著者
Alison HUTTON Lisa CONLON Mayumi KAKO Rhonda L. WILSON Karen HAMMAD Sarah OLSON David STEWART Jamie RANSE
出版者
Disaster Nursing Group
雑誌
Health Emergency and Disaster Nursing (ISSN:21882053)
巻号頁・発行日
vol.10, no.1, pp.5-17, 2023-03-31 (Released:2023-03-31)
参考文献数
44

Background and Aim: Disasters occur daily around the world. As the largest body of health professionals, nurses are looked upon during a disaster for leadership, clinical assistance, and support. Nurses are at the forefront of managing disasters in their communities, yet their complex role as advanced nurse practitioners, clinicians, managers, and leaders is not always fully understood. The aim of this paper is to explore what advanced nursing practice (ANP) takes place during a disaster.Methods: This scoping review was guided by the framework proposed by Arksey and O’Malley. The review searched five relevant databases. A scoping review design was chosen as the authors expected that evidence in the field would be produced using a wide variety of methodologies.Results: Nurses work long hours during a disaster, with hospitals and nurses becoming the centre of events and the ‘go to’ place during a disaster. During disasters, nurses often have little sleep and frequently put others’ needs before their own. The nurses in these studies worked while they were worried for themselves and their families. Nurses reported feeling capable and reported that all their experience and skills came to the fore during these challenging situations.Conclusions: During disasters, nurses were flexible and adaptable, with many taking on different roles. Nurses are quick to find solutions; problem solving is key and responding to disasters is ‘just what you do’. Nurses demonstrated fundamental expertise and they had the agility to pivot when the occasion demands. It is evident that nurses work beyond conventional limits during a disaster.
著者
Hsuan-Wen FAN
出版者
Disaster Nursing Group
雑誌
Health Emergency and Disaster Nursing (ISSN:21882053)
巻号頁・発行日
pp.2017-0012, (Released:2018-02-08)
参考文献数
18
被引用文献数
1 1

Aim: This paper examines the Chi-Chi earthquake that struck central Taiwan (Republic of China) on September 21, 1999.Methods: Framed within a geopolitical examination, historical methodology utilized primary sources of relief agency reports, US Agency for International Development Fact Sheets, news analyses, and nurses’ voices.Results: Although the international community and government provided for physical needs, many of the earthquake survivors relied on the compassion and innovation of local hospital nurses, fellow citizens, and religious communities. For the nurses, the authority that being nurses gave them, their innovation, and self-reliance propelled them into duty.Conclusion: Although Taiwan received an outpouring of international aid, the disaster proved grim. The rugged geography and geopolitical strains complicated the effectiveness of international aid as it arrived hours after the earthquake. The “921” earthquake has significantly affected Taiwan’s national psyche.
著者
Gwyneth MILBRATH Audrey SNYDER Marcus MARTIN
出版者
Disaster Nursing Global Leader Degree Program
雑誌
Health Emergency and Disaster Nursing (ISSN:21882053)
巻号頁・発行日
pp.2018-0008, (Released:2019-10-31)
参考文献数
12

Aim: Disaster preparedness education is one approach to improving the preparedness of the health and public sector work force. The purpose of this report is to describe one approach to improving disaster preparedness for nurses and other health professionals through the unique opportunities available through academic study abroad. This report will describe the process of developing, approving, and implementing a disaster preparedness course in Saint Kitts and Nevis as a model for other programs.Methods: This case report was written based on the experiences of the authors who have together developed and implemented an interdisciplinary study abroad program in disaster preparedness and global health at three different institutions. Common strategies and barriers are described to model and encourage others to produce similar programs in other locations.Results: The major steps involved in creating a disaster preparedness study abroad program are selecting an international partner, developing course curriculum, writing a course program proposal, recruiting students, and maintaining international partnerships. As an example, the program in Saint Kitts and Nevis is described and incorporates learning strategies, including guest lectures, applied activities, service learning, cultural experiences, and simulation activities.Conclusion: This case report provides an example of how to propose, develop, and implement a study abroad course in disaster preparedness. As disaster preparedness, response, and management is a multidisciplinary field, early exposure to diverse training and knowledge in a new environment can prepare nurses and professionals from other disciplines to contribute to a culture of disaster preparedness both in their chosen communities and across the globe.
著者
Karen E. JOHNSON Li-Chen LIN Shalonda Estelle Brazzell HORTON Ana TODD Nancy GUILLET Stephanie MORGAN
出版者
Disaster Nursing Group
雑誌
Health Emergency and Disaster Nursing (ISSN:21882053)
巻号頁・発行日
vol.9, no.1, pp.23-30, 2022-03-25 (Released:2022-03-25)
参考文献数
37
被引用文献数
2

Aim: This paper examines nurse-led interdisciplinary efforts to address COVID-19 vaccine inequities in Texas, United States (US) through the founding of a two-pronged community-based vaccination program, VAMOS-VaxNOW.Methods: Using state/federal reports and guidelines, local/national news sources, and volunteers’ voices, we frame our efforts within the sociopolitical and historical contexts that contributed to the need for VAMOS-VaxNOW.Results: Like most states, Texas distributed most of its vaccine supply to mass hubs that could efficiently serve large amounts of people. Nursing faculty at The University of Texas at Austin quickly recognized the need to expend effort into mobile clinics to reach populations who were likely to face barriers to accessing mass hubs (e.g., language barriers, transportation/mobility limitations, institutional mistrust). Leveraging long-standing relationships with community partners, we launched our first mobile vaccine clinic (VAMOS) with a historically Black church in March, 2021. From there we partnered with other community organizations serving populations experiencing vaccine inequities (e.g., Spanish-speaking churches, apartment complexes) to host mobile clinics. We also began a home visit program (VaxNow) for those facing mobility challenges or other barriers to accessing mass hubs. Our “hub-and-spoke” model was the first of its kind in our community and served as a model for others launching similar efforts.Conclusions: VAMOS-VaxNOW highlights the importance of nurse-led, interdisciplinary disaster response. Early mobilization planning guided by a deep understanding of how present-day and historical inequities shape disaster outcomes, thoughtful leaders collaborating with community partners, compassionate volunteers, and building trust were key factors in leading the successful operation.
著者
Yudi Ariesta CHANDRA Yuko KAWAMURA Sushila PAUDEL Megumi NISHIGAWA
出版者
Disaster Nursing Global Leader Degree Program
雑誌
Health Emergency and Disaster Nursing (ISSN:21882053)
巻号頁・発行日
vol.7, no.1, pp.9-16, 2020-04-15 (Released:2020-04-15)
参考文献数
29
被引用文献数
5

Aim: To strengthen disaster risk-reduction capacities of a community, a combination of self-help, mutual assistance and government aid is crucial. Government aid is limited for the large-scale disaster due to many reasons, and not all people can protect their own lives themselves. Thus, mutual assistance could enhance their capacities in response to a disaster. This paper aimed to explore mutual assistance activities during disasters at communities in Japan, Indonesia and Nepal, in order to understand its value in nursing for disaster risk reduction. This study was needed to get the database for further research focusing on nursing contribution to disaster risk reduction.Methods: Case analysis was conducted based on authors’ experiences, government documents, news articles, and personal communications with affected community peoples who experienced disasters in Soma, Japan; Jakarta, Indonesia; and Bhaktapur, Nepal.Results: Mutual assistance was performed in the community in each of the three countries despite differences in regional, socio-cultural, economic, and types of disaster. Until the arrival of government aid, community people helped each other to evacuate, provide first aid, distribute food, maintain sanitation in shelters, and so on. Nurses provided routine care before the disaster and during the response activities following the disaster.Conclusion: Mutual assistance helps the community people to minimize the disaster effects before the disaster, and to recover better in the post-disaster period. Nurses should expand their roles in improving mutual assistance in the community for disaster risk reduction. This study suggests the needs of study in identifying nursing activities for strengthening mutual assistance.
著者
Hisao NAKAI Tomoya ITATANI Yoshie NISHIOKA Erina HAMADA
出版者
Disaster Nursing Global Leader Degree Program
雑誌
Health Emergency and Disaster Nursing (ISSN:21882053)
巻号頁・発行日
pp.2019-0011, (Released:2020-08-05)
参考文献数
27

Aim: A major earthquake is expected in Japan. Previous reports suggest that persons with mental health issues may not evacuate during earthquakes, owing to anxieties about living in evacuation centers. This study aimed to examine the disaster evacuation intentions and related factors of Support Office for Continuous Employment (SOCE)-registered persons with mental health problems living in areas at risk of earthquake damage.Methods: With the cooperation of the SOCE, this study recruited 52 persons with mental health problems. The K-DiPS® Checklist was used to collect demographic and disaster-related information, and assessed preparedness for disaster, evacuation intention, problems with daily living owing to mental health problems and attention difficulties, necessity of support in case of emergency, and crisis management in an emergency. Logistic regression was used to examine the relationship between intention to evacuate and predictor variables including age, main disorder, and ability to imagine disease condition worsening.Results: A total of 31 (59.6%) participants were aware of the area’s disaster-related characteristics and vulnerability; 24 (46.2%) participants stated that they would want to evacuate if evacuation recommendations were issued. Those who knew about disaster-related characteristics and vulnerability expressed a wish to evacuate if they had evacuation assistance in the event of an evacuation recommendation issuance (OR = 7.71, 95% confidence intervals [1.76–33.76]).Conclusions: It may be possible to increase evacuation compliance in individuals unwilling to evacuate by offering information about the disaster-related characteristics and vulnerability of residential areas. Persons with mental health problems should receive more evacuation support.
著者
Tara HEAGELE Dula PACQUIAO
出版者
Disaster Nursing Global Leader Degree Program
雑誌
Health Emergency and Disaster Nursing (ISSN:21882053)
巻号頁・発行日
pp.2016-0009, (Released:2018-10-18)
参考文献数
81
被引用文献数
1 12

Aim: To synthesize relevant literature specific to disaster vulnerability of elderly and medically frail individuals in the USA and investigate the role of the public health nurse in mitigating the problem.Methods: Focused review of the literature, including peer-reviewed research, journal articles, news articles, education materials and reports from governmental and senior advocacy groups.Results: Disaster vulnerability of the elderly and the medically frail is related to sociodemographic factors such as advanced age, low socioeconomic status, female gender, low education and language barriers. The presence of chronic illnesses, deficits in mobility, cognitive, and sensory capacity, reliance on others and devices, lack of social support, and previous experience with disaster also contribute to their vulnerability.Conclusions: The elderly and the medically frail are highly vulnerable to the negative consequences of disaster. Implications for public health nursing practice before, during and after disaster, as well as nursing research, are highlighted.
著者
Tara HEAGELE Dula PACQUIAO
出版者
Disaster Nursing Global Leader Degree Program
雑誌
Health Emergency and Disaster Nursing (ISSN:21882053)
巻号頁・発行日
vol.6, no.1, pp.50-61, 2019-03-31 (Released:2019-03-31)
参考文献数
81
被引用文献数
1 12

Aim: To synthesize relevant literature specific to disaster vulnerability of elderly and medically frail individuals in the USA and investigate the role of the public health nurse in mitigating the problem.Methods: Focused review of the literature, including peer-reviewed research, journal articles, news articles, education materials and reports from governmental and senior advocacy groups.Results: Disaster vulnerability of the elderly and the medically frail is related to sociodemographic factors such as advanced age, low socioeconomic status, female gender, low education and language barriers. The presence of chronic illnesses, deficits in mobility, cognitive, and sensory capacity, reliance on others and devices, lack of social support, and previous experience with disaster also contribute to their vulnerability.Conclusions: The elderly and the medically frail are highly vulnerable to the negative consequences of disaster. Implications for public health nursing practice before, during and after disaster, as well as nursing research, are highlighted.
著者
Janet HARGREAVES Berenice GOLDING
出版者
Disaster Nursing Global Leader Degree Program
雑誌
Health Emergency and Disaster Nursing (ISSN:21882053)
巻号頁・発行日
vol.4, no.1, pp.49-56, 2017 (Released:2017-07-14)
参考文献数
28
被引用文献数
2 3

Aim: This original oral history research explores the motivation for, and experience of, humanitarian nursing. It demonstrates nursing’s role in relief work, offering a unique record of such remarkable nursing contributions in the late 20th and early 21st century. The formation of modern nursing is often associated with times of conflict, such as the Crimea and other wars, where nurses offered their services. This research adds understanding to the continuing attraction of such work and its place in nursing history and practice.Methods: Following ethical approval, oral histories were recorded with seven nurses who worked for Médecins Sans Frontières during this period. Analysis used the Listening Guide, a feminist approach employing four related readings of the data.Results: The histories of these nurses locate their extraordinary experiences within their life and identity as nurses; escapism and moral outrage, combined with a love of travel and thirst for adventure, influenced their decision to undertake humanitarian work. Once on a mission, their narrative captures the contrast between the ordinary and the extraordinary; familiar routine experiences side by side with mortal danger. Returning to normal life required resilience and a reappraisal of their life story in order to locate their experiences, finding meaning and peace in their post-mission world. An overarching theme of ‘dreams’ includes romance, nightmares and impossible dreams.Conclusion: At a time of debate and challenge regarding the role and identity of nursing within society, this research records and analyses the oral histories of nurses working with Médecins Sans Frontières at this time.