
METHODS: This study is a comparative study with a cross-sectional study approach. The sample were nurses in the COVID-19 ward at hospitals A (n=75) and B (n=36). Data collection was conducted by administering a questionnaire consisting of 39 items in a 5-point Likert scale through Google form. The questionnaire satisfied the content validity by experts and reliability test using Cronbach alpha (= 0.968). Mann Whitney U-Test was conducted for analyzing the data.
RESULTS: The results revealed that no significant difference in the preparedness of nurses in controlling and preventing the COVID-19 infection in both hospitals (p=0.860).
CONCLUSION: The study findings indicate that respondents' demographic data, such as working experience, nurse education, working experience in the COVID-19 ward, and participation in COVID-19 management training, contributed to the nurses’ preparedness.
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A Cross-sectional Study About Nurses' and Physicians' Experience of Disaster Management Preparedness Throughout COVID-19. Disaster Med Public Health Prep 2022; 17:e125. [PMID: 35152935 PMCID: PMC9021579 DOI: 10.1017/dmp.2022.34] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE The aim of this study was to assess and compare nurses' and physicians' knowledge of disaster management preparedness. An effective health-care system response to various disasters is paramount, and nurses and physicians must be prepared with appropriate competencies to be able to manage the disaster events. METHODS This is a cross-sectional study. A total of 636 nurses and 257 physicians were recruited from 1 hospital in Saudi Arabia. Of them, 608 (95.6%) nurses and 228 (83.2%) physicians completed self-administered, online questionnaires. The questionnaire assessed participants' sociodemographic data, and disaster management knowledge. RESULTS The findings revealed that participants had more knowledge regarding the disaster preparedness stage than mitigation and recovery stages. They also reported a need for advanced disaster training areas. A total of 10.1% of nurses' and 15.6% of physicians' overall knowledge is explained by their demographic and work-related characteristics. CONCLUSIONS Both nurses and physicians had to some extent knowledge regarding the information and practices required for disaster management process. It is proposed that hospital managers must look for opportunities to effectively adopt national standards to manage disasters and include nurses and physicians in major-related learning activities because experience has suggested a somewhat low overall perceived competence in managing disaster situations.
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Disaster Preparedness and Associated Factors Among Emergency Nurses in Guangdong Province, China: A Descriptive Cross-Sectional Study. Disaster Med Public Health Prep 2021; 17:e65. [PMID: 34847979 DOI: 10.1017/dmp.2021.327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE The purpose of this study was to examine the prevalence of disaster preparedness and to explore associated factors among emergency nurses in Guangdong Province, China. METHODS In this descriptive, cross-sectional study, the mainland China version of the Disaster Preparedness Evaluation Tool was used to collect data from 633 nurses working in 26 emergency departments, in August 2018. Descriptive analyses were used to examine the disaster preparedness, and multiple linear regression analysis was used to investigate associated factors. RESULTS The perceived disaster preparedness of emergency nurses was at a moderate level. Among the 5 dimensions, the score for disaster management was lowest. Emergency nurses' disaster training (r = .26; P < 0.001) and drill experiences (r = .22; P < 0.001) were significantly correlated with disaster preparedness. Six significant factors associated with disaster preparedness were identified in this study: age, gender, disaster training experience, disaster drill experience, willingness, and educational level (R2 = .14; F = 18.20; P < 0.001). CONCLUSIONS Hospitals and nurse managers should carry out interdisciplinary and multidisciplinary cooperation to improve emergency nurses' disaster preparedness, especially disaster management. Organizing disaster simulation exercises, providing psychological support and safety considerations, and formulating disaster nursing training programs may be beneficial for emergency nurses' disaster preparedness.
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Kimin A, Nurachmah E, Lestari F, Gayatri D. Factors affecting nurses' ability to provide effective care in a disaster response: a review. J Public Health Res 2021; 11. [PMID: 35255668 PMCID: PMC8958455 DOI: 10.4081/jphr.2021.2732] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Accepted: 11/18/2021] [Indexed: 11/22/2022] Open
Abstract
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 between teams are the basic competencies needed for optimal care. Nurses’ clinical experience or previous disaster experience and training could increase nurses’ adaptability in disaster conditions. Support from nurses’ workplace and proper implementation of disaster management policy enhance nurses’ services and prevent barrier under disaster condition. The results emphasize that future training should aim for improving nurses’ knowledge and skills, including the knowledge of nurses’ family to protect themselves and deal with disasters. Such knowledge increased family preparedness, which is an important factor to enhance nurses’ willingness to work following a disaster. Significance for public health This review provides an overview of the factors affecting nurses’ performance in responding to a disaster. This information is important to related parties in making necessary plans and actions so that nurses, who comprise the majority of the healthcare workforce, can deliver safe, effective, and efficient health services to the public during disasters.
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Affiliation(s)
- Amelia Kimin
- Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java.
| | | | - Fatma Lestari
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Indonesia, Depok, West Java.
| | - Dewi Gayatri
- Department of Basic Science and Fundamentals of Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Jawa Barat.
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Hasan MK, Younos TB, Farid ZI. Nurses' knowledge, skills and preparedness for disaster management of a Megapolis: Implications for nursing disaster education. NURSE EDUCATION TODAY 2021; 107:105122. [PMID: 34507260 DOI: 10.1016/j.nedt.2021.105122] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 07/05/2021] [Accepted: 08/24/2021] [Indexed: 06/13/2023]
Abstract
As frontline health caregivers, nurses must be adequately prepared to respond effectively to disasters. Therefore, it is necessary to assess nurses' disaster management capacity to know their preparedness levels, especially for a densely populated Megapolis like Dhaka, which is at high risk of disasters. Thus, the study aimed to examine Dhaka city nurses' knowledge, skills, preparedness (KSP) for disasters and explore the factors influencing the KSP levels. A self-explanatory descriptive survey questionnaire was developed adopting the Disaster Preparedness Evaluation Tool (DPET) in Bangla language for quantitative data collection. Following multistage sampling, 410 nurses' data were collected from eight hospitals in Dhaka city. The nurses in Dhaka city had moderate levels of knowledge, skills, and preparedness for disaster management, reflecting that they need more development to deal with disasters effectively. Moreover, multiple linear regression analyses indicate that nurses' disaster knowledge, skills, and preparedness scores were significantly positively associated with training on disaster management (p < 0.001) and disaster response experience (p < 0.001). In addition, one-half of the respondents demanded more drills and exercises on disaster management in their workplaces to enhance their disaster skills and preparedness. Furthermore, disaster education should be incorporated into the nursing curriculum, which would play a seminal role in preparing them for future disaster management.
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Affiliation(s)
- Md Khalid Hasan
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka 1000, Bangladesh; Unit for Research in Emergency and Disaster, Faculty of Medicine and Health Sciences, University of Oviedo, 33006 Oviedo, Spain.
| | - Tahmina Bintay Younos
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka 1000, Bangladesh
| | - Zawad Ibn Farid
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka 1000, Bangladesh
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Nursing Students' Competency to Attend Disaster Situations: A Study in Western Iran. Disaster Med Public Health Prep 2021; 16:2044-2048. [PMID: 34802484 DOI: 10.1017/dmp.2021.263] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
OBJECTIVE The disaster preparedness of nurses is important as nurses are members of a health care team that needs to work systematically and collaboratively in all conditions. Although education and training naturally underpin effective practice, disaster nursing education is rarely provided to nurses in Iran. Because disaster situations, by definition, overwhelm health services, it is likely that nursing students will be required to join their colleagues in the response. The purpose of this study was to evaluate the competency of nursing students to attend disaster situations. METHODS This descriptive, analytical study was conducted in western Iran in 2020. A total of 70 nursing students in the fourth (final) year of their undergraduate nursing education entered the study by a census sampling method. Data collection was undertaken using a validated disaster competency assessment questionnaire. The data were analyzed using SPSS version 21 (IBM Corp, Armonk, NY) with descriptive and analytic tests. RESULTS The mean age of participants was 21.4 ± 2.14 and 57.1% of them were women; 45 participants (64.3%) had received no disaster-related training, and 88.6% had no history of participating in disaster exercises. The total score for nursing students' competence was 125.58 ± 14.19. There was a significant relationship between the mean score of nursing competence in response to disasters and student history of participating in an exercise and training course (P < 0.001). CONCLUSION Students' competence in disaster situations is poor. Awareness of the competence condition of nurses is the first step to improve their preparedness as the most key members of the disaster health team. Conducting disaster-related training may be appropriate. The results of this study can provide evidence for the development of educational policies in disaster nursing education.
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Rachmawati R, Novita R, Fitria I. The Effect of Disaster Management Education on Mother’s Under Five Preparedness Facing Floods In Aceh Province. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.6455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: The flood disaster has had various impacts on the people in Aceh. One of the groups prone to flooding is mothers with toddlers. Efforts should be made to increase capacity, understanding, and knowledge through education and education for disaster preparedness to reduce the risk of occurring.
AIM: Analyzing the effect of disaster management education on the Preparedness of mothers under five in Aceh.
METHODS: This type of research is a quasi-experimental study using the One-Group Pretest-Posttest. The sample in this study was 51 mothers of children under five who were willing to sample and resided in two flood-affected villages. Data collection on the Preparedness of mothers under five in this study was carried out using pre-test and post-test questionnaires before and after the provision of disaster education. Data analysis using bivariate used dependent T-test and correlation analysis used Rank Spearman correlation.
RESULTS: The results showed a significant difference in the mean value of knowledge, attitudes, and Preparedness of under-five mothers before and after receiving education about disasters, as evidenced by statistical tests using the dependent t-test p < 0.05. Measurement of the pre-test and post-test scores on the average increase in knowledge from before 89.45 to 94.53 after education provision. The attitude variable also increased on average from 39.43 to 48.40 after the provision of education. The preparedness variable also increased on average from 50.69 to 58.28 after the provision of education.
CONCLUSION: Disaster management education has provided increased knowledge, attitudes, and Preparedness for mothers under five to flood disasters.
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Perception and Attitude of Medical Staff in the Saudi Red Crescent Authority Toward their Preparedness for Disaster Management and Response. Disaster Med Public Health Prep 2021; 16:1580-1586. [PMID: 34399869 DOI: 10.1017/dmp.2021.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE The Saudi Red Crescent Authority (SRCA) plays a major role in the event of disasters and crisis, as it is the main pre-hospital health-care provider. This study reports on the attitude and perceptions of SRCA medical staff concerning their knowledge of disaster management and response. METHOD This is a descriptive cross-sectional study performed in Riyadh, Saudi Arabia. An Arabic version of the Disaster Preparedness Evaluation Tool (DPET), a self-administered Likert-scale survey, was used to obtain data from SRCA medical staff to evaluate the current status of disaster preparedness. RESULTS The population surveyed consisted of 302 participants; 20.9% had participated in a drill exercise or practical application of a regular disaster or emergency plan in their workplaces. Most of participants (85.3%) had incentives to extend their education regarding their role, scope of practice, and skills as medical staff in disaster situations. CONCLUSION Results indicate a lack of regular disaster drills available to prehospital care providers, although most of them are willing to participate in more training and education programs regarding preparedness for disaster management, especially concerning their role in a disaster situation.
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Predictors of disaster preparedness among registered nurses in Saudi Arabia: A structural equation modelling analysis. Australas Emerg Care 2021; 25:132-139. [PMID: 34384727 DOI: 10.1016/j.auec.2021.07.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 07/04/2021] [Accepted: 07/28/2021] [Indexed: 11/21/2022]
Abstract
BACKGROUND The evaluation of the present state of disaster preparedness among nurses in developing countries is not very well elucidated. Therefore, it is crucial to identify the adequacy of disaster preparedness among nurses in such countries and to examine the factors that influence the preparedness of nurses with regard to disaster management. METHODS A cross-sectional methodological design was used. A convenient sampling method was used to recruit 370 registered nurses from two hospitals in Saudi Arabia. Data were collected using valid and reliable self-reported questionnaires, including the Disaster Preparedness Evaluation Tool, Practice Environment Scale-Nursing Work Index, and Self-Regulation Scale. RESULTS The final model, with good fit indices, revealed that the disaster preparedness of nurses was significantly influenced by nurses' skills, knowledge, leadership ability and support, self-regulation, nursing quality of care, disaster training, disaster experience, and workplace participation. Altogether, these factors explained 68% of the total variance. CONCLUSION The factors influencing the preparedness of nurses for disaster are more complex than previously understood. Our model, created and tested using structural equation modelling, merits further research to extend our understanding of how nurses' perception of disaster management is influenced by organizational characteristics in the hospital work environment.
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Wang H, Zhao J, Wang Y, Hong Y. Study on the Formation Mechanism of Medical and Health Organization Staff's Emergency Preparedness Behavioral Intention: From the Perspective of Psychological Capital. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:8246. [PMID: 34443995 PMCID: PMC8391948 DOI: 10.3390/ijerph18168246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 07/30/2021] [Accepted: 07/31/2021] [Indexed: 11/16/2022]
Abstract
Medical and Health Organization (MHO) staff's emergency preparedness awareness and behaviors are essential variables that affect public health emergency response effectiveness. Based on the theory of psychological capital and the theory of planned behavior (TPB), this study discusses the mechanism of the psychological characteristics of MHO staff on their emergency preparedness behavioral intention (EPBI). To verify the research model, we conducted a web-based questionnaire survey among 243 MHO staff from China and analyzed the data using the structural equation modeling software, AMOS 24.0 (IBM, New York, United States). The empirical results reveal that psychological capital significantly affected cognitive processes theorized by TPB. This study suggests that the positive psychological capital of MHO staff should be developed and managed to improve their EPBI.
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Affiliation(s)
- Huihui Wang
- School of Law and Public Administration, Hunan University of Science and Technology, Xiangtan 411201, China;
| | - Jiaqing Zhao
- School of Management, Hangzhou Dianzi University, Hangzhou 310018, China;
| | - Ying Wang
- Enze Hospital of Taizhou Enze Medical Center (Group), Taizhou 318050, China;
| | - Yuxiang Hong
- School of Management, Hangzhou Dianzi University, Hangzhou 310018, China;
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Almukhlifi Y, Crowfoot G, Wilson A, Hutton A. Emergency healthcare workers' preparedness for disaster management: An integrative review. J Clin Nurs 2021. [PMID: 34254375 DOI: 10.1111/jocn.15965] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 06/09/2021] [Accepted: 06/23/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Around 2 billion people globally were affected by natural disasters between 2008-2018. The World Health Organization requires countries and governments to have disaster plans and emergency health workers ready and prepared at all times. OBJECTIVES To conduct an integrative review of literature of emergency healthcare workers' perceived preparedness for disaster management. METHODOLOGY An integrative literature review using the PRISMA checklist guidelines was conducted to explore physicians, nurses, emergency medical services and allied medical professionals' preparedness for disasters. Literature was searched from 2005, published in the English language and from MEDLINE (PubMed), Google Scholar, EMBASE, PsycINFO, SCOPUS, ProQuest and CINAHL databases. Reviews, case reports, clinical audits, editorials and short communications were excluded. Studies were critically appraised using the Mixed Methods Appraisal Tool. RESULTS The initial search yielded 9589 articles. Twenty-seven articles were included following application of the eligibility criteria. Included studies were geographically diverse including North America, the Middle East and the Asia Pacific. Most studies (n = 24) assessed the knowledge of healthcare workers in general disasters. Studies using the Disaster Preparedness Evaluation Tool reported moderate disaster preparedness and knowledge, while studies using other instruments largely reported inadequate disaster preparedness and knowledge. Regional variations were recorded, with high-income countries' reporting a higher perceived preparedness for disasters than low-income countries. CONCLUSION The majority of the emergency healthcare workers appear to have inadequate disaster preparedness. Previous disaster experience and training improved disaster preparedness. Future research should focus on interventions to improve emergency healthcare workers preparedness for disasters.
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Affiliation(s)
- Yasir Almukhlifi
- School of Nursing & Midwifery, Health and Medicine Department, The University of Newcastle, Newcastle, NSW, Australia
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Gary Crowfoot
- School of Nursing & Midwifery, Health and Medicine Department, The University of Newcastle, Newcastle, NSW, Australia
| | - Amanda Wilson
- School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
| | - Alison Hutton
- School of Nursing & Midwifery, Health and Medicine Department, The University of Newcastle, Newcastle, NSW, Australia
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Brinjee D, Al Thobaity A, Almalki M, Alahmari W. Identify the Disaster Nursing Training and Education Needs for Nurses in Taif City, Saudi Arabia. Risk Manag Healthc Policy 2021; 14:2301-2310. [PMID: 34104020 PMCID: PMC8180276 DOI: 10.2147/rmhp.s312940] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 05/16/2021] [Indexed: 12/05/2022] Open
Abstract
Introduction Nursing is considered the healthcare profession with the most members. Emergency nurses constitute the first line of treatment in healthcare facilities when catastrophic events bring disaster victims in need of medical attention. Therefore, these nurses must be well educated and trained efficiently to be able to deal with disastrous situations properly. This study aimed to distinguish the most important elements of education and training for preparing emergency nurses to face disasters in the Kingdom of Saudi Arabia (KSA), specifically, the city of Taif. Methods This study employed a tool to measure nurses’ most important training and education needs that was created by the authors based on a literature review and was approved by an expert panel in disaster nursing. Questionnaires were distributed to emergency nurses in four hospitals run by the Ministry of Health in Taif city. Survey responses were received from 210 participants, and the data were analyzed using a principal component analysis (PCA). A one-way ANOVA was used to determine the differences between groups according to their experiences. Results The following three factors were extracted from the data after redundant items were loaded and excluded: incident management systems (IMSs), disaster triage, and disaster drills. Nurses with less than three years of experience have a significant need to learn about these elements in order to be able to cope with disasters. Conclusion Understanding different types of disasters and how to deal with these catastrophic events is crucial. Significant differences existed between ED nurses in their understanding of the basic elements of disaster management based on their level of experience in an ED. Therefore, disaster education must be included in nursing curricula, and more training courses, mock drills, and simulations must be conducted in hospitals for nurses, especially nurses with less experience, so they can learn to manage their responsibilities during disasters.
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Affiliation(s)
- Duaa Brinjee
- Nursing Department, Al Noor Hospital, Makkah, Makkah Region, Saudi Arabia
| | - Abdulellah Al Thobaity
- Nursing Department, Applied Medical Sciences, Taif University, Taif, Makkah Region, Saudi Arabia
| | - Mohammed Almalki
- Nursing Department, Applied Medical Sciences, Taif University, Taif, Makkah Region, Saudi Arabia
| | - Waleed Alahmari
- Nursing Department, Applied Medical Sciences, Taif University, Taif, Makkah Region, Saudi Arabia
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NURSES' PREPAREDNESS AND PREPAREDNESS PERCEPTIONS AGAINST DISASTERS. INTERNATIONAL JOURNAL OF HEALTH SERVICES RESEARCH AND POLICY 2021. [DOI: 10.33457/ijhsrp.764850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Firouzkouhi M, Kako M, Abdollahimohammad A, Balouchi A, Farzi J. Nurses' Roles in Nursing Disaster Model: A Systematic Scoping Review. IRANIAN JOURNAL OF PUBLIC HEALTH 2021; 50:879-887. [PMID: 34183946 PMCID: PMC8223579 DOI: 10.18502/ijph.v50i5.6105] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Background: Nurses have a continuous presence and crucial role in response to disasters. During disasters, nurses apply specific knowledge and skills to minimize victims’ health and life-threatening risks. Nurses’ roles in crisis are not clearly stated in resources. Thus, this study aimed to explore nurses’ role in the nursing disaster model. Methods: A scoping review was conducted using Joanna Briggs Institute framework. The review considered primary research and reviewed literature from following databases, including Web of Science, Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, Scopus, and Google Scholar, as well as the reference lists of articles identified for full-text review. Eligibility criteria were outlined as a priori to guide the literature selection. Results: Eight of 60 eligible articles met the inclusion criteria. The studies were conducted in different countries with no limit of time of published articles. The publications’ design were three systematic reviews, one meta-synthesis, two qualitative types of research, one quasi-experimental, and one case study. The results showed nurses’ roles in the three stages before, during, and after the crisis. Conclusion: This review provided a comprehensive understanding of the concept of the nursing role in the crisis, and nurses could be useful to save victims through preparing and implementing effective care at different stages of a crisis.
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Affiliation(s)
- Mohammadreza Firouzkouhi
- Department of Medical-Surgical, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran
| | - Mayumi Kako
- School of Medicine Graduate, School of Medical, Hiroshima, Japan
| | - Abdolghani Abdollahimohammad
- Department of Medical-Surgical, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran
| | - Abbas Balouchi
- Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Jebraeil Farzi
- Department of Health Information Technology, School of Allied Medical Sciences, Zabol University of Medical Sciences, Zabol, Iran
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Psychometric Evaluation of the Disaster Preparedness Evaluation Tool © (DPET) on Emergency Nurses in Mainland China: Two Cross-Sectional Studies. Disaster Med Public Health Prep 2021; 16:1083-1090. [PMID: 33949305 DOI: 10.1017/dmp.2021.39] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Emergency nurses play a major role in disaster relief in mainland China, but there is no valid instrument to measure the extent of their disaster preparedness. The Disaster Preparedness Evaluation Tool© is a reliable instrument to assess the disaster preparedness of nurse practitioners. The tool has been translated and validated in Saudi Arabia, Taiwan, China and the United States of America. OBJECTIVES This study aimed at translating and adapting the Disaster Preparedness Evaluation Tool© (DPET) for emergency nurses in mainland China and determining its psychometric properties. DESIGN, SETTINGS AND PARTICIPANTS A total of 2 cross-sectional online surveys were conducted in the emergency departments of 26 public grade III-A hospitals in Guangdong, mainland China. In the first study, 633 emergency nurses were recruited from May to August, 2018. In the second study, 205 were recruited in April 2019. METHODS The instrument was adapted through rigorous forward-backward translation, face validity, and pre-test processes. Exploratory factor and parallel analyses were used in the first study. Confirmatory factor analysis, internal consistency and split-half reliability were used in the second study. RESULTS Exploratory factor and parallel analyses extracted a 5-factor solution comprising of 34 items that accounted for 64.06% of the total variance. The fit indices indicated a good model fit. The reliability was good, as indicated by a Cronbach's alpha of 0.97 and a split-half reliability coefficient of 0.97. CONCLUSION The mainland China version of the DPET (DPET-MC) was a reliable and valid instrument and can be used in practice.
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Ghazi Baker O. Preparedness assessment for managing disasters among nurses in an international setting: Implications for nurses. Int Emerg Nurs 2021; 56:100993. [PMID: 33798981 DOI: 10.1016/j.ienj.2021.100993] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 11/22/2020] [Accepted: 02/26/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND The increasing frequency of disastrous incidents emphasizes on the need of an instant and efficient healthcare services. This study assesses the level of preparedness among nurses in Medina regarding the disaster management, with respect to their knowledge. METHODS Cross-sectional study was conducted among five government hospitals in Medina. A total of 330 (94.3%) full-time nurses participated in this study. Emergency Preparedness Information Questionnaire (EPIQ) was used to collect data. Data was then analyzed through descriptive statistics, Levene's test (an independent sample t-test), and One-way ANOVA. RESULTS Findings of the study indicated an average level of nurses' preparedness for disaster management (M = 3.37, SD 1.03). The difference found for all the preparedness dimensions with respect to level of nursing education was not significant except for familiarity with ethical issues and triage (p = 0.028), and familiarity with accessing critical resources (p = 0.05). Finally, a statistically significant difference was found in the total mean score of disaster preparedness dimensions between nurses who received training in disaster management and those who did not receive training (p ≤ 0.001). CONCLUSION Based on the mean score from 10 factors the study concluded that majority of the nurses have an average level of preparedness for managing disaster situations. Therefore, providing proper education with respect to EPIQ dimensions to the nurses is thus suggested to increase their level of preparedness.
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Affiliation(s)
- Omar Ghazi Baker
- College of Nursing, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Han SJ, Chun J. Validation of the Disaster Preparedness Evaluation Tool for Nurses-The Korean Version. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18031348. [PMID: 33540899 PMCID: PMC7908161 DOI: 10.3390/ijerph18031348] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 01/29/2021] [Accepted: 01/30/2021] [Indexed: 11/16/2022]
Abstract
(1) Background: The purpose of this study was to validate a Korean version of the disaster preparedness evaluation tool (DPET-K) for nurses and to verify its validity and reliability for use in community healthcare centers and hospitals in South Korea; (2) Methods: In total, 497 nurses (248 for exploratory factor analysis and 249 for confirmatory factor analysis) at public health centers, public health sub-centers, public health clinics, and general hospitals in Seoul and Gyeonggi, Chungcheong, and Gangwon Provinces participated in this study. The tool went through translation and back-translation, content validity verification, a pilot survey, and validity and reliability testing; (3) Results: The DPET-K had 28 items with five factors (disaster education and training, disaster knowledge and information, bioterrorism and emergency response, disaster response, and disaster evaluation). The Cronbach's α values for internal consistency were 0.766-0.953 for the five subscales of the DPET-K. A structural equation model was built through confirmatory factor analysis for goodness of fit (χ2/df = 2.193, SRMR = 0.060, RMSEA = 0.069, GFI = 0.831, CFI = 0.927, NFI = 0.875); (4) Conclusions: The DPET-K was confirmed to be a useful tool for assessing the disaster preparedness of nurses in Korea.
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Songwathana P, Timalsina R. Disaster preparedness among nurses of developing countries: An integrative review. Int Emerg Nurs 2021; 55:100955. [PMID: 33454541 DOI: 10.1016/j.ienj.2020.100955] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 10/26/2020] [Accepted: 11/21/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUND Nurse preparedness and prompt response are essential to save lives and reduce the consequences of disasters and emerging pandemics. This paper aimed to synthesize the available evidence that demonstrates the adequacy on disaster preparedness among nurses in developing countries. METHODS Five stages of the integrative review approach were employed. Seventeen articles from 2010 to 2019 were selected using different databases after a quality appraisal performed by two researchers independently. The findings were summarized and synthesized based on the themes concerning disaster preparedness among nurses. RESULTS The major themes emerged were disaster knowledge and perceived self-preparedness. Nurses were found to have a weak-to-average or a low-to-moderate level of disaster preparedness based on their knowledge and perception. Education and training were discovered to be vital factors, often requiring a variety of strategies, for the enhancement of the nurses' preparedness level. CONCLUSION This review concludes that nurses in developing countries remain inadequately prepared on all domains of disaster nursing competencies. Therefore, providing well-designed disaster nursing educational packages, training manuals, and support to attend disaster drills or partake in actual disaster events are essential to the enhancement of disaster preparedness and the retention of relevant skills among nurses in all sectors.
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Wijoyo EB, Susanti H, Panjaitan RU, Putri AF. Nurses' perception about posttraumatic growth (PTG) after natural disasters. BMC Proc 2020; 14:19. [PMID: 33292238 PMCID: PMC7722416 DOI: 10.1186/s12919-020-00199-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/20/2020] [Indexed: 11/28/2022] Open
Abstract
Background Natural disasters have become the most common, profound, and universal type of catastrophes over decades. Natural disasters can lead to both negative and positive impacts on survivors. Nurses have an important role in fostering posttraumatic growth (PTG) as a positive psychological adjustment amongst the survivors. However, nurses may have different perceptions of their roles in PTG. Such differences may result in various approaches in supporting PTG as best as possible. Therefore, nurses’ perception regarding PTG needs to be explored. Method This study used a descriptive qualitative approach. A total of fourteen nurse participants were included across five different cities in Indonesia, including Jakarta, Bogor, Depok, Tangerang, and Bekasi. Data were collected through in-depth interviews and analyzed with a thematic method. Results The study revealed three themes, as follows (1) PTG is a new concept for nurses, (2) PTG is a condition that needs to be sought by volunteers, and (3) PTG means human-God and human-human positive relationships. Conclusion The study highlights the importance of improving nurses’ understanding regarding PTG so that they can deliver appropriate strategies or interventions to support survivors in gaining positive changes after experiencing a natural disaster. The study recommends that knowledge and skills related to PTG should be introduced in undergraduate nursing program.
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Affiliation(s)
- Eriyono Budi Wijoyo
- Magister of Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.,Mental Health Nursing Department, Universitas Muhammadiyah Tangerang, Tangerang, Indonesia
| | - Herni Susanti
- Mental Health Nursing Department, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.
| | - Ria Utami Panjaitan
- Mental Health Nursing Department, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
| | - Arcellia Farosyah Putri
- Indonesian Emergency and Disaster Nurses Association, Jakarta, Indonesia.,School of Health in Social Science, Nursing Studies, University of Edinburgh, Edinburgh, UK
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Jang I, Kim JS, Lee J, Seo Y. Educational needs and disaster response readiness: A cross-sectional study of clinical nurses. J Adv Nurs 2020; 77:189-197. [PMID: 33022761 DOI: 10.1111/jan.14570] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 07/27/2020] [Accepted: 08/10/2020] [Indexed: 11/30/2022]
Abstract
AIM To analyse clinical nurses' educational needs and disaster response readiness and the factors influencing their disaster response readiness. DESIGN This was a cross-sectional study. METHODS A convenience sample comprising 260 nurses with more than a year of working experience at a hospital in Korea was selected from 1-31 August 2019. Data on nurses' educational needs and disaster response readiness were collected from participants. A multiple regression model was used to examine the factors influencing disaster response readiness among nurses. RESULTS Factors influencing personal readiness were number of years of clinical experience, being female, working in a medical ward, and educational needs for disaster response. Factors influencing self-protection were working in a medical ward and working in the emergency room. Factors influencing the emergency response were working in a medical ward and working in the emergency room. Factors influencing clinical management were a graduate-level education or higher, working in a medical ward, working in the emergency room, working in the paediatric ward, experience receiving disaster-related education, and educational needs for disaster response. CONCLUSION It is essential to be aware of the educational needs and disaster readiness of hospital clinical nurses, to develop their capacity to respond such situations. In addition, to improve the disaster competency of nurses, it is necessary to develop an education programme that considers the factors influencing disaster response readiness in this study. IMPACT Nurses must have the knowledge and skills to respond to a disaster. Nurse educators should help nurses strengthen their disaster-related knowledge, skills, and judgment. Hospital administrators should encourage nurse educators to provide disaster-related training and simulation-based education to increase nurses' disaster competency to act during disasters.
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Affiliation(s)
- Insil Jang
- Department of Nursing, Chung-Ang University, Seoul, Republic of Korea
| | - Ji-Su Kim
- Department of Nursing, Chung-Ang University, Seoul, Republic of Korea
| | - Jungsun Lee
- Department of Nursing, Asan Medical Center, Seoul, Republic of Korea
| | - Yeji Seo
- Department of Nursing, Graduate School, Chung-Ang University, Seoul, Republic of Korea
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Ortiz-Barrios M, Gul M, López-Meza P, Yucesan M, Navarro-Jiménez E. Evaluation of hospital disaster preparedness by a multi-criteria decision making approach: The case of Turkish hospitals. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2020; 49:101748. [PMID: 32834973 PMCID: PMC7335495 DOI: 10.1016/j.ijdrr.2020.101748] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 06/20/2020] [Accepted: 06/22/2020] [Indexed: 06/11/2023]
Abstract
Considering the unexpected emergence of natural and man-made disasters over the world and Turkey, the importance of preparedness of hospitals, which are the first reference points for people to get healthcare services, becomes clear. Determining the level of disaster preparedness of hospitals is an important and necessary issue. This is because identifying hospitals with low level of preparedness is crucial for disaster preparedness planning. In this study, a hybrid fuzzy decision making model was proposed to evaluate the disaster preparedness of hospitals. This model was developed using fuzzy analytic hierarchy process (FAHP)-fuzzy decision making trial and evaluation laboratory (FDEMATEL)-technique for order preference by similarity to ideal solutions (TOPSIS) techniques and aimed to determine a ranking for hospital disaster preparedness. FAHP is used to determine weights of six main criteria (including hospital buildings, equipment, communication, transportation, personnel, flexibility) and a total of thirty-six sub-criteria regarding disaster preparedness. At the same time, FDEMATEL is applied to uncover the interdependence between criteria and sub-criteria. Finally, TOPSIS is used to obtain ranking of hospitals. To provide inputs for TOPSIS implementation, some key performance indicators are established and related data is gathered by the aid of experts from the assessed hospitals. A case study considering 4 hospitals from the Turkish healthcare sector was used to demonstrate the proposed approach. The results evidenced that Personnel is the most important factor (global weight = 0.280) when evaluating the hospital preparedness while Flexibility has the greatest prominence (c + r = 23.09).
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Affiliation(s)
- Miguel Ortiz-Barrios
- Department of Industrial Management, Agroindustry and Operations, Universidad de la Costa CUC, 58th St # 36 - 66, Barranquilla, Colombia
| | - Muhammet Gul
- Department of Industrial Engineering, Munzur University, Tunceli, Turkey
| | - Pedro López-Meza
- Department of Industrial Engineering, Institución Universitaria ITSA, Barranquilla, Colombia
| | - Melih Yucesan
- Department of Mechanical Engineering, Munzur University, Tunceli, Turkey
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Nurses’ Readiness for Emergencies and Public Health Challenges—The Case of Saudi Arabia. SUSTAINABILITY 2020. [DOI: 10.3390/su12197874] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study was aimed at assessing the readiness of 200 emergency nurses in the southern part of Saudi Arabia in the management of public health emergencies, major incidents, and disasters by using quantitative research through a self-reporting validated questionnaire containing 10 different dimensions. All registered nurses working in emergency departments who were willing to participate, of all ages and gender groups, were included. Nurses who were not present during the study period because of vacation or maternity leave, nurses at the managerial level, and nursing aides were excluded. The participating nurses reported good knowledge in almost all investigated aspects of the theoretical dimensions of emergency management. However, they revealed perceived weaknesses in practical dimensions of emergency management and difficulties in assessing their own efforts. There was a significant correlation between qualification and the dimensions of emergency preparedness, epidemiology and surveillance, isolation and quarantine and critical resources, which indicates a need for strengthening their practical contribution as well as their theoretical knowledge. Educational initiatives combining theoretical and practical aspects of emergency management may provide an opportunity to examine nurses’ knowledge, skills, and abilities continuously in an environment with no harm to patients.
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Nejadshafiee M, Bahaadinbeigy K, Kazemi M, Nekoei-Moghadam M. Telenursing in Incidents and Disasters: A Systematic Review of the Literature. J Emerg Nurs 2020; 46:611-622. [DOI: 10.1016/j.jen.2020.03.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Revised: 02/01/2020] [Accepted: 03/13/2020] [Indexed: 10/24/2022]
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Amberson T, Wells C, Gossman S. Increasing Disaster Preparedness in Emergency Nurses: A Quality Improvement Initiative. J Emerg Nurs 2020; 46:654-665.e21. [DOI: 10.1016/j.jen.2020.05.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2020] [Revised: 04/29/2020] [Accepted: 05/01/2020] [Indexed: 11/26/2022]
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King HC, Spritzer N, Al-Azzeh N. Perceived Knowledge, Skills, and Preparedness for Disaster Management Among Military Health Care Personnel. Mil Med 2020; 184:e548-e554. [PMID: 30877799 DOI: 10.1093/milmed/usz038] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Accepted: 02/15/2019] [Indexed: 11/12/2022] Open
Abstract
INTRODUCTION The Indo-Asia-Pacific region has the highest incidence of natural disasters world-wide. Since 2000, approximately 1.6 billion people in this region have been affected by earthquakes, volcanos, tsunamis, typhoons, cyclones, and large-scale floods. The aftermath of disasters can quickly overwhelm available resources, resulting in loss of basic infrastructure, shelter, health care, food and water, and ultimately, loss of life.Over the last 12 years, US military forces have collaborated with countries throughout the Indo-Asia-Pacific region to enhance disaster preparedness and management during shipboard global health engagement missions. Military health care personnel are integral in this effort and have planned subject-matter expert exchanges, multidisciplinary conferences, courses, and hyper realistic simulated military-to-military training exercises related to disaster preparedness.Military health care providers are essential not only to providing international education and training, but also to ensuring optimal readiness to respond to future disasters in the Indo-Asia-Pacific region and worldwide. The ability to effectively respond to disasters and collaborate with other nations promotes international stability. Yet, few studies have examined disaster preparedness among US military health care personnel. This study aimed to assess knowledge, skills, and preparedness for disaster management among US military health care personnel preparing to deploy on a global health engagement mission. MATERIALS AND METHODS A descriptive, cross-sectional study utilizing the Disaster Preparedness Evaluation Tool (DPET) examined self-reported perceptions of disaster preparedness among US military health care personnel preparing to deploy on a shipboard global health engagement mission. The DPET assessed perceived knowledge of disaster preparedness, disaster mitigation and response, and disaster recovery. Three hundred Hospital Corpsmen/Medics and officers in the Nurse Corps, Medical Corps, Medical Service Corps, and Dental Corps were invited to participate. One hundred fifty-four surveys were completed (response rate, 51%). Nineteen surveys were excluded from the analysis due to incomplete responses. Participants rated responses to 46 Likert items (scale of 1-6) and responded to 23 descriptive items. The study protocol was approved by the Naval Medical Center San Diego Institutional Review Board, protocol number NMCSD.2017.0061, in compliance with all applicable federal regulations governing the protection of human subject research. RESULTS All item mean scores on each of the three DPET subscales resulted in moderate levels of perceived disaster preparedness among military healthcare personnel (disaster preparedness means ranged from 3.04 to 4.67, disaster response means ranged from 3.76 to 4.29, and disaster recovery means ranged from 3.47 to 4.29). The final regression model had 6 significant variables that predicted DPET scores: previous disaster drills (p = 0.00), experiencing a real disaster (p = 0.002), bioterrorism training (p = 0.02), education level (p = 0.025), years in specialty (p = 0.019), and previous global health engagement missions (p = 0.016), with R2 = 0.39, R2adj = 0.36, F (7, 127) = 12.04. CONCLUSIONS Disaster preparedness among military healthcare personnel could be improved to function optimally for future global health engagement missions. This study expands current understandings of disaster preparedness among US military health care providers and identifies ways to improve and enhance training.
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Affiliation(s)
- Heather C King
- Naval Medical Center San Diego, 34800 Bob Wilson Dr., San Diego, CA
| | - Natalie Spritzer
- Naval Medical Center San Diego, 34800 Bob Wilson Dr., San Diego, CA
| | - Nahla Al-Azzeh
- Naval Medical Center San Diego, 34800 Bob Wilson Dr., San Diego, CA
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Setyawati AD, Lu YY, Liu CY, Liang SY. Disaster Knowledge, Skills, and Preparedness Among Nurses in Bengkulu, Indonesia: A Descriptive Correlational Survey Study. J Emerg Nurs 2020; 46:633-641. [PMID: 32622532 DOI: 10.1016/j.jen.2020.04.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 04/08/2020] [Accepted: 04/15/2020] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Registered nurses have to adequately prepare to respond to disasters, as they have become increasingly frequent worldwide. The aim of this study was to identify the factors influencing registered nurses' disaster preparedness in Bengkulu, Indonesia. METHODS This study used a descriptive correlational study design. A total of 130 registered nurses working in 2 governmental hospitals in Bengkulu, Indonesia, were recruited by using a convenience sampling technique. A self-administered questionnaire, the Disaster Preparedness Evaluation Tool, was used to determine their current levels of registered nurses' disaster preparedness. RESULTS The registered nurses reported a moderate level of disaster knowledge, skills and preparedness. Their knowledge and skills were significantly correlated with disaster preparedness (r = 0.39-0.71, P < 0.01). Three significant factors associated with disaster preparedness were identified in this study: educational level, disaster knowledge, and disaster skills (R2 = 0.31, F = 12.60, P < 0.001). DISCUSSION Continuing disaster drills training and implementing a formal disaster educational program into nursing curriculum and professional development are recommended to achieve effective disaster preparedness in the hospital setting.
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Abstract
OBJECTIVE The aim of this study was to evaluate the readiness of a tertiary medical city's response to a disaster by assessing the hospital resources and knowledge, attitudes, practices, and familiarity of health care providers toward disaster and emergency preparedness. METHODS All KFMC (King Fahad Medical City) staff with > 1 year of clinical experience were eligible to participate in a cross-sectional study. Participants responded to the Emergency Preparedness Information Questionnaire (EPIQ), knowledge and practice questionnaires, and a disaster planning attitude checklist. Data about resources were collected using the hospital disaster preparedness self-assessment tool. RESULTS The overall mean knowledge score for disaster and emergency preparedness was 4.4 ± 1.1, and the mean overall familiarity score was 3.43 ± 0.97. Most participants knew that disaster drills (90.2%) and training (74.6%) are ongoing. Sixty-six (21.0%) agreed that KFMC is unlikely to experience a disaster. The highest and lowest EPIQ familiarity scores were for decontamination (83.0%) and accessing critical resources and reporting (64.3%), respectively. Most participants (99.4%) have access to work computers; however, only 53.0% used the Internet to access information on bioterrorism and/or emergency preparedness. The hospital is ready to respond in case of a disaster according to the used tool. CONCLUSIONS The participants' levels of knowledge, practices, and overall familiarity toward emergency and disaster preparedness were satisfactory; however, participant attitudes and familiarity with where and how to access critical resources in the event of an emergency or disaster situations require reinforcement.
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Attitude of Jordanian Nursing Educators Toward Integration of Disaster Management in Nursing Curricula. Disaster Med Public Health Prep 2020; 15:478-483. [PMID: 32366343 DOI: 10.1017/dmp.2020.42] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE Nursing education plays a significant role in preparing nurses for disasters; it helps in increasing their knowledge about disasters. The purpose of this study was to explore the attitude of nursing educators in Jordan toward the integration of disaster preparedness contents in nursing curricula. METHOD A descriptive cross-sectional survey was used. The instrument comprises 51 Likert-scale items; 150 questionnaires were distributed to nursing educators in all of the private and government universities. Data were analyzed using the Statistical Package for Social Science (SPSS), version 22 (IBM Corp, Armonk, NY). RESULTS One hundred thirty-one (131) results were collected with an 87% response rate. All participants perceived that the integration of a disaster course in nursing curricula is quite important. Findings indicated a lack of nursing educators' life experiences regarding disaster management. No significant differences were found in terms of age, area of experience, or years of teaching. Incorporating disaster management courses into nursing curricula will help resolve the lack of knowledge. CONCLUSION Nursing educators have a low level of knowledge in disaster management. This highlights the necessity for preparing nursing educators for disasters by encouraging their participation in disaster management training. Therefore, they will circulate this information adequately to students accordingly.
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Common Domains of Core Competencies for Hospital Health Care Providers in Armed Conflict Zones: A Systematic Scoping Review. Prehosp Disaster Med 2020; 35:442-446. [PMID: 32338234 DOI: 10.1017/s1049023x20000503] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
INTRODUCTION High rates of mortality and morbidity result from disasters of all types, including armed conflicts. Overwhelming numbers of casualties with a myriad of illnesses and patterns of injuries are common in armed conflicts, leading to unpredictable workloads for hospital health care providers (HCPs). Identifying domains of hospital HCPs' core competency for armed conflicts is essential to inform standards of care, educational requirements, and to facilitate the translation of knowledge into safe and quality care. OBJECTIVE The objective of this study is to identify the common domains of core competencies among HCPs working in hospitals in armed conflict areas. METHODS A scoping review was conducted using the Joanna Briggs Institute framework. The review considered primary research and peer-reviewed literature from the following databases: Ovid Medline, Ovid EmCare, Embase, and CINAHL, as well as the reference lists of articles identified for full-text review. Eligibility criteria were outlined a priori to guide the literature selection. RESULTS Four articles met the inclusion criteria. The studies were conducted in different countries and were published from 2011 through 2017. The methods included three surveys and one Delphi study. CONCLUSION This review maps the scope of knowledge, skills, and attitudes required by HCPs who are practicing in hospitals in areas of major armed conflict. Incorporation of identified core competency domains can improve the future planning, education, and training, and may enhance the HCPs' response in armed conflicts.
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Hassan Gillani A, Mohamed Ibrahim MI, Akbar J, Fang Y. Evaluation of Disaster Medicine Preparedness among Healthcare Profession Students: A Cross-Sectional Study in Pakistan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17062027. [PMID: 32204391 PMCID: PMC7143317 DOI: 10.3390/ijerph17062027] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Revised: 03/07/2020] [Accepted: 03/09/2020] [Indexed: 11/16/2022]
Abstract
Background: Disasters are devastating incidents, especially when occurring suddenly and causing damage, great loss of life, or suffering. Disasters can affect health and the social and economic development of a nation. The article analyzes the knowledge (K), attitude (A), and readiness to practice (rP) of healthcare professional students in universities in Pakistan. Methods: We carried out a cross-sectional study using a pretested and validated self-administered disaster medicine and preparedness questionnaire. The study recruited 310 students. Responses were scored and categorized as high (75th quartile), moderate (75-25th quartiles), and low (25th quartile). Independent t-test, one-way ANOVA, Pearson correlation, and regression analyses were performed at an alpha level of 0.05. Results: The study found that most of the students had moderate knowledge, attitude, readiness to practice, and total KArP scores. All K, A, and rP scores were significantly correlated with overall KArP scores. Knowledge and attitude factors were significant predictors of readiness to practice. Conclusions: We strongly believe that educators and health policymakers should build a strong curriculum in disaster medicine management and preparedness to prepare competent future healthcare professionals for the nation.
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Affiliation(s)
- Ali Hassan Gillani
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an 710061, China; (A.H.G.); (Y.F.)
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi’an 710061, China
- Shaanxi Centre for Health Reform and Development Research, Xian Jiaotong University, Xi’an 710061, China
| | - Mohamed Izham Mohamed Ibrahim
- Department of Clinical and Pharmacy Practice, College of Pharmacy, QU Health, Qatar University, Doha P.O. Box 2713, Qatar
- Correspondence:
| | - Jamshaid Akbar
- Department of Pharmaceutical Sciences, The Superior College, Lahore 75500, Pakistan;
| | - Yu Fang
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an 710061, China; (A.H.G.); (Y.F.)
- Center for Drug Safety and Policy Research, Xian Jiaotong University, Xi’an 710061, China
- Shaanxi Centre for Health Reform and Development Research, Xian Jiaotong University, Xi’an 710061, China
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Brewer CA, Hutton A, Hammad KS, Geale SK. A feasibility study on disaster preparedness in regional and rural emergency departments in New South Wales: Nurses self-assessment of knowledge, skills and preparation for disaster management. Australas Emerg Care 2020; 23:29-36. [DOI: 10.1016/j.auec.2019.12.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 12/09/2019] [Accepted: 12/10/2019] [Indexed: 10/25/2022]
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Nontechnical Competency Framework for Health Professionals in All-Hazard Emergency Environment: A Systematic Review. Disaster Med Public Health Prep 2020; 15:255-265. [PMID: 32029017 DOI: 10.1017/dmp.2019.146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVES To summarize characteristics and commonalities of non-technical competency frameworks for health professionals in emergency and disaster. METHODS An electronic literature search was conducted in PubMed, MEDLINE, ERIC, Scopus, Cochrane database, and Google Scholar to identify original English-language articles related to development, evaluation or application of the nontechnical competency frameworks. Reviewers assessed identified articles for exclusion/inclusion criteria and abstracted data on study design, framework characteristics, and reliability/validity evidence. RESULTS Of the 9627 abstracts screened, 65 frameworks were identified from 94 studies that were eligible for result extraction. Sixty (63.8%) studies concentrated on clinical settings. Common scenarios of the studies were acute critical events in hospitals (44;46.8%) and nonspecified disasters (39;41.5%). Most of the participants (76; 80.9%) were clinical practitioners, and participants in 36 (38.3%) studies were multispecialty. Thirty-three (50.8%) and 42 (64.6%) frameworks had not reported evidence on reliability and validity, respectively. Fourteen of the most commonly involved domains were identified from the frameworks. CONCLUSIONS Nontechnical competency frameworks applied to multidisciplinary emergency health professionals are heterogeneous in construct and application. A fundamental framework with standardized terminology for the articulation of competency should be developed and validated so as to be accepted and adapted universally by health professionals in all-hazard emergency environment.
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Noh J, Oh EG, Kim SS, Jang YS, Chung HS, Lee O. Development and evaluation of a multimodality simulation disaster education and training program for hospital nurses. Int J Nurs Pract 2020; 26:e12810. [DOI: 10.1111/ijn.12810] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Revised: 11/11/2019] [Accepted: 11/18/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Jiyoung Noh
- Center for Disaster Relief, Training, and ResearchYonsei University Severance Hospital Seoul South Korea
| | - Eui Geum Oh
- College of NursingYonsei University Seoul South Korea
| | - So Sun Kim
- College of NursingYonsei University Seoul South Korea
| | - Yeon Soo Jang
- College of NursingYonsei University Seoul South Korea
| | - Hyun Soo Chung
- Department of Emergency Medicine, College of MedicineYonsei University Seoul South Korea
| | - Ogcheol Lee
- Red Cross College of NursingChung‐Ang University Seoul South Korea
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Al-Hunaishi W, Hoe VC, Chinna K. Factors associated with healthcare workers willingness to participate in disasters: a cross-sectional study in Sana'a, Yemen. BMJ Open 2019; 9:e030547. [PMID: 31628126 PMCID: PMC6803075 DOI: 10.1136/bmjopen-2019-030547] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES Willingness to participate in disasters is usually overlooked and not addressed in disaster preparedness training courses to ensure health service coverage. This will lead to issues during the disaster's response. This study, therefore, aims to assess healthcare workers willingness to participate in biological and natural disasters, and to identify its associated factors. DESIGN This is a cross-sectional study using a self-administered questionnaire. The questionnaire was distributed to 1093 healthcare workers. The data were analysed using multiple logistic regression with significance level p<0.05. Ethical clearance and consent of the participants were duly obtained. SETTING In three public hospitals that provide tertiary-level healthcare in Sana'a City, Yemen. PARTICIPANTS There were 692 nurses and doctors (response rate 63.3%) completed the questionnaires. RESULTS Almost half of the participants 55.1% were nurses and 44.9% were doctors. The study found that self-efficacy was associated with willingness to participate in disaster response for any type of disasters (OR 1.319, 95% CI 1.197 to 1.453), natural disasters (OR 1.143, 95% CI 1.069 to 1.221) and influenza pandemic (OR 1.114, 95% CI 1.050 to 1.182). The results further show that willingness is associated with healthcare workers being young, male and having higher educational qualifications. CONCLUSION Self-efficacy has been found to be an important factor associated with willingness. Improving self-efficacy through training in disaster preparedness may increase willingness of healthcare workers to participate in a disaster.
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Affiliation(s)
- Weiam Al-Hunaishi
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Victor Cw Hoe
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Karuthan Chinna
- Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
- School of Medicine-SRI, Taylor's University, Subang Jaya, Malaysia
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