Ankara ilinde bir üniversite hastanesi hemşirelerinde afet hazırbulunuşluk değerlendirilmesi

Yıl 2025, Cilt: 12 Sayı: 3, 354 - 363, 30.09.2025

Sevil Pamuk Cebeci , Yılmaz Yenal

Öz

Giriş ve amaç: Araştırma Türkiye’de Ankara ilinde bir hastanenin hemşirelerinde afet hazırbulunuşluk değerlendirmesinin yapılması amacıyla planlanmıştır.

Gereç ve Yöntem: Ocak-Şubat 2024 tarihleri arasında gerçekleştirilen tanımlayıcı nitelikteki araştırmanın evrenini, Sincan Eğitim ve Araştırma Hastanesi’nde çalışan 560 hemşire oluşturdu. Örneklem, α=0.05 için örneklem büyüklükleri tablosu referans alınarak %95 güven aralığı %5 hata payı (p=0.8, q=0.2, t=1.96, d=0.05) ile 165 katılımcı olarak belirlendi. Veriler katılımcıların tanımlayıcı özelliklerinin yer aldığı “Sosyo-Demografik Veri Formu” ve “Afet Hazırbulunuşluk Ölçeği” kullanılarak yüz yüze görüşme tekniği ile toplandı. İstatistiksel anlamlılık düzeyi p<0.05 kabul edildi.

Bulgular ve sonuç: Hemşirelerin “Afet Hazırbulunuşluk Ölçeği” toplamından aldıkları puan ortalaması 32.84±4.38 (min:22 max:47) olarak bulunmuştur. Toplam ölçekten elde edilen puan ortalamanın biraz üstündedir. Bu nedenle ortalama seviyede kabul edilebilir. “Afet Hazırbulunuşluk Ölçeği” alt boyutlarından alınan puanlar incelendiğinde “Afet Fiziksel Koruma” boyutu ortalama puanı 12.56±2.18 (min:8 max:18), “Afet Planlama” boyutu ortalama puanı 6.81±1.60 (min:3 max:12), “Afet Yardım” boyutundan 8.90±1.62 (min:3 max:12), Afet Uyarı Sistemleri” boyutundan 4.58±1.20 (min:2 max:8) olarak bulunmuştur. Bu araştırmaya göre hemşirelerin; yaş, medeni durumu, çocuk sayısı, gelir durumu, mesleki deneyim, afet hazırbulunuşluluk ve alt boyutları açısından anlamlı bir farklılık oluştuğu görülmüştür. Hemşirelerin mesleki deneyimi arttıkça afet farkındalık ve hazırbulunuşluk derecesinin yükseldiği gözlenmiştir. Hemşirelerin; bireyin, ailenin ve toplumun sağlığının korunması ve topluma doğru davranışları kazandırmaya yönelik eğitimci ve uygulayıcı rollerinde daha başarılı olması için, uygulamalı hizmet içi eğitim programlarının arttırılması önerilmektedir.

Anahtar Kelimeler

Afet Hazırbulunuşluk , hemşire , hastane

Disaster preparedness evaluation of nurses in a university hospital in Ankara province

Öz

Abstract
Purpose: The research was planned to evaluate disaster preparedness among nurses of a hospital in Ankara, Turkiye. Materials and Methods: The population of the descriptive study conducted between January-February 2024 consisted of 560 nurses working in Sincan Training and Research Hospital. The sample was determined as 165 participants with a 95% confidence interval and 5% margin of error (p=0.8, q=0.2, t=1.96, d=0.05) with reference to the table of sample sizes for α=0.05. Data were collected by face-to-face interview technique using “Socio-Demographic Data Form” and “Disaster Preparedness Scale”. Statistical significance level was accepted as p<0.05. Results: The average score of the nurses from the total "Disaster Preparedness Scale" was found to be 32.84±4.38 (min:22 max:47). The total score is slightly higher than average score, so it can be considered average. Analysis of the sub-dimensions of the “Disaster Preparedness Scale” revealed the following mean scores: Disaster Physical Protection: 12.56±2.18 (min:8 max:18), Disaster Planning: 6.81±1.60 (min:3 max:12) Disaster Relief: 8.90±1.62 (min:3 max:12), and Disaster Warning Systems: 4.58±1.20 (min:2 max:8). Conclusion: According to the research, significant differences were observed among nurses based on age, marital status, number of children, income level, professional experience, and disaster preparedness. Increased professional experience was linked to higher levels of disaster awareness and preparedness. To enhance their roles as educators and practitioners in promoting health and guiding society, it is recommended to expand applied in-service training programs for nurses.

Key Words: Disaster Preparedness, Nurse, Hospital

Anahtar Kelimeler

Disaster Preparedness , nurse , hospital

Kaynakça

• AFAD (General Directorate of Earthquake and Risk Mitigation Earthquake Department) (2023). 06 February 2023 Pazarcık-Elbistan (Kahramanmaraş) Mw: 7.7 - Mw: 7.6 Earthquakes Report.
• Al-Hammami, M. M., Al-Alwani, M. S., & Al-Harthi, T. A. (2020). Disaster preparedness among hospital nurses in Iraq. International Journal of Nursing Practice, 26(5), e12838. https://doi.org/10.1111/ijn.12838
• Al Khalaileh, M. A., & Bond, E. (2020). Disaster preparedness and response in Jordanian hospitals: Nurses' perceptions and practices. International Emergency Nursing, 50, 100814. https://doi.org/10.1016/j.ienj.2020.100814
• Agahan, M. & Demirbilek, Ö. (2023). Investigation of Teachers' Disaster Preparedness in Terms of Different Variables. Kahramanmaraş Sütçü İmam University Journal of Social Sciences, 20(3), 735-744. https//doi.org/10.33437/ksusbd.1331189
• Bulat Ç & Ozbaşı D. (2021) Investigation of Knowledge, Attitudes and Behaviors of University Staff About Disaster Management: The Case of Çanakkale Onsekiz Mart University. International Journal of Social and Educational Sciences, 16, 68- 82.
• Bullock J, Haddow G ve Coppola D.(2020). Introduction to Homeland Security: Principles of All-Hazards Risk Management.
• Chan, E., Kim, H. J., Lin CCheung, L Y E., Lee, P P.(2014). Is previous disaster experience a good predictor for disaster preparedness in extreme poverty households in remote muslim minority based community in China? J Immigrant Minority Health.16: 466–472.
• Chegini Z., Arab-Zozani M., Kakemam E., Lotfi M., Nobakht A., Karkan H. (2022) Disaster preparedness and core competencies among emergency nurses: A cross-sectional study. Nursing Open. 2022; 9: 1294–1302. https://doi.org/10.1002/nop2.1172
• Dikmenli Y & Yakar H. (2019). Investigation of Disaster Awareness Perception Levels of Prospective Teachers, YYU Journal of Education Faculty;16(1):386-416.
• Dogan, U., Sungur M. & Atsal Kılıç B. (2023) The Relationship Between Disaster Readiness Level in Caregivers of Elderly Relatives with Chronic Diseases and Care Burden After Kahramanmaraş Earthquake: A Descriptive and Cross-Sectional Study. Turkiye Klinikleri Journal of Nursing Sciences, 2146-8893. https//doi.org 10.5336/nurses.2023-100660.
• Erkal, Tevfik, & Mehmet Değerliyurt (2009).Disaster management in Turkey. Journal of Eastern Geography: 147-164.
• Ertuğrul, B. & Ünal, S. D. (2020). Determining the general disaster preparedness beliefs of students studying at a foundation university health services vocational school. Journal of Disaster and Risk, 3 (1), 31-45.
• Hammad, K. S., & Arbon, P. A. (2014). Graduate nurses’ perceptions of their preparedness for disaster management and response. Australasian Emergency Nursing Journal, 17(3), 75–81. https://doi.org/10.1016/j.aenj.2014.03.003
• Inal E, Altintaş, K. H., & Doğan, N. (2018). The development of a general disaster preparedness belief scale using the health belief model as a theoretical framework. International Journal of Assessment Tools in Education, 5(1), 146-158.
• Inal E, Kocagöz S & Turan M. (2012) A Research on Determination of Basic Disaster Awareness and Preparedness Level, Turkish Journal of Emergency Medicine;12(1):15- 19
• Kadıoğlu M. (2011). Disaster Management Expecting the Unexpected, Managing the Worst Book (p:38-40). Istanbul: Union of Marmara Municipalities, First Edition.
• Khan, S., Rashid, H., & Aziz, F. (2021). Disaster preparedness among health professionals in Pakistan: A cross-sectional study. Journal of Emergency Management, 19(3), 205–213.
• Martono M., Satino S., Nursalam N., Efendi F, Bushy A. (2019). Indonesian Nurses’ Perception of Disaster Management Preparedness. Chinese Jorunal Of Traumatology 22 (2019) 41-46. https://doi.org/10.1016/j.cjtee.2018.09.002
• Nguyen, H. T., Than, T. M., Dao, A. T. P., & Nguyen, N. T. (2017). Disaster preparedness of nurses in central Vietnam. International Journal of Nursing Practice, 23(4), e12557. https://doi.org/10.1111/ijn.12557
• Ojo, A., Adebayo, O., & Ogunsola, B. (2020). Assessment of disaster preparedness among nurses in Nigerian hospitals. Nigerian Journal of Nursing, 11(1), 34–42.
• Özpulat F, Kabasakal E. (2018). Knowledge Levels of Nursing Students on Disaster Nursing and Their State of Disaster, Preparedness. International Journal of Medical Research &amp; Health Sciences.; (8):165-174
• Park, H.-Y., & Kim, J.-S. (2017). Factors influencing disaster nursing core competencies of emergency nurses. Applied Nursing Research, 37, 1–5. https://doi.org/10.1016/j.apnr.2017.06.004
• Sharma, M., Patel, R., & Kumar, S. (2019). Impact of disaster preparedness training on health workers in India. International Journal of Disaster Risk Reduction, 39, 101236.
• Sentuna, B. & Çakı F. (2020) A Scale Development Study in Balıkesir Sample: Disaster Readiness Scale Idealkent, 1(31), 1959-1983 https://doi.org/10.31198/idealkent.728896.
• Tufekci, Omer Kurşad (2023) Scenarios of Preparedness in Earthquakes and a Model Proposal for Preparedness. Academic Recommendations for the Aftermath of Kahramanmaras Centered Earthquakes, 37-43
• Ulug A.(2004). Methods of protection from disasters and reducing the destructive energy of disaster, International Participated 1st National Disaster Medicine Congress Book, Antalya.