Abstract

Introduction:Indonesia, being a part of the Pacific “ring of fire,” is prone to disasters. Several disasters occurred from 2004 to 2019, which resulted in the loss of many lives. These disasters impacted the physical, psychological, psychosocial, and spiritual conditions of survivors. Nurses are the frontline care providers who need adequate competencies to respond to disasters.Objective:This study aimed to explore the nurses’ perception of disaster, roles, barriers, and Islamic-based nurses’ competencies in managing psychological, psychosocial, and spiritual problems due to disasters in hospital settings.Methods:This is a qualitative study conducted in three large referral hospitals in Banda Aceh, Indonesia. Focus group discussion was conducted on 24 nurses from three hospitals using the discussion guide consisting of five open-ended questions. The data was analyzed through inductive content analysis.Results:The study found four themes of Islamic nurses’ competencies in disaster response: 1) perception about the disaster is influenced by religiosity, belief, and values, 2) communication skills, 3) nurses’ roles in disaster response consisted of disaster competencies (the use of Islamic values in managing patients’ conditions, and family engagement, 4) competency barriers consisted of inadequate training, insufficient Islamic-based services, and inadequate involvement of policymakers. This study explored Islamic nurses’ competencies in disaster response related perceptions about the disaster, nurses’ roles, and barriers. The limitation and future of the study were also discussed.Conclusion:Perceptions, roles, and barriers in disaster response might influence the development of the Islamic-based nurses’ competencies in care delivery.

Highlights

  • Indonesia, being a part of the Pacific “ring of fire,” is prone to disasters

  • The study found four themes of Islamic nurses’ competencies in disaster response: 1) perception about the disaster is influenced by religiosity, belief, and values, 2) communication skills, 3) nurses’ roles in disaster response consisted of disaster competencies competency barriers consisted of inadequate training, insufficient Islamic-based services, and inadequate involvement of policymakers

  • This study explored Islamic nurses’ competencies in disaster response related perceptions about the disaster, nurses’ roles, and barriers

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Summary

Introduction

Indonesia, being a part of the Pacific “ring of fire,” is prone to disasters. Several disasters occurred from 2004 to 2019, which resulted in the loss of many lives. Nurses are usually at the frontline in emergency response, an integral component, and the largest health care providers (47.5% of the total health workers) in the health sector to caring the patients in disaster response [10, 11] The nurses play a critical role in all phases of disaster management Their roles in such situations include providing first aid, coordination, emotional and psychological support services to the affected people [12 - 14]. The competencies of community health nurses in disaster preparedness and response in Indonesia are reported to be inadequate [19], where a mega-disaster in 2004 had tested the skills and the responses of nurses to patient care. A study reported that the nurses’ clinical skills were insufficient in caring for the patient affected by the tsunami [16]

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