Realities of Disaster Preparedness in Rural Hospitals

Manley, William G.; Furbee, Paul M.; Coben, Jeffery H.; Smyth, Sharon; Summers, Daniel E.; Althouse, R.; Kimble, Rodney L.; Kocsis, Aaron T.; Helmkamp, James C.

doi:10.1016/j.dmr.2006.05.001

Cited by 55 publications

(72 citation statements)

References 19 publications

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“…Since respondents may not be trained in all kinds of disaster incidents, they may feel unprepared when involved in a real disaster. [24] Similarly, Manley et al [17] found that the perception of safety influences participants' willingness to become involved in a disaster, as respondents indicated that they were willing to deal with any kind of medical and surgical case (e.g., a patient cardiac emergency or motor vehicle event), but not with victims of radiation events.…”

Section: Confidencementioning

confidence: 99%

“…Several studies agree that nurses are poorly prepared for disasters by their planning, education, training and responses. [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] Nurses must know the relevant disaster emergency plan to be familiar with and recognise their role when an event requires them to respond. [9,10,14,16,24] A clear disaster plan will inform nurses of their chain of command.…”

Section: Introductionmentioning

confidence: 99%

“…Manley et al [17] found that nurses felt more confident dealing with the victim of a cardiac emergency or motor vehicle accident than with victims affected by chemical weapons or a terrorist attack. Duong [14] indicated that the respondents in her study reported different levels of confidence regarding their preparedness for disasters and mass casualties.…”

Section: Introductionmentioning

confidence: 99%

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Emergency nurses’ preparedness for disaster in the Kingdom of Saudi Arabia

Alshehri

2016

JNEP

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Background and objective: The Kingdom of Saudi Arabia has recently faced many man-made and natural disasters. Since disaster victims are transferred to hospitals, nurses are among the first health care providers to respond to an emergency. Therefore, to improve disaster management it is essential to examine the current state of nurses' preparedness. The aim of the study was attempts to determine the disaster preparedness of emergency nurses in Saudi Arabia. Methods: The study data were collected using two survey tools from the research literature, and 72 participants were recruited from two government hospitals in Riyadh. The response rate was 31.7%. Results: The study revealed that most nurses understood their roles after reading the disaster plan. Although half of the respondents had completed training in the previous 12 months, only 60% answered the item related to confidence after training. There was a significant difference between the confidence of those who had participated in a disaster or mass casualties training program and that of those who had not. Only 26% answered the item related to confidence after being involved in a real disaster, and no significant difference was found between the confidence of those who had attended a real disaster or mass casualties event and that of those who had not. Conclusions: The study found that respondents had minimal and limited disaster experience, as reflected in their low levels of confidence after being involved in real disaster events. This highlights the need for continued efforts to expand disaster training and ensure that nurses are appropriately prepared.

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Section: Confidencementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Emergency nurses’ preparedness for disaster in the Kingdom of Saudi Arabia

Alshehri

2016

JNEP

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“…Multiple issues such as resourcing and adequate staffing, provision of care and patient safety, adequacy of shelter available, and transportation need to be considered prior to making a decision on whether to evacuate or shelter in place. This cannot be made without meticulous planning and expert decision making across local agencies prior to an event, and should be reflected within the organization's disaster plan (Hyer, Brown, Christensen, & Thomas, 2009;Laditka et al, 2008;Manley et al, 2006).…”

Section: Distributed Decision Making Is Fundamentalmentioning

confidence: 99%

“…Most studies focused on the effect on the facility, patients, and staff as a whole, and administrators were identified as their key respondents. Two identified specific interviews with DoNs (Christensen et al, 2012;Laditka et al, 2009) and two studies interviewed or included data from ED nurses (Battles, 2007;Manley et al, 2006). This made it difficult to clearly identify the unique roles, competencies, and demands of nurses involved in a disaster.…”

Section: Functional Capability and Adaptive Demands On Nurses Often Hmentioning

confidence: 99%

Exploring the Demands on Nurses Working in Health Care Facilities During a Large-Scale Natural Disaster

2016

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Creative Commons CC-BY: This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Article BackgroundNo country is truly exempt from a disaster. History has already provided examples of what can happen to a community in the event of a large-scale natural disaster. Factors such as population growth and urban development are increasing the risk faced by populations worldwide. Climate change will increase the incidence, duration, and severity of hazards of meteorological origin. The risk of disaster and thus the human consequences is increasing. When disaster strikes, health care organizations, and particularly their nursing and medical staff, are a critical element in any disaster response. They provide an essential service to any community, and hospitals and emergency departments (EDs) are often the first place of call for people affected by any type of emergency. The nursing workforce makes up a large part of any health care facility and organization, and is expected to be able to adapt and function competently. In addition, nurses may have to adapt at a moment's notice to events that occur with little or no warning, and they may be called upon to function effectively in challenging circumstances for periods of weeks or months and in contexts where their own community has been affected. The nature, extent, and speed of recovery in areas impacted by adverse events such as natural disasters is thus influenced by the adaptive capacity and resilience of nurses and the health care organizations they represent.The aim of the integrative review was to provide an evidence-based approach and re-conceptualization of ideas and recommendations for natural disaster preparation, preparedness, and competencies for nurses using an ecological 655587S GOXXX10.1177/2158244016655587SAGE OpenScrymgeour et al. AbstractNurses are pivotal to an effective societal response to a range of critical events, including disasters. This presents nurses with many significant and complex challenges that require them to function effectively under highly challenging and stressful circumstances and often for prolonged periods of time. The exponential growth in the number of disasters means that knowledge of disaster preparedness and how this knowledge can be implemented to facilitate the development of resilient and adaptive nurses and health care organizations represents an important adjunct to nurse education, policy development, and research considerations. Although this topic has and continues to attract attention in the literature, a lack of systematic understanding of the contingencies makes it difficult to clearly differentiate what is known and what gaps remain in this literature. Providing a sound footing for future research c...

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Rural Mass Casualty Preparedness and Response: The Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events

Viswanathan¹,

Bass²,

Wijetunge³

et al. 2012

Disaster med. public health prep.

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ABSTRACTThe Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events hosted a workshop at the request of the Federal Interagency Committee on Emergency Medical Services (FICEMS) that brought together a range of stakeholders to broadly identify and confront gaps in rural infrastructure that challenge mass casualty incident (MCI) response and potential mechanisms to fill them. This report summarizes the presentations and discussions around 6 major issues specific to rural MCI preparedness and response: (1) improving rural response to MCI through improving daily capacity and capability, (2) leveraging current and emerging technology to overcome infrastructure deficits, (3) sustaining and strengthening relationships, (4) developing and sharing best practices across jurisdictions and sectors, (5) establishing metrics research and development, and (6) fostering the need for federal leadership to expand and integrate EMS into a broader rural response framework.(Disaster Med Public Health Preparedness. 2012;6:297–302)

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Realities of Disaster Preparedness in Rural Hospitals

Cited by 55 publications

References 19 publications

Emergency nurses’ preparedness for disaster in the Kingdom of Saudi Arabia

Emergency nurses’ preparedness for disaster in the Kingdom of Saudi Arabia

Exploring the Demands on Nurses Working in Health Care Facilities During a Large-Scale Natural Disaster

Rural Mass Casualty Preparedness and Response: The Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events

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