Background and Aim: Disasters occur daily around the world. As the largest body of health professionals, nurses are looked upon during a disaster for leadership, clinical assistance, and support. Nurses are at the forefront of managing disasters in their communities, yet their complex role as advanced nurse practitioners, clinicians, managers, and leaders is not always fully understood. The aim of this paper is to explore what advanced nursing practice (ANP) takes place during a disaster.
Methods: This scoping review was guided by the framework proposed by Arksey and O’Malley. The review searched five relevant databases. A scoping review design was chosen as the authors expected that evidence in the field would be produced using a wide variety of methodologies.
Results: Nurses work long hours during a disaster, with hospitals and nurses becoming the centre of events and the ‘go to’ place during a disaster. During disasters, nurses often have little sleep and frequently put others’ needs before their own. The nurses in these studies worked while they were worried for themselves and their families. Nurses reported feeling capable and reported that all their experience and skills came to the fore during these challenging situations.
Conclusions: During disasters, nurses were flexible and adaptable, with many taking on different roles. Nurses are quick to find solutions; problem solving is key and responding to disasters is ‘just what you do’. Nurses demonstrated fundamental expertise and they had the agility to pivot when the occasion demands. It is evident that nurses work beyond conventional limits during a disaster.
Aim: This study aimed to clarify the type of support provided by dispatched public health nurses with experience in providing health activities, within 2 months after a large-scale earthquake in Japan.
Methods: Semi-structured interviews were conducted with 15 high-career prefectural public health nurses who had experience in providing health care within earthquake disaster areas. Data were analyzed using qualitative content analysis for support activities, as outlined by Maying (2014).
Results: The analysis included eight categories and 33 subcategories, which consisted of 306 codes. The following categories were found: (1) collection, organization, and reporting of information; (2) sharing of information and facilitating cooperation; (3) supporting leading public health nurses; (4) communicating measures used in past disasters; (5) responding to the situation and feelings of local public health nurses; (6) improvement of work systems to support long-term activities of local public health nurses; (7) improving the environment of shelters and preventing infection; and (8) supporting the mental and physical health of disaster victims.
Conclusions: Public health nurses in the managerial phase had sufficient experience in handling past disaster health activities. They provided both management support for the activities implemented by local public health nurses and direct support for the victims when they were dispatched to disaster-affected areas. Their efforts were mainly directed at creating an environment in which disaster-related health activities could be implemented appropriately and efficiently.
Aim: The self-care can be the most reliable way to rebuild community life and maintain health, and so that nurses can provide seamless nursing support for survivors. The aim of this study is to: (1) identify the issues related to health communication chronologically during the rebuilding of livelihoods; and also to (2) determine how logbooks can play a role in these situations.
Methods: Interview of users of ad-hoc self-care logbooks affected by the July 2018 torrential rain event in western Japan were conducted. Qualitative content chronological analysis was conducted by analyzing the issues from the perspective of self-care, primary health care, and community health, and the role of the logbook, categorized into subcategories and categories, as also analyzed.
Results: The study participants included seven women, and their average age at the time of the disaster was 70 (65–75) years. At the beginning of the disaster, people were occupied with coping with the events in front of them. Subsequently, the 2-month period following the disaster was a turning point that allowed people to have time to reflect on things. Sharing information about the issues faced was identified to be important. The role of the logbook for: <Helping reflect on the experience>, <Peace of my heart>, <Helpful in contacting people> and <Reminding us of seasonal events>, etc. was analyzed.
Conclusions: The study suggested that even in times of disaster when external support is challenging to obtain, self-care and connections with the local community cultivated during normal times are essential.
The expansion of nurse-led digital technology in acute and critical care hospital units holds promising potential for improving the quality and efficiency of patient care. Recognizing the need to adapt traditional models of care to accommodate a growing shortage of nurses and higher acuity patients, this article outlines three virtual nursing initiatives that provide real-time support to bedside caregivers and enhance patient safety. A new hybrid model of nursing care, which integrates virtual intensive care nursing, acute care telenursing, and remote telesitting services into clinical nursing workflow, maximizes the size and skill mix of both the remote and bedside nursing teams. Thoughtful stakeholder planning and a collaborative technology integration process has also enhanced sustainability efforts. In this way, new virtual nursing services complement and extend the impact of the primary clinical nursing team, offering tools and structural support that streamlines care delivery processes and eases workload burden without sacrificing the quality of patient care.