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Brown GD, McMullan C, Largey A, Leon D. An assessment of nurses' perceived and actual household emergency preparedness. PLoS One 2024; 19:e0300536. [PMID: 38635573 PMCID: PMC11025835 DOI: 10.1371/journal.pone.0300536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 02/28/2024] [Indexed: 04/20/2024] Open
Abstract
Nurses' household preparedness is critical if they are to avoid role conflict and report for duty during an emergency. To date, the alignment between nurses' perceived and actual household preparedness remains under examined. Investigating one of these variables in isolation fails to consider that perceived and actual household preparedness must be high and aligned. If misaligned, vulnerabilities could surface during emergencies, like concerns about family safety, potentially impacting a nurse's commitment to duty during a crisis, or nurses may lack the actual preparedness to continue working long hours during an emergency. An online questionnaire was distributed to registered nurses in Ireland. The questionnaire was informed by a review of the literature and captured nurses' perceived and actual household preparedness, attitudes towards and exposure to a range of emergencies, and pertinent demographic characteristics. The results showed a relationship between how nurses view their household preparedness and their actual preparedness. Regression analyses indicate that while there is an overlap, the factors associated with how prepared nurses think they are and how prepared they are can differ. This means that strategies to boost actual preparedness may differ from those needed to boost perceived preparedness. This finding underscores the importance of psychosocial preparedness. Feeling prepared is crucial as it can influence how one responds in an emergency. Considering both the perceived and actual aspects of household preparedness can lead to a more effective response during emergencies.
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Affiliation(s)
| | | | - Ann Largey
- DCU Business School, Dublin City University, Dublin, Ireland
| | - David Leon
- DCU Business School, Dublin City University, Dublin, Ireland
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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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Chaudhary P, Payal, Nain P, Pooja, Rana P, Verma P, Yadav P, Poonam, Prerna, Kashyap G, Kumar R. Perceived risk of infection, ethical challenges and motivational factors among frontline nurses in Covid-19 pandemic: prerequisites and lessons for future pandemic. BMC Nurs 2024; 23:5. [PMID: 38163892 PMCID: PMC10759468 DOI: 10.1186/s12912-023-01653-7] [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: 09/25/2023] [Accepted: 12/11/2023] [Indexed: 01/03/2024] Open
Abstract
BACKGROUND Infection risk was significant for front-line nurses during the Covid-19 outbreak. The pandemic presented several ethical difficulties and sapped nurses' drive to labor harder for longer periods. This study evaluates registered nurses' perceptions of Covid-19 infection risk, ethical dilemmas, and motivating factors. MATERIALS AND METHODS During March and April 2022, 400 registered nurses from a newly established tertiary care hospital participated in this cross-sectional exploratory survey. The risk assessment scale, motivation to work scale, and ethical dilemma scale were used to assess the perceived risk of infection, motivational factors and ethical challenges experienced by the nurses. Appropriate descriptive and inferential statistics were applied to compute the results. RESULTS 76.4% of nurses feared working as a nurse put them at higher risk of infection. Besides the fear of contracting infection, nurses believed they were the source of infection to family members (70.8%) and people around (67.5%). 63.3% of nurses agree that they do not have the right to refuse treatment and every patient has the right to receive optimal care, regardless of age, gender, and medical conditions. Professional obligation to treat patients (72.3%) and sound professional knowledge and experience (83.5%) are important motivating factors to work during the pandemic. Multilinear regression analysis revealed that professional education (95% CI, 3.845 - 0.694, p = 0.005), Covid-19 positive status (95% CI,0.455-2.756, p = 0.006), and post-Covid-19 hospitalization (95% CI, 1.395-6.978, p = 0.003) and duration of hospitalization (95% CI, 0.754-0.058, p = 0.022) are independent predictors of higher perceived risk of infection among nurses. CONCLUSIONS During the pandemic, nurses were afraid to work and faced personal and family risks of contracting the virus. Despite these challenges, they still feel a strong sense of commitment and dedication to providing the best possible care. Nurse administrators need to create a supportive environment that follows ethical principles and meets the needs of nurses to boost their motivation and encourage them to continue working for longer periods.
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Affiliation(s)
- Parul Chaudhary
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India
| | - Payal
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India
| | - Pooja Nain
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India
| | - Pooja
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India
| | - Pooja Rana
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India
| | - Pooja Verma
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India
| | - Pooja Yadav
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India
| | - Poonam
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India
| | - Prerna
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India
| | - Geetika Kashyap
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India
| | - Rajesh Kumar
- College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India.
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Aminafshar A, Sartipi M, Pakzad A. The perceived self-efficacy of senior, middle, and operations managers of the incident command system dealing with emergencies and disasters during the COVID-19 pandemic. BMC Emerg Med 2023; 23:133. [PMID: 37946145 PMCID: PMC10636973 DOI: 10.1186/s12873-023-00904-9] [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: 04/06/2023] [Accepted: 10/30/2023] [Indexed: 11/12/2023] Open
Abstract
BACKGROUND Natural disasters, health, terrorism, infectious diseases, and social unrest affect more than 200 million people worldwide each year. The present study is an attempt to evaluate the self-efficacy of senior, middle, and operational managers of the Incident Command System (ICS) of Zahedan University of Medical Sciences in Iran. METHODS The study examined the perceived self-efficacy of 103 senior, middle, and operational managers of the Incidence Command System (ICS) of Zahedan University of Medical Sciences in 2021. Sampling was done by census using a designed questionnaire based on Bandura's self-efficacy concepts. Based on Factor Analysis, 4 factors were extracted. The factors were labeled and analyzed. RESULTS The number of people who had passed the crisis management course was 57. Seventy-one participants reported their participation in crisis management. The score obtained by men in Factor 3 (F3) was significantly higher than women, but not in other factors. People with stable employment scored far higher in Factor 1 (F1) than those with unsustainable employment conditions. Those who had passed the Crisis Management courses had a higher average score, but only in the three factors 1, 2, and 4, this difference was significant. CONCLUSION Even training the temporary staff is an organizational investment that can return benefits to the system. This enhances their perceived self-efficacy and promotes their commitment to the organization. Therefore, empowering these managers should be a priority.
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Affiliation(s)
- Asiye Aminafshar
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Majid Sartipi
- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
- Department of Biostatistics and Epidemiology, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran.
| | - Abdolrazzagh Pakzad
- Health Safety and Environmental Management (HSE), Zahedan University of Medical Sciences, Zahedan, Iran
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Vera M, Lorente L. Nurses´ Performance: The Importance of Personal Resources for Coping with Stressors. Issues Ment Health Nurs 2023; 44:844-853. [PMID: 37643368 DOI: 10.1080/01612840.2023.2239908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
The health crisis caused by the COVID-19 pandemic has negatively influenced the work of health staff, especially nurses. Stressors that affect nurses have been intensified and new stressors have also emerged, threatening their well-being and job performance. The main objective of this study is to analyze the role of nurses´ personal resources in the relationship between job stressors and job performance during the COVID-19. Sample is composed of 438 nurses from 39 Spanish cities. This is a cross-sectional study. The results confirm the full mediation of resilience in the relationship between stressors and job performance, and the moderation of self-efficacy in the relationship between resilience and job performance, and in the full mediation. This study highlight the role played by self-efficacy as the main personal resource in buffering the effect of stressors on nurses´ performance. Resilience only becomes crucial in individuals with low levels of self-efficacy beliefs. Managers of health institutions and hospitals are invited to invest resources in strengthening the personal resources of health staff, especially self-efficacy beliefs, and resilience to ensure that their performance remains adequate.
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Affiliation(s)
- María Vera
- Universidad Pablo de Olavide, Sevilla, Spain
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Segev R. Learning from critical care nurses' wartime experiences and their long-term impacts. Nurs Crit Care 2023; 28:253-260. [PMID: 35833305 DOI: 10.1111/nicc.12819] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Revised: 06/12/2022] [Accepted: 06/16/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND The history of critical care nursing is intertwined with that of battlefield nursing, where for almost 200 years, nurses worked to save injured soldiers' lives, risking their own physical and emotional injuries. Today, with nurses increasingly deployed to provide critical care during natural, man-made and public health crises that can resemble battlefield situations, there is much to learn from battlefield nurses. AIM This qualitative study aims to explore the lessons of the experiences of civilian nurses deployed to Israeli battlefields in three wars between 1967 and 1982. METHODS Qualitative, semi-structured, in-depth interviews were conducted with twenty-two former military nurses who were deployed in three wars between 1967 and 1982. We analysed interview transcripts using a content analysis approach. COREQ, a 32-item checklist, guided method selection, data analysis and the findings' presentation. FINDINGS Data analysis revealed three main themes, with ten related subthemes: Field Service Challenges, Coping with Challenges, and Nurses' Need for Recognition. CONCLUSION The findings identify mental, emotional, and organizational issues resulting from nurses' wartime experiences, revealing numerous opportunities for better preparing and supporting critical care nurses before, during, and after crises. RELEVANCE TO CLINICAL PRACTICE Critical care nursing during crises, such as wartime, is unique but increasingly common. The memories and ongoing impact of those experiences offer invaluable information for nursing and health policy stakeholders planning for future deployments during wartime or other disasters such as the COVID-19 pandemic and the Russo-Ukrainian war.
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Affiliation(s)
- Ronen Segev
- Department of Nursing Sciences, Ruppin Academic Center, Emek-Hefer, Israel
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Santinha G, Forte T, Gomes A. Willingness to Work during Public Health Emergencies: A Systematic Literature Review. Healthcare (Basel) 2022; 10:healthcare10081500. [PMID: 36011158 PMCID: PMC9408569 DOI: 10.3390/healthcare10081500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 07/24/2022] [Accepted: 08/03/2022] [Indexed: 11/16/2022] Open
Abstract
The identification of the factors underlying the willingness or lack thereof to respond to public health emergencies is paramount to informing more capable health services. The interest in this topic appears renewed with each surge of threat, either referring to natural disasters, man-made violence, or epidemic and pandemics. However, there is no systematic approach to the research patterns and related main findings concerning individual and contextual determinants. The present article contributes to this theme through a systematic literature review of a sample of 150 articles published in the last 30 years on the subject of willingness and preparedness of health professionals to deal with public health threats. Our findings show that the research is mainly phenomena and contextual driven, responding to whichever emergency threat is more salient in a given period. Geographically, research on this topic is led by USA and China, mostly solely, while European countries invest in collaborations that are more international. Universities, including health institutes and schools, and researchers at hospitals conduct most of the research on the topic. The main research areas are medicine, psychology, and psychiatry. Pandemics, including COVID-19, influenza, and natural disasters, are the phenomena gauging more attention as opposed to terrorism events and biological accidents. The specific role of health professionals within the institution, their belief in ethical duties, preparation training, and concerns regarding infection of self and family are the main variables influencing the willingness and ability to report to work in public health emergencies.
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Affiliation(s)
- Gonçalo Santinha
- GOVCOPP, Department of Social, Political and Territorial, University of Aveiro, 3810-193 Aveiro, Portugal
- Correspondence:
| | - Teresa Forte
- Department of Social, Political and Territorial Sciences, University of Aveiro, 3810-193 Aveiro, Portugal
| | - Ariana Gomes
- Department of Social, Political and Territorial Sciences, University of Aveiro, 3810-193 Aveiro, Portugal
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Zeth AHM, Suprayitno G, Rahayu ES, Sulistiyani S. Self-Efficacy and Emergency Preparedness in Indonesia. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.8485] [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
Purpose: Indonesia had the highest death toll in the world due to earthquakes and tsunami. In recent years, Indonesia has changed its disaster management strategy, from emergency response and preparedness to disaster management preparedness. This study aims to analyze the relationship of self-efficacy with the preparedness of nurses, IEDNA members, in dealing with natural disasters in Indonesia.
Methods: This study is an analytical observational study with a cross-sectional approach. The study population is a member of the Indonesian Emergency and Disaster Nurses Association (IEDNA). The sample was 107 nurses that sampled using random cluster sampling. The data were analyzed using Fisher's test with a significance level of 95%.
Results: Out of 510, 107 nurses became respondents in the study. The gender of the majority of respondents was male (56.1%). As many as 46.7% of respondents were dominated by respondents aged 31-40 years, 34.6% of respondents worked in the Emergency Department. Most respondents (41.1%) had less than one year of experience as emergency nurses. The result of self-efficacy test was p-value = 0.001 (p < 0.05). The majority of emergency nurses (94%) in Indonesia have good self-efficacy in dealing with disasters, although some do not have experience in disaster management. This is because the emergency nurses in Indonesia are often attended disaster management training.
Conclusion: This study concludes that the preparedness phase was good and there was a significant relationship between self-efficacy and nurse preparedness in facing the disasters.
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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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Ghavami V, Kokabi Saghi F, Asghari A, Shabanikiya H. Predictors of nurses' reporting for work at the time of epidemics and natural disasters; solutions for hospital surge capacity. J Nurs Scholarsh 2021; 54:470-476. [PMID: 34796603 DOI: 10.1111/jnu.12746] [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: 03/27/2021] [Revised: 09/25/2021] [Accepted: 11/05/2021] [Indexed: 12/14/2022]
Abstract
PURPOSE To identify the predictors of nurses' presence at hospitals at the time of three types of disasters. DESIGN This cross-sectional study was performed using a researcher-generated questionnaire. METHODS This study was performed on 350 nurses of five public hospitals. Data was collected using a questionnaire in which the respondents were asked about their decisions on reporting for work in the event of three scenarios: epidemic of an unknown contagious respiratory disease, earthquake, and flood. Multiple logistic regression was used to analyze the data. FINDINGS The four predictors of nurses reporting for work include receiving trainings on disasters, and concerns on the non-compensation for providing services following the disaster, concerns about family safety and workplace safety. CONCLUSION Although slightly different factors affect the willingness of participants to report for work in each scenario, they can be put in two main categories; namely as personal and impersonal. Devising a family disaster plan and providing educational programs on self-care are two main strategies to increase the chances of presence at work following disasters. CLINICAL RELEVANCE The presence of more nurses in the hospital at the time of disasters can significantly improve the quality of care, and clinical outcomes of patients and disaster victims.
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Affiliation(s)
- Vahid Ghavami
- Department of Epidemiology and Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Fatemeh Kokabi Saghi
- Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Ali Asghari
- School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hamidreza Shabanikiya
- Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
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Park BM, Jung J. Effects of the Resilience of Nurses in Long-Term Care Hospitals during on Job Stress COVID-19 Pandemic: Mediating Effects of Nursing Professionalism. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910327. [PMID: 34639626 PMCID: PMC8508558 DOI: 10.3390/ijerph181910327] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 09/22/2021] [Accepted: 09/29/2021] [Indexed: 11/16/2022]
Abstract
Purpose: To investigate nursing professionalism as a mediating factor in the relationship between resilience and job stress levels for nurses working in long-term care hospitals during the COVID-19 pandemic. Methods: A cross-sectional survey was conducted from January to March 2021 in seven long-term care hospitals in the Seoul metropolitan area to measure resilience, nursing professionalism, and job stress among nurses. Simple and multiple regression analyses along with the Sobel test were performed to verify the mediating effect of nursing professionalism. Results: Data from 200 nurses were included in the final analysis. Results showed that individual and occupational characteristics could lead to differences in nurses’ resilience, job stress levels, and nursing professionalism. Nursing professionalism had a significant mediating effect on the relationship between resilience and job stress levels. The effect of resilience on job stress levels was significant (β = −0.16, p = 0.024). After controlling for nursing professionalism, the effect declined and was not statistically significant (β = −0.09, p = 0.251). Conclusion: There is a need to increase individual resilience and nursing professionalism through intervention programs and policy proposals to manage job stress among long-term care hospital nurses during the COVID-19 pandemic.
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Affiliation(s)
- Bom-Mi Park
- Department of Nursing, Konkuk University, Chungju-si 27478, Korea;
| | - Jiyeon Jung
- Department of Nursing, Korea National Open University, Seoul 03087, Korea
- Correspondence:
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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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Nissan D, Weiss G, Siman-Tov M, Spitz A, Bodas M, Shenhar G, Adini B. Differences in levels of psychological distress, perceived safety, trust, and efficacy amongst hospital personnel during the COVID-19 pandemic. Res Nurs Health 2021; 44:776-786. [PMID: 34196029 DOI: 10.1002/nur.22165] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 05/17/2021] [Accepted: 06/08/2021] [Indexed: 12/18/2022]
Abstract
The COVID-19 pandemic poses significant challenges to healthcare systems worldwide. A key consideration is the adverse psychological impact on healthcare workers (HCWs). This study aimed to investigate the variable levels of psychological distress, perceived safety, trust, and self- and collective-efficacy during the COVID-19 crisis amongst varied HCWs. A survey was disseminated to nurses, physicians, interns, and administrative and logistical staff at an acute-care hospital in Israel during the first wave of COVID-19. The survey consisted of items on a 5-point Likert scale, measuring HCW's perceptions concerning the aforementioned variables as well as demographic information. A total of 716 hospital personnel completed the survey. Nurses reported higher levels of psychological distress and lower levels of trust in the hospital's COVID-19 guidelines compared to physicians (2.3 vs. 2.0 and 3.7 vs. 4.0, respectively). Nurses and interns felt the least safe when working in the hospital. Nurses reported the highest levels of concern regarding fear of uncontrollable spread, infection, and family transmission of the virus. Interns reported the lowest levels of self- and collective-efficacy. In a regression model, the variables that predicted 32% of distress among nurses were age, gender, level of religiosity, indices of perceived safety, and self-efficacy. This study demonstrated differences in distress and perceived safety, trust, and efficacy between varied HCWs during COVID-19. This variability should be considered when designing policies to protect HCWs' wellbeing during future pandemics.
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Affiliation(s)
- Daniel Nissan
- The Department of Emergency & Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel
| | - Gali Weiss
- Shaare Zedek Medical Center, Jerusalem, Israel
| | | | - Ahuva Spitz
- Shaare Zedek Medical Center, Jerusalem, Israel
| | - Moran Bodas
- The Department of Emergency & Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel
| | - Gilead Shenhar
- The Department of Emergency & Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel
| | - Bruria Adini
- The Department of Emergency & Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel
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Luo Y, Feng X, Zheng M, Zhang D, Xiao H, Li N. Willingness to participate in front-line work during the COVID-19 pandemic: A cross-sectional study of nurses from a province in South-West China. J Nurs Manag 2021; 29:1356-1365. [PMID: 33724585 PMCID: PMC8250264 DOI: 10.1111/jonm.13309] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 03/07/2021] [Accepted: 03/11/2021] [Indexed: 02/05/2023]
Abstract
Aim To explore the current status of Chinese nurses’ willingness to work during the COVID‐19 pandemic and the factors that influence them. Background The demand for front‐line nurses continues to grow during the COVID‐19 pandemic, but their willingness varies significantly. Therefore, it is crucial to explore nurses’ willingness to report for front‐line work. Methods A cross‐sectional study of 1,310 nurses from six tertiary hospitals was conducted. The participants completed self‐administered online questionnaires. Results A total of 90.5% of nurses reported that they would like to voluntarily participate in front‐line work. Those with previous training, higher self‐efficacy scores, and lower perceived risk and self‐worth scores were more likely to participate in front‐line work, while nurses, who had 11–15 years of work experience and were worried about their family and the lack of family support, were less likely to be involved in front‐line work. Conclusion This study found that the vast majority of nurses were willing to participate in front‐line work and affirmed the positive effects of previous infection prevention training, self‐efficacy and self‐worth. Implications for Nursing Management This research emphasizes the necessity of infection prevention training and provides evidence for further emergency workforce deployment and incentives.
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Affiliation(s)
- Yunting Luo
- West China School of Nursing, Sichuan University/Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China.,Institute for Disaster Management and Reconstruction, Sichuan University, Chengdu, China.,West China School of Nursing, Sichuan University/West China Hospital, Sichuan University, Chengdu, China
| | - Xianqiong Feng
- West China School of Nursing, Sichuan University/West China Hospital, Sichuan University, Chengdu, China
| | - Mingyue Zheng
- Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia.,School of Health and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Dan Zhang
- Nursing Department, Anyue County People's hospital, Ziyang, China
| | - Hong Xiao
- Nursing Department, Chengdu First People' Hospital, Chengdu, China
| | - Ning Li
- Department of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu, China
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Abstract
BACKGROUND Positioned at the frontlines of the battle against COVID-19 disease, nurses are at increased risk of contraction, yet as they feel obligated to provide care, they also experience ethical pressure. RESEARCH QUESTION AND OBJECTIVES The study examined how Israeli nurses respond to ethical dilemmas and tension during the COVID-19 outbreak, and to what extent this is associated with their perceived risk and motivation to provide care? RESEARCH DESIGN The study implemented a descriptive correlative study using a 53-section online questionnaire, including 4 open-ended questions. PARTICIPANTS AND RESEARCH CONTEXT The questionnaire was complete by 231 registered and intern nurses after being posted on nurses' Facebook and WhatsApp groups, and through snowball sampling. ETHICAL CONSIDERATIONS The research was pre-approved by the ethics committee of the Faculty of Social Welfare and Health Sciences at the University of Haifa, Israel. FINDINGS In all, 68.8% of the respondents had received some form of training about COVID-19. Respondents positioned themselves at perceived high risk levels for contracting the virus. About one-third feared going to work because of potential contraction and due to feeling inadequately protected. While 40.9% were scared to care for COVID-19 patients, 74.7% did not believe they have the right to refuse to treat certain patients. When asked about defining an age limit for providing patients with scarce resources (such as ventilation machines) in cases of insufficient supplies, respondents stated that the maximum age in such scenarios should be 84 (standard deviation (SD = 19) - yet most respondents (81.4%) believed that every patient has the right to receive optimal treatment, regardless of their age and medical background. DISCUSSION Correlating with their strong commitment to care, nurses did not convey intention to leave the profession despite their stress, perceived risk, and feelings of insufficient support and protection at work. The nurses did not hold a utilitarian approach to resource allocation, thereby acknowledging the value of all people and their entitlement to care, regardless of optimal outcomes. CONCLUSION While experiencing significant personal risk and emotional burden, nurses conveyed strong dedication to providing care, and did not regret working in the nursing profession, yet they did seek a supportive climate for their needs and ethical concerns.
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Goldfarb N, Grinstein-Cohen O, Shamian J, Schwartz D, Zilber R, Hazan-Hazoref R, Goldberg S, Cohen O. Nurses' perceptions of the role of health organisations in building professional commitment: Insights from an israeli cross-sectional study during the COVID-19 pandemic. J Nurs Manag 2021; 29:1102-1110. [PMID: 33411376 DOI: 10.1111/jonm.13248] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 12/10/2020] [Accepted: 01/04/2021] [Indexed: 11/29/2022]
Abstract
AIMS To reveal the factors associated with nurses' professional commitment during the COVID-19 pandemic. BACKGROUND During the first wave of the COVID-19 pandemic, the Nursing Division at the Israeli Ministry of Health and partners conducted a study to examine the nurses' perceptions towards a set of personal and professional circumstances that may affect their performance. METHOD A cross-sectional Web-based study was conducted in Israel. Study' participants included 817 community and hospital nurses. The Occupational Commitment Scale for Health Professionals during pandemic (PanHP-OCS) was used to gather data. Univariate and multivariate analyses explored associations between the PanHP-OCS score and demographic and professional variables. RESULTS About 40% of 817 respondents reported having managerial roles (n = 320). Those who received specific pandemic-focused training had significantly better PanHP-OCS scores (p < .001). Most respondents expected their organisation to provide them emotional support. Linear regression explored the organisational commitment factor as the greatest contributor to nurses' professional commitment (β = 0.284, p < .001). CONCLUSION To enhance the nurses' professional commitment during the COVID-19 pandemic, training and emotional support must be emphasized in all types of nurses' workplaces. IMPLICATIONS FOR NURSING MANAGEMENT In a pandemic, health organisations must provide dedicated pandemic training, including proactive emotional support for nurses. Special attention should be given to community care.
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Affiliation(s)
- Netali Goldfarb
- Nursing Department, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Orli Grinstein-Cohen
- Nursing Department, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Judith Shamian
- International Council of Nurses ICN President Emerita, FAAN, Toronto, ON, Canada
| | - Dagan Schwartz
- Emergency Medicine Department, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Rama Zilber
- Nursing Division, Ministry of Health, Jerusalem, Israel
| | | | | | - Odeya Cohen
- Nursing Department, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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Abstract
OBJECTIVE The aim of this study was to examine current levels of self-reported professional emergency preparedness competence among nurses. In addition, relationships between nurse professional emergency preparedness competence, personal preparation for a disaster, and perceived likelihood of reporting to work after a disaster are examined. BACKGROUND Evidence suggests wide gaps in nurses' familiarity with the dimensions of professional emergency preparedness competence and their likelihood to report, potentially impacting human life after a disaster. METHODS An exploratory, cross-sectional survey design was used with a sample of 186 RNs and licensed practical nurses. RESULTS Results indicate significant weaknesses in nurses' professional emergency preparedness competence. There are positive correlations between likelihood to report, personal preparedness, and professional emergency preparedness competence. CONCLUSIONS Nurses across the United States lack sufficient competence in professional emergency preparedness. Results demonstrate the need to improve the education of nurses to meet the demands of populations in urgent situations. Action items nurse administrators can take are provided.
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Liou SR, Liu HC, Tsai HM, Chu TP, Cheng CY. Relationships between disaster nursing competence, anticipatory disaster stress and motivation for disaster engagement. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2020; 47:101545. [PMID: 32363142 PMCID: PMC7185501 DOI: 10.1016/j.ijdrr.2020.101545] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 02/10/2020] [Accepted: 02/22/2020] [Indexed: 06/11/2023]
Abstract
Nurses are the largest group of healthcare providers and are often the first line responders to a disaster event. Nurses' disaster competence, motivation for disaster engagement, and factors that impact their motivation to respond to disaster events need to be understood. The purposes of the study were to determine the predictive relationships between Taiwanese nurses' disaster competence, anticipatory disaster stress, and motivation for disaster engagement. A cross-sectional design was used to analyze data collected between August 2017 and December 2017 from eight hospitals in southern Taiwan. Ninety participants who met the recruitment criteria completed and returned questionnaires with an 88.24% response rate. Data collection involved administering the Disaster Nursing Competence Questionnaire, Anticipatory Disaster Stress Questionnaire, and the Motivation of Disaster Engagement Questionnaire. The results indicated that anticipatory disaster stress was positively correlated with disaster competence and motivation for disaster engagement. Disaster competence and willingness to join a hospital disaster rescue predicts an individuals' motivation for disaster engagement. The results of the study add to the understanding of factors that correlate with nurses' motivation to participate in disaster events. By understanding these factors, the government and healthcare administrators can design disaster education plans and other strategies to improve Taiwanese nurses' motivation to engage in disaster events.
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Affiliation(s)
- Shwu-Ru Liou
- College of Nursing, Chang Gung University of Science and Technology, No.2, Sec. W., Jiapu Rd., Puzi City, Chiayi County, Taiwan
- Chiayi Chang Gung Memorial Hospital, No.6, Sec. W., Jiapu Rd., Puzi City, Chiayi County, Taiwan
| | - Hsiu-Chen Liu
- College of Nursing, Chang Gung University of Science and Technology, No.2, Sec. W., Jiapu Rd., Puzi City, Chiayi County, Taiwan
| | - Hsiu-Min Tsai
- College of Nursing, Chang Gung University of Science and Technology, No.261, Wenhua 1st Rd., Guishan Dist., Taoyuan City, 33303, Taiwan
| | - Tsui-Ping Chu
- Chiayi Chang Gung Memorial Hospital, No.6, Sec. W., Jiapu Rd., Puzi City, Chiayi County, Taiwan
| | - Ching-Yu Cheng
- College of Nursing, Chang Gung University of Science and Technology, No.2, Sec. W., Jiapu Rd., Puzi City, Chiayi County, Taiwan
- Chiayi Chang Gung Memorial Hospital, No.6, Sec. W., Jiapu Rd., Puzi City, Chiayi County, Taiwan
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Hou Y, Zhou Q, Li D, Guo Y, Fan J, Wang J. Preparedness of Our Emergency Department During the Coronavirus Disease Outbreak from the Nurses' Perspectives: A Qualitative Research Study. J Emerg Nurs 2020; 46:848-861.e1. [PMID: 32962844 PMCID: PMC7359786 DOI: 10.1016/j.jen.2020.07.008] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Revised: 07/08/2020] [Accepted: 07/09/2020] [Indexed: 11/29/2022]
Abstract
Introduction This study explores the preparedness of our emergency department during the COVID-19 outbreak from the nurses’ perspectives, providing a reference and basis for our emergency department’s response to public health emergencies. Methods Using qualitative research methods, semistructured interviews were conducted with 12 emergency nurses who met the inclusion criteria, and Colaizzi analysis was used for data analysis, summary, and induction. Results A cluster of 4 themes that involved preparedness of the emergency department during the COVID-19 outbreak was extracted: organizational preparedness, personal preparedness, patient and family preparedness, and deficiencies and challenges. Discussion Organizations, individuals, patients, and family members were actively prepared to respond to novel coronavirus pneumonia outbreak in the emergency department. The emergency nurses said that the trusted organization guaranteed personal preparedness, and the active cooperation from patients and families was a motivator for personal preparedness. In addition, our study showed that there were deficiencies in both multidisciplinary collaboration efforts and efforts to rapidly diagnose and treat patients with fever in critical condition.
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Liou SR, Liu HC, Lin CC, Tsai HM, Cheng CY. An Exploration of Motivation for Disaster Engagement and Its Related Factors among Undergraduate Nursing Students in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E3542. [PMID: 32438583 PMCID: PMC7277432 DOI: 10.3390/ijerph17103542] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Revised: 05/15/2020] [Accepted: 05/16/2020] [Indexed: 11/17/2022]
Abstract
The purpose of the study was to explore the levels of and relationships between disaster nursing competence, anticipatory disaster stress, and the motivation for disaster engagement among undergraduate nursing students in Taiwan. A cross-sectional research design was applied. Using convenience sampling, 90 nursing students participated with an 86.54% response rate. The Disaster Core Competencies Questionnaire, Anticipatory Disaster Stress Questionnaire, and Motivation for Disaster Engagement Questionnaire were used to collect data. The Pearson correlation and ANOVA were used to analyze the data. Results showed that students' level of disaster nursing competence was low, anticipatory disaster stress was not high, and motivation for disaster engagement was high. Motivation for disaster engagement was positively correlated with anticipatory disaster stress. Students who were more willing to participate in disaster management had a higher level of anticipatory disaster stress and motivation for disaster engagement. It is suggested that healthcare institutions and schools should work together to design disaster education plans using innovative teaching/learning strategies to increase students' willingness and motivation for disaster engagement.
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Affiliation(s)
- Shwu-Ru Liou
- College of Nursing, Chang Gung University of Science and Technology, No. 2, Sec. W., Jiapu Rd., Puzi City, Chiayi County 613, Taiwan; (S.-R.L.); (H.-C.L.); (C.-C.L.)
- Department of Nursing, Chiayi Chang Gung Memorial Hospital, No.6, Sec. W., Jiapu Rd., Puzi City, Chiayi County 613, Taiwan
| | - Hsiu-Chen Liu
- College of Nursing, Chang Gung University of Science and Technology, No. 2, Sec. W., Jiapu Rd., Puzi City, Chiayi County 613, Taiwan; (S.-R.L.); (H.-C.L.); (C.-C.L.)
| | - Chun-Chih Lin
- College of Nursing, Chang Gung University of Science and Technology, No. 2, Sec. W., Jiapu Rd., Puzi City, Chiayi County 613, Taiwan; (S.-R.L.); (H.-C.L.); (C.-C.L.)
- Department of Nursing, Chiayi Chang Gung Memorial Hospital, No.6, Sec. W., Jiapu Rd., Puzi City, Chiayi County 613, Taiwan
| | - Hsiu-Min Tsai
- College of Nursing, Chang Gung University of Science and Technology, No. 261, Wenhua 1st Rd., Guishan Dist., Taoyuan City 33303, Taiwan;
| | - Ching-Yu Cheng
- College of Nursing, Chang Gung University of Science and Technology, No. 2, Sec. W., Jiapu Rd., Puzi City, Chiayi County 613, Taiwan; (S.-R.L.); (H.-C.L.); (C.-C.L.)
- Department of Nursing, Chiayi Chang Gung Memorial Hospital, No.6, Sec. W., Jiapu Rd., Puzi City, Chiayi County 613, Taiwan
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Factors Affecting the Disaster Response Competency of Emergency Medical Technicians in South Korea. Asian Nurs Res (Korean Soc Nurs Sci) 2019; 13:264-269. [PMID: 31589937 PMCID: PMC7104934 DOI: 10.1016/j.anr.2019.09.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2019] [Revised: 09/26/2019] [Accepted: 09/27/2019] [Indexed: 11/24/2022] Open
Abstract
PURPOSE This study explored the factors influencing disaster response competency, that is, demographic and disaster-related characteristics, personal disaster (household and workplace) preparedness, disaster risk perception, and self-efficacy in handling disasters among emergency medical technicians in South Korea. METHODS The study follows a descriptive, cross-sectional design and uses a self-reported questionnaire. Emergency medical technicians, amounting to 1,020 in all, currently working in firefighting organizations from four South Korean cities (Busan, Daegu, Daejeon, and Ulsan) participated in the study. RESULTS Disaster risk perception, self-efficacy for disaster, participation experience in disaster education/training, and personal disaster (household and workplace) preparedness predicted the disaster response competency of emergency medical technicians in South Korea. CONCLUSION There is a need for an antidisaster program to enhance the disaster risk perception, self-efficacy, personal disaster (household and workplace) preparedness, and the disaster education/training participation rate toward enhancing disaster response competency of emergency medical technicians in South Korea.
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22
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Abstract
OBJECTIVES To provide scientific, theoretical support for the improvement of medical disaster training, we systematically analyzed the National Disaster Life Support (NDLS) Course and established a training curriculum with feedback based on the current status of disaster medicine in China. METHODS The gray prediction model is applied to long-term forecast research on course effect. In line with the hypothesis, the NDLS course with feedback capability is more scientific and standardized. RESULTS The current training NDLS course system is suitable for Chinese medical disasters. After accepting the course training, audiences' capabilities were enhanced. In the constructed GM (1,1) model prediction, the developing coefficients of the pretest and the posttest are 0.04 and 0.057, respectively. In light of the coefficient, the model is appropriate for the long-term prediction. The predicted results can be used as the basis for constructing training closed-loop optimization feedback. It can indicate that the course system has a good effect as well. CONCLUSIONS According to the constructed GM model, the NDLS course system is scientific, practical, and operational. The research results can provide reference for relevant departments and be used for the construction of similar training course systems.
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Ganz FD, Margalith I, Benbenishty J, Hirschfeld M, Wagner N, Toren O. A Conflict of Values: Nurses' Willingness to Work Under Threatening Conditions. J Nurs Scholarsh 2019; 51:281-288. [PMID: 30775840 DOI: 10.1111/jnu.12466] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2019] [Indexed: 10/27/2022]
Abstract
PURPOSE The purpose of this study was to determine the willingness of Israeli registered nurses to work under threatening conditions, their perceived level of threat, and perceptions of peer willingness to report to work. DESIGN This descriptive study was based on a convenience sample of registered nurses working in four hospitals throughout Israel from internal medicine, surgical, emergency, and intensive care units. METHODS A questionnaire designed by the investigators was administered to registered nurses while on duty. The questionnaire consisted of three sections: personal characteristics, perceived level of personal threat from five situations (caring for a patient with a dangerous infection, terror attack, war, radiation or chemical disaster, or natural disaster), and perceived personal and peer willingness to work under these threats. FINDINGS A convenience sample of 249 registered nurses from four hospitals responded. The highest level of perceived threat was a natural disaster (earthquake; M = 2.15, SD = 0.9). Terror (M = 0.83, SD = 0.6) and war (M = 1.01, SD = 0.6) received the lowest mean perceived threat scores. Most respondents were not willing to work during a natural disaster but were willing to care for patients with dangerous infections and during times of war. Weak positive statistically significant correlations were found between the level of perceived threat and willingness to work for all of the threats, except for terror (Spearman rank correlation = .16-.35). CONCLUSIONS Local culture, perceptions of the level of threat, and perceived peer responsiveness are associated with registered nurses' willingness to work under threat. CLINICAL RELEVANCE When faced with a threat to personal safety or security, many registered nurses might not be willing to work as usual. What is perceived as threatening is influenced by the local culture and environment. Therefore, managers should be aware of potential cultural and peer influences on this possible conflict of values.
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Affiliation(s)
- Freda DeKeyser Ganz
- Pi Interim Director, Hadassah Hebrew University School of Nursing, Jerusalem, Israel
| | - Ilana Margalith
- Director Clalit Nursing Academy, Rabin Campus (Dina), Rabin Medical Center, Petah Tikva, Israel
| | - Julie Benbenishty
- Trauma Nurse Coordinator and Academic Advisor, Hadassah Medical Center, Jerusalem, Israel
| | | | - Nurit Wagner
- President, Israel Nursing Ethics Bureau, Tel Aviv, Israel
| | - Orly Toren
- Patient Safety and Risk Management, Hadassah Medical Organization, Jerusalem, Israel
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Kagan I, Itzhaki M, Melnikov S. Patriotism, organizational commitment and nurses’ intention to report for work in emergencies. Int Nurs Rev 2017; 64:468-475. [DOI: 10.1111/inr.12395] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- I. Kagan
- Department of Nursing; Steyer School of Health Professions; Sackler Faculty of Medicine; Tel Aviv University; Tel Aviv Israel
| | - M. Itzhaki
- Department of Nursing; Steyer School of Health Professions; Sackler Faculty of Medicine; Tel Aviv University; Tel Aviv Israel
| | - S. Melnikov
- Department of Nursing; Steyer School of Health Professions; Sackler Faculty of Medicine; Tel Aviv University; Tel Aviv Israel
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25
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Experiences of rural and remote nurses assisting with disasters. ACTA ACUST UNITED AC 2017; 20:98-106. [DOI: 10.1016/j.aenj.2017.04.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Revised: 02/27/2017] [Accepted: 04/06/2017] [Indexed: 11/19/2022]
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Disaster Preparedness among Health Professionals and Support Staff: What is Effective? An Integrative Literature Review. Prehosp Disaster Med 2017; 32:321-328. [PMID: 28300525 DOI: 10.1017/s1049023x1700019x] [Citation(s) in RCA: 71] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Introduction It is important that health professionals and support staff are prepared for disasters to safeguard themselves and the community during disasters. There has been a significantly heightened focus on disasters since the terrorist attacks of September 11, 2001 in New York (USA); however, despite this, it is evident that health professionals and support staff may not be adequately prepared for disasters. Report An integrative literature review was performed based on a keyword search of the major health databases for primary research evaluating preparedness of health professionals and support staff. The literature was quality appraised using a mixed-methods appraisal tool (MMAT), and a thematic analysis was completed to identify current knowledge and gaps. Discussion The main themes identified were: health professionals and support staff may not be fully prepared for disasters; the most effective content and methods for disaster preparedness is unknown; and the willingness of health professionals and support staff to attend work and perform during disasters needs further evaluation. Gaps were identified to guide further research and the creation of new knowledge to best prepare for disasters. These included the need for: high-quality research to evaluate the best content and methods of disaster preparedness; inclusion of the multi-disciplinary health care team as participants; preparation for internal disasters; the development of validated competencies for preparedness; validated tools for measurement; and the importance of performance in actual disasters to evaluate preparation. CONCLUSION The literature identified that all types of disaster preparedness activities lead to improvements in knowledge, skills, or attitude preparedness for disasters. Most studies focused on external disasters and the preparedness of medical, nursing, public health, or paramedic professionals. There needs to be a greater focus on the whole health care team, including allied health professionals and support staff, for both internal and external disasters. Evaluation during real disasters and the use of validated competencies and tools to deliver and evaluate disaster preparedness will enhance knowledge of best practice preparedness. However, of the 36 research articles included in this review, only five were rated at 100% using the MMAT. Due to methodological weakness of the research reviewed, the findings cannot be generalized, nor can the most effective method be determined. Gowing JR , Walker KN , Elmer SL , Cummings EA . Disaster preparedness among health professionals and support staff: what is effective? An integrative literature review. Prehosp Disaster Med. 2017;32(3):321-328.
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Labrague LJ, Hammad K, Gloe DS, McEnroe-Petitte DM, Fronda DC, Obeidat AA, Leocadio MC, Cayaban AR, Mirafuentes EC. Disaster preparedness among nurses: a systematic review of literature. Int Nurs Rev 2017; 65:41-53. [PMID: 28295314 DOI: 10.1111/inr.12369] [Citation(s) in RCA: 177] [Impact Index Per Article: 25.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIM This review explored peer-reviewed publications that measure nurses' preparedness for disaster response. BACKGROUND The increasing frequency of disasters worldwide necessitates nurses to adequately prepare to respond to disasters to mitigate the negative consequences of the event on the affected population. Despite growing initiatives to prepare nurses for any disasters, evidence suggests they are under prepared for disaster response. METHODS This is a systematic review of scientific articles conducted from 2006 to 2016 on nurses' preparedness for disasters. SCOPUS, MEDLINE, PubMed, CINAHL and PsychINFO were the primary databases utilized for search of literature. Keywords used in this review were as follows: 'emergency', 'disaster', 'disaster preparedness', 'disaster competencies', 'disaster nursing', 'disaster role' and 'nurse'. Seventeen (17) articles were selected for this review. FINDINGS Factors that increase preparedness for disaster response include previous disaster response experience and disaster-related training. However, it is widely reported that nurses are insufficiently prepared and do not feel confident responding effectively to disasters. CONCLUSION The findings of this review contribute to a growing body of knowledge regarding disaster preparedness in nurses and have implications for academia, hospital administration and nursing educators. The findings of this review provide evidence that could be used by nurse educators and nurse administrators to better prepare nurses for disaster response. IMPLICATIONS FOR NURSING AND HEALTH POLICY The findings from this review place an emphasis on hospitals to implement policies to address lack of preparedness among their employees. Furthermore, this review highlights the benefit of further research and provision of well-grounded disaster exercises that mimic actual events to enhance the preparedness of the nursing workforce.
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Affiliation(s)
- L J Labrague
- Sultan Qaboos University, Muscat, Sultanate of Oman
| | - K Hammad
- Flinders University, Adelaide, SA, Australia
| | - D S Gloe
- Southwest Baptist University, Bolivar, MO, USA
| | | | - D C Fronda
- Sultan Qaboos University, Muscat, Sultanate of Oman
| | - A A Obeidat
- Sultan Qaboos University, Muscat, Sultanate of Oman
| | - M C Leocadio
- Sultan Qaboos University, Muscat, Sultanate of Oman
| | - A R Cayaban
- Sultan Qaboos University, Muscat, Sultanate of Oman
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NASH TJ. A guide to emergency preparedness and disaster nursing education resources. ACTA ACUST UNITED AC 2017. [DOI: 10.24298/hedn.2015-0017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Tracy Jeanne NASH
- School of Nursing, The University of Texas at Tyler, College of Nursing and Health Sciences
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Nash TJ. Development, Testing, and Psychometric Qualities of the Nash Duty to Care Scale for Disaster Response. J Nurs Meas 2017; 25:314-331. [DOI: 10.1891/1061-3749.25.2.314] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Background and Purpose: Although nurses struggle with the decision to report for work during disaster events, there are no instruments to measure nurses’ duty to care for disaster situations. The purpose of this study was to describe the development, testing, and psychometric qualities of the Nash Duty to Care Scale. Methods: A convenience sample of 409 registered nurses were recruited from 3 universities in the United States. Results: Exploratory factor analysis resulted in a 19-item, 4-factor model explaining 67.34% of the variance. Internal consistency reliability was supported by Cronbach’s alpha ranging from .81 to .91 for the 4-factor subscales and .92 for the total scale. Conclusions: The psychometrically sound instrument for measuring nurses’ perceived duty to care for disasters is applicable to contemporary nursing practice, institutional disaster management plans, and patient health outcomes worldwide.
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Tzeng WC, Feng HP, Cheng WT, Lin CH, Chiang LC, Pai L, Lee CL. Readiness of hospital nurses for disaster responses in Taiwan: A cross-sectional study. NURSE EDUCATION TODAY 2016; 47:37-42. [PMID: 26970707 PMCID: PMC7131547 DOI: 10.1016/j.nedt.2016.02.025] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Revised: 12/04/2015] [Accepted: 02/20/2016] [Indexed: 05/30/2023]
Abstract
BACKGROUND Because patients in disaster areas require the most critical care, mobilising hospital nurses has become a pivotal strategy. Given the importance of disaster nursing training programmes, understanding how well prepared hospital nurses are to provide disaster care is vital. OBJECTIVES This paper analyses the perceived readiness of hospital nurses for a disaster response and the factors influencing their report for work outside the hospital environment. DESIGN A cross-sectional research design was used. SETTINGS This study was conducted at a military hospital in Taiwan. PARTICIPANTS A sample of 311 registered nurses participated in this study. METHODS Data were collected on readiness for disaster responses using a 40-item researcher-designed, self-administered questionnaire found to have satisfactory reliability and validity. The questionnaire has four domains: personal preparation (16 items), self-protection (11 items), emergency response (6 items), and clinical management (7 items). Data were analysed using descriptive statistics, independent t-tests and generalised linear models. RESULTS The majority of hospital nurses demonstrated poor readiness for disaster responses. Scores on the four domains were most associated with nurses' disaster-related training, experience in disaster response and emergency/intensive care experience. CONCLUSIONS Our results indicate that disaster-related training should be included in undergraduate programmes and continuing education courses to help hospital nurses recognise and improve their own readiness for disaster responses outside the hospital environment. Future research is needed to improve hospital nurses' disaster-response readiness in Taiwan and other countries.
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Affiliation(s)
- Wen-Chii Tzeng
- School of Nursing, National Defence Medical Centre, Taiwan (ROC) No. 161, Sec 6, Min-quan E. Rd., Neihu Dist., Taipei City 11490, Taiwan, ROC.
| | - Hsin-Pei Feng
- Institute of Medical Sciences and School of Nursing, National Defence Medical Centre, Taiwan (ROC) No. 161, Sec 6, Min-quan E. Rd., Neihu Dist., Taipei City 11490, Taiwan, ROC.
| | - Wei-Tung Cheng
- Superintendent, Kaohsiung Armed Forces General Hospital Gangshan Branch, Taiwan, ROC.
| | - Chia-Huei Lin
- Department of Nursing, Tri-Service General Hospital, National Defence Medical Centre, Taiwan (ROC) No. 325, Sec. 2, Cheng-gong Rd., Neihu Dist., Taipei City 11490, Taiwan, ROC.
| | - Li-Chi Chiang
- School of Nursing, National Defence Medical Centre, Taiwan (ROC) No. 161, Sec 6, Min-quan E. Rd., Neihu Dist., Taipei City 11490, Taiwan, ROC.
| | - Lu Pai
- Taiwanese Injury Prevention and Safety Promotion Association, Taiwan (ROC) No. 161, Sec 6, Min-quan E. Rd., Neihu Dist., Taipei City 11490, Taiwan, ROC; School of Public Health, National Defence Medical Centre, Taiwan (ROC) No. 161, Sec 6, Min-quan E. Rd., Neihu Dist., Taipei City 11490, Taiwan, ROC.
| | - Chun-Lan Lee
- Department of Nursing, Cheng Hsin General Hospital, Taiwan (ROC) No. 45, Cheng Hsin St., Pai-Tou, Taipei City 11220, Taiwan, ROC.
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Ruskie SE. All the Resources was Gone: The Environmental Context of Disaster Nursing. Nurs Clin North Am 2016; 51:569-584. [PMID: 27863574 DOI: 10.1016/j.cnur.2016.07.011] [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: 11/30/2022]
Abstract
US nurses are not prepared for the altered conditions of the disaster environment, nor has the context of providing disaster nursing care been a focus of disaster research. Using an existential phenomenologic approach, US nurses described the "not normal" conditions of the disaster environment they experienced as physically and emotionally challenging, because of the reduced infrastructural capabilities, unfamiliar patient populations, and reliance on low-technology nursing with insufficient staff and supplies. Preparation for the reduced resources of the disaster environment should be integrated into current nursing education, clinical practice, and disaster preparedness policy.
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Labrague LJ, Yboa BC, McEnroe-Petitte DM, Lobrino LR, Brennan MGB. Disaster Preparedness in Philippine Nurses. J Nurs Scholarsh 2015; 48:98-105. [PMID: 26650188 DOI: 10.1111/jnu.12186] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/02/2015] [Indexed: 11/27/2022]
Abstract
PURPOSE This study examined the perceived level of disaster preparedness in Philippine nurses. DESIGN A descriptive, cross-sectional research design was used in this study. METHODS Two hundred nurses were invited to participate in the study, with 170 responses (105 hospital nurses and 65 community nurses) or an 85% response rate, during the months of April 2014 through July 2014. Data collection was based on interviews using a standardized instrument, the Disaster Preparedness Questionnaire. Descriptive statistics such as frequencies, means, percentages, and standard deviations were utilized to quantify the responses. RESULTS Three fourths of the respondents (n = 136, 80%) indicated that they were not fully prepared to respond to disasters, while only 20% (n = 34) acknowledged that they felt they were adequately prepared. Respondents believed that they could function in the primary roles of educator (n = 107, 62.94%), caregiver (n = 104, 61.17%), and counselor (n = 82, 48.24%). More than half of the respondents (n = 98, 57.7%) were not aware of existing protocols of disaster management in the workplace. Courses taken in such areas as first aid (n = 79, 46.4%), field triage (n = 43, 25.29%), and basic cardiac life support (n = 57, 33.53%) were cited as important in preparing for disasters. CONCLUSIONS Nurses in the study revealed that they were not sufficiently prepared for disasters nor were they aware of disaster management protocols in the workplace. CLINICAL RELEVANCE Hospital administrators should consider the development and formulation of disaster management protocols and provide appropriate disaster nursing education and training. Nursing curricula should incorporate basic principles of disaster management into nursing courses as a framework for addressing this critical deficit.
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Affiliation(s)
- Leodoro J Labrague
- Phi Gamma, Lecturer, Department of Fundamentals and Administration, College of Nursing, Stultan Qaboos University, Muscat, Sultanate of Oman
| | - Begonia C Yboa
- Instructor, Samar State University, College of Nursing and Health Sciences, Catbalogan City, Samar, Philippines
| | | | - Ledwin R Lobrino
- Student, Samar State University, College of Nursing and Health Sciences, Catbalogan City, Samar, Philippines
| | - Mary Geronima B Brennan
- Student, Samar State University, College of Nursing and Health Sciences, Catbalogan City, Samar, Philippines
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Zagelbaum NK, Heslin KC, Stein JA, Ruzek J, Smith RE, Nyugen T, Dobalian A. Factors influencing readiness to deploy in disaster response: findings from a cross-sectional survey of the Department of Veterans Affairs Disaster Emergency Medical Personnel System. BMC Emerg Med 2014; 14:16. [PMID: 25038628 PMCID: PMC4113779 DOI: 10.1186/1471-227x-14-16] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Accepted: 07/11/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Disaster Emergency Medical Personnel System (DEMPS) program provides a system of volunteers whereby active or retired Department of Veterans Affairs (VA) personnel can register to be deployed to support other VA facilities or the nation during national emergencies or disasters. Both early and ongoing volunteer training is required to participate. METHODS This study aims to identify factors that impact willingness to deploy in the event of an emergency. This analysis was based on responses from 2,385 survey respondents (response rate, 29%). Latent variable path models were developed and tested using the EQS structural equations modeling program. Background demographic variables of education, age, minority ethnicity, and female gender were used as predictors of intervening latent variables of DEMPS Volunteer Experience, Positive Attitude about Training, and Stress. The model had acceptable fit statistics, and all three intermediate latent variables significantly predicted the outcome latent variable Readiness to Deploy. RESULTS DEMPS Volunteer Experience and a Positive Attitude about Training were associated with Readiness to Deploy. Stress was associated with decreased Readiness to Deploy. Female gender was negatively correlated with Readiness to Deploy; however, there was an indirect relationship between female gender and Readiness to Deploy through Positive Attitude about Training. CONCLUSIONS These findings suggest that volunteer emergency management response programs such as DEMPS should consider how best to address the factors that may make women less ready to deploy than men in order to ensure adequate gender representation among emergency responders. The findings underscore the importance of training opportunities to ensure that gender-sensitive support is a strong component of emergency response, and may apply to other emergency response programs such as the Medical Reserve Corps and the American Red Cross.
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Affiliation(s)
| | | | | | | | | | | | - Aram Dobalian
- Veterans Emergency Management Evaluation Center, 16111 Plummer Street MS-152, North Hills, CA 91343, USA.
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