Exploring staff willingness to attend work during a disaster: a study of nurses employed in four Australian emergency departments.

Much of the literature about emergency nurses willingness to work during disasters has been from a non-Australian perspective. Despite the many recent disasters, little is known of Australian nurse's willingness to participate in disaster response. This paper presents findings from a study that explored nurses willingness to attend work during a disaster and the factors that influenced this decision. Data were collected consecutively using a combination of focus group and interview methods. Participants in this study, registered nurses from emergency departments, were recruited through convenience sampling from four hospitals in Australia. Participant narrative was electronically recorded, transcribed and thematically analysed. The participants for both the focus groups and interviews compromised a mix of ages, genders and years of experience as emergency nurses from across four jurisdictions within Australia. Three major themes that influenced willingness emerged with a number of subthemes. Theme one reflected the uncertainty of the situation such as the type of disaster. The second theme surrounded the preparedness of the workplace, emergency nurse and colleagues, and the third theme considered personal and professional choice based on home and work circumstances and responsibilities. The decision to attend work or not during a disaster, includes a number of complex personal, work-related and professional factors that can change, depending on the type of disaster, preparedness of the work environment and the emergency nurses' personal responsibilities at that time.

Arbon P ，Cusack L ，Ranse J ，Shaban RZ ，Considine J ，Kako M ，Woodman RJ ，Mitchell B ，Bahnisch L ，Hammad K ... -  《-》

Australasian emergency nurses' willingness to attend work in a disaster: a survey.

The type of disaster, individual demographic factors, family factors and workplace factors, have been identified in the international, multidisciplinary literature as factors that influence a person's willingness to attend and assist in their workplace during a disaster. However, it is unknown if these factors are applicable to Australasian emergency nurses. The research aims to determine the extent to which Australasian emergency nurses are willing to attend their workplace in a disaster. This research was exploratory and descriptive study design, using online and paper based surveys as a means of data collection. Australasian emergency nurses from two Australasian emergency nursing colleges and four Australian hospitals were recruited to participate. Data analysis was conducted using both descriptive and inferential statistics. In total, 451 Australasian emergency nurses participated in this research. Participants were more willing to attend their workplace during a conventional disaster (p ≤ 0.001), if they worked full-time (p = 0.01), had received formal education pertaining to disasters (p ≤ 0.001), had a family disaster plan (p = 0.008), did not have children (p = 0.001) and worked in an environment in which they perceived their colleagues, managers and organisation to be prepared. The factors that influenced Australasian emergency nurses to attend their workplace in a disaster were similar to that described in the international multidisciplinary literature. Of particular note, improving disaster knowledge and skills, having a family disaster plan and improving the perceptions of the nurses' workplace preparedness can enhance the nurses' willingness to assist in a disaster.

Arbon P ，Ranse J ，Cusack L ，Considine J ，Shaban RZ ，Woodman RJ ，Bahnisch L ，Kako M ，Hammad K ，Mitchell B ... -  《-》

Nursing in the emergency department (ED) during a disaster: a review of the current literature.

The aim of this review was to explore the current literature about working as a nurse in the emergency department (ED) during a disaster. Nurses play an important role in caring for patients that present to the ED following a disaster. While there is a great deal of literature written about disasters and disaster response, little has been written from the emergency nursing perspective. Literature was identified through electronic databases from 2000 to 2011. Articles were reviewed if they provided discussion relevant to nursing in the ED during a disaster. 18 articles met the criteria. Five themes emerged from the review. There were two key findings: changes from a 'normal' working day to a disaster; and the preparedness of nurses working in the ED during a disaster. The literature highlights concern about the preparedness of ED nurses for disaster response and the capacity of nurses to transition to working in a disaster situation.

Hammad KS ，Arbon P ，Gebbie K ，Hutton A ... -  《-》

Hospital Nurses' Willingness to Respond in a Disaster.

This study examined the factors associated with nurses' willingness to respond in a disaster. Nurses are key personnel in case of disasters, and therefore, understanding factors associated with willingness to respond is important. Questionnaires were distributed to 200 nurses recruited from 2 public hospitals in Seoul, Korea. Data were collected in January and February 2018 and 181 responses were analyzed. Factors predicting willingness to respond in a disaster among public hospital nurses were level of education, self-efficacy, and disaster management competency. Providing well-organized disaster preparedness and response training programs would enhance nurses' level of knowledge about disasters. In addition, training could improve nurses' self-efficacy and disaster management competency, which should enhance willingness to respond in a disaster.

Choi HS ，Lee JE 《-》

Nurses' preparedness and perceived competence in managing disasters.

This article is a descriptive analysis of rural nurses' perceived readiness to manage disaster situations. The 58-item Disaster Readiness Questionnaire was used to survey hospital-based nurses from rural communities in Texas during the summer of 2011. The data were collected by emailing a link through the various hospital intranet sites, resulting in a sample size of 620 nurses. Findings revealed that most nurses are not confident in their abilities to respond to major disaster events. The nurses who were confident were more likely to have had actual prior experience in disasters or shelters. Self-regulation of behavior (motivation) was a significant predictor of perceived nurse competence to manage disasters only in regard to the nurse's willingness to assume the risk of involvement in a disaster situation. Healthcare climate (job satisfaction) was not a determinant of disaster preparedness. Global increases in natural and human-induced disasters have called attention to the part that health providers play in mitigation and recovery. Since nurses are involved in planning, mitigation, response, and recovery aspects of disasters, they should actively seek opportunities to participate in actual disaster events, mock drills, and further educational opportunities specific to disaster preparedness. Administrators must support and encourage disaster preparedness education of nurses to promote hospital readiness to provide community care delivery in the event of a disaster situation. Nursing comprises the largest healthcare workforce, and yet there is very little research examining nurses' readiness for disaster.

Baack S ，Alfred D 《-》