Disaster nursing in Iran: Challenges and opportunities

Zarea, Kourosh; Beiranvand, Samira; Sheini-Jaberi, Parisa; Nasrabadi, Alireza Nikbakht

doi:10.1016/j.aenj.2014.05.006

Cited by 40 publications

(33 citation statements)

References 20 publications

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“…The nurses are not suitably prepared with regard to patients' discharge, operating the required equipment outside the hospitals, using disinfection and personal protection equipment, wearing protective covers, and relevant care in biological and chemical attacks, utilizing communication tools, and even identifying secure places in the geographical region of their duty. This issue could affect the nursing care planning, coordinating care team, and finally delivering fast and on time services [23].…”

Section: Discussionmentioning

confidence: 99%

Nurses' Preparedness for Disaster in South Khorasan Province, Ian

Tabiee

Nakhaei

2017

HDQ

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Background: Nurses, as the largest group in providing relief during disasters with their specialized skills, should be sufficiently prepared to provide the highest level of health care. By compiling predisaster preparedness programs, the provided healthcare would be promoted and number of casualties and incoordination in allocated tasks be reduced. This study was conducted to evaluate nurses' preparedness in response to disasters in South Khorasan Province, Iran. Materials and Methods:In this correlational descriptive study, working nurses in provincial hospitals were chosen by systematic random sampling. The study data were collected with a 3-part questionnaire: demographic information, items assessing the capabilities in disaster (clinical competency, survival skills, operational competency), and items regarding their viewpoints (personal and psychological readiness, team integration, and administrative support). The questionnaire was rated on a 5-point Likert-type scale. Total score in each field is divided by the number of questions, in which 5 is the highest, and 1 the lowest. All data were analyzed by SPSS16. The significant level was set at P ≤ 0.05. Results:Out of 304 hospital nurses working in 10 health centers throughout the province, 71.1% were female, 27.21% had 3-5 years of job experience, 96.4% had BS in nursing, and 57.9% were the staff of educational hospitals. The mean (SD) score for nurses' preparedness (competency and attitude) was 3.4(0.64). The mean (SD) score for nurses' competency was 3.25 (0.72), and average score for nurses' attitude was 3.53(0.5). There was a significant correlation between nurses' competency score and their gender and work experience (P ≤ 0.05). Conclusion:Regarding the nurses' preparedness score, it is recommended that they be provided with training courses on disaster preparedness through workshops and or training exercises.

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Section: Discussionmentioning

confidence: 99%

Nurses' Preparedness for Disaster in South Khorasan Province, Ian

Tabiee

Nakhaei

2017

HDQ

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“…Artikel jurnal yang dijelaskan oleh Wiler et al ( 2012) dalam penelitiannya menjelaskan juga bagaimana rasio perawat dengan pasien setiap shift menjadi hal yang dapat mempengaruhi lama waktu pelayanan dan beban kerja perawat juga meningkat. Hasil ini sesuai dengan artikel jurnal yang dipublikasikan oleh Zarea (2014) di iran menyebutkan bahwa 78,2% perawat tidak puas dengan kinerja diakibatkan jumlah beban kerja yang meningkat, keamanan dan salary.…”

Section: Pembahasanunclassified

ANALYSIS OF FACTORS ASSOCIATED WITH BOARDING TIME IN YELLOW ZONE OF EMERGENCY DEPARTMENT AT dr.ISKAK TULUNGAGUNG HOSPITAL

Deviantony¹,

Ahsan

Setyoadi

2017

NLJ

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ABSTRAKKunjungan pasien di instalasi gawat darurat (IGD) terus bertambah tiap tahunnya. Peningkatan jumlah kunjungan rumah sakit berbanding lurus dengan peningkatan jumlah pasien yang masuk ke ruang kegawatdaruratan. Jumlah pasien yang meningkat mengakibatkan adanya penumpukan pasien di IGD terutama di zona kuning dan menyebabkan waktu tunggu setelah keputusan rawat inap diputuskan semakin lama. Tujuan penelitian adalah melakukan analisis permasalahan terkait variabel yang memiliki keterikatan dengan waktu tunggu pasien setelah keputusan rawat inap diputuskan di zona kuning instalasi gawat darurat RSUD dr. Iskak Tulungagung. Metode penelitian adalah observasional analitik dengan pendekatan cross sectional. Jumlah sampel 78 responden. Teknik sampling menggunakan non probability sampling. Uji Pearson dan uji Spearman untuk mengetahui hubungan antar variabel dan uji multivariat regresi linier untuk mengetahui faktor yang paling dominan dalam memengaruhi waktu tunggu pasien setelah keputusan rawat inap dibuat. Hasil uji bivariat menunjukkan ada hubungan waktu tunggu pasien setelah keputusan rawat inap dengan waktu persiapan ruangan (p=0,000), hasil uji lab (p=0,000), waktu diagnostik (p=0,000), dan perbandingan perawat dengan pasien (p=0,000). Waktu tunggu pasien tidak ada hubungan dengan waktu kedatangan (p=0,263) dan kepemilikan asuransi (p=0,980). Analisis multivariat dengan regresi linier diperoleh nilai konstanta 681,212, nilai perbandingan perawat dengan pasien (p=0,000; B=-861,011), nilai waktu pemindahan pasien (p=0,000; B=0,620) dan waktu diagnostik (p=0,022; B=2,636) Implikasi penelitian adalah didapatkan konstanta berhubungan dengan boarding time yang mampu memperpendek waktu tunggu pasien setelah keputusan rawat inap dibuat. Saran yang diberikan adalah adanya waktu standar yang bisa dicapai untuk mengurangi waktu boarding pasien. ABSTRACT Patient's visits in the emergency room (ER) increase in number in

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“…As data from the emergency events database (EM-DAT) of the centre for research on the epidemiology of disasters show, the global disaster rate is increasing (2). As EM-DAT illustrates, during the period of 1970 to 2008, developing countries had more than 95% deaths related to natural disasters.…”

Section: Introductionmentioning

confidence: 99%

“…As EM-DAT illustrates, during the period of 1970 to 2008, developing countries had more than 95% deaths related to natural disasters. In addition, it can be concluded the disaster occurrence became more frequent, severe and destructive in the recent years, especially in developing countries (2,3). When a disaster occurs it causes serious damage in health care services and leads to emergency health care needs.…”

Section: Introductionmentioning

confidence: 99%

“…When a disaster occurs it causes serious damage in health care services and leads to emergency health care needs. In case of Iran, as a one of the countries categorized as a developing country, the climate, geography, and geology make it one of the world's top ten disaster-prone countries in terms of the frequency of unexpected events (2). Approximately, more than 31 types of natural disasters have been recorded in the history of this country.…”

Section: Introductionmentioning

confidence: 99%

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Field Hospital in Disasters: A Systematic Review

et al. 2018

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Background: Field hospitals (FH) can be mobile or fixed. The main goal of FHs foundation is providing health care and save injuries caused by disasters or providing emergency medical operations. However, preparing a safe and fast-erupting structure and facility is very important. Objectives: In this systematic review study, field hospitals structure and facilities erupted during disasters were reviewed. Methods: In the present study, a systematic review was performed following the PRISMA guideline. To identify the articles, MEDLINE, web of science, Google scholar, PubMed, Persian journals and databases were searched to find related papers. Results: After full text screening as the final screening step, in total 20 papers were entered in the study. Findings showed that structures use for establishing an FH are usually tents, using vehicles (trucks and buses), pre-fabricated steel, and concrete structures. The FHs were used for war and earthquake disasters. Conex, tent, steel, and concrete structure are the most used structures for FH in wars, while tents are the most common structure used for natural disasters. Conclusions:The present study reviewed available reports on FH to collect useful data that should be focused on establishment of an FH suitable for a disaster. Furthermore, this study provided a list of the most important indexes that must be considered in proposing a type of FH. Tent structure was the most common structure for the establishment of FHs.

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Disaster nursing in Iran: Challenges and opportunities

Cited by 40 publications

References 20 publications

Nurses' Preparedness for Disaster in South Khorasan Province, Ian

Nurses' Preparedness for Disaster in South Khorasan Province, Ian

ANALYSIS OF FACTORS ASSOCIATED WITH BOARDING TIME IN YELLOW ZONE OF EMERGENCY DEPARTMENT AT dr.ISKAK TULUNGAGUNG HOSPITAL

Field Hospital in Disasters: A Systematic Review

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