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Usher K, Mills J, West C, Casella E, Dorji P, Guo A, Koy V, Pego G, Phanpaseuth S, Phouthavong O, Sayami J, Lak MS, Sio A, Ullah MM, Sheng Y, Zang Y, Buettner P, Woods C. Cross-sectional survey of the disaster preparedness of nurses across the Asia-Pacific region. Nurs Health Sci 2015; 17:434-43. [PMID: 26245707 DOI: 10.1111/nhs.12211] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2014] [Revised: 01/21/2015] [Accepted: 01/23/2015] [Indexed: 02/01/2023]
Abstract
Healthcare workers who have received disaster preparedness education are more likely to report a greater understanding of disaster preparedness. However, research indicates that current nursing curricula do not adequately prepare nurses to respond to disasters. This is the first study to assess Asia-Pacific nurses' perceptions about their level of disaster knowledge, skills, and preparedness. A cross-sectional survey was conducted with 757 hospital and community nurses in seven Asia-Pacific countries. Data were collected using the modified Disaster Preparedness Evaluation Tool. Participants were found to have overall low-to-moderate levels of disaster knowledge, skills and preparedness, wherein important gaps were identified. A majority of the variance in disaster preparedness scores was located at the level of the individual respondent, not linked to countries or institutions. Multilevel random effects modelling identified disaster experience and education as significant factors of positive perceptions of disaster knowledge, skills, and management. The first step toward disaster preparedness is to ensure frontline health workers are able to respond effectively to disaster events. The outcomes of this study have important policy and education implications.
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Affiliation(s)
- Kim Usher
- College of Nursing, Midwifery and Nutrition, James Cook University, Cairns, Australia.
| | - Jane Mills
- College of Nursing, Midwifery and Nutrition, James Cook University, Cairns, Australia.,Centre for Nursing and Midwifery Research (CNMR), James Cook University, Cairns, Australia
| | - Caryn West
- College of Nursing, Midwifery and Nutrition, James Cook University, Cairns, Australia.,Centre for Nursing and Midwifery Research (CNMR), James Cook University, Cairns, Australia
| | - Evan Casella
- College of Nursing, Midwifery and Nutrition, James Cook University, Cairns, Australia
| | - Passang Dorji
- Jigme Dorji Wangchuk National Referral Hospital, Thimphu, Bhutan
| | - Aimin Guo
- Peking Union Medical College School of Nursing, Shijingshan District, Beijing
| | - Virya Koy
- Department of Hospital Services, Ministry of Health, Phnom Penh, Cambodia
| | - George Pego
- Ministry of Health and Medical Services, Horiara, Solomon Islands
| | | | | | - Jamuna Sayami
- National Center for Health Professional Education, Tribhuvan University, Maharajgunj, Nepal
| | - Muy Seang Lak
- Department of Preventative Medicine Department, Ministry of Health, Phnom Penh, Cambodia
| | - Alison Sio
- National Referral Hospital, Ministry of Health & Medical Services, Honiara, Solomon Islands
| | | | - Yu Sheng
- Peking Union Medical College School of Nursing, Shijingshan District, Beijing
| | - Yuli Zang
- School of Nursing, Shandong University, Jinan, China
| | - Petra Buettner
- School of Public Health, Tropical Medicine & Rehabilitation Sciences, James Cook University, Townsville, Queensland, Australia
| | - Cindy Woods
- Centre for Nursing and Midwifery Research (CNMR), James Cook University, Cairns, Australia.,College of Medicine and Dentistry, James Cook University, Cairns, Australia
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Doohan I, Saveman BI. Need for compassion in prehospital and emergency care: A qualitative study on bus crash survivors' experiences. Int Emerg Nurs 2015; 23:115-9. [DOI: 10.1016/j.ienj.2014.08.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2014] [Revised: 08/13/2014] [Accepted: 08/23/2014] [Indexed: 12/30/2022]
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What are the research needs for the field of disaster nursing? An international Delphi study. Prehosp Disaster Med 2014; 29:448-54. [PMID: 25162761 DOI: 10.1017/s1049023x14000946] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Internationally there is an increasing amount of peer-reviewed literature pertaining to disaster nursing. The literature includes personal anecdotes, reflections, and accounts of single case studies. Furthermore, issues such as the willingness of nurses to assist in disasters, the role of nurses in disasters, leadership, competencies, and educational preparedness for nurses have been the focus of the literature. AIM The aim of this research was to determine the international research priorities for disaster nursing. METHOD This research used a three-round Delphi technique. The first round used a face-to-face workshop to generate research statements with nursing members of the World Association for Disaster and Emergency Medicine (WADEM). The second and third rounds included the ranking of statements on a 5-point Likert scale with nursing members of WADEM and the World Society of Disaster Nursing (WSDN). Statements that achieved a mean of four or greater were considered a priority and progressed. RESULTS Participants were from multiple countries. Research statements were generated in the areas of: education, training, and curriculum; psychosocial; strategy, relationship, and networking; and clinical practice. Psychosocial aspects of disaster nursing ranked the highest, with five statements appearing in the top ten research areas, followed by statements relating to: education, training, and curriculum; clinical practice; and finally, strategy, relationship, and networking. CONCLUSIONS Future disaster nursing research should focus on the area of psychosocial aspects of disaster nursing, in particular, both the psychosocial needs of a disaster-affected community and the psychosocial wellbeing of nurses who assist in disaster health activities.
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Kulig JC, Edge D, Smolenski S. Wildfire disasters: implications for rural nurses. ACTA ACUST UNITED AC 2014; 17:126-34. [PMID: 25113315 DOI: 10.1016/j.aenj.2014.04.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Revised: 04/16/2014] [Accepted: 04/17/2014] [Indexed: 10/25/2022]
Abstract
BACKGROUND As natural disasters are increasing globally, nursing's role in responding to disasters is evolving. Disaster nursing has emerged as a specialty that focuses on the care of groups and communities during disaster response. The role of rural nurses in disasters is less well defined. METHODS A review of peer-reviewed literature combined with the International Council of Nurses framework of Disaster Nursing Competencies was conducted to understand the roles and functions of nurses in rural areas that experience disasters. The authors' findings from investigating the effects of four wildfires in rural Canadian communities are also discussed. RESULTS Six major themes derived from our wildfire studies were generated within the context of nursing practice and are useful in the preparation of rural nurses involved in disaster management and recovery. This adds to the current literature which by and large has not addressed nursing in rural catastrophes. CONCLUSION Well-prepared and educated rural nurses who combine theoretical knowledge with their understanding of a rural community potentially can reduce the impact of a disaster. Other nursing roles include mentoring nursing students in disaster preparation and assisting in initiatives to address community recovery in the aftermath of a disaster.
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Affiliation(s)
- Judith C Kulig
- Faculty of Health Sciences, University of Lethbridge, Canada.
| | - Dana Edge
- School of Nursing, Queen's University, Canada
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Who is my leader? A case study from a hospital disaster scenario in a less developed country. ACTA ACUST UNITED AC 2013; 16:170-4. [DOI: 10.1016/j.aenj.2013.08.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2013] [Revised: 08/23/2013] [Accepted: 08/23/2013] [Indexed: 11/23/2022]
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Nordén C, Hult K, Engström Å. Ambulance nurses' experiences of nursing critically ill and injured children: A difficult aspect of ambulance nursing care. Int Emerg Nurs 2013; 22:75-80. [PMID: 23711561 DOI: 10.1016/j.ienj.2013.04.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2013] [Revised: 04/15/2013] [Accepted: 04/16/2013] [Indexed: 01/17/2023]
Abstract
BACKGROUND Ambulance nurses work daily in both emergency and non-emergency situations that can be demanding. One emotionally demanding situation for ambulance nurses is to nurse children who are ill. AIM The aim of this study was to describe ambulance nurses' experiences of nursing critically ill or injured children. METHOD Eight specialist ambulance nurses were interviewed and the interviews were analyzed using qualitative content analysis. FINDINGS The analysis resulted in one theme, a difficult aspect of ambulance nursing care, with five categories. The security of both child and parents was considered to be paramount. Ambulance nurses felt relieved when they handed over the responsibility and the child to the receiving unit. The ambulance nurses felt that more training, education and follow-up was desirable in order to increase their security when nursing children. CONCLUSION Ambulance nurses are subject to stressful feelings while nursing children. As providing reassurance to the child and its parents is a cornerstone of the treatment, it is important for the ambulance nurses to take the time to build up a trusting relationship in such an encounter. Skill development in the area might lead to increased security and reduce the mental burden resulting from negative stress.
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Affiliation(s)
| | | | - Åsa Engström
- Division of Nursing, Department of Health Care Science, Luleå University of Technology, Luleå, Sweden.
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Yin H, He H, Arbon P, Zhu J, Tan J, Zhang L. Optimal qualifications, staffing and scope of practice for first responder nurses in disaster. J Clin Nurs 2011; 21:264-71. [DOI: 10.1111/j.1365-2702.2011.03790.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Hammad KS, Arbon P, Gebbie KM. Emergency nurses and disaster response: An exploration of South Australian emergency nurses’ knowledge and perceptions of their roles in disaster response. ACTA ACUST UNITED AC 2011. [DOI: 10.1016/j.aenj.2010.10.002] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Al Khalaileh MA, Bond E, Alasad JA. Jordanian nurses' perceptions of their preparedness for disaster management. Int Emerg Nurs 2011; 20:14-23. [PMID: 22243713 DOI: 10.1016/j.ienj.2011.01.001] [Citation(s) in RCA: 79] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2010] [Revised: 12/30/2010] [Accepted: 01/02/2011] [Indexed: 11/26/2022]
Abstract
AIM To assess Jordanian RNs' perceptions regarding their knowledge, skills, and preparedness for disaster management. BACKGROUND Current disaster knowledge, skills, and preparedness levels need to be evaluated to guide plans for effective educational programs. There is also a need to know where RNs received their knowledge, skills, and preparation, to enhance or improve future educational opportunities. METHODS Cross-sectional survey where the Disaster Preparedness Evaluation Tool (DPET(®)) was distributed to Jordanian RNs who work in three randomly selected Ministry of Health hospitals and two university hospitals. RESULTS Four hundred and seventy-four participants completed the survey. Sixty-five per cent of respondents described their current disaster preparedness as weak: 18% medium: 12% good; and 5% felt their preparation was very good. Thirty-one per cent received disaster education in undergraduate programs; 8% in graduate nursing programs; 31% in facility drills, and 22% in continuing education courses. Eleven per cent had participated in a real disaster. Four hundred and thirty RNs wanted to learn more about RNs role in disasters, including knowledge and skills. CONCLUSION Knowledge,skills, and disaster preparedness need continual reinforcement to improve self efficacy for disaster management. RECOMMENDATIONS There is a need for a consistent national nursing curriculum for disaster preparedness and nationwide drills to increase disaster knowledge, skills, preparedness, and confidence.
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Affiliation(s)
- Murad A Al Khalaileh
- Adult Health Nursing Department, Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan.
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Olivia FWM, Claudia LKY, Yuen LA. Nurses’ perception of disaster: implications for disaster nursing curriculum. J Clin Nurs 2009; 18:3165-71. [DOI: 10.1111/j.1365-2702.2008.02777.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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The Importance of Instruction on Mass Casualty Incidents in Baccalaureate Nursing Programs: Perceptions of Nursing Faculty. J Nurs Educ 2009; 48:291-5. [DOI: 10.3928/01484834-20090416-10] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Chaffee MW. Hospital Response to Acute-Onset Disasters: The State of the Science in 2005. Nurs Clin North Am 2005; 40:565-77, x. [PMID: 16112000 DOI: 10.1016/j.cnur.2005.04.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The level of emergency preparedness in US hospitals is a concern in light of the steady threat of natural disasters, transportation and industrial accidents, and the possibility of terror attack resulting in mass casualties. The science of hospital emergency preparedness is in an early stage of development. For research to logically expand knowledge, an accurate assessment--or examination of the state of the science--is conducted to determine the current state of knowledge, gaps in knowledge, and opportunities for future research. Milsten reviewed the literature on hospital response to acute-onset disasters from 1977 to 1999. His review of 107 articles contains research studies, case studies,and lessons learned pieces largely published in the medical literature.Milsten's analysis provides a substantial starting point. This article examines Milsten's review, identifies articles that have been published that add to this knowledge base, and identifies additional phenomena of interest.
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Affiliation(s)
- Mary W Chaffee
- Graduate School of Nursing, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
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Suserud BO. How do ambulance personnel experience work at a disaster site? ACCIDENT AND EMERGENCY NURSING 2001; 9:56-66. [PMID: 11760625 DOI: 10.1054/aaen.2000.0185] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Working at a major accident site is a complex matter where knowledge from various fields must be put into practice. In addition, the different situations at emergency and disaster sites place a variety of demands on personnel, equipment and organization. The aim of the present study is to investigate how the ambulance personnel perceived their own action and the functioning of the whole emergency organization at a major accident site (large discotheque fire) in 1998. Working from a list obtained from the fire department, a questionnaire with 57 questions was sent to the personnel (n = 36) who had participated at the accident site either as ambulance crew members or as members of a medical team sent out from the hospital. The response rate was 80 per cent. Despite the extreme situation, most of the ambulance personnel involved were satisfied with their own preparedness as well as the medical and nursing care performed at the site. Those who where not satisfied reported that the main reason for dissatisfaction was lack of time to calm and comfort people who were not injured or had only minor injuries. The need of more medical support for the medical team members at the site was also emphasized with regard to the care of the severely injured. The ambulance service crews from the suburbs, in comparison with the local city rescue service, were, in general, less satisfied with the co-operation from other rescue units.
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Affiliation(s)
- B O Suserud
- Borås University College, School of Health Sciences, Kunskapscentrum PreHospen 501 90 Borås, Sweden.
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Enhancing clinical effectiveness in emergency care through educational diversity and collaboration. ACTA ACUST UNITED AC 2000. [DOI: 10.1054/cein.2000.0123] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Suserud BO, Haljamäe H. Nurse competence: advantageous in pre-hospital emergency care? ACCIDENT AND EMERGENCY NURSING 1999; 7:18-25. [PMID: 10232109 DOI: 10.1016/s0965-2302(99)80096-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Aspects of the organization and function of pre-hospital emergency care services in western Sweden were assessed by interviewing physicians (n = 20) with administrative (n = 10) or/and active (n = 10) roles in the pre-hospital emergency care field. The data obtained indicate that although the present standard of care is acceptable, there is an obvious need for a more effective organization and the personnel involved should have a higher competence level. Ambulance personnel were not considered to have a high enough competence level. Therefore, a need for more nurses, preferably anaesthesia or intensive care nurses, was expressed. An awareness of the importance of research was noted among the physicians responsible for the services, and the research capability of nurses, along with their general competence in emergency medical service related problems, was considered an important argument for involving more nurses in pre-hospital emergency care. It was thought that by such an approach, a more scientific basis for assessing the efficacy of pre-hospital emergency care could be achieved.
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Affiliation(s)
- B O Suserud
- University of Borås, School of Health Sciences, Sweden
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Suserud BO, Haljamäe H. Role of nurses in pre-hospital emergency care. ACCIDENT AND EMERGENCY NURSING 1997; 5:145-51. [PMID: 9325668 DOI: 10.1016/s0965-2302(97)90008-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- B O Suserud
- Borås University College of Health Sciences, Sweden
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