A Qualitative Study on the Experiences of Volunteer Nurses about After the Elbistan Earthquake

Year 2024, Volume: 13 Issue: 3, 516 - 524, 25.12.2024

Ayşegül Yıldız İçigen , Elif Zeynep Metin Gemici

https://doi.org/10.53424/balikesirsbd.1403378

Abstract

Objective: This study was carried out to examine the experiences of nurses working voluntarily in the field after the Elbistan earthquake. Materials and Methods: This study was carried out in a phenomenological design by using the qualitative research method. The sample of the study was determined by snowball sampling, one of the purposeful sampling methods, and the study was carried out with 16 nurses who accepted to participate in the study and met the inclusion criteria. The data were collected face to face between April 3 and July 30, 2023 by individual in-depth interview method and a semi-structured interview form was used as a data collection tool. Results: This study, nurses stated that they felt emotions such as "anxiety, fear, stress, sadness, restlessness, desire to take action, trauma, uneasiness, helplessness, anxiety, guilt" after receiving the news of the earthquake. The difficulties experienced by nurses were "lack of disaster nursing experience, uncertainty about the condition of the field, concern for safety, challenging psychological environment, concern for competence, fear of making mistakes, concern for harm, bodies with damaged integrity, seeing too many deaths." Conclusion: The obtained experiences highlight that disaster nursing should encompass management, organization, coordination, teamwork, and crisis management skills, along with disaster-specific nursing care. Nurses need to be better equipped for disaster nursing.

Keywords

Disaster, Disaster Nursing, Earthquake, Nursing Care.

Ethical Statement

Bu çalışmaya başlamadan önce yerel etik kuruldan etik kurul izni alınmıştır.

Elbistan Depremi Sonrası Sahada Gönüllü Çalışan Hemşirelerin Deneyimleri Üzerine Nitel Bir Çalışma

Abstract

Amaç: Bu çalışma Elbistan depremi sonrasında sahada gönüllü olarak çalışan hemşirelerin deneyimlerinin incelenmesi amacıyla gerçekleştirilmiştir. Gereç ve Yöntem: Bu çalışma nitel araştırma yönteminden yararlanarak, fenomenolojik desende gerçekleştirilmiştir. Araştırmanın örneklemi amaçlı örnekleme yöntemlerinden kartopu örnekleme ile belirlenmiş, çalışmaya katılmayı kabul eden ve çalışmaya dahil edilme kriterlerini karşılayan 16 hemşire ile çalışma gerçekleştirilmiştir. Veriler bireysel derinlemesine görüşme yöntemi ile 3 Nisan 2023-30 Temmuz 2023 tarihleri arasında yüz yüze toplanmış ve veri toplama aracı olarak yarı yapılandırılmış görüşme formu kullanılmıştır. Bulgular: Çalışmamızda hemşireler deprem haberini aldıktan sonra “endişe, korku, stres, üzüntü, huzursuzluk, harekete geçme arzusu, şaşkınlık, tedirginlik, çaresizlik, anksiyete, suçluluk” gibi duyguları hissettiklerini ifade etmişlerdir. Hemşirelerin yaşadıkları zorluklar “afet hemşireliği tecrübesinin bulunmaması, sahanın durumuyla ilgili belirsizlikler, güvenlik endişesi, zorlayıcı psikolojik ortam, yeterlilik endişesi, hata yapma korkusu, zarar verme endişesi, bütünlüğü bozulmuş bedenler, çok fazla sayıda ölüm görme” olmuştur. Sonuç: Elde edilen deneyimler, afet hemşireliğinin afete özgü hemşirelik bakımının yanı sıra yönetim, organizasyon, koordinasyon, takım çalışması ve kriz yönetimi becerilerini de içermesi gerektiğini vurgulamaktadır. Hemşireler afet hemşireliği konusunda daha donanımlı olmaya ihtiyaç duymaktadır.

Keywords

Afet, Afet Hemşireliği, Deprem, Hemşirelik Bakımı.

References

• Altuntaş, S., Çiçek Korkmaz, A., Efe, N., Demirtaş, H., & Kuleyin, B. (2023). Problems experienced by nurses serving in the region affected by kahramanmaraş earthquake in Turkey and nurses’ risk reduction recommendations. Social Science Research Network, 4484912. http://dx.doi.org/10.2139/ssrn.4484912
• Banerji, P., & Singh, N. (2013). Comparative analysis of disaster management between Japan & India. Journal of Business and Management, 13(6), 62-74. https://doi.org/10.9790/487X-1366274
• Bartels, S. A., & VanRooyen, M. J. (2012). Medical complications associated with earthquakes. The Lancet, 379(9817), 748-757. https://doi.org/10.1016/S0140-6736(11)60887-8
• Başkale, H. (2016). Determination of validity, reliability and sample size in qualitative studies. E-journal of Dokuz Eylul University Nursing Faculty, 9(1), 23-28.
• Yıldız İçigen & Gemici Metin Nurses about After the Elbistan Earthquake BAUN Health Sci J 2024; 13(3): 516-524 523
• Batson, C. D., Batson, J. G., Slingsby, J. K., Harrell, K. L., Peekna, H. M., & Todd, R. M. (1991). Empathic joy and the empathy-altruism hypothesis. Journal of Personality and Social Psychology, 61(3), 413-426. https://doi.org/10.1037/0022-3514.61.3.413
• Bektaş Akpınar, N., & Aşkın Ceran, M. (2020). Current approaches about disasters and role and responsibilities of disaster nurse. Journal of Paramedic and Emergency Health Services, 1(1), 28-40.
• Brewer, C. A., Hutton, A., Hammad, K. S., & Geale, S. K. (2020). A feasibility study on disaster preparedness in regional and rural emergency departments in New South Wales: Nurses self-assessment of knowledge, skills and preparation for disaster management. Australasian Emergency Care, 23(1), 29-36. https://doi.org/10.1016/j.auec.2019.12.005
• Chapman, K., & Arbon, P. (2008). Are nurses ready? Disaster preparedness in the acute setting. Australasian Emergency Nursing Journal, 11(3), 135-144. https://doi.org/10.1016/j.aenj.2008.04.002 Braun, V., & Clarke, V. (2013). Successful qualitative research: A practical guide for beginners. Sage Publications.
• Coatsworth, K., Hurley, J., & Miller-Rosser, K. (2017). A phenomenological study of student nurses volunteering in Nepal: Have their experiences altered their understanding of nursing? Collegian, 24(4), 339-344. https://doi.org/10.1016/j.colegn.2016.07.003
• Dıxıt, S., Peter, D. S. R., & Arya, S. (2023). A review on the role of nurses in disaster management in Indıa. Journal of Pharmaceutical Negative Results, 14(3), 1644-1647. https://doi.org/10.47750/pnr.2023.14.03.214
• Düzgün, G., Polat, G., Yönt, G. H., & Aykar, F. Ş. (2023). Izmir earthquake experience of healthcare professionals during pandemics: a qualitative study. Health Academy Kastamonu, 8(2), 230-238. https://doi.org/10.25279/sak.1141607
• Grochtdreis, T., de Jong, N., Harenberg, N., Görres, S., & Schröder-Bäck, P. (2017). Nurses’ roles, knowledge and experience in national disaster pre-paredness and emergency response: A literature review. South Eastern European Journal of Public Health, 7(1) 1-19. https://doi.org/10.4119/seejph-1847
• Harmanci Seren, A. K., & Dikeç, G. (2023). The earthquakes in Turkey and their effects on nursing and community health. International Nursing Review, 70(3), 262-265. https://doi.org/10.1111/inr.12851
• Hu, H., Lai, X., Tan, C., Yao, N., & Yan, L. (2022). Factors associated with in-patient mortality in the rapid assessment of adult earthquake trauma patients. Prehospital and Disaster Medicine, 37(3), 299-305. https://doi.org/10.1017/S1049023X22000693 Janoff-Bulman, R. (1992). Shattered assumptions: Toward a new psychology of trauma. New York: Macmillan. Labrague, L. J., Hammad, K., Gloe, D. S., McEnroe‐Petitte, D. M., Fronda, D. C., Obeidat, A. A., ... & Mirafuentes, E. C. (2018). Disaster preparedness among nurses: a systematic review of literature. International Nursing Review, 65(1), 41-53. https://doi.org/10.1111/inr.12369
• Lincoln, Y. S. & Guba, E. G. (1985). Naturalistic inquiry. Newbury Park, Sage Press.
• Loke, A. Y., & Fung, O. W. M. (2014). Nurses’ competencies in disaster nursing: Implications for curriculum development and public health. International Journal of Environmental Research and Public Health, 11(3), 3289-3303. https://doi.org/10.3390/ijerph110303289
• Nakayama, Y., Kato, I., & Ohkawa, T. (2019). Sustaining power of nurses in a damaged hospital during the Great East Japan earthquake. Journal of Nursing Scholarship, 51(3), 271-280. https://doi.org/10.1111/jnu.12482
• Nukui, H., Midorikawa, S., Murakami, M., Maeda, M., & Ohtsuru, A. (2018). Mental health of nurses after the Fukushima complex disaster: a narrative review. Journal of Radiation Research, 59(2), ii108-ii113. https://doi.org/10.1093/jrr/rry023
• Özmen, B., & Özden, T. (2013). A critical evaluation related to disaster management system of Turkey. Journal of Political Sciences, (49), 1-28.
• Putra, D. G. S., Putra, K. R., & Noorhamdani, A. S. (2020). Factors related to disaster preparedness among nurses: A sytematic review. The Malaysian Journal of Nursing, 12(2), 71-79. https://doi.org/10.31674/mjn.2020.v12i02.010
• Sever, MS, Erek, E., Vanholder, R., Akoğlu, E., Yavuz, M., Ergin, H., ... & Lameire, N. (2002). The Marmara Earthquake Epidemiological analysis of the victims with nephrological problems. Kidney International, 17(11), 1942-1949. https://doi.org/10.1046/j.15231755.2001.0600031114.x
• Şimşek, P. & Gündüz, A. (2021). Disaster Nursing in Turkey. Journal of Uludag University Medical Faculty, 47(3), 469-476. https://doi.org/10.32708/uutfd.981301
• Taşkıran, 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
• Turkish Nursing Associaiton (2023). A formal application has been made to the Council of Higher Education regarding the grievance of our colleagues working in University Hospitals living in the earthquake zone. Retrieved March 23, 2023, from: https://www.thder.org.tr/deprem-bolgesinde-yasayan-universite-hastanelerinde-calisan-meslektaslarimizin-magduriyetiyle-ilgili-yok-e-resmin-basvuru-yapilmistir
• Twemlow, S. W. (2001). Modifying violent communities by enhancing altruism: A vision of possibilities. Journal of Applied Psychoanalytic Studies, 3(4), 431-462.
• Valsala, P., & Menon, P. (2023). Psychospiritual basis of altruism: A review. Journal of Humanistic Psychology, 63(3), 344-363. https://doi.org/10.1177/0022167819830517
• Wang, Y., Xu, J. & Lu, Y. (2020) Associations among trauma exposure, post-traumatic stress disorder, and depression symptoms in adolescent survivors of the 2013 Lushan earthquake. Journal of Affective Disorders, 264(1), 407-413. https://doi.org/10.1016/j.jad.2019.11.067
• World Health Organization and International Council of Nurses (2009). ICN framework of disaster nursing competencies. Retrieved January 5, 2023, from: https://www.icn.ch/sites/default/files/inline-files/ICN_Disaster-Comp-Report_WEB.pdf
• Zarea, K., Beiranvand, S., Sheini-Jaberi, P., & Nikbakht-Nasrabadi, A. (2014). Disaster nursing in Iran: Challenges and opportunities. Australasian Emergency Nursing Journal, 17(4), 190-196. https://doi.org/10.1016/j.aenj.2014.05.006