Preparedness to act in a disaster: the perspective of nurses in the emergency department
DOI:
https://doi.org/10.29352/mill0215e.34538Keywords:
disaster response; disaster planning; emergency hospital service; disaster emergencies; the role of the nursing professionalAbstract
Introduction: The occurrence of disasters has been increasing all over the world and Portugal is no exception, with a significant impact on the health of populations. On the other hand, scientific evidence shows that the current training system does not prepare health professionals to respond to catastrophic events. The recently faced COVID-19 pandemic has clearly shown that even the best health systems have been overwhelmed, devastated and on the brink of collapse.
Objective: To analyze the perception of nurses in an Emergency Department (ED) about their preparation to work in a disaster situation and relate it to sociodemographic and professional variables.
Methods: This is a quantitative, descriptive-correlational, cross-sectional study using the Disaster Preparedness Evaluation Tool, Portuguese version, applied to 60 ED nurses from a hospital in Northern Portugal. The collected data were submitted to descriptive and inferential statistical treatment, taking into account the intrinsic ethical considerations.
Results: They show that ED nurses do not feel prepared to intervene in disaster situations. However, males and those with advanced training in the area of emergency and/or disaster reveal to be more prepared, with statistically significant differences in skills related to "knowledge," "post-disaster management," and overall score.
Conclusion: Institutional contingency plans are essential, but in order for them to be operationalized efficiently and effectively, it is necessary to be constantly updated and periodically simulacra so that each professional becomes aware of their importance and knows their mission and functions.
Downloads
References
Abuadas, M. H., & Albikawi, Z., F. (2022). Predictors of disaster preparedness among registered nurses in Saudi Arabia: A structural equation modelling analysis. Australas Emerg Care, 25(2), 132-139. https://doi.org/10.1016/j.auec.2021.07.004.
Achora, S., & Kamanyire, J. K. (2016). Disaster preparedness: Need for inclusion in undergraduate nursing education. Sultan Qaboos University Medical Journal, 16(1), e15. https://doi.org/10.18295/squmj.2016.16.01.004.
Alan, H., Eskici, G. T., Sen, H. T., & Bacaksiz, F. E. (2022). Nurses' disaster core competencies and resilience during the COVID-19 pandemic: A cross-sectional study from Turkey. Journal of nursing management, 30(3), 622–632. https://doi.org/10.1111/jonm.13552.
Al-Harthi, M., Al Thobaity, A., Al Ahmari, W., & Almalki, M. (2020). Challenges for nurses in disaster management: A scoping review. Risk management and healthcare policy, 13, 2627-2634. https://doi.org/10.2147/RMHP.S279513.
Al-Khalaileh, M. A., Bond, E., & Alasad, J. A. (2012). Jordanian nurses' perceptions of their preparedness for disaster management. International emergency nursing, 20(1), 14-23. https://doi.org/10.1016/j.ienj.2011.01.001.
Almukhlifi, Y., Crowfoot, G., Wilson, A., & Hutton, A. (2021). Emergency healthcare workers’ preparedness for disaster management: An integrative review. Journal of Clinical Nursing, 00, 1-16. https://doi.org/10.1111/jocn.15965.
Al-Qbelat, R. M., Subih, M. M., & Malak, M. Z. (2022). Effect of Educational Program on Knowledge, Skills, and Personal Preparedness for Disasters Among Emergency Nurses: A Quasi-Experimental Study. Inquiry: a journal of medical care organization, provision and financing, 59, 469580221130881. https://doi.org/10.1177/00469580221130881.
Al-Thobaity, A., Plummer, V., & Williams, B. (2017). What are the most common domains of the core competencies of disaster nursing? A scoping review. International emergency nursing, 31, 64-71. http://doi.org/10.1016/j.ienj.2016.10.003.
Al-Thobaity, A., Plummer, V., Innes, K., & Copnell, B. (2015). Perceptions of knowledge of disaster management among military and civilian nurses in Saudi Arabia. Australasian emergency nursing journal: AENJ, 18(3), 156-164. https://doi.org/10.1016/j.aenj.2015.03.001.
Bond, A. E., & Tichy, M. (2007). The Disaster Preparedness Evaluation Tool. Unpublished manuscript, Brigham Young University, UT.
Brewer, C. A., Hutton, A., Hammad, K. S., & Geale, S. K. (2020). A feasibility study on disaster preparedness in regional and rural emergency departments in New South Wales: Nurses self-assessment of knowledge, skills and preparation for disaster management. Australas Emerg Care, 23(1), 29-36. https://doi.org/10.1016/j.auec.2019.12.005.
Costa, D. R. S. (2022). Perceção dos enfermeiros sobre a sua preparação na resposta hospitalar em situações de catástrofe. [Dissertação de mestrado, Escola Superior de Saúde de Viseu]. Repositório Científico do Instituto Politécnico de Viseu. http://hdl.handle.net/10400.19/7303.
Duarte, O. F., Duarte, R. A., & Coutinho, V. R. (2022). Perceção dos enfermeiros sobre a sua preparação na resposta hospitalar em situações de catástrofe (DPET-PT). Revista Investigação em Enfermagem, 40(2), 35-48.
Ghazi Baker, O. (2021). Preparedness assessment for managing disasters among nurses in an international setting: Implications for nurses. International emergency nursing, 56, 100993. https://doi.org/10.1016/j.ienj.2021.100993.
Guimarães, S. A. N. (2020). Plano de resposta à catástrofe externa de um serviço de urgência básico. [Dissertação de mestrado, Instituto Politécnico de Viana do Castelo]. Repositório científico do Instituto Politécnico de Viana do Castelo. http://hdl.handle.net/20.500.11960/2434.
Hasan, M. K., Uddin, H., &Younos, T. B. (2022). Bangladeshi nursing students' perceived preparedness and readiness for disaster management. International journal of disaster risk reduction, 81, 103303. https://doi.org/10.1016/j.ijdrr.2022.103303.
Hooker, A. B., Etman, A., Westra, M., & Van der kam, W. J. (2019). Aggregate analysis of sentinel events as a strategic tool in safety management can contribute to the improvement of healthcare safety. International journal for quality in health care, 31(2), 110-116. https://doi.org/10.1093/intqhc/mzy116.
Horrocks, P., Hobbs, L., Tippett, V., & Aitken, P. (2019). Paramedic disaster health management competencies: A scoping review. Prehospital and disaster medicine, 34(3), 322-329. https://doi.org/10.1017/S1049023X19004357.
Husna, C., Kamil, H., Yahya, M., & Tahlil, T. (2020). An intervention program to improve nurses’ competencies in disaster response: A mixed-methods study protocol. Belitung nursing journal, 6(3), 85-90. https://doi.org/10.33546/bnj.1081.
International Federation of Red Cross and Red Crescent Societies. (2020). People centered early warning systems: learning from national red cross and red crescent societies. International Federation of Red Cross and Red Crescent Societies. download (wmo.int)
Jones, R. L., Guha-Sapir, D., & Tubeuf, S. (2022). Human and economic impacts of natural disasters: can we trust the global data?. Sci Data 9, 572. https://doi.org/10.1038/s41597-022-01667-x.
Labrague, L. J., Hammad, K., Gloe, D. S., McEnroe‐Petitte, D. M., Fronda, D. C., Obeidat, A. A., Leocadio, M. C., Cayaban, A. R., & Mirafuentes, E. C. (2018). Disaster preparedness among nurses: a systematic review of literature. International nursing review, 65(1), 41-53. https://doi.org/10.1111/inr.12369.
Loke, A. Y., Guo, C., & Molassiotis, A. (2021). Development of disaster nursing education and training programs in the past 20 years (2000-2019): A systematic review. Nurse education today, 99, 2000-2019. https://doi.org/10.1016/j.nedt.2021.104809.
Miranda, I. S., Pereira, A. G., & Sousa, C. F. (2020). Catástrofe Dos Incêndios Florestais De Pedrógão Grande. Novas Edições Acadêmicas.
Molassiotis, A., Guo, C., West, C., & Loke, A. Y. (2022). Identifying the priorities in nursing research on disaster management: A Delphi study and international survey. International journal of disaster risk reduction, 74, 102935. https://doi.org/10.1016/j.ijdrr.2022.102935.
Nunes, I. I. M. (2022). Preparação do enfermeiro para intervir em situação de catástrofe. [Tese de mestrado, Instituto Politécnico de Leiria]. IC-Online. http://hdl.handle.net/10400.8/8053.
Rafferty-Semon, P., Jarzembak, J., & Shanholtzer, J. (2017). Simulating complex community disaster preparedness: Collaboration for point of distribution. Online journal of issues in nursing, 22(1), 3. https://doi.org/10.3912/OJIN.Vol22No01Man03.
Rizqillah, A. F., & Suna, J. (2018). Indonesian emergency nurses’ preparedness to respond to disaster. A descriptive survey. Australasian emergency care, 21(2), 64-68. https://doi.org/10.1016/j.auec.2018.04.001.
Said, N. B., & Chiang, V. C. L. (2020). The knowledge, skill competencies, and psychological preparedness of nurses for disasters: A systematic review. International emergency nursing, 48, 100806. https://doi.org/10.1016/J.IENJ.2019.100806
Santos, C., & Dixe, M. (2017). Validação cultural do “Disaster Preparedness Evaluation Tool (DPET©)”: preparação dos enfermeiros perante uma situação de catástrofe. In M. Dixe; P. Sousa & P. Gaspar (Coords.), Construindo conhecimento em enfermagem à pessoa em situação crítica. (pp. 69-88). Instituto Politécnico de Leiria. http://hdl.handle.net/10400.8/2881.
Santos, P., Rabiais, I., Berenguer, S., & Amendoeira, J. (2021). Competências dos estudantes de licenciatura em enfermagem em cenários de catástrofe: das necessidades educativas à regulamentação curricular. Revista de Enfermagem Referência (6) 1-8. https://doi.org/10.12707/RV20131.
Su, Y., Wu, X. V., Ogawa, N., Yuki, M., Hu, Y., & Yang, Y. (2022). Nursing skills required across natural and man-made disasters: A scoping review. Journal of advanced nursing, 78, 3141-158. https://doi.org/10.1111/jan.15337.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Millenium - Journal of Education, Technologies, and Health
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who submit proposals for this journal agree to the following terms:
a) Articles are published under the Licença Creative Commons (CC BY 4.0), in full open-access, without any cost or fees of any kind to the author or the reader;
b) The authors retain copyright and grant the journal right of first publication, allowing the free sharing of work, provided it is correctly attributed the authorship and initial publication in this journal;
c) The authors are permitted to take on additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, post it to an institutional repository or as a book), with an acknowledgment of its initial publication in this journal;
d) Authors are permitted and encouraged to publish and distribute their work online (eg, in institutional repositories or on their website) as it can lead to productive exchanges, as well as increase the impact and citation of published work
Documents required for submission
Article template (Editable format)