Assessment of Disaster Management Competency and Response Self-Competency of Nurses

Year 2025, Volume: 14 Issue: 3, 1211 - 1226, 25.09.2025

Bahar Kefeli Çol , Ayşe Gümüşler Başaran , Burcu Genç Köse , Demet Turan , Özlem Biber Kuyumcu , Nilgün Kurt Bakir

https://doi.org/10.37989/gumussagbil.1727578

Abstract

This study aims to determine nurses' disaster management competence and intervention self-efficacy levels, evaluate them as independent variables, and examine the relationship between the scales. This is a descriptive cross-sectional study. The study was completed with 184 nurses who agreed to participate voluntarily. The data were collected in the hospitals where the study was collected using competencies in disaster nursing management and disaster response self-efficacy scales. Data analysis was performed using various statistical methods, including Student t-test, ANOVA, Tukey post hoc test, Chai square analysis, Pearson Correlation analysis and Binary Logistic Regression analysis. The mean score of the competencies in the disaster nursing management scale was 315.95±61.74, and the mean score of the disaster response self-efficacy scale was 68.11±12.42. There was a positive relationship between disaster management competence and intervention self-efficacy. Government hospital and bachelor's degree were found to be determinants of disaster management competence. Providing care to the disaster victim was found to be a determinant of disaster response self-efficacy. The study's results reveal the competencies and self-efficacy of nurses required for effective and quality disaster management and response. It also provides a conceptual framework by summarising the relationship between disaster management competence and response self-efficacy and the factors affecting them. It shows the importance of education level, disaster caregiving and institutional diversity in disaster management.

Keywords

Disaster , Disaster management , Nurse , Self-efficacy

Hemşirelerin Afet Yönetim Yetkinliği ve Müdahale Öz-Yeterliliğinin Değerlendirilmesi

Abstract

Bu çalışmanın amacı hemşirelerin afet yönetim yetkinlik ve müdahale öz-yeterlilik düzeylerini belirlemek, bağımsız değişkenler açısından değerlendirmek ve ölçekler arasındaki ilişkiyi incelemektir. Tanımlayıcı tipte kesitsel bir çalışmadır. Çalışma gönüllü olarak katılmayı kabul eden 184 hemşire ile tamamlandı. Veriler, afet hemşireliği yönetiminde yetkinlikler ve afet müdahale öz-yeterlilik ölçekleri ile toplandı. Verilerin analizinde Student t testi, ANOVA, Chai squar analizi, Tukey post hoc testi, Pearson Korelasyon analizi, Binary Lojistik Regresyon analizi kullanıldı. Afet hemşireliği yönetiminde yetkinlikler ölçeği puan ortalaması 315,95±61,74 ve afete müdahale öz-yeterlilik ölçeği puan ortalaması 68,11±12,42 saptandı. Afet yönetim yetkinliği ile müdahale öz-yeterliği arasında pozitif yönlü ilişki belirlendi. Eğitim araştırma hastanesinde çalışmanın afet yönetim yetkinliğinin belirleyicisi olduğu belirlendi. Afetzedeye bakım vermenin afet müdahale öz-yeterliliğinin belirleyicisi olduğu saptandı. Araştırma sonuçları hemşirelerin etkili ve kaliteli afet yönetimi ve müdahalesi için gerekli olan yetkinliklerini ve özyeterliliklerini ortaya koymaktadır. Aynızamanda afet yönetim yetkinliği ve müdahale öz yeterliliği arasındaki ilişkiyi ve etki eden faktörleri özetleyerek kavramsal bir çerçeve sunmaktadır. Afet yönetiminde eğitim düzeyi, afetzedeye bakım verme ve kurumsal farklılığın önemini göstermektedir.

Keywords

: Afet , Afet yönetimi , Hemşire , Öz yeterlilik

Ethical Statement

Araştırma için ilgili üniversitenin Sosyal ve Beşeri Bilimler Etik Kurul Başkanlığından 2023\071 sayılı izin alındı

References

• 1. Lan L, Zhou M, Wang L. et al. Enhancing emergency nurses’ disaster nursing ability and psychological resilience: A randomized controlled trial. Emergency Medicine International. 2023; 27;6108057. doi.org/10.1155/2023/6108057
• 2. Labrague LJ, Kamanyire JK, Achora S. et al. Predictors of disaster response self-efficacy among nurses in Oman. International Journal of Disaster Risk Reduction. 2021; 61, 102300 doi.org/10.1016/j.ijdrr.2021.102300
• 3. Gumus D, Yılmaz Z, Tuncer M, Aydın E. The role of nurses in disaster management. Journal of Disaster and Risk. 2024; 7(2):354-367. doi.org/10.35341/afet.1329817
• 4. Olaolorunpo O, Beatrice AO. Disaster preparedness and first aid response: The role of emergency nurses. Archives of Medicine and Health Sciences. 2024; 12(2):231-236, doi.org/10.4103/amhs.amhs_12_24
• 5. Kim SH. A psychometric validation of the korean version of disaster response self-efficacy scale for nursing students. Int J Environ Res Public Health. 2023; 4;20(4):2804. doi.org/10.3390/ijerph20042804
• 6. Fukada M. Nursing competency: Definition, structure and development. Yonago Acta Med. 2018; 28;61(1):1-7. doi.org/10.33160/yam.2018.03.001
• 7. Mrayyan MT, Abunab HY, Abu Khait A, et al. Competency in nursing practice: a concept analysis. BMJ Open. 2023; 1;13(6):e067352. doi.org/10.1136/bmjopen-2022-067352
• 8. Fukada M. Nursing competency: Definition, structure and development. Yonago Acta Med. 2018; 61:1–7. doi.org/ 10.33160/yam.2018.03.001
• 9. Pourvakhshoori N, Norouzi K, Ahmadi F, et al. Nursing in disasters: A review of existing models. International Emergency Nursing. 2017; 31: 58–63. doi.org/ 10.1016/j.ienj.2016.06.004
• 10. Mizutori M. Reflections on the Sendai Framework for disaster risk reduction: Five years since its adoption. Int J Disaster Risk Sci. 2020; 11(2):147–51. doi.org/10.1007/s13753-020-00261-2
• 11. Brewer CA, Hutton A, Hammad KS, et al. 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 Emerg Care. 2020; 23(1):29–36. doi.org/10.1016/j.auec.2019.12.005
• 12. ICN - International Council of Nurses (2019) Available from: https://www.icn.ch/sites/default/files/inline-files/ICN_Disaster-Comp-Report_WEB.pdf Accessed February 27, 2024.
• 13. Tas F, Cakir M, Kadioglu S. Identification of the preparedness level of nurses for disasters in Turkey: A university hospital example. International Journal of Disaster Risk Reduction. 2020; 44, 101441. doi.org/10.1016/j.ijdrr.2019.101441
• 14. Taskiran G, Baykal U. Nurses' disaster preparedness and core competencies in Turkey: A descriptive correlational design. Int. Nurs. Rev. 2019; 66 (2), 165-175 doi.org/10.1111/inr.12501
• 15. Said NB, Chiang VC. The knowledge, skill competencies, and psychological preparedness of nurses for Disasters: A systematic review. Int Emerg Nurs. 2020; 48:100806. doi.org/ 10.1016/j.ienj.2019.100806
• 16. Farokhzadian J. Mangolian Shahrbabaki P. Farahmandnia H. et al. Nurses' challenges for disaster response: A qualitative study. BMC Emerg Med. 2024; 3;24(1):1. doi.org/10.1186/s12873-023-00921-8
• 17. Chegini Z, Arab-Zozani M, Kakemam E, et al. Disaster preparedness and core competencies among emergency nurses: A cross‐sectional study. Nursing open, 2022; 9(2):1294–302. doi.org/10.1002/nop2.1172
• 18. Said NB, Molassiotis A, Chiang VC. Psychological preparedness for disasters among nurses with disaster field experience: An international online survey. Int. J . Disaster Risk Reduct. 2020; 46:e101533-e101533. doi.org/10.1016/j.ijdrr.2020.101533
• 19. Internatıonal Councıl Of Nurses (ICN), 2022. Core Competencıes In Dısaster Nursıng: Competencıes For Nurses Involved In Emergency Medıcal Teams (Level III). 1201 Geneva, Switzerland. ISBN: Digital 978-92-95124-10-3.
• 20. Lai J, Wen G, Gu C, et al. The core competencies in disaster nursing of new graduate nurses in Guangdong, China: A cross-sectional study. Nurse Educ Pract. 2024; 77:103987. doi.org/10.1016/j.nepr.2024.103987.
• 21. Chegini Z, Arab-Zozani M, Kakemam E, et al. Disaster preparedness and core competencies among emergency nurses: A cross-sectional study. Nursing Open. 2022; 9(2), 1294–1302. doi.org/10.1002/nop2.1172.
• 22. Demirtas H, Altuntas, S. Nurses' competence levels in disaster nursing management in Turkey: A comparative cross-sectional study. International Nursing Review. 2024; 71(3):556-562. doi.org/10.1111/inr.12829
• 23. Akkaya G, Akkuş Y, Parlak AG, et al. Determination of the relationship between competencies in disaster nursing management and perceived stress: The intermediary role of resilience. Int Emerg Nurs. 2024; 25;78:101530. doi.org/10.1016/j.ienj.2024.101530
• 24. Pignault A, Rastoder M, Houssemand C. The relationship between self-esteem, self-efficacy, and career decision-making difficulties: Psychological flourishing as a mediator. Eur J Investig Health Psychol Educ. 2023; 23;13(9):1553-1568. doi.org/10.3390/ejihpe13090113
• 25. Shengyao Y, Salarzadeh Jenatabadi H, Mengshi Y, et al. Academic resilience, self-efficacy, and motivation: The role of parenting style. Sci Rep. 2024; 14, 5571 doi.org/10.1038/s41598-024-55530-7
• 26. Cruz JP, Balay-Odao EM, Bajet JB, et al. Testing the validity and reliability of the Arabic version of the Disaster Response Self-Efficacy Scale among Saudi nursing students. Nurse. Educ. Pract. 2022; 64:103443. doi.org/10.1016/j.nepr.2022.103443
• 27. Imamoglu SZ. Erat S. Ayber ED. The Effect of self-efficiency and organizational ıdentification on ınnovative behavior and task performance: A research in the education sector. Journal of Academic Researches and Studies. 2021; 13(24), 210-225. doi.org/10.20990/kilisiibfakademik.878657
• 28. Li N, Yang Y, Zhao X, et al. The relationship between achievement motivation and college students’ general self-efficacy: A moderated mediation model. Front. Psychol. 2023; 13:1031912. doi.org/10.3389/fpsyg.2022.1031912
• 29. Hobfoll SE, Halbesleben J, Neveu JP, et al. Conservation of resources in the organizational context: The reality of resources and their consequences. Annu. Rev. Organ. Psychol. Organ. Behav. 2018; 5:103–128. doi.org/10.1146/annurev-orgpsych-032117-104640
• 30. Freire C, Ferradás MDM, Núñez JC, et al. Eudaimonic Well-being and coping with stress in university students: The mediating/moderating role of self-efficacy. Int. J. Environ. Res. Public Health. 2019; 16:48. doi.org/10.3390/ijerph16010048
• 31. Ozkan HA, Cakır GN, Demirkan S, et al. A new educational model proposal: competency-based modular disaster nursing education. Journal of Disaster and Risk. 2024; 7(3):573-586. doi.org/10.35341/afet.1322491
• 32. Hasan MK, Uddin H, Younos TB. Bangladeshi nursing students' perceived preparedness and readiness for disaster management. International Journal of Disaster Risk Reduction. 2022; 81, 103303. doi.org/10.1016/j.ijdrr.2022.103303
• 33. Kaviani F, Aliakbari F, Sheikhbardsiri H, Arbon P. Nursing students’ competency to attend disaster situations: A study in western Iran. Disaster Medicine and Public Health Preparedness. 2022; 16(5):2044-2048. doi.org/10.1017/dmp.2021.263
• 34. Oztekin SD, Larson EE, Akahoshi M, et al. Japanese nurses' perception of their preparedness for disasters: Quantitative survey research on one prefecture in J apan. Japan Journal Of Nursing Science. 2016; 13(3), 391-401. doi.org/10.1111/jjns.12121
• 35. Al Thobaity A, Williams B, Plummer V. A new scale for disaster nursing core competencies: Development and psychometric testing. Australas Emerg Nurs J. 2016; 19: 11–19. doi.org/10.1016/j.aenj.2015.12.001
• 36. Durgut U, Yildiz T. Adaptation of the competencies for disaster nursing management questionnaire: Turkish version. Disaster Medicine and Public Health Preparedness. 2022; 16(4), 1496-1502. doi.org/10.1017/dmp.2021.160
• 37. Li HY, Bi RX, Zhong Q-L. The development and psychometric testing of a Disaster Response Self-Efficacy Scale among undergraduate nursing students. Nurse Educ Today. 2017; 59:16-20. doi.org/10.1016/j.nedt.2017.07.009
• 38. Koca B, Cagan O. Ture A. Validity and reliability study of the Turkish version of the disaster response self-efficacy scale in undergraduate nursing students. Acıbadem University Health Sciences Journal. 2020; 11(3):515-521. doi.org/10.31067/0.2020.301
• 39. Koklu N, Buyukozturk S, Cokluk O. 2022. Sosyal Bilimler İçin İstatistik. Pegem Akademi, Ankara. ISBN 978-975-6802-33-5
• 40. Ozsoy S, Ozsoy G. Effect size reporting in educational research. Elementary Education Online. 2013; 12(2), 334‐346,
• 41. International Council of Nurses (ICN) (2019). Core competencies in disaster nursing. Available from: https://www.icn.ch/sites/default/files/inline-files/ICN_Disaster-Comp-Report_WEB_final.pdf Accessed February 27, 2024.
• 42. Karnjuš I, Prosen M, Ličen S. Nurses' core disaster-response competencies for combating COVID-19-A cross-sectional study. PLoS One. 2021; 10;16(6):e0252934. doi.org/10.1371/journal.pone.0252934
• 43. Lin CH, Tzeng WC, Chiang LC, Lee MS, Chiang SL. Determinants of nurses' readiness for disaster response: A cross-sectional study. Heliyon. 2023; 30;9(10):e20579. doi.org/10.1016/j.heliyon.2023.e20579.
• 44. Hasan MK, et al. (2024). Disaster response self-efficacy of nursing students: Perceived level and associated factors. Nurse Education Today, 106254. doi.org/10.1016/j.nedt.2024.106254
• 45. Ning N, Hu M, Qiao J, et al. Factors associated with individual emergency preparedness behaviors: A cross-sectional survey among the public in three Chinese provinces. Front. Public. Health. 2021; 9:644421. doi.org/10.3389/fpubh.2021.644421
• 46. Kamanyire JK, Wesonga R, Achora S, et al. Nursing students' perceived disaster preparedness and response: Pilot study in Oman. Sultan Qaboos Univ Med J. 2021; 21(4):621-625. doi.org/10.18295/squmj.5.2021.074
• 47. Mousavi SM, Majidi SA, Shabahang R, et al. The prediction of disaster nursing competency based on the self-efficacy and disaster related experiences of nurses. Journal of Clinical Nursing and Midwifery. 2020; 9(1): 582-590.
• 48. Isleyen KE, Demirkaya Z. Relationship between disaster response self-efficacy and disaster preparedness in nursing students: Afte earthquake study. Disaster Med Public Health Prep. 2024; 2;18:e83. doi.org/10.1017/dmp.2024.69
• 49. Li G, Shi W, Gao X, et al. Mental health and psychosocial interventions to limit the adverse psychological effects of disasters and emergencies in China: A scoping review. The Lancet Regional Health–Western Pacific. 2022; 5(45),100580. doi.org/10.1016/j.lanwpc.2022.100580
• 50. Ozyer Y, Dincer S. Psychological first-aid roles of nurses in disasters. IBAD Journal of Social Sciences. 2020; (7), 198-206. doi.org/10.21733/ibad.650795.