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Nurses working in healthcare facilities during natural disasters: a qualitative enquiry

Scrymgeour, GC ORCID: 0000-0003-3107-9295, Smith, L ORCID: 0000-0002-7797-2567, Maxwell, H ORCID: 0000-0003-0610-4698 and Paton, D 2020 , 'Nurses working in healthcare facilities during natural disasters: a qualitative enquiry' , International Nursing Review , pp. 1-9 , doi: 10.1111/inr.12614.

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Aim: To explore the ability of nurses to be adequately ready for and to respond to a disaster caused by a natural hazard.Background: During a disaster involving a healthcare facility, nurses are commonly the largest group of healthcare workers impacted.The range of problems facing nurses working in healthcare facilities in Australia and New Zealand at the time of disasters triggered byearthquakes and bushfires have been underexamined.Methods: A qualitative enquiry was used to explore matters facing nurses working in residential healthcare facilities during a naturaldisaster. Inductive thematic analysis was used to identify the key themes from fifteen in-depth interviews with nurses.Findings: Participants preserved a robust sense of professional duty, personal obligation and responsibility to their family, patients andthe facility, demonstrating the ability to adapt, cope and respond despite experiencing diverse personal, structural and organizationalbarriers.Discussion: Support was provided for using interactive systems and socio-ecological frameworks to better understand the contributionsthat individuals, teams and organizations make to facilitate the development and maintenance of adaptive capacity and resilience in anursing workforce. An ecological model of adaptive capacity can be operationalized to guide education, training for nurses and thedevelopment of organizational systems and strategies.Conclusion: This study identified factors that help and hinder a nursing workforce’s ability to prepared for, adapt to and learn fromnatural hazard disasters.Implications for Nursing Policy: This understanding of disaster preparedness and how this may be applied to enable the growth ofadaptive nurses provides an insight for a global audience which also adds to nurse education, service delivery, organizational and policydevelopment.

Item Type: Article
Authors/Creators:Scrymgeour, GC and Smith, L and Maxwell, H and Paton, D
Keywords: adaptive capacity, Australia, Disaster Resilience, Disaster Nursing, Disaster Preparedness, event characteristics, healthcare facilities, natural hazard disasters, New Zealand, nursing
Journal or Publication Title: International Nursing Review
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 0020-8132
DOI / ID Number: 10.1111/inr.12614
Copyright Information:

Copyright 2020 International Council of Nurses

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