Ethical and legal challenges associated with disaster nursing

Aliakbari, Fatemeh; Hammad, Karen; Bahrami, Masoud; Aein, Fereshteh

doi:10.1177/0969733014534877

Cited by 47 publications

(70 citation statements)

References 10 publications

(10 reference statements)

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“…Previous studies have shown that during sudden natural disasters and infectious diseases, nurses risk their health to actively participate in the ght against the epidemic and provide assistance due to their moral and professional responsibility (35). They also could not refuse the hospital's request because they were aware of the shortage of staff and felt a serious responsibility as a nurse (21).…”

Section: Discussionmentioning

confidence: 99%

Lived Experiences of Iranian ICU Nurses In The Care of Patients With Covid-19: A Phenomenological Study

Shahmari¹,

Nasrabadi²,

Ghobadi³

2020

Preprint

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Background: Covid-19 pandemic with its sudden and widespread global outbreak has stunned health care systems. Nurses are at the forefront of fight against this pandemic, and Intensive care unit (ICU) nurses are more at risk of infection as they have a greater interaction with infected patients. Therefore, the present study was conducted to explore the lived experiences of Iranian ICU nurses in the care of patients with covid-19.Methods: This is an interpretive phenomenological study in which, 15 ICU nurses were purposefully selected. Semi-structured in-depth interviews were used to collect data. The transcripts of the interviews were recorded and then analyzed by Diekelmann (1989) method with hermeneutic approach.Results: Ten of the samples were female and five were male. The mean age of participants was 32 years and their average work experience in the intensive care unit was 6 years. Three main themes were obtained from data analysis, including beyond usual care, the emergence of a new image of nursing and the Realization of professional challenges. Conclusion: Working in difficult and unknown conditions with many challenges caused mental and physical depreciation of nurses in the intensive care unit. However, the nurses showed a spirit of self-sacrifice and did not give up their relentless efforts to fight this unknown enemy, and fulfilled their professional responsibilities to provide the best care to patients. By doing so, the nurses showed a new image of nursing to the society. Therefore, full support should be provided to healthcare workers, especially nurses by the authorities in order to prepare them to respond to unwanted crises.

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Section: Discussionmentioning

confidence: 99%

Lived Experiences of Iranian ICU Nurses In The Care of Patients With Covid-19: A Phenomenological Study

Shahmari¹,

Nasrabadi²,

Ghobadi³

2020

Preprint

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“…All nurses affirmed the importance of commitment and responsibility in their profession. They believed that disaster puts nurses in place beyond the normal scope of their activities [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…While Iran experiences significant disasters annually[ 14 , 15 ], there are limited studies in the field of disaster nursing that explore their problems[ 16 – 18 ]. Uncovering nurses’ experiences regarding disaster relief is important to inform future relief efforts and the development of programs to enable nurses participate with some confidence in future events[ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Nurse in limbo: A qualitative study of nursing in disasters in Iranian context

et al. 2017

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BackgroundAn understanding of nurses’ experiences in disasters can help to identify their problems in this area. These can be overcome with better planning and preparation. The aim of this study was to explore the experiences and perceptions of disaster nurses regarding their provision of disaster health care services.MethodsThis was a qualitative study using an inductive qualitative content analysis. Participants included 15 Iranian nurses who had experiences of health care delivery in disasters. A purposeful sampling was applied until data saturation was reached. Data were collected using semi-structured interviews and then analyzed based on the principle of inductive content analysis.ResultsFive main categories emerged from the experiences and perceptions of nurses who were involved in providing health care services in disasters: afraid of probability of recurrence, necessity of providing healthcare services for an unknown period of time, challenge of what to prioritize, nurses’ own conflicting emotions, and their concern for their own families.DiscussionThere are several factors affecting the delivery of healthcare in disasters. Nurses, who feel better prepared and have some understanding of the ethical implications of working under different standards of care, may be more comfortable with care giving in disasters. Appropriately, training and preparing nurses for disasters is important for optimizing the safe functioning and minimizing emotional and psychological damage.

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“…[10] In addition, the knowledge related to earthquake disasters from the literature review [5][6][7][19][20][21] was added in the framework. Based on the ICN disaster nursing competencies framework, knowledge on the response and recovery phases is the most important for nurses in the hospital setting.…”

Section: Literature Reviewmentioning

confidence: 99%

Disaster nursing knowledge in earthquake response and relief among Nepalese nurses working in government and non-government sector

Basnet

Songwathana

Sae-Sia

2016

JNEP

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Background: Recently, the disasters in Nepal as elsewhere has caused a large number of deaths, injury and left hundreds of thousands of people homeless. It has also alerted all nurses to be prepared with adequate knowledge in order to respond to a disaster event effectively. This descriptive study aimed to describe and compare the level of knowledge in an earthquake disaster among Nepalese nurses working in government and non-government hospitals. Methods: Three hundred working registered nurses (RNs) were randomly selected from fourteen government and four nongovernmental hospitals located in different parts of Nepal. Nurses' knowledge in earthquake disaster was obtained through self-reported questionnaires. Descriptive and inferential statistics were used for data analysis. Results: The majority of the RNs worked in government hospitals (63.2%), more than half (59%) of the respondents had diploma level of education with the majority (66.3%) of them working in a hospital for less than six years. Two thirds (78%) had never attended disaster training drills and nearly half (47.7%) of the RNs determined that they themselves were not ready to face a future disaster. The knowledge of the RNs regarding earthquake disaster was at a moderate level (70.07 ± 10.01). The lowest score of nurses' knowledge was related to assessment and triage in earthquake disaster response. Nurses working in governmental hospitals have a higher mean score of knowledge than those working in non-governmental hospitals (P < .05). Conclusion: A disaster nursing training course should be provided for nurses particularly in non-governmental hospitals who had never received disaster training which will improve their knowledge in order to respond to future disasters.

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Ethical and legal challenges associated with disaster nursing

Abstract: In highlighting these issues, this article may provide a useful starting point for the development of an educational framework for preparing nurses and other health professionals to work in the disaster setting.

Cited by 47 publications

References 10 publications

Lived Experiences of Iranian ICU Nurses In The Care of Patients With Covid-19: A Phenomenological Study

Lived Experiences of Iranian ICU Nurses In The Care of Patients With Covid-19: A Phenomenological Study

Nurse in limbo: A qualitative study of nursing in disasters in Iranian context

Disaster nursing knowledge in earthquake response and relief among Nepalese nurses working in government and non-government sector

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