Determination of Disaster Preparedness of Nurses Working in Adult Internal Medicine and Surgical Emergency Department

Öz

The study was planned to determine the disaster preparedness of nurses working in the adult internal medicine and surgery emergency department. It is cross-sectional. In July and September 2023, 66 adult internal medicine and surgery emergency nurses in a public hospital and a university participated in the study. Face-to-face interviews were conducted using the Nurses' Individual Characteristics Form and Disaster Preparedness Perception Scale of Personnel Working in Pre-Hospital Emergency Health Services to collect research data. These forms were collected through face-to-face interviews. The total score of the scale used in the study was 111.15 ± 15.08. Mann-Whitney U, Spearman correlation test, and descriptive analyses were used to evaluate the data. It was determined that there was a significant positive relationship between the working year of the nurses participating in the study and the self-efficacy sub-dimension of the scale (p <0.05). It was determined that the benefit sub-dimension of female nurses was significantly higher than that of male nurses (p <0.05). The mean total scale score of nurses with a bachelor's degree was found to be highly significant compared to nurses with a high school degree (p <0.05). The mean total scale score of nurses who are not working in the disaster management process other than the COVID-19 pandemic was found to be highly significant compared to those who are involved in the earthquake management process (p <0.05). It was found that the level of disaster preparation of adult internal medicine and surgery emergency service nurses was slightly above the middle level. In addition, it was determined that experience, gender, education level, and the COVID-19 pandemic were effective in determining the preparedness of nurses for disasters.

Anahtar Kelimeler

• Disaster
• Emergency
• Medical and Surgical Nursing

Kaynakça

1. Al Harthi, M., Al Thobaity, A., Al Ahmari, W., Almalki, M. (2020). Challenges for nurses in disaster management: A scoping review. Risk Management and Healthcare Policy, 13, 2627–2634. https://doi.org/10.2147/RMHP.S279513
2. Avcı S., Kaplan B., Ortabağ, T., Arslan, S. (2022). The knowledge and awareness levels of the nurses working in a university hospital about disaster [Üniversite Hastanesinde Çalışan Hemşirelerin Afet Konusundaki Bilgi ve Bilinç Düzeyleri]. Journal of Disaster and Risk, 5(1), 94-108. https://doi.org/10.35341/afet.1034678
3. Ayvazoğlu, G., Gümüş Şekerci, Y., Çekiç, M. (2023). determination of disaster preparedness perceptions of national medical rescue team unit personnel [Ulusal medikal kurtarma ekibi birimi personellerinin afetlere hazırlık algılarının belirlenmesi]. Journal of General Health Sciences (JGEHES), 5(3), 361-374. https://doi.org/10.51123/jgehes.2023.99
4. Basal, A. A., & Ahmed, R. E. (2018). Perception of nurses’ regarding role, preparedness and management skills during hospital disasters. International Journal of Novel Research in Healthcare and Nursing, 5(1), 151– 161. http://dx.doi.org/10.13140/RG.2.2.31584.58886.
5. Bayraktar, N., Totur, D.B. (2018). Nursing in disasters [Afetlerde hemşirelik]. Öztekin SD, editör. Disaster Nursing [Afet Hemşireliği]. Ankara: Türkiye Klinikleri, 1-7.
6. Bülbül, E. (2021). Assesment of nursing students’ self-efficieny in disaster response. Emerg Aid Disaster Science. 1(2), 45-49. https://dergipark.org.tr/en/download/article-file/2975335.
7. Cebeci, S. P., & Arberk, O. K. (2024). Sağlık çalışanlarının hastane afet ve acil durum planı bilgi düzeyi. The Journal of Academic Social Science, 120 (120), 103-112.
8. Çelebi, İ., & Uçku, Ş. R. (2017). The level of knowledge about earthquake between health care staff working in Kayseri 112 emergency health services [Kayseri ili 112 acil sağlık hizmetlerinde görev yapan sağlık personelinin deprem bilgi düzeyi ve etkileyen faktörler]. Journal of Pre-Hospital, 2(2), 91–103.

9. Çopur, E. Ö., & Karasu, Ö. Ü. F. (2023). Being a nurse in an earthquake: Earthquake Diaries [Depremde hemşire olmak: Deprem günlükleri]. Journal of Life Long Nursing, 4(2), 224-235.
10. Denizli, F., & Kınış, Z. (2024). Evaluation of disaster preparedness perceptions of prehospital emergency health Workers: Kayseri Case. Current Perspectives on Health Sciences, 5(2), 49-57.
11. Demirci, K., & Avcu, T. (2021). Problems experienced by women individuals in disaster processes and solution suggestions: Case of İzmir [Afet süreçlerinde kadın bireylerin yaşadığı sorunlar ve çözüm önerileri: İzmir ili örneği]. Batman University Journal of Life Sciences, 11(1), 86–105.
12. Dinçer, S., & Kumru, S. (2021). Preparedness situations of health personnel for disaster and emergencies [Afet ve acil durumlar için sağlık personelinin hazırlıklı olma durumu]. Gümüşhane University Journal of Health Sciences, 10(1), 32–43. https://doi.org/10.37989/gumussagbil.790884
13. Dincer S, Ozyer Y, Kumru S. (2022). Comparison of preparedness levels of health personnel and hospitals they work in for disasters and emergencies. Middle Black Sea Journal of Health Science, 8(3):370-381. https://doi.org/10.19127/mbsjohs.1090877
14. Erdoğan Ö. (2018) Disaster nursing training [Afet hemşireliği eğitimi]. Öztekin SD, editör. Türkiye Clinics Disaster Education, 115-20.
15. Erkin, Ö., Aslan, G., Öztürk, M., Çam, B., Ödek, Ş. (2023). Nurses' general disaster preparedness status and affecting factors. Forbes Journal of Medicine, 4(3):305-14. https://doi.org/10.4274/forbes.galenos.2023.32659
16. Fletcher, K. A., Reddin, K., Tait, D. (2022). The history of disaster nursing: from Nightingale to nursing in the 21st century. Journal of Research in Nursing: JRN, 27(3), 257–272. https://doi.org/10.1177/17449871211058854. Ghanei Gheshlagh, R., Barzanji, A., Amini, F., & Zahednezhad, H. (2024). Psychometric properties of the Farsi version of the Disaster Nursing Readiness Evaluation Index (F-DNREI). BMC emergency medicine, 24(1), 151. https://doi.org/10.1186/s12873-024-01067-x Gökçay, G., & Bağiş, K. O. Hastane öncesi acil sağlık hizmetleri çalışanlarının mesleki kaygı ve afetlere hazırlık algılarının incelenmesi [Examination of pre-hospital emergency health services perceptions of professional anxiety and disaster].
17. Gökkaya, E., & Dinç, A. (2020). The research on the ethical attitudes of UMKE staff during disaster: example of South Marmara [UMKE çalışanlarının afet durumunda etik yaklaşımlarının incelenmesi; Güney Marmara örneği]. Gümüşhane University Journal of Health Sciences, 9(1), 17-24. https://doi.org/10.37989/gumussagbil.
18. Hastaoğlu, F., & Çelik, P. (2024). Evaluation of disaster preparedness perceptions of emergency health personnel: descriptive research. Turkiye Klinikleri Journal Of Health Sciences/Türkiye Klinikleri Sağlık Bilimleri Dergisi, 9(3).
19. Hodge, A. J., Miller, E. L., Skaggs, M. K. D. (2017). Nursing self-perceptions of emergency preparedness at a rural hospital. Journal of Emergency Nursing, 43(1), 10-14. https://doi.org/10.1016/j.jen.2015.07.012.
20. Inal, E., Altıntaş, K. H., Doğan, N. (2019). General disaster preparedness beliefs and related sociodemographic characteristics: The example of Yalova University, Turkey. Turkish Journal of Public Health, 17(1), 1-15.
21. Keskinsoy, B. N., Koçak, H. S., & Aktaş, B. (2025). Determining nurses' perceptions of disaster preparedness. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 10(1), 81-89. do: 10.61399/ikcusbfd.1433298
22. Labrague, LJ , Hammad, K. , Gloe, DS et al., ( 2018 ). Disaster preparedness among nurses: a systematic review of literature. International nursing review, 65(1), 41-53. https://doi.org/10.1111/inr.12369
23. Ma, Y., Zhu, W., Zhang, H et al., (2021). The factors affecting volunteers’ willingness to participate in disaster preparedness. International Journal of Environmental Research and Public Health. 18(8), 4141. https://doi.org/10.3390/ijerph18084141.
24. Nofal, A., Alfayyad, I., Khan, A., Al Aseri, Z., & Abu-Shaheen, A. (2018). Knowledge, attitudes, and practices of emergency department staff towards disaster and emergency preparedness at tertiary health care hospital in central Saudi Arabia. Saudi medical journal, 39(11), 1123.
25. Okan, F., Kavici Porsuk, S., Yıldırım, M et al., (2023). Perception of disaster preparedness of 112 emergency health service workers [112 Acil Sağlık Hizmetleri Çalışanlarının Afetlere Hazırlık Algısı]. Journal of Disaster and Risk, 6(2), 562-574.
26. Russin, K., & Mottel, H. (2024). Enhancing Disaster Management Preparedness Through Simulation. The American journal of nursing, 124(3), 38–41. https://doi.org/10.1097/01.NAJ.0001008412.74661.3 Şentuna, B., & Çakır, F. (2020). A scale development study in Balıkesir sampling: Disaster Preparedness Scale [Balıkesir örnekleminde bir ölçek geliştirme çalışması: afet hazırbulunuşluk ölçeği]. Idealkent, 11(31), 1959-1983. https://doi.org/10.31198/idealkent.728896
27. Shukla, M., Amberson, T., Heagele, T., McNeill, C., Adams, L., Ndayishimiye, K., & Castner, J. (2024). Tailoring household disaster preparedness interventions to reduce health disparities: Nursing implications from machine learning importance features from the 2018-2020 FEMA National Household Survey. International journal of environmental research and public health, 21(5), 521. https://doi.org/10.3390/ijerph21050521
28. Songwathana, P., & Timalsina, R. (2021). Disaster preparedness among nurses of developing countries: An integrative review. International Emergency Nursing, 55, 100955. https://doi.org/10.1016/j.ienj.2020.100955.
29. Su, Y., Wu, X. V., Ogawa, N et al. (2022). Nursing skills required across natural and man-made disasters: A scoping review. Journal of Advanced Nursing, 78(10), 3141–3158. https://doi.org/10.1111/jan.15337.
30. Sultan, M. A. S., Løwe Sørensen, J., Carlström, E et al. (2020). Emergency healthcare providers' perceptions of preparedness and willingness to work during disasters and public health emergencies. Healthcare (Basel, Switzerland), 8(4), 442. https://doi.org/10.3390/healthcare8040442.
31. Tas, F., Cakir, M., Kadioglu, S. (2020). Identification of the preparedness level of nurses for disasters in Turkey: A university hospital example. International Journal of Disaster Risk Reduction, 44, 101441.
32. Taskiran, G., Baykal, U. (2019). Nurses' disaster preparedness and core competencies in Turkey: a descriptive correlational design. International Nursing Review, 66(2), 165–175. https://doi.org/10.1111/inr.12501
33. Tercan, B., & Şahinöz, S. (2021). Developing a scale to determine disaster preparedness perceptions of the personnel working in pre-hospital emergency health services: A methodological study [Hastane öncesi acil sağlık hizmetlerinde çalışan personelin afetlere hazırlık algılarını belirlemeye yönelik ölçek geliştirme: Metodolojik bir çalışma]. Journal of Pre-Hospital, 6(3), 367-379. https://doi.org/10.54409/hod.995792
34. Uysal Toraman, A., & Konal, E. (2023). Hemşirelik öğrencilerinin afete müdahalede öz yeterliliklerinin belirlenmesi. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 8(2), 509-514.
35. World Health Organization I, ICN framework of disaster nursing competencies. The Southeast AsianJournal of Tropical Medicine and Public Health 2009; 40:57-70. Access address: https://lms.courselearn.net/lms/content/1540/54326/NR518/ICN%20Disaster%20Nursing%20Competencies.pdf access date: 17.02.2025.