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

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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

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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

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

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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.