Article ID: 2024-0006
Aim: This study explores the beliefs underlying disaster nursing activities provided by public health nurses (PHNs) dispatched from outside Fukushima to provide long-term support to municipalities affected by the Fukushima–Daiichi nuclear power plant accident.
Methods: A qualitative descriptive research design was used. Semi-structured interviews were conducted with five PHNs who provided approximately two years of support to the affected municipalities. The interview transcripts were analyzed using qualitative methods. Repeated readings of the narratives identified frequently appearing phenomena, which were categorized at progressively higher levels of abstraction. Subcategories of similar phenomena were grouped and assigned category names.
Results: Five key categories of beliefs emerged regarding supporting PHNs’ disaster support activities: (1) advising disaster-affected PHNs on improving the quality of support for affected residents; (2) facilitating health activities led by disaster-affected residents; (3) reflecting on the advantages and challenges of long-term disaster support; (4) drawing strength from community support to sustain their activities; and (5) upholding a professional philosophy to guide their disaster support efforts.
Conclusions: Amid ongoing evacuations, the supporting PHNs prioritized direct support for disaster victim PHNs, while considering the needs of affected residents. The supporting PHNs remained committed to helping disaster victim PHNs progress in their roles, adapting their methods and content as necessary. Guided by professional pride, the supporting PHNs demonstrated a strong belief in the value of providing long-term disaster support.