Nurses working in healthcare facilities during natural disasters: a qualitative enquiry.
Australia
Disaster Nursing
Disaster Preparedness
Disaster Resilience
New Zealand
adaptive capacity
event characteristics
healthcare facilities
natural hazard disasters
nursing
Journal
International nursing review
ISSN: 1466-7657
Titre abrégé: Int Nurs Rev
Pays: England
ID NLM: 7808754
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
23
01
2020
revised:
05
07
2020
accepted:
06
07
2020
pubmed:
8
8
2020
medline:
24
7
2021
entrez:
8
8
2020
Statut:
ppublish
Résumé
To explore the ability of nurses to be adequately ready for and to respond to a disaster caused by a natural hazard. During a disaster involving a healthcare facility, nurses are commonly the largest group of healthcare workers impacted. The range of problems facing nurses working in healthcare facilities in Australia and New Zealand at the time of disasters triggered by earthquakes and bushfires have been underexamined. A qualitative enquiry was used to explore matters facing nurses working in residential healthcare facilities during a natural disaster. Inductive thematic analysis was used to identify the key themes from fifteen in-depth interviews with nurses. Participants preserved a robust sense of professional duty, personal obligation and responsibility to their family, patients and the facility, demonstrating the ability to adapt, cope and respond despite experiencing diverse personal, structural and organizational barriers. Support was provided for using interactive systems and socio-ecological frameworks to better understand the contributions that individuals, teams and organizations make to facilitate the development and maintenance of adaptive capacity and resilience in a nursing workforce. An ecological model of adaptive capacity can be operationalized to guide education, training for nurses and the development of organizational systems and strategies. This study identified factors that help and hinder a nursing workforce's ability to prepared for, adapt to and learn from natural hazard disasters. This understanding of disaster preparedness and how this may be applied to enable the growth of adaptive nurses provides an insight for a global audience which also adds to nurse education, service delivery, organizational and policy development.
Sections du résumé
AIM
OBJECTIVE
To explore the ability of nurses to be adequately ready for and to respond to a disaster caused by a natural hazard.
BACKGROUND
BACKGROUND
During a disaster involving a healthcare facility, nurses are commonly the largest group of healthcare workers impacted. The range of problems facing nurses working in healthcare facilities in Australia and New Zealand at the time of disasters triggered by earthquakes and bushfires have been underexamined.
METHODS
METHODS
A qualitative enquiry was used to explore matters facing nurses working in residential healthcare facilities during a natural disaster. Inductive thematic analysis was used to identify the key themes from fifteen in-depth interviews with nurses.
FINDINGS
RESULTS
Participants preserved a robust sense of professional duty, personal obligation and responsibility to their family, patients and the facility, demonstrating the ability to adapt, cope and respond despite experiencing diverse personal, structural and organizational barriers.
DISCUSSION
CONCLUSIONS
Support was provided for using interactive systems and socio-ecological frameworks to better understand the contributions that individuals, teams and organizations make to facilitate the development and maintenance of adaptive capacity and resilience in a nursing workforce. An ecological model of adaptive capacity can be operationalized to guide education, training for nurses and the development of organizational systems and strategies.
CONCLUSION
CONCLUSIONS
This study identified factors that help and hinder a nursing workforce's ability to prepared for, adapt to and learn from natural hazard disasters.
IMPLICATIONS FOR NURSING POLICY
CONCLUSIONS
This understanding of disaster preparedness and how this may be applied to enable the growth of adaptive nurses provides an insight for a global audience which also adds to nurse education, service delivery, organizational and policy development.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
427-435Informations de copyright
© 2020 International Council of Nurses.
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