Disaster response among hospital nurses dispatched to evacuation centers after the Great East Japan Earthquake: a thematic analysis.
Disaster preparedness
Evacuation centers
Nuclear power plant accident
Nurses
The Great East Japan Earthquake
Victims
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
01 Jul 2022
01 Jul 2022
Historique:
received:
16
09
2021
accepted:
20
06
2022
entrez:
1
7
2022
pubmed:
2
7
2022
medline:
7
7
2022
Statut:
epublish
Résumé
Disaster relief operations involve a variety of components of healthcare efforts. The post-disaster recovery is a key component of hospital preparedness. This study aimed to investigate the role of hospital nurses in the disaster area and their challenges during the relief efforts after the Great East Japan Earthquake in 2011. Semi-structured interviews were conducted with ten nurses who worked in a general public hospital before the Great East Japan Earthquake and were dispatched to the evacuation centers after the disaster. A qualitative approach with the thematic analysis method was employed. Three research queries (RQs) were prepared before the interview. The study participants played administrative roles as city employees in addition to performing nursing services as healthcare providers in evacuation centers. The first RQ on their challenges in evacuation centers gave us four themes: criticism by the evacuees, conflicts between multiple roles, difficulties in performing the first experience, and anxiety in working. The second RQ asking about motivation to accomplish disaster relief efforts raised three themes of carrying out the nursing role, acceptance by evacuees, and strengths of human connections. Two themes of awareness of disaster medicine and professional growth were raised from the third RQ of gains from the experiences in the evacuation centers. The hospital nurses in the disaster area performed multiple roles in the relief efforts in the evacuation centers, which developed a psychological burden on them. A sense of competence supported the motivation to accomplish the disaster relief activities and professional growth as a specialist in disaster medicine. A study limitation is missing hospital nurses who resigned during the relief efforts. Further study is warranted to refine the disaster preparedness of hospital operations.
Sections du résumé
BACKGROUND
BACKGROUND
Disaster relief operations involve a variety of components of healthcare efforts. The post-disaster recovery is a key component of hospital preparedness. This study aimed to investigate the role of hospital nurses in the disaster area and their challenges during the relief efforts after the Great East Japan Earthquake in 2011.
METHODS
METHODS
Semi-structured interviews were conducted with ten nurses who worked in a general public hospital before the Great East Japan Earthquake and were dispatched to the evacuation centers after the disaster. A qualitative approach with the thematic analysis method was employed. Three research queries (RQs) were prepared before the interview.
RESULTS
RESULTS
The study participants played administrative roles as city employees in addition to performing nursing services as healthcare providers in evacuation centers. The first RQ on their challenges in evacuation centers gave us four themes: criticism by the evacuees, conflicts between multiple roles, difficulties in performing the first experience, and anxiety in working. The second RQ asking about motivation to accomplish disaster relief efforts raised three themes of carrying out the nursing role, acceptance by evacuees, and strengths of human connections. Two themes of awareness of disaster medicine and professional growth were raised from the third RQ of gains from the experiences in the evacuation centers.
CONCLUSIONS
CONCLUSIONS
The hospital nurses in the disaster area performed multiple roles in the relief efforts in the evacuation centers, which developed a psychological burden on them. A sense of competence supported the motivation to accomplish the disaster relief activities and professional growth as a specialist in disaster medicine. A study limitation is missing hospital nurses who resigned during the relief efforts. Further study is warranted to refine the disaster preparedness of hospital operations.
Identifiants
pubmed: 35778722
doi: 10.1186/s12913-022-08231-8
pii: 10.1186/s12913-022-08231-8
pmc: PMC9247954
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
848Informations de copyright
© 2022. The Author(s).
Références
J Relig Health. 2014 Feb;53(1):46-55
pubmed: 22434576
Prehosp Disaster Med. 2018 Apr;33(2):139-146
pubmed: 29455709
Am J Disaster Med. 2021 Summer;16(3):233-239
pubmed: 34904708
Biopsychosoc Med. 2018 Oct 12;12:14
pubmed: 30349583
Adv Ren Replace Ther. 2003 Apr;10(2):117-21
pubmed: 12879372
Disaster Med Public Health Prep. 2022 Apr;16(2):500-509
pubmed: 33023696
Prehosp Disaster Med. 2017 Apr;32(2):195-200
pubmed: 28134061
Disaster Med Public Health Prep. 2017 Dec;11(6):674-680
pubmed: 28554341
Seishin Shinkeigaku Zasshi. 2013;115(5):505-11
pubmed: 23855230
PLoS One. 2014 Jun 16;9(6):e100302
pubmed: 24932486
Nihon Rinsho. 2016 Feb;74(2):291-7
pubmed: 26915255
J Public Health Manag Pract. 2020 Sep/Oct;26(5):451-456
pubmed: 32732718
J Formos Med Assoc. 2002 Mar;101(3):169-76
pubmed: 12051011
Injury. 2022 May;53(5):1722-1726
pubmed: 35027219
Disaster Med Public Health Prep. 2014 Dec;8(6):471-6
pubmed: 25427564
Prehosp Disaster Med. 2012 Apr;27(2):142-7
pubmed: 22591665
Curr Opin Crit Care. 2005 Dec;11(6):585-9
pubmed: 16292064
Disasters. 2016 Oct;40(4):621-43
pubmed: 26749291