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Disaster Preparedness and Associated Factors Among Emergency Nurses in Guangdong Province, China: A Descriptive Cross-Sectional Study

Published online by Cambridge University Press:  01 December 2021

Jia Wang ,
Xinglan Sun ,
Sihui Lu ,
Fen Wang ,
Meijuan Wan ,
Hanxi Chen  and
Yibing Tan Open the ORCID record for Yibing Tan [Opens in a new window]
Jia Wang
Affiliation:
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
Xinglan Sun
Affiliation:
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
Sihui Lu
Affiliation:
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
Fen Wang
Affiliation:
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
Meijuan Wan
Affiliation:
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
Hanxi Chen
Affiliation:
Burns Department, Guangdong General Hospital, Guangzhou, Guangdong, China
Yibing Tan*
Affiliation:
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
*
Corresponding author: Yibing Tan, Email: m13560013117@163.com.
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Abstract

Objective:

The purpose of this study was to examine the prevalence of disaster preparedness and to explore associated factors among emergency nurses in Guangdong Province, China.

Methods:

In this descriptive, cross-sectional study, the mainland China version of the Disaster Preparedness Evaluation Tool was used to collect data from 633 nurses working in 26 emergency departments, in August 2018. Descriptive analyses were used to examine the disaster preparedness, and multiple linear regression analysis was used to investigate associated factors.

Results:

The perceived disaster preparedness of emergency nurses was at a moderate level. Among the 5 dimensions, the score for disaster management was lowest. Emergency nurses’ disaster training (r = .26; P < 0.001) and drill experiences (r = .22; P < 0.001) were significantly correlated with disaster preparedness. Six significant factors associated with disaster preparedness were identified in this study: age, gender, disaster training experience, disaster drill experience, willingness, and educational level (R2 = .14; F = 18.20; P < 0.001).

Conclusions:

Hospitals and nurse managers should carry out interdisciplinary and multidisciplinary cooperation to improve emergency nurses’ disaster preparedness, especially disaster management. Organizing disaster simulation exercises, providing psychological support and safety considerations, and formulating disaster nursing training programs may be beneficial for emergency nurses’ disaster preparedness.

Keywords

Chinaemergency nursingnurses
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e65
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

Hutton, A, Veenema, TG, Gebbie, K. Review of the International Council of Nurses (ICN) framework of disaster nursing competencies. Prehosp Disaster Med. 2016;31(6):680-683. doi: 10.1017/S1049023X1600100X CrossRefGoogle ScholarPubMed
Division, OPAE, Division, OCRC, Meng, Q, et al. China expert consensus of medical emergency rescue for acute poisoning accidents in 2015. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2015;27(8):625-629. (In Chinese)Google Scholar
Fan, W, Yu, S, Yujun, Z, et al. Qualitative study on rescue experience of nurses in disaster response: a meta synthesis. J Nurs. 2019;26(03):28-33. doi: 10.16460/j.issn1008-9969.2019.03.028 (In Chinese)Google Scholar
Wenji, Z, Turale, S, Stone, TE, et al. Chinese nurses’ relief experiences following two earthquakes: implications for disaster education and policy development. Nurse Educ Pract. 2015;15(1):75-81. doi: 10.1016/j.nepr.2014.06.011 CrossRefGoogle ScholarPubMed
United Nations Office for Disaster Risk Reduction (UNISDR). UNISDR terminology on disaster risk reduction. 2009. Accessed November 4, 2021. http://www.unisdr.org/we/inform/publications/7817 Google Scholar
Najafi, GT, Mohammad, AJ, Haghani, H, et al. Effect of education using the virtual social network on the knowledge and attitude of emergency nurses of disaster preparedness: a quasi-experiment study. Nurse Educ Today. 2019;73:88-93. doi: 10.1016/j.nedt.2018.12.001 CrossRefGoogle Scholar
Zhang, YY, Zhu, LL, Sheng, Y, et al. Disaster nursing development in China and other countries: a bibliometric study. J Nurs Scholarsh. 2018;50(5):567-576. doi: 10.1111/jnu.12401 (In Chinese)CrossRefGoogle ScholarPubMed
Wang, J. An empirical analysis of Guangdong Province’s economic development and interprovincial population migration [master’s thesis]. Guangzhou, Guangdong Province: Guangdong Academy of Social Sciences; 2019. (In Chinese)Google Scholar
Nguyen, KA, Liou, YA, Terry, JP. Vulnerability of Vietnam to typhoons: a spatial assessment based on hazards, exposure and adaptive capacity. Sci Total Environ. 2019;682:31-46. doi: 10.1016/j.scitotenv.2019.04.069 CrossRefGoogle ScholarPubMed
Wang, X, Liao, C, Li, Z, et al. Preliminary analysis on the early prevalence and spatial distribution of new coronavirus pneumonia in guangdong province. J Trop Med. 2020;(03):1-8. (In Chinese)Google Scholar
National Health Commission of the People’s Republic of China. Update on COVID-19 as of 24:00 on July 23, 2021. Accessed November 4, 2021. http://www.nhc.gov.cn/xcs/yqtb/202107/8cce0574c154434bab429d2c90eac5f4.shtml Google Scholar
Lizhen, M, Yonghong, W, Bo, Z, et al. Phased analysis of the spatio-temporal distribution characteristics of imported COVID-19. J Prev Med Inform. 2021;37(02):149-154. (In Chinese)Google Scholar
Dong, L, Bouey, J. Public mental health crisis during COVID-19 pandemic, China. Emerg Infect Dis. 2020;26(7):1616-1618. doi: 10.3201/eid2607.200407 CrossRefGoogle ScholarPubMed
Xiao, H, Zhang, Y, Kong, D, et al. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020;26:e923549. doi: 10.12659/MSM.923549. (In Chinese)Google ScholarPubMed
Tan, Y, Liao, X, Su, H, et al. Disaster preparedness among university students in Guangzhou, China: assessment of status and demand for disaster education. Disaster Med Public Health Prep. 2017;11(3):310-317. doi: 10.1017/dmp.2016.124 CrossRefGoogle ScholarPubMed
Xia, R, Li, S, Chen, B, et al. Evaluating the effectiveness of a disaster preparedness nursing education program in Chengdu, China. Public Health Nurs. 2020;37(2):287-294. doi: 10.1111/phn.12685 (In Chinese)CrossRefGoogle ScholarPubMed
Yang, YN, Xiao, LD, Cheng, HY, et al. Chinese nurses’ experience in the Wenchuan earthquake relief. Int Nurs Rev. 2010;57(2):217-223. doi: 10.1111/j.1466-7657.2009.00795.x (In Chinese)CrossRefGoogle ScholarPubMed
Chen, J, Yang, J, Hu, F, et al. Standardised simulation-based emergency and intensive care nursing curriculum to improve nursing students’ performance during simulated resuscitation: a quasi-experimental study. Intensive Crit Care Nurs. 2018;46:51-56. doi: 10.1016/j.iccn.2018.02.003 (In Chinese)CrossRefGoogle ScholarPubMed
Liao, J, Ma, X, Gao, B, et al. Psychological status of nursing survivors in China and its associated factors: 6 years after the 2008 Sichuan earthquake. Neuropsychiatr Dis Treat. 2019;15:2301-2311. doi: 10.2147/NDT.S203909 CrossRefGoogle ScholarPubMed
Liu, C, Yu, Y, Liu, H, et al. Disaster preparedness of nurses in three COVID-19 designated hospitals in Beijing and its influencing factors: a cross-sectional study. Acad J Chin PLA Med School. 2020;41(03):237-241+253. doi: 10.3969/j.issn.2095-5227.2020.03.010 (In Chinese)Google Scholar
Lv, J, Li, H, Chen, Y, et al. Development and applications of makeshift emergency hospitals. Chin J Epidemiol. 2020;41. (In Chinese)Google Scholar
Seo, Y. Report of the American Heart Association (AHA) Scientific Session 2017, Anaheim, California. Circ J. 2018;82(2):323-327.CrossRefGoogle Scholar
National Health Commission of the People’s Republic of China. The 13th Five-Year Plan for Emergency Medical Rescue (2016-2020). Published 2016. Accessed November 25, 2020. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=439e45a887384171b2c99af2bb340bed (In Chinese)Google Scholar
Chovaz, M, Patel, RV, March, JA, et al. Willingness of emergency medical services professionals to respond to an active shooter incident. J Spec Oper Med. 2018;18(4):82-86.CrossRefGoogle Scholar
Cohen, J. Statistical Power Analysis for the Behavioral Sciences. Routledge; 1988.Google Scholar
Ostle, BA, Malone, L. Statistics in Research. Iowa State University Press; 1988.Google Scholar
King, HC, Spritzer, N, Al-Azzeh, N. Perceived knowledge, skills, and preparedness for disaster management among military health care personnel. Mil Med. 2019;184(9-10):e548-e554. doi: 10.1093/milmed/usz038 CrossRefGoogle ScholarPubMed
Tichy, M, Bond, AE, Beckstrand, RL, et al. NPs’ perception of disaster preparedness education: Quantitative survey research. Am J Nurse Pract. 2009;(13):10-22.Google Scholar
Zhen, L, Yu, S. A survey of emergency nurses’ disaster preparedness. Article in Chinese. Chin J Nurs. 2014;49(06):699-703.Google Scholar
Chen, TF, Chou, KR, Liao, YM, et al. Construct validity and reliability of the Chinese version of the Disaster Preparedness Evaluation Tool in Taiwan. J Clin Nurs. 2015;24(7-8):1132-1143. doi: 10.1111/jocn.12721 CrossRefGoogle ScholarPubMed
Shinozaki, N, Wang, HC, Yuan, X, et al. Current status of education and research on public health nutrition in Japan: comparison with South Korea, Taiwan, and mainland China. BMC Nutr. 2019;5:10. doi: 10.1186/s40795-019-0275-x CrossRefGoogle ScholarPubMed
Jia, W, Sihui, L, Xinglan, S, et al. Psychometric evaluation of the Disaster Preparedness Evaluation Tool© (DPET) on emergency nurses in mainland China: two cross-sectional studies. Disaster Med Public Health Prep. 2021. doi: 10.1017/dmp.2021.39 Google Scholar
Eysenbach, G. Improving the quality of Web surveys: the checklist for reporting results of internet E-Surveys (CHERRIES). J Med Internet Res. 2004;6(3):e34. doi: 10.3761/j.issn.0254-1769.2019.07.021 (In Chinese)CrossRefGoogle ScholarPubMed
Xue, C, Dou, Y, Chang, S, et al. Analysis on the application effect and influencing factors of Israeli disaster relief in nurses’ disaster preparedness. J Chongqing Med University. 2020:1-5. doi: 10.13406/j.cnki.cyxb.002284 (In Chinese)Google Scholar
Deng, X, Xiong, L, Liu, Y, et al. Investigation on disaster preparedness of male nurses and analysis of influencing factors. Chin J Nurs. 2019;54(07):1065-1069. doi: 10.3761/j.issn.0254-1769.2019.07.021 (In Chinese)Google Scholar
Al, KM, Bond, E, Alasad, JA. Jordanian nurses’ perceptions of their preparedness for disaster management. Int Emerg Nurs. 2012;20(1):14-23.Google Scholar
Shi Liumin, CXYL. A survey on disaster preparedness of community nurses in Changsha City. Chin J Mod Nurs. 2019;24(17):2150-2154.Google Scholar
Usher, K, Mills, J, West, C, et al. Cross-sectional survey of the disaster preparedness of nurses across the Asia-Pacific region. Nurs Health Sci. 2015;17(4):434-443. doi: 10.1111/nhs.12211 CrossRefGoogle Scholar
Pata, D, Gatto, A, Buonsenso, D, et al. A COVID-19 outbreak’s lesson: best use of the paediatric emergency department. Acta Paediatr. 2020;109(9):1903-1904. doi: 10.1111/apa.15386 CrossRefGoogle ScholarPubMed
Jee, M, Khamoudes, D, Brennan, AM, et al. COVID-19 outbreak response for an emergency department using in situ simulation. Cureus. 2020;12(4):e7876. doi: 10.7759/cureus.7876 Google ScholarPubMed
Hai, H. A brief analysis of the training framework of international emergency medical team and its enlightenment to the training of China’s health emergency team. Article in Chinese. Chin Disaster Relief Med. 2020;8(05):268-271. doi: 10.13919/j.issn.2095-6274.2020.05.010 Google Scholar
Changqing, L, Hongfei, R, Zhonglan, C, et al. Practice and enlightenment of disaster nursing in West China – a case study of West China Hospital. J Nurs Educ. 2021;36(02):175-178+188. doi: 10.16821/j.cnki.hsjx.2021.02.019 (In Chinese)Google Scholar
Ming, H, Yupu, W. Activities on the National Day for Disaster Prevention and Reduction will be carried out extensively and intensively to enhance the overall ability of the whole society to resist natural disasters. Product Saf China. 2018;13(05):4-5. (In Chinese)Google Scholar
Zhang, D, Zhang, L, Gong, A. Development of disaster nursing in China: from the spirit of nightingale to COVID-19. Disaster Med Public Health Prep. 2021;15:e32-e35. doi: 10.1017/dmp.2020.468 CrossRefGoogle ScholarPubMed
Khorram-Manesh, A, Lupesco, O, Friedl, T, et al. Education in disaster management: what do we offer and what do we need? Proposing a new global program. Disaster Med Public Health Prep. 2016;10(6):854-873. doi: 10.1017/dmp.2016.88 CrossRefGoogle ScholarPubMed
Zhang, Q, Cheng, S, Cheng, Q. Experience summary of a COVID-19 designated community hospital and its operation model. Panminerva Med. 2020. doi: 10.23736/S0031-0808.20.03908-7 CrossRefGoogle ScholarPubMed
Jianhong, Y, Yugai, F, Zhiyong, L, et al. Countermeasures and suggestions for improving national health emergency management system. Nurs Manage China. 2021;21(04):637-640. (In Chinese)Google Scholar
Juan, C, Fengli, G, Zhaoyuan, Y, et al. Urgent problems and countermeasures of emergency management system of nursing manpower in general hospitals under COVID-19 outbreak. Chin J Pathog Biol. 2021;16(02):235-237. doi: 10.13350/j.cjpb.210222 (In Chinese)Google Scholar
Hendrickx, C, Hoker, SD, Michiels, G, et al. Principles of hospital disaster management: an integrated and multidisciplinary approach. B-ENT. 2016;Suppl 26(2):139-148.Google Scholar
Jeong, S, Lee, O. Correlations between emergency code awareness and disaster nursing competencies among clinical nurses: a cross-sectional study. J Nurs Manag. 2020;28(6):1326-1334. doi: 10.1111/jonm.13086 Google ScholarPubMed
Chiang, HH, Ting, CW, Chao, E, et al. Using tabletop exercises to evaluate nurses’ clinical performance of hazardous materials disaster management: a cross-sectional study. Nurse Educ Today. 2020;87:104358. doi: 10.1016/j.nedt.2020.104358 CrossRefGoogle ScholarPubMed
World Health Organization (WHO). Coronavirus disease (COVID-19) training: Simulation exercise. Published 2020. Accessed November 4, 2021. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/training Google Scholar
Centers for Disease Control and Prevention (CDC). Considerations for institutions of higher education. Published 2020. https://www.cdc.gov/coronavirus/2019-ncov/community/colleges-universities/considerations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcommunity%2Fguidance-ihe-response.html. Accessed November 17, 2021.Google Scholar
Primeau, MS, Benton, AM. Multilevel disaster simulation in nursing: lessons learned in undergraduate and nurse practitioner student collaboration. Nurs Educ Perspect. 2021;42(3):188-189. doi: 10.1097/01.NEP.0000000000000602 CrossRefGoogle ScholarPubMed
Lee, J, Hernandez, PM, Marshall, IJ. Review of online education in social work programs. J Evid Based Soc Work (2019). 2019;16(6):669-686. doi: 10.1080/26408066.2019.1676859 CrossRefGoogle ScholarPubMed
Muflih, S, Abuhammad, S, Karasneh, R, et al. Online education for undergraduate health professional education during the COVID-19 pandemic: attitudes, barriers, and ethical issues. Res Sq. 2020; rs.3.rs-42336/v1. doi: 10.21203/rs.3.rs-42336/v1 Google Scholar
Perfetto, LM. Preparing the nurse of the future: emergent themes in online RN-BSN education. Nurs Educ Perspect. 2019;40(1):18-24. doi: 10.1097/01.NEP.0000000000000378 CrossRefGoogle ScholarPubMed
Al-Hunaishi, W, Hoe, VC, Chinna, K. Factors associated with healthcare workers willingness to participate in disasters: a cross-sectional study in Sana’a, Yemen. BMJ Open. 2019;9(10):e030547. doi: 10.1136/bmjopen-2019-030547 CrossRefGoogle ScholarPubMed
Zhang, H, Tu, J. The working experiences of male nurses in China: implications for male nurse recruitment and retention. J Nurs Manag. 2020;28(2):441-449. doi: 10.1111/jonm.12950 CrossRefGoogle ScholarPubMed
Dureab, FA, Shibib, K, Al-Yousufi, R, et al. Yemen: cholera outbreak and the ongoing armed conflict. J Infect Dev Ctries. 2018;12(5):397-403. doi: 10.3855/jidc.10129 CrossRefGoogle ScholarPubMed
Kalsvik, S. Four years of brutal civil war in Yemen. Tidsskr Nor Laegeforen. 2019;139(4). doi: 10.4045/tidsskr.19.0014 Google ScholarPubMed
Sheng, Q, Zhang, X, Wang, X, et al. The influence of experiences of involvement in the COVID-19 rescue task on the professional identity among Chinese nurses: a qualitative study. J Nurs Manag. 2020;28(7):1662-1669. doi: 10.1111/jonm.13122 CrossRefGoogle ScholarPubMed
Lee, JH, Hwang, JI. The effects of hospitals’ family friendly management on married female nurses’ retention intention: focused on the mediating effects of work-family interface. J Korean Acad Nurs. 2019;49(4):386-397. doi: 10.4040/jkan.2019.49.4.386 CrossRefGoogle ScholarPubMed
Zhang, X. Investigation on emergency response ability and psychological capital of emergency nurses in public health emergencies [master’s thesis]. Taiyuan, Shanxi Province: Shanxi Medical University; 2020. doi: 10.27288/d.cnki.gsxyu.2020.000749 (In Chinese)CrossRefGoogle Scholar
Ganz, FD, Margalith, I, Benbenishty, J, et al. A conflict of values: nurses’ willingness to work under threatening conditions. J Nurs Scholarsh. 2019;51(3):281-288. doi: 10.1111/jnu.12466 CrossRefGoogle ScholarPubMed
Yanhong, X, Qi, Y. Research on the optimization of higher education hierarchical structure in China in the new era. Heilongjiang Education (Higher Education Research and Evaluation). 2021;(08):32-34. (In Chinese)Google Scholar
Zhang, D, Zhu, X, Zhou, Z, et al. Research on disaster literacy and affecting factors of college students in central China. Disaster Med Public Health Prep. 2020:1-7. doi: 10.1017/dmp.2020.33 Google ScholarPubMed
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