Disaster Preparedness Of Nurses Research Articles

Kesiapsiagaan Bencana Perawat di Rumah Sakit Rujukan pada Area Rentan Bencana di Indonesia: Studi Deskriptif

Background. Indonesia based on its geographical, geological, hydrological and demographic conditions is prone to disasters. Pre-disaster preparedness in health services are very important phases in reducing the impact of a disaster. Nurses are health workers with the largest number in a hospital, and have an important role in a disaster.The purpose of this study was to explore nurses’ perception regarding disaster preparedness in referral hospitals in disaster-prone areas in Indonesia.
 Methods. This study was a cross-sectional study. The cluster random sampling technique was used in the recruitment of 217 respondents from 4 referral hospitals in Indonesia. Self-report questioner were utilized and it was modified from Disaster Preparedness Evaluation Tool (DPET) and Emergency Prepardeness information Questionairre (EPIQ). Univariate and bivariate analyses were applied to describe the data.
 Results. The mean age of the respondents was 37.6 ± 8.9 years and the average length of service was 14 years ± 9.6 years. Respondents were mostly female, had vocational education level, were married, worked in wards, worked as clinical nurse, had no disaster experience but worked in hospitals that had experienced disasters. The average of nurses’ perception of disaster preparedness is 2.68 ± 0.32. Respondents have attended 88.5% BHD training, 76.5% APAR, 60.8% fire simulation and 42.4% earthquake simulation. Disaster experiences and research locations influence the disaster preparedness of nurses in referral hospitals in Indonesia. There were no statistically significant differences in nurses’ preparedness for disasters on gender, education level, marital status, place of work, position.
 Conclusion. Nurses’ experience in dealing with disasters increases the perception of disaster preparedness among nurses. Therefore, regular training and simulations are required in the health services of disaster-prone areas in Indonesia.

Nurses' knowledge levels and preparedness for disasters: A systematic review

ObjectiveNurses, who play a key role in disasters, should be sufficiently prepared and have good knowledge in responding to disasters to reduce the negative consequences on the population affected by disasters as disasters increase globally. The study aimed to investigate the results of peer-reviewed publications that measure nurses' level of knowledge and preparedness for disasters. MethodThe systematic review model was used in this study. Scientific studies on disaster preparedness of nurses in Turkish and English between 2015-and 2019 were systematically examined. Sciencedirect, Ulakbim and Medline/PubMed databases were used for the literature search. In the study, the keywords ‘disaster’, ‘disaster preparedness', ‘disaster competencies', ‘disaster nursing’, ‘disaster information’ and ‘nurse’ was searched. Seventeen (17) research articles conducted with nurses suitable for the study were included and analyzed. ResultsStudies commonly report that nurses are not sufficiently prepared for disasters and are not confident in responding to disasters effectively. It was seen that the factors that increase the preparedness for disaster response are previous disaster response experience and disaster-related education level. ConclusionThe results of this systematic review show that it is necessary to develop better education and training programs to strengthen the knowledge and skills of nurses, especially in disaster preparedness.

Psychometric Properties of Disaster Preparedness Tools in Nurses: A Systematic Literature Review.

There is no widely-recommended standardized and valid measurement tool for evaluating the disaster preparedness of nurses. This study aims to assess the psychometric properties of scales developed or adapted to evaluate the sudden-impact natural disaster preparedness of nurses. This study is a systematic literature review for the psychometric properties of disaster preparedness tools. Studies published from 2010 through June 2021 were identified from a systematic search of five databases, including Web of Science, PubMed, CINAHL, Scopus, and ProQuest. The Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist was used for the systematic review and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline for reporting. The World Health Organization's (WHO) report on the Development of a Disaster Preparedness Tool Kit for Nursing and Midwifery was used to evaluate scale contents. Six articles were identified that met the inclusion criteria. The scales generally had a multi-dimensional structure and used Likert scoring with internal consistency coefficients ranging from 0.785 to 0.97. All scales were rated sufficient in content validity, structural validity, and cross-cultural validity. One scale was rated sufficient in criterion validity while the others were rated indeterminate. One scale was rated insufficient in reliability and internal consistency while the others were rated sufficient. The findings suggest improving the psychometric properties of scales of nurses' disaster preparedness according to COSMIN, expanding their content scope, and developing new scales. The study will provide beneficial data to users and researchers regarding the need for a comprehensive assessment tool in determining the disaster preparedness of nurses.

The Effect of Self-Efficacy, Caring and Organizational Commitment on Disaster Preparedness of Nurses

Preparedness is a series of activities carried out to anticipate disasters through appropriate and efficient organizational steps. Nurses are one of the main actors in disaster mitigation in the health sector. Nurse preparedness is needed to minimize the impact of disasters. Self-efficacy, caring and organizational commitment are important factors in nurse preparedness. The purpose of this study was to determine the effect of self-efficacy, caring, and organizational commitment on preparedness of nurses in dealing with patients during natural disasters. This research was correlational with a cross-sectional approach. The sample consisted of 24 nurses in the emergency room at Jampangkulon General Hospital. Data were collected using questionnaires, and statistical analysis was through simple linear regression. The results showed that most of the nurses had high self-efficacy, were caring and experienced moderate organizational commitment, and most were very ready for disaster preparedness. There was a significant effect of self-efficacy on preparedness (p = 0.023), of caring on preparedness (p = 0.003) and of organizational commitment on preparedness (p = 0.008). Based on the results of the study, self-efficacy, caring and organizational commitment significantly impact nurse preparedness.
 Keywords: self-efficacy, caring, organizational commitment, nurses, preparedness

Nursing Students' Competency to Attend Disaster Situations: A Study in Western Iran.

The disaster preparedness of nurses is important as nurses are members of a health care team that needs to work systematically and collaboratively in all conditions. Although education and training naturally underpin effective practice, disaster nursing education is rarely provided to nurses in Iran. Because disaster situations, by definition, overwhelm health services, it is likely that nursing students will be required to join their colleagues in the response. The purpose of this study was to evaluate the competency of nursing students to attend disaster situations. This descriptive, analytical study was conducted in western Iran in 2020. A total of 70 nursing students in the fourth (final) year of their undergraduate nursing education entered the study by a census sampling method. Data collection was undertaken using a validated disaster competency assessment questionnaire. The data were analyzed using SPSS version 21 (IBM Corp, Armonk, NY) with descriptive and analytic tests. The mean age of participants was 21.4 ± 2.14 and 57.1% of them were women; 45 participants (64.3%) had received no disaster-related training, and 88.6% had no history of participating in disaster exercises. The total score for nursing students' competence was 125.58 ± 14.19. There was a significant relationship between the mean score of nursing competence in response to disasters and student history of participating in an exercise and training course (P < 0.001). Students' competence in disaster situations is poor. Awareness of the competence condition of nurses is the first step to improve their preparedness as the most key members of the disaster health team. Conducting disaster-related training may be appropriate. The results of this study can provide evidence for the development of educational policies in disaster nursing education.

Predictors of disaster preparedness among registered nurses in Saudi Arabia: A structural equation modelling analysis

BackgroundThe evaluation of the present state of disaster preparedness among nurses in developing countries is not very well elucidated. Therefore, it is crucial to identify the adequacy of disaster preparedness among nurses in such countries and to examine the factors that influence the preparedness of nurses with regard to disaster management. MethodsA cross-sectional methodological design was used. A convenient sampling method was used to recruit 370 registered nurses from two hospitals in Saudi Arabia. Data were collected using valid and reliable self-reported questionnaires, including the Disaster Preparedness Evaluation Tool, Practice Environment Scale-Nursing Work Index, and Self-Regulation Scale. ResultsThe final model, with good fit indices, revealed that the disaster preparedness of nurses was significantly influenced by nurses’ skills, knowledge, leadership ability and support, self-regulation, nursing quality of care, disaster training, disaster experience, and workplace participation. Altogether, these factors explained 68% of the total variance. ConclusionThe factors influencing the preparedness of nurses for disaster are more complex than previously understood. Our model, created and tested using structural equation modelling, merits further research to extend our understanding of how nurses’ perception of disaster management is influenced by organizational characteristics in the hospital work environment.

Validation of the Disaster Preparedness Evaluation Tool for Nurses-The Korean Version.

(1) Background: The purpose of this study was to validate a Korean version of the disaster preparedness evaluation tool (DPET-K) for nurses and to verify its validity and reliability for use in community healthcare centers and hospitals in South Korea; (2) Methods: In total, 497 nurses (248 for exploratory factor analysis and 249 for confirmatory factor analysis) at public health centers, public health sub-centers, public health clinics, and general hospitals in Seoul and Gyeonggi, Chungcheong, and Gangwon Provinces participated in this study. The tool went through translation and back-translation, content validity verification, a pilot survey, and validity and reliability testing; (3) Results: The DPET-K had 28 items with five factors (disaster education and training, disaster knowledge and information, bioterrorism and emergency response, disaster response, and disaster evaluation). The Cronbach’s α values for internal consistency were 0.766–0.953 for the five subscales of the DPET-K. A structural equation model was built through confirmatory factor analysis for goodness of fit (χ2/df = 2.193, SRMR = 0.060, RMSEA = 0.069, GFI = 0.831, CFI = 0.927, NFI = 0.875); (4) Conclusions: The DPET-K was confirmed to be a useful tool for assessing the disaster preparedness of nurses in Korea.

Preparedness and resilience of student nurses in Northern Queensland Australia for disasters

Preparing for a disaster helps preserve the health and welfare of all involved, collectively increasing the resilience of individuals and overall community. Nurses hold a wide range of responsibilities related to disaster preparedness and response that are vitally important in times of crisis. While the disaster preparedness of nurses has been documented in nurse practitioners and registered nurses, disaster preparedness is relatively unknown in student nurses. This study measured disaster preparedness and resilience in a cohort of 66 2nd and 3rd year nursing students from James Cook University, Australia utilising the Disaster Preparedness and Evaluation Tool and the 10 point Connor-Davidson Resilience Scale. The student nurses demonstrated a lack of knowledge surrounding disaster preparedness but a willingness to contribute time and their limited skills in a disaster setting. Their resilience score was similar to that of other published results. No correlation between disaster preparedness and resilience was identified. This study suggests that while student nurses have the willingness to participant in disaster preparedness and response, they do not believe they possess the necessary skillset or knowledge. Suitable disaster orientated education may increase the ability of student nurses to assist in crisis situations.

A descriptive study to analyse the disaster preparedness among Saudi nurses through self-regulation survey.

The present study aimed to analyse the disaster preparedness among Saudi nurses through self-regulation survey. Nurses along with other healthcare professionals face difficulty in terms of management during disastrous condition. Moreover, there is a need to improve the abilities of nurses in managing disaster events by examining the disaster preparedness of nurses. It employed quantitative descriptive design by conducting a self-regulation survey among 350 nurses recruited from five government hospitals in Medina, Saudi Arabia. Data related to the motivation, commitment and self-regulation of nurses concerning their participation in disaster preparedness activities were collected. Self-regulation scores were significantly related to the nationality (t [328] 3.95, p<.001), nursing education (t [328] 2.14, p<.05), age group (F [2,327] 4.75, p<.01) and experience (F [3,317] 4.891, p<.01), whereas insignificant association was found with gender (t [328] 1.84, p>.05) and hospitals (F [4,325] 0.925, p>.05). The level of knowledge of the healthcare nurses was satisfactory for the disaster preparedness, while there prevails a neutral level of involvement, preparedness and commitment among them. There is a crucial need for hospital management to arrange disaster preparedness awareness and understanding programs for nurses and hospital staff to be competent for overcoming the risks associated with these events.

Indonesian emergency nurses’ preparedness to respond to disaster: A descriptive survey

BackgroundAs frontline hospital staff, emergency nurses must be prepared to respond in disaster situations. While many disasters have befallen Indonesia, no available studies document disaster preparedness of nurses in this region. This study aimed to assess disaster preparedness among Indonesian emergency nurses, as well as examine factors that affected disaster preparedness in this group. MethodsA cross-sectional study was conducted in four hospitals in Central Java. The Disaster Preparedness Evaluation Tool (DPET) was used to assess participant's disaster preparedness. This questionnaire was translated into Bahasa Indonesian using Brislin's (1970) back-translation technique. ResultsA total of 120 participants were included in the analysis. The findings indicate that Indonesian emergency nurses have a moderate level of disaster preparedness. Previous disaster experience and disaster training or education were positively associated with disaster preparedness. Additional years’ experience nursing was not correlated with disaster preparedness. ConclusionsThese findings can be used as a basis to develop education programmes aimed at improving preparedness for disaster among Indonesian emergency nurses.

RELATIONSHIP BETWEEN PERSONAL SELF-EFFICACY AND FLOOD DISASTER PREPAREDNESS OF INDONESIAN NURSES

Background: Indonesia is one of the countries that is prone to natural disaster. There are between 1,500-2,000 cases of natural disasters annually and most of the cases are related to hydro meteorological activities such as flood. Preparedness is a critical phase in disaster management as it is able to decrease or prevent negative effects of natural disasters for example negative effects of natural disaster in health sector. Nurse preparedness is one of the determining factors in describing how severe effects of natural disasters are in health sector.Objective: To identify and analyze relationship between personal self-efficacy and flood disaster preparedness of Indonesian nurses.Method: The study used analytical observational design with cross sectional approach. The population was 191 nurses and the samples were 160 nurses working in public health centers. The sampling method was purposive sampling. The setting on the study was 5 public health services located in areas prone to flood in Kendari, Southeast Sulawesi, Indonesia. Spearman rank correlational test was used for data analysis with significant level (α) =0.05.Results: Spearman Rank correlational test showed a significant relationship between self-efficacy and flood disaster preparedness of nurses (p =0.00 and r =0.63).Conclusion: Personal factor such as nurses’ self-efficacy in dealing with flood is related to their flood disaster preparedness in Kendari, Southeast Sulawesi, Indonesia.

Emergency and Disaster Preparedness in Nurses: A Concept Analysis

Introduction: Given the growing rate of accidents and disasters in the world, preparing nurses as the main group responding to these events is crucial; however, a review of literature suggests no comprehensive and theoretical or practical definitions for this concept in nursing, which has been often misunderstood and used as an alternative to other similar concepts. Objective: The present study was conducted to analyze the concept and provide a practical definition for emergency and disaster preparedness in nurses. Materials and Methods: The eight-step Walker and Avant’s approach was used to clarify the concept of disaster preparedness in nurses. A total of 40 articles selected on the subject through an extensive review of literature up to 2013 were analyzed and the relevant definitions, applications, attributes, antecedents, consequences and empirical referents were extracted. Results: According to the analysis conducted, the concept attributes include gaining the disaster knowledge and management capability, response planning strategies, response behavior exercises and the evaluation of the knowledge level and the response program content. Improved knowledge and skills, professional accountability, more comprehensive programs and more accurate response behaviors were found to be the outcomes of disaster preparedness in nurses. Conclusion: According to the present study, disaster preparedness in nurses refers to the knowledge, skills, abilities and comprehensive functions required for responding to natural or man-made events and disasters. Nurses’ preparedness in disasters refers to a process in which nurses involve to properly prepare and effectively respond to emergencies and disasters. Given the wide range of the concept, further studies are recommended.

Disaster preparedness among nurses: a systematic review of literature.

This review explored peer-reviewed publications that measure nurses' preparedness for disaster response. 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. 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. 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. 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. 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.

Cross-sectional survey of the disaster preparedness of nurses across the Asia-Pacific region.

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.

Construct validity and reliability of the Chinese version of the Disaster Preparedness Evaluation Tool in Taiwan.

To develop a Chinese version of the Disaster Preparedness Evaluation Tool and validate its psychometric properties. An adequate disaster preparation programme for nurses has not been developed in Taiwan. To develop an exhaustive and effective educational programme on disaster preparation for nurses, a multidimensional instrument is required for assessing the disaster preparation level of nurses. A cross-sectional study was conducted. In total, 1550 of 2226 public health nurses in 15 counties completed the self-administrated questionnaire. We randomly selected 805 samples to examine the factor structure and factor model by using exploratory factor analysis and confirmatory factor analysis. The convergent validity was measured using the average variance extracted and composite reliability. Five factors, namely postdisaster management, skills, knowledge of self-preparation in a disaster, knowledge to respond in the community, and knowledge to respond in the workplace, were extracted, and explained 65·13% of the total variance. An acceptable model fit was identified using confirmatory factor analysis. The Cronbach's α coefficient of the Chinese version of the Disaster Preparedness Evaluation Tool was 0·97. Significant values of the average variance extracted greater than 0·5 indicated convergent validity. The Chinese version of the Disaster Preparedness Evaluation Tool is a reliable and valid instrument for measuring disaster preparation. The Chinese version of the Disaster Preparedness Evaluation Tool provides reliable and valid measures that can be used to evaluate the disaster preparedness of nurses. The items in the instrument can be used to identify the dimension of disaster management in all stages, and can form the essential foundation of an education and training programme for public health nurses to reduce the harm of disasters and promote community resilience.