Nurses’ perceived emergency preparedness knowledge: An opportunity for improvement
DOI:
https://doi.org/10.5055/ajdm.2020.0362Keywords:
disasters, disaster preparedness, nursing, nursing research, emergency preparedness, emergency, education, EPIQ, survey, emergency preparedness information questionnaire, knowledge, responseAbstract
Objective: This study aimed to provide foundational data supporting the need for nursing education focused on emergency preparedness and response for nursing staff.
Design: This study is a cross-sectional, quantitative, descriptive, correlational quality improvement study.
Setting: The study location is a Midwest healthcare system comprised of 14 acute care facilities including pediatric and adult level I trauma centers, a burn center, and a fully dedicated pediatric hospital; five long-term care facilities; 230 ambulatory sites; 4,200 employed providers; and a health plan.
Participants: A convenience sample of 5,172 currently employed nurses.
Main Outcome Measure: The main outcome of this study is the documentation of overall familiarity with emergency preparedness and response knowledge among nursing staff. Logistic ordinal regression statistical analysis was completed to determine the significance of individual domains impacting the overall familiarity score.
Results: Findings based on the results of the “overall familiarity with response activities related to a large-scale emergency incident” question documented most staff (78.45 percent) have little or no familiarity with their role in disaster response. Six domains or focused education areas were identified as having a statistically significant impact (p < 0.0001 –p = 0.0195) on the results of the overall familiarity question.
Conclusions: These study results support the need for more education (academic and/or institutional) related to nursing emergency preparedness and response.
References
FEMA.gov: Disaster declarations by year. Available at https://www.fema.gov/disasters/year. Acessed June 12, 2019.
American Hospital Association: Always there, ready to care: The 24/7 role of America’s hospitals. 2015. Available at https://www.aha.org/system/files/2018-01/alwaysthere.pdf. Accessed April 4, 2018.
Pelaccia T, Delplancq H, Triby E, et al.: Can teaching methods based on pattern recognition skill development optimise triage in mass-casualty incidents? J Emerg Med. 2009; 26(12): 899-902. doi:10.1136/emj.2008.067215.
Veenema TG: Expanding educational opportunities in disaster response and emergency preparedness for nurses. Nurs Educ Perspect. 2006; 27(2): 93-99.
Baack S, Alfred D: Nurses’ preparedness and perceived competence in managing disasters: Nurses’ perceived competence in disasters. J Nurs Scholarsh. 2013; 45(3): 281-287. doi:10.1111/jnu.12029.
Chan SSS, Chan W, Cheng Y, et al.: Development and evaluation of an undergraduate training course for developing International Council of Nurses Disaster Nursing Competencies in China: Nurses disaster nursing competencies. J Nurs Scholarsh. 2010; 42(4): 405-413. doi:10.1111/j.1547-5069.2010.01363.x.
Gebbie K, Qureshi K: Emergency and disaster preparedness: Core competencies for nurses. Am J Nurs. 2002; 102(1): 46-51.
Pourvakhshoori S, Khankeh HR, Mohammadi F: Emergency and disaster preparedness in nurses: A concept analysis. J Holist Nurs Midwifery. 2017; 27(1): 35-43. doi:10.18869/acadpub.hnmj.27.1.35.
Stanley J, Chastain AR, Davies K, et al.: Educational Competencies for Registered Nurses Responding to Mass Casualty Incidents. International Nursing Coalition for Mass Casualty Education; 2003: 1-18. Available at www.aacnnursing.org/Portals/42/AcademicNursing/CurriculumGuidelines/INCMCECompetencies.pdf. Acessed June 12, 2019.
Usher K, Redman-MacLaren ML, Mills J, et al.: Strengthening and preparing: Enhancing nursing research for disaster management. Nurse Educ Pract. 2015; 15(1): 68-74. doi:10.1016/j.nepr.2014.03.006.
Veenema TG, Griffin A, Gable AR, et al.: Nurses as leaders in disaster preparedness and response: A call to action. J Nurs Scholarsh. 2016; 48(2): 187-200. doi:10.1111/jnu.12198.
Garbutt SJ, Peltier JW, Fitzpatrick JJ: Evaluation of an instrument to measure nurses’ familiarity with emergency preparedness. Mil Med. 2008; 173(11): 1073-1077.
Labrague LJ, Hammand K, Gloe DS, et al.: Disaster preparedness among nurses: A systematic review of literature. Int Nurs Rev. 2017; 65: 41-53.
Wisniewski R, Dennik-Champion G, Peltier JW: Emergency preparedness competencies: Assessing nurses’ educational needs. J Nurs Adm. 2004; 34(10): 475-480.
Hasankhani H, Abdollahzadeh F, Shams S: Educational needs of emergency nurses according to the emergency condition preparedness criteria in hospitals of Tabriz University Medical Sciences. Crit Care Nurs Iran J Crit Care Nurs. 2012; 5(3): 159-164.
McKibbin AE, Sekula K, Colbert AM, et al.: Assessing the learning needs of South Carolina nurses by exploring their perceived knowledge of emergency preparedness: Evaluation of a tool. J Contin Educ Nurs. 2011; 42(12): 547-558. doi:10.3928/00220124-20111003-04.
Seyedin H, Abbasi Dolatabadi Z, Rajabifard F: Emergency nurses’ requirements for disaster preparedness. Trauma Mon. 2015; 20(4): e29033.
Slepski LA: Emergency preparedness: Concept development for nursing practice. Nurs Clin North Am. 2005; 40(3): 419-430. doi:10.1016/j.cnur.2005.04.011.
Rebmann T: Defining bioterrorism preparedness for nurses: Concept analysis. J Adv Nurs. 2006; 54(5): 623-632. doi:10.1111/j.1365-2648.2006.03866.x.
Ayanian JZ, Markel H: Donabedian’s lasting framework for health care quality. N Engl J Med. 2016; 375(3): 205-207.
Donabedian A: Evaluating the quality of medical care. Milbank Q. 2005; 83(4): 691-729.
Kobayashi H, Takemura Y, Kanda K: Patient perception of nursing service quality; an applied model of Donabedian’s structure-process-outcome approach theory: Patient perception of nursing service quality. Scand J Caring Sci. 2011; 25(3): 419-425. doi:10.1111/j.1471-6712.2010.00836.x.
Gardner G, Gardner A, O’Connell J: Using the Donabedian framework to examine the quality and safety of nursing service innovation. J Clin Nurs. 2014; 23(1-2): 145-155. doi:10.1111/jocn.12146.
Moore L, Lavoie A, Bourgeois G, et al.: Donabedian’s structure-process-outcome quality of care model: Validation in an integrated trauma system. J Trauma Acute Care Surg. 2015; 78(6): 1168-1175. doi:10.1097/TA.0000000000000663.
Upenieks VV, Abelew S: The Magnet designation process: A qualitative approach using Donabedian’s conceptual framework. Health Care Manag. 2006; 25(3): 243-253.
Turner SB: Resilience of nurses in the face of disaster. Disaster Med Public Health Prep. 2015; 9(06): 601-604. doi:10.1017/dmp.2015.70.
Veenema TG, Lavin RP, Griffin A, et al.: Call to action: The case for advancing disaster nursing education in the United States: Advancing disaster nursing education. J Nurs Scholarsh. 2017; 49(6): 688-696. doi:10.1111/jnu.12338.
Worrall J: Are emergency care staff prepared for disaster? Emerg Nurse. 2012; 19(9): 31-37. doi:10.7748/en2012.02.19.9.31.c8943.
Waller KM: Emergency preparedness competencies among nurses in North Arkansa. 2017. Available at http://scholarworks.uark.edu/nursuh/56. Acessed June 12, 2019.
Jennings-Sanders A, Frisch N, Wing S: Nursing students’ perceptions about disaster nursing. Disaster Manag Response. 2005; 3(3): 80-85. doi:10.1016/j.dmr.2005.04.001.
Fung OW, Lai CKY, Loke YA: Nurses’ perception of disaster: Implications for disaster nursing curriculum. J Clin Nurs. 2009; 18(22): 3165-3171. doi:10.1111/j.1365-2702.2008.02777.x.
Georgino MM, Kress T, Alexander S, et al.: Emergency preparedness education for nurses: Core competency familiarity measured utilizing an adapted Emergency Preparedness Information Questionnaire. J Trauma Nurs. 2015; 22(5): 240-248. doi:10.1097/JTN.0000000000000148.
SurveyMonkey: It’s all about powering the curious. 2019. Available at https://www.surveymonkey.com/mp/aboutus/. Accessed October 2, 2018.
Norusis M: Ordinal regression (Chapter 4). In Statistical Package for the Social Sciences (SPSS) 13.0 Advanced Statistical Procedures Companion. Chicago, Illinois: Prentice Hall; 2005:1-614. Available at http://www.norusis.com/pdf/ASPC_v13.pdf. Accessed June 24, 2019.
Warner P. Ordinal logistic regression. J Fam Plann Reprod Health Care. 2008; 34(3): 169-170. doi:10.1783/147118908784734945.
Godinho PMG, Leal MT: Nurses competencies in catastrophes and disaster nursing. BMC Health Serv Res. 2018; 18(Suppl 2): 89.
Abdelghany Ibrahim FA: Nurses knowledge, attitudes, practices and familiarity regarding disaster and emergency preparedness—Saudi Arabia. Am J Nurs Sci. 2014; 3(2): 18. doi:10.11648/j.ajns.20140302.12.
Nilsson J, Johansson E, Carlsson M, et al.: Disaster nursing: Self-reported competence of nursing students and registered nurses, with focus on their readiness to manage violence, serious events and disasters. Nurse Educ Pract. 2016; 17: 102-108. doi:10.1016/j.nepr.2015.09.012.
Yan YE, Turale S, Stone T, et al.: Disaster nursing skills, knowledge and attitudes required in earthquake relief: Implications for nursing education: Disaster nursing in earthquake relief. Int Nurs Rev. 2015; 62(3): 351-359. doi:10.1111/inr.12175.
Turner E, Stephanie B: Nursing a disaster. J Emerg Manag. 2017; 15(4): 247. doi:10.5055/jem.2017.0333.
Hsu EB, Thomas TL, Bass EB, et al.: Healthcare worker competencies for disaster training. BMC Med Educ. 2006; 6(1): 19. doi:10.1186/1472-6920-6-19.
Huh S-S, Kang H-Y: Effects of an educational program on disaster nursing competency. Public Health Nurs. 2018: 36(1); 1-8. doi:10.1111/phn.12557.
Rosenman R, Tennekoon V, HIll LG: Measuring bias in self-reported data. Int J Behav Healthc Res. 2011; 2(4): 320-332. doi:10.1504/IJBHR.2011.043414.
Kerby DS, Brand MW, Elledge BL, et al.: Are public health workers aware of what they don’t know? Biosecurity Bioterrorism Biodefense Strategy Pract Sci. 2005; 3(1): 31-38. doi:10.1089/bsp.2005.3.31.
Chapman K, Arbon P: Are nurses ready? Australas Emerg Nurs J. 2008; 11(3): 135-144. doi:10.1016/j.aenj.2008.04.002.
Farmer JC: Chapter 4: Emergency management issues related to staff. In Are You Prepared? Hospital Emergency Management Guidebook. Oakbrook Terrace, Illinois: Joint Commission Resources; 2006: 1-1810.
Medicare C for, Baltimore MS 7500 SB, Usa M: Emergency-Prep- Rule. Available at https://www.cms.gov/medicare/provider-enrollment-and-certification/surveycertemergprep/emergency-prep-rule.html. Published May 8, 2019. Accessed June 27, 2019.
Gilmore Commission: Fourth Annual Report to the President and the Congress of the Advisory Panel to Assess Domestic Response Capabilities for Terrorism Involving Weapons of Mass Destruction. Arlington, VA: Rand; 2002: 1-353. Available at https://www.rand.org/content/dam/rand/www/external/nsrd/terrpanel/terror4.pdf. Accessed June 24, 2019.
Published
How to Cite
Issue
Section
License
Copyright 2007-2023, Weston Medical Publishing, LLC
All Rights Reserved
