Disaster literacy in disaster emergency response: a national qualitative study among nurses

BACKGROUND

As the largest group of healthcare professionals, nurses play an indispensable and crucial role in disaster response. The enhancement of nurses' disaster literacy is imperative for effective disaster emergency management. However, there is currently a lack of knowledge regarding nurses' disaster literacy. This study represents the first attempt to explore the key components and characteristics of disaster literacy among nurses.

METHODS

A qualitative descriptive design was employed, and the reporting followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines (refer to File S1). The purposive sampling method was utilized. Thirty-one rescue nurses from 31 medical institutions across 25 provinces and regions in China were recruited to participate in the study. The respondents were requested to share their experiences and insights regarding disaster rescue operations. Inductive content analysis was employed for data examination.

RESULTS

The results indicated that rescue nurses universally recognized that there was a pressing need to enhance the level of disaster literacy among nurses. The disaster literacy of nurses encompasses nine dimensions: physical and mental quality, disaster rescue general knowledge, professional and technical competence, professional ethics, teamwork, emotional ability, information literacy, leadership, and knowledge transformation.

CONCLUSIONS

To ensure national sustainability, government departments, healthcare organizations, and hospital administrators can accurately evaluate the disaster literacy of individual clinical nurses, groups, and the workforce as a whole through nine dimensions, which also can provide evidence to support the development of precision strategies to strengthen the disaster literacy of nurses.

Impacts of Climate Change on the Biogeography and Ecological Structure of Zelkova schneideriana Hand.-Mazz. in China

This study utilized the platform for ensemble forecasting of species distributions, biomod2, to predict and quantitatively analyze the distribution changes of Zelkova schneideriana Hand.-Mazz. under different climate scenarios (SSP1-2.6 and SSP5-8.5) based on climate and land-use data. This study evaluated the geographic range changes in future distribution areas and the results indicated that, under both SSP1-2.6 and SSP5-8.5 scenarios, the distribution area of Zelkova schneideriana would be reduced, showing a trend towards migration to higher latitudes and elevations. Particularly, in the more extreme SSP5-8.5 scenario, the contraction of the distribution area was more pronounced, accompanied by more significant migration characteristics. Furthermore, the ecological structure within the distribution area of Zelkova schneideriana also experienced significant changes, with an increasing degree of fragmentation. The variables of Bio6 (minimum temperature of the coldest month), Bio2 (mean diurnal temperature range), Bio15 (precipitation seasonality), and elevation exhibited important influences on the distribution of Zelkova schneideriana, with temperature being particularly significant. Changes in land use, especially the conversion of cropland, had a significant impact on the species' habitat. These research findings highlight the distributional pressures faced by Zelkova schneideriana in the future, emphasizing the crucial need for targeted conservation measures to protect this species and similar organisms.

Exogenous Salicylic Acid Alleviates NO2 Damage by Maintaining Cell Stability and Physiological Metabolism in Bougainvillea × buttiana 'Miss Manila' Seedlings

Exogenous substances can alleviate plant damage under adverse conditions. In order to explore whether different concentrations of salicylic acid (SA) can play a role in the resistance of Bougainvillea × buttiana 'Miss Manila' to nitrogen dioxide (NO2) stress and the relevant mechanisms of their effects, different concentrations of SA were applied locally under the control experiment condition of 4.0 μL·L-1 NO2, and the role of SA in alleviating injury was studied. The findings noted a significant increase in metabolic adaptations and antioxidant enzyme activities following 0.25-0.75 mM SA application (p < 0.05), except 1 mM. Superoxide dismutase (SOD) and catalase (CAT) in particular increased by 21.88% and 59.71%, respectively. Such an increase led to effective control of the reduction in photosynthetic pigments and the photosynthetic rate and protection of the structural stability of chloroplasts and other organelles. In addition, the activity of nitrate reductase (NR) increased by 83.85%, and the content of nitrate nitrogen (NO3--N) decreased by 29.23% in nitrogen metabolism. Concurrently, a principal component analysis (PCA) and a membership function analysis further indicated that 0.75 mM SA provided the most notable improvement in NO2 resistance among the different gradients. These findings suggest that 0.25-0.75 mM SA can relieve the stress at 4 μL·L-1 NO2 injury by effectively improving the antioxidant enzyme activity and nitrogen metabolizing enzyme activity, protecting the photosynthetic system and cell structure, but 1 mM SA had the opposite effect. In the future, the specific reasons for inhibition of SA at high concentrations and the comprehensive effects of the application of other exogenous compounds should be further studied.

Differences in the Suitable Distribution Area between Northern and Southern China Landscape Plants

Climate change, a global biodiversity threat, largely influences the geographical distribution patterns of species. China is abundant in woody landscape plants. However, studies on the differences in the adaptive changes of plants under climate change between northern and southern China are unavailable. Therefore, herein, the MaxEnt model was used to predict changes in the suitable distribution area (SDA) and dominant environmental variables of 29 tree species under two climate change scenarios, the shared socioeconomic pathways (SSPs) 126 and 585, based on 29 woody plant species and 20 environmental variables in northern and southern China to assess the differences in the adaptive changes of plants between the two under climate change. Temperature factors dominated the SDA distribution of both northern and southern plants. Southern plants are often dominated by one climatic factor, whereas northern plants are influenced by a combination of climatic factors. Northern plants are under greater pressure from SDA change than southern plants, and their SDA shrinkage tendency is significantly higher. However, no significant difference was observed between northern and southern plants in SDA expansion, mean SDA elevation, and latitudinal change in the SDA mass center. Future climate change will drive northern and southern plants to migrate to higher latitudes rather than to higher elevations. Therefore, future climate change has varying effects on plant SDAs within China. The climate change intensity will drive northern landscape plants to experience greater SDA-change-related pressure than southern landscape plants. Therefore, northern landscape plants must be heavily monitored and protected.