Nurses’ roles, knowledge and experience in national disaster pre-paredness and emergency response: A literature review

Thomas Grochtdreis, Nynke de Jong, Niels Harenberg, Stefan Görres, Peter Schröder-Bäck

Abstract

Aim: Nurses play a central role in disaster preparedness and management, as well as in emergency response, in many countries over the world. Care in a disaster environment is different from day-to-day nursing care and nurses have special needs during a disaster. However, disaster nursing education is seldom provided and a lack of curricula exists in many countries around the world. The aim of this literature review is to provide an overview of nurses’ roles, knowledge and experience in national disaster preparedness and emergency response.

Methods: An electronic search was conducted using multiple literature databases. All items were included, regardless of the publication year. All abstracts were screened for relevance and a synthesis of evidence of relevant articles was undertaken. Relevant information was extracted, summarized and categorized. Out of 432 reviewed references, information of 68 articles was included in this review.

Results: The sub-themes of the first main theme (a) roles of nurses during emergency response include the expectations of the hospital and the public, general and special roles of nurses, assignments of medical tasks, special role during a pandemic influenza, role conflicts during a disaster, willingness to respond to a disaster. For (b) disaster preparedness knowledge of nurses, the corresponding sub-themes include the definition of a disaster, core competencies and curriculum, undergraduate nursing education and continuing education programs, disaster drills, training and exercises, preparedness. The sub-themes for the last theme (c) disaster experiences of nurses include the work environment, nursing care, feelings, stressors, willingness to respond as well as lessons learned and impacts.

Conclusion: There is consensus in the literature that nurses are key players in emergency response. However, no clear mandate for nurses exists concerning their tasks during a disaster. For a nurse, to be able to respond to a disaster, personal and professional preparedness, in terms of education and training, are central. The Framework of Disaster Nursing Competencies of the WHO and ICN, broken down into national core competencies, will serve as a sufficient complement to the knowledge and skills of nurses already acquired through basic nursing curricula. During and after a disaster, attention should be applied to the work environment, feelings and stressors of nurses, not only to raise the willingness to respond to a disaster. Where non-existent, national directives and concepts for disaster nursing should be developed and nurses should be aware of their duties. Nursing educators should prepare nurses for disasters, by adjusting the curricula and by meeting the increased need for education and training in disaster nursing for all groups of nurses. The appropriateness of theoretical and practical preparation of disaster nursing competencies in undergraduate nursing courses and continuing education programmes should be evaluated.

 

 

 

Keywords

disasters, disaster planning, emergencies, emergency preparedness, nurses

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References

Guha-Sapir D, Vos F, Below R, Ponserre S. Annual Disaster Statistical Review 2011: The numbers and trends. Université catholique de Louvain, Brussels, Belgium, 2012. http://cred.be/sites/default/files/2012.07.05.ADSR_2011.pdf (accessed: December 13, 2016).

International Federation of Red Cross and Red Crescent Societies. World Disasters Report 2012 – Focus on forced migration and displacement. International Federation of Red Cross and Red Crescent Societies, Geneva, Switzerland, 2012. http://www.ifrc.org/PageFiles/99703/1216800-WDR%202012-EN-LR.pdf (accessed: February 8, 2013).

Guha-Sapir D, Below R, Hoyois P. EM-DAT: The OFDA/CRED International Disaster Database. Université Catholique de Louvain, Brussels, Belgium, 2013. http://www.edat.be (accessed: February 8, 2013).

Veenema TG. Essentials of Disaster planning. In: Veenema TG, editor. Disaster nursing and emergency preparedness for chemical, biological, and radiological terrorism and other hazards (2nd ed). New York, NY: Springer Pub, 2007: 3-24.

Ricciardi R, Agazio JBG, Lavin RP, Walker PH. Directions for nursing research and development. In: Veenema, TG, editor. Disaster nursing and emergency preparedness for chemical, biological, and radiological terrorism and other hazards (2nd ed). New York, NY: Springer Pub, 2007: 559-68.

Stangeland PA. Disaster nursing: a retrospective review. Crit Care Nurs Clin North Am 2010;22:421-36.

Giarratano G, Orlando S, Savage J. Perinatal nursing in uncertain times: the Katrina effect. MCN Am J Matern Child Nurs 2008;33:249-57.

World Health Organization, International Council of Nurses. ICN Framework of Disaster Nursing Competencies. International Council of Nurses, Geneva, Switzerland, 2009. http://www.wpro.who.int/hrh/documents/icn_framework.pdf (accessed December 13, 2016).

Pang SM, Chan SS, Cheng Y. Pilot training program for developing disaster nursing competencies among undergraduate students in China. Nurs Health Sci 2009;11:367-73.

Secor-Turner M, O'Boyle C. Nurses and emergency disasters: what is known. Am J Infect Control 2006;34:414-20.

Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice (9th ed). Philadelphia, PA.; London: Walters Kluwer/Lippincott Williams & Wilkins, 2012.

Spain KM. When Disaster Happens: Emergency Preparedness for Nurse Practitioners. J Nurse Pract 2012;8:38-44.

Yin H, He H, Arbon P, Zhu J. A survey of the practice of nurses' skills in Wenchuan earthquake disaster sites: implications for disaster training. J Adv Nurs 2011;67:2231-8.

Sauer J. Vorbereitung für den Ernstfall: Katastrophenalarm. Die Schwester Der Pfleger 2009;48:1014-22.

Al Khalaileh MA, Bond E, Alasad JA. Jordanian nurses' perceptions of their preparedness for disaster management. Int Emerg Nurs 2012;20:14-23.

Conlon L, Wiechula R. Preparing nurses for future disasters - The Sichuan experience. Australas Emerg Nurs J 2011;11:246-50.

Kroll Whitty K. Factors influencing the importance of incorporating competencies regarding mass casualty incidents into baccalaureate-degree nursing programs as perceived by currently employed faculty. Louisiana State University and Agricultural and Mechanical College, Baton Rouge LA, 2006. http://etd.lsu.edu/docs/available/etd-10272006-114027/unrestricted/Whitty_dis.pdf (accessed December 13, 2016).

Rebmann T, Mohr LB. Missouri nurses' bioterrorism preparedness. Biosecur Bioterror 2008;6:243-51.

Cole FL. The role of the nurse practitioner in disaster planning and response. Nurs Clin North Am 2005;40:511-21.

Gebbie KM, Qureshi KA. A historical challenge: nurses and emergencies. Online J Issues Nurs 2006;11.

Goodhue CJ, Burke RV, Ferrer RR, Chokshi NK, Dorey F, Upperman JS. Willingness to respond in a disaster: a pediatric nurse practitioner national survey. J Pediatr Health Care 2012;26:e7-20.

Usher K, Mayner L. Disaster nursing: A descriptive survey of Australian undergraduate nursing curricula. Australas Emerg Nurs J 2011;14:75-80.

Dickerson SS, Jezewski MA, Nelson-Tuttle C, Shipkey N, Wilk N, Crandall B. Nursing at Ground Zero: experiences during and after September 11 World Trade Center attack. J N Y State Nurses Assoc 2002;33:26-32.

Fung OWM, Loke AY, Lai CKY. Disaster preparedness among Hong Kong nurses. J Adv Nurs 2008;62:698-703.

Nasrabadi AN, Naji H, Mirzabeigi G, Dadbakhs M. Earthquake relief: Iranian nurses' responses in Bam, 2003, and lessons learned. Int Nurs Rev 2007;54:13-8.

Orlando S, Bernard ML, Mathews P. Neonatal nursing care issues following a natural disaster: lessons learned from the Katrina experience. J Perinat Neonatal Nurs 2008;22:147-53.

Peterson CA. Be safe, be prepared: emergency system for advance registration of volunteer health professionals in disaster response. Online J Issues Nurs 2006;11.

Domres B, Gerloff M, Gross W. Wenn das Desaster kommt... Curriculum "Katastrophenmedizin und humanitäre Hilfe" in der Gesundheits- und Krankenpflegeausbildung. Pflege Z 2012;65:34-5.

Fung WMO, Lai KYC, Loke AY. Nurses' perception of disaster: implications for disaster nursing curriculum. J Clin Nurs 2009;18:3165-71.

Lund A, Lam K, Parks P. Disaster medicine online: evaluation of an online, modular, interactive, asynchronous curriculum. CJEM 2002;4:408-13.

Fahlgren TL, Drenkard KN. Healthcare system disaster preparedness, part 2: nursing executive role in leadership. J Nurs Adm 2002;32:531-7.

Yin H, He H, Arbon P, Zhu J, Tan J, Zhang L. Optimal qualifications, staffing and scope of practice for first responder nurses in disaster. J Clin Nurs 2012;21:264-71.

Considine J, Mitchell B. Chemical, biological and radiological incidents: preparedness and perceptions of emergency nurses. Disasters 2009;33:482-97.

Veenema TG, Walden B, Feinstein N, Williams JP. Factors affecting hospital-based nurses' willingness to respond to a radiation emergency. Disaster Med Public Health Prep 2008;2:224-9.

Stanley JM. Disaster competency development and integration in nursing education. Nurs Clin North Am 2005;40:453-67.

Weiner E. Preparing nurses internationally for emergency planning and response. Online J Issues Nurs 2006;11.

Errington G. Stress among disaster nurses and relief workers. Int Nurs Rev 1989;36:90-1.

Manley WG, Furbee PM, Coben JH, Smyth SK, Summers DE, Althouse RC, Kimble RL, Kocsis AT, Helmkamp JC. Realities of disaster preparedness in rural hospitals. Disaster Manag Response 2006;4:80-7.

Shih FJ, Liao YC, Chan SM, Duh BR, Gau ML. The impact of the 9-21 earthquake experiences of Taiwanese nurses as rescuers. Soc Sci Med 2002;55:659-72.

Veenema TG. Chemical and biological terrorism preparedness for staff development specialists. J Nurses Staff Dev 2003;19:218-27.

Schultz CH, Koenig KL, Whiteside M, Murray R. Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Ann Emerg Med 2012;59:196-208.

Ammartyothin S, Ashkenasi I, Schwartz D, Leiba A, Nakash G, Pelts R, Goldberg A, Bar-Dayan Y. Medical response of a physician and two nurses to the mass-casualty event resulting in the Phi Phi Islands from the tsunami. Prehosp Disaster Med 2006;21:212-4.

Katz AR, Nekorchuk DM, Holck PS, Hendrickson LA, Imrie AA, Effler PV. Hawaii physician and nurse bioterrorism preparedness survey. Prehosp Disaster Med 2006;21:404-13.

Mitchell CJ, Kernohan WG, Higginson R. Are emergency care nurses prepared for chemical, biological, radiological, nuclear or explosive incidents? International Emergency Nursing 2012;20:151-61.

Rebmann T, Mohr LB. Bioterrorism knowledge and educational participation of nurses in Missouri. J Contin Educ Nurs 2010;41:67-76.

Rokach A, Cohen R, Shapira N, Einav S, Mandibura A, Bar-Dayan Y. Preparedness for anthrax attack: the effect of knowledge on the willingness to treat patients. Disasters 2010;34:637-43.

O'Boyle C, Robertson C, Secor-Turner M. Nurses' beliefs about public health emergencies: fear of abandonment. Am J Infect Control 2006;34:351-7.

O'Sullivan TL, Amaratunga C, Phillips KP, Corneil W, O'Connor E, Lemyre L, Dow D. If schools are closed, who will watch our kids? Family caregiving and other sources of role conflict among nurses during large-scale outbreaks. Prehosp Disaster Med 2009;24:321-5.

Chaffee MW. Disaster care. Making the decision to report to work in a disaster: nurses may have conflicting obligations. Am J Nurs 2006;106:54-7.

Alexander DA. Burn victims after a major disaster: reactions of patients and their care-givers. Burns 1993;19:105-9.


DOI: 10.4119/UNIBI/SEEJPH-2016-133

Copyright (c) 2016 Thomas Grochtdreis, Nynke de Jong, Niels Harenberg, Stefan Görres, Peter Schröder-Bäck

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