Exploring the demands on nurses working in health care facilities during a large-scale natural disaster: often an invisible role within a highly visible event

Scrymgeour, Gillian C. and Smith, Lindsay and Paton, Douglas (2016) Exploring the demands on nurses working in health care facilities during a large-scale natural disaster: often an invisible role within a highly visible event. Sage Open, 6 (April-June). pp. 1-7.

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Abstract

Nurses 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 can be facilitated by first systematically reviewing the relevant literature. Focused themes were identified and analyzed using an ecological and interactive systems framework. Ten of the 12 retained studies included evacuation, revealing that evacuation is more likely to occur in an aged care facility than a hospital. The unpredictability of an event also highlighted organizational, functional, and competency issues in regard to the complexity of decision making and overall preparedness. The integrative review also identified that the unique roles, competencies, and demands on nurses working in hospitals and residential health care facilities during a natural disaster appear invisible within the highly visible event.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published version made available in accordance with Creative Commons Attribution License 4.0.
Faculty / Department / School: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery
Date Deposited: 05 Jul 2016 00:22
Last Modified: 24 Jan 2018 01:55
Uncontrolled Keywords: nursing; resilience; natural disaster; adaptive demands; ecological models; evacuation; health care facilities
Fields of Research : 17 Psychology and Cognitive Sciences > 1701 Psychology > 170112 Sensory Processes, Perception and Performance
15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150312 Organisational Planning and Management
11 Medical and Health Sciences > 1110 Nursing > 111099 Nursing not elsewhere classified
Identification Number or DOI: 10.1177/2158244016655587
URI: http://eprints.usq.edu.au/id/eprint/29424

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