Health Emergency and Disaster Nursing
Online ISSN : 2188-2061
Print ISSN : 2188-2053
ISSN-L : 2188-2061
最新号
選択された号の論文の7件中1~7を表示しています
REVIEW ARTICLE
  • Yukari KAMOCHI, Yoko IMAZU, Yoshiko SASAKI
    2024 年 11 巻 1 号 p. 1-14
    発行日: 2024/03/22
    公開日: 2024/03/22
    [早期公開] 公開日: 2024/01/30
    ジャーナル オープンアクセス

    Aim: This study organized existing findings to determine the factors and effects of disaster-related stress among local government employees in affected areas.

    Methods: A scoping review was conducted to systematically search five databases for published papers that included “disaster” and “local government employee” in either their title or abstract. As the targeted literature did not necessarily use the word “stress,” it was not used as a search word and instead extracted articles that dealt with stress were screened for. Qualitative content analysis was subsequently used to organize the descriptions.

    Results: In total, 31 papers were analyzed. From these, seven categories of disaster-related stress factors were identified: (1) responsibilities as public servants take precedence over private needs; (2) drastic increase in personal workload due to a disaster; (3) difficulties in responding to diverse tasks unlike during peacetime; (4) inadequate communication during disaster response; (5) difficulties in ensuring adequate sleep and rest due to disaster response; (6) damage to self, family and acquaintances; and (7) burden reduction due to support from surroundings. In addition, five categories of the effects were also identified: (1) worsened health indicators; (2) development of new physical health problems or worsening of chronic diseases; (3) worsened lifestyle; (4) development of mental and psychological health problems; and (5) development of social problems.

    Conclusions: Employees were affected both physically and mentally by the dual stressors of being disaster supporters and victims, and differences in their characteristics as public servants and the type of job held. Strengthening support, including individual health and organizational systems, which captures the characteristics of different occupations, is necessary.

ORIGINAL ARTICLE
  • Kanae TANAKA
    2024 年 11 巻 1 号 p. 15-25
    発行日: 2024/03/22
    公開日: 2024/03/22
    [早期公開] 公開日: 2023/12/29
    ジャーナル オープンアクセス
    電子付録

    Purpose: To identify the conditions related to storytelling of earthquake experiences elicited from child survivors of the Great Hanshin-Awaji Earthquake (GHAE) and contribute to the development of nursing-led support services for children and their mental health.

    Methods: An on-line questionnaire survey was conducted with people who experienced the GHAE in 1995 and were in their late primary school years. The survey items include whether they felt comfortable sharing their experiences with others, when, with whom, and why they felt comfortable, and the conditions that would make them feel comfortable at this experience of sharing. A chi-square test was performed to examine the relationship between the experiences in the storytelling and demographics.

    Results: Of 462 respondents, 61.2% reported that on some occasions “I felt comfortable sharing my experiences with others.” Common responses about the time of the sharing were “within one year after the earthquake” (41.3%) and the persons they shared the experiences with were “people of the same generation who also experienced the same earthquake” (61.8%). Whether providing the storytelling of their earthquake experiences was statistically significantly related to gender (males 79.1% vs females 68.5%, p < 0.05) and the post-disaster experience (p < 0.001). Further, 43.5% respondents showed willingness to share their experience with “people in the same generation with similar experiences” in the future.

    Conclusions: Nurses are ideally positioned to create acute, mid- and long-term opportunities for people affected by the disaster in childhood to share their experience with peers with similar experiences, rather than with healthcare professionals.

  • Satoko WATANABE, Megumi FUJII, Hiroko MINAMI, Aiko YAMAMOTO
    2024 年 11 巻 1 号 p. 26-36
    発行日: 2024/03/22
    公開日: 2024/03/22
    [早期公開] 公開日: 2023/09/13
    ジャーナル オープンアクセス

    Aim: This research aimed to identify the recognitions of nurse leaders in relation to global agendas, the Sendai Framework for Disaster Risk Reduction and the Sustainable Development Goals, and to explore challenges in disaster nursing.

    Methods: This research was a qualitative design based on a content analysis of semi-structured interviews with 11 nursing leaders involved in disaster nursing education at universities and other institutions. Data collection was conducted from October 2018 to September 2019.

    Results: The following five categories of leaders’ recognitions relating to global agendas were identified: “Globally common challenges consistent with the goals of nursing,” “Potential of nursing contributions to the global agendas,” “A framework for rethinking responsibilities of nurses,” “Requirements of a framework applicable to nursing,” and “Characteristics of the global agendas.” Furthermore, the following six categories relating to the challenges in disaster nursing were identified: “Promoting understanding of the global agendas,” “Promoting nursing education and fostering talent,” “Expanding the roles of nurses and reconsidering their responsibilities,” “Strategic initiatives as a professional organization,” “Promoting preparedness for risk reduction,” and “Promoting national and international collaboration and coordination.”

    Conclusion: The following three priorities were identified for the nursing community: (1) the introduction of disaster nursing into all basic and continuing nursing education curricula worldwide and the development of its educational content; (2) addressing the rapidly increasing healthcare needs of the local population in the event of a disaster; and (3) promote interdisciplinary collaboration and cooperation to achieve these agendas.

  • Audrey SNYDER, Nancy HOFFART, Deborah LEKAN
    2024 年 11 巻 1 号 p. 37-43
    発行日: 2024/03/22
    公開日: 2024/03/22
    [早期公開] 公開日: 2023/07/26
    ジャーナル オープンアクセス

    Aim: Provide web-based education for nurses in the Republic of Moldova in response to the influx of Ukrainian refugees.

    Methods: The North Carolina – Moldova Nursing Collaborative delivered just-in-time education for Moldovan nurses who had to provide immediate response to the influx of refugees after Russia invaded Ukraine. Nurses with expertise in refugee and emergency care developed and delivered continuing education via webinars, with simultaneous translation into Romanian and Russian. The webinars were recorded and posted to a YouTube channel created for the project, with links for access disseminated to nurses throughout Moldova by the Nurses Association of the Republic of Moldova.

    Results: Ten webinars were developed and recorded between March 10 and May 18, 2022. To date, the Romanian and Russian versions of the webinars have been accessed for viewing over 842 times. Feedback from Moldovan nurse leaders indicated that the webinars provided education on topics that were relevant and novel for the nursing audience.

    Conclusions: International collaboration and internet technology enabled us to provide just-in-time education to Moldovan nurses faced with caring for an influx of Ukrainian refugees seeking safety.

  • Yoshiyasu ITO, Michihiro TSUBAKI, Yukihiro SAKAGUCHI
    2024 年 11 巻 1 号 p. 44-52
    発行日: 2024/03/22
    公開日: 2024/03/22
    [早期公開] 公開日: 2023/07/13
    ジャーナル オープンアクセス

    Aim: This study aimed to determine the perceptions of emergency nurses regarding the changes in the quality of death and distress associated with care due to the COVID-19 pandemic.

    Methods: We conducted a cross-sectional survey among the emergency nurses working in emergency departments in Japan. To recruit the participants, we sent a letter requesting participation to 1,048 nurses in the emergency departments (EDs) of 40 of the 290 hospitals nationwide. We evaluated the perceptions of the emergency nurses of the changes in the quality of death and distress during the COVID-19 pandemic.

    Results: A total of 284 nurses out of 1,047 participated in the study and completed the questionnaire. The most commonly perceived change in the quality of death during the pandemic was related to the absence of a loved one at the time of death. The emergency nurses strongly agreed that the patients did not receive the best possible care, patients could not maintain their dignity as individuals, and families of the patients regretted that they could not do more to save their relationship. The ED nurses perceived that their capacity to provide appropriate end-of-life care had changed considerably during the pandemic, about which the nurses felt distressed.

    Conclusions: The COVID-19 pandemic is an unprecedented situation facing emergency nurses. Health authorities must assist emergency nurses in providing their patients with the desired end-of-life care services. At the same time, consideration should be given to the mental health of the emergency nurses, and psychological support should be provided.

  • Tara HEAGELE, William Ellery SAMUELS, Melissa WHOLEBEN, Natasha NURSE- ...
    2024 年 11 巻 1 号 p. 53-65
    発行日: 2024/03/22
    公開日: 2024/03/22
    [早期公開] 公開日: 2023/07/13
    ジャーナル オープンアクセス

    Aim: This research evaluated the effect of a nurse-facilitated intervention on elderly or medically frail community members’ level of household emergency preparedness as measured in knowledge, actions taken, and supplies gathered. These community members had access and functional needs that must be accommodated during disasters to mitigate their increased risk of injury, illness, and death because of the disaster. With adequate preparedness, it is plausible these community members may survive the aftermath of a disaster without needing assistance from disaster responders.

    Methods: This was a non-randomized, single group, before-after feasibility study (N = 31) conducted in a one-on-one session with a nurse interventionist in an urban community setting in the United States of America. We used the Household Emergency Preparedness Instrument to measure intervention effectiveness and a Participant Experience Survey to evaluate participant satisfaction with the intervention. The intervention included an educational booklet that provided instruction to participants on how to create a disaster-related evacuation and communication plan and identify community resources. Upon completion of the booklet, participants received a complimentary disaster supply kit.

    Results: Mean general preparedness scores increased from 5.5 (SD = 4.1) pre-intervention to 20.2 (SD = 3.1) post-intervention (p < .001). Preparedness in all sub-scales also increased significantly (all ps < .001).

    Conclusions: Study findings provide support for the feasibility of the intervention to increase all measured aspects of emergency preparedness (knowledge, behaviors, and supplies) among elderly and medically frail adults with access and functional needs during disasters.

PRACTICAL REPORT
  • Kohei SEKIGUCHI, Kazuaki NAYA, Tomoko KOMURA, Misako KITAE
    2024 年 11 巻 1 号 p. 66-73
    発行日: 2024/03/22
    公開日: 2024/03/22
    [早期公開] 公開日: 2023/09/30
    ジャーナル オープンアクセス

    Aim: This study aimed to investigate the effects of public lectures on participants’ disaster prevention consciousness, healthcare behavior, and disaster prevention measures.

    Methods: This study surveyed 42 participants (Mage = 72.4, SD = 11.9) who attended a public lecture on disaster prevention regarding changes in disaster prevention consciousness, healthcare behavior, and disaster prevention measures post lecture using a self-administered, unscored questionnaire. The t-test, Wilcoxon test for disaster prevention consciousness, and the McNemar test for healthcare behavior and disaster prevention measures were conducted on the questionnaire results.

    Results: The participants’ disaster prevention consciousness score before the public lecture was 81.7 (SD = 10.2), which was high. There were no significant differences in “Disaster Prevention Consciousness,” “Healthcare Behavior,” and “Disaster Prevention Measures” factors before and after the lecture. However, of the five factors of disaster prevention consciousness, “Sense of Crisis for Current Situation” significantly increased (p = .03) after the lecture.

    Conclusions: Although disaster prevention consciousness did not increase before and after the public lecture education, it stimulated a “Sense of Crisis for Current Situation,” leading to the maintenance of disaster prevention consciousness. For the participants who had high disaster prevention consciousness, there was no change in their healthcare behavior and disaster prevention measures, suggesting the need to consider further educational methods.

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