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Int Nurs Rev. 2017 Jun;64(2):309-317. doi: 10.1111/inr.12316. Epub 2016 Sep 23.

Disaster nursing experiences of Chinese nurses responding to the Sichuan Ya'an earthquake.

Li YH1,2, Li SJ2, Chen SH2,3, Xie XP2,4, Song YQ2,5, Jin ZH2,6, Zheng XY2,7.

Author information

1
Obstetrics and Gynecology Department, West China Second University Hospital, Sichuan University, Sichuan, China.
2
School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
3
Quanzhou the 1st Affiliated Hospital of Fujian Medical University, Infectious Disease Unit, Fujian, China.
4
The 3rd Affiliated Hospital of Chongqing Medical University, Accident and Emergency, Sichuan, China.
5
Xia Cheng District Shiqiao Community Health Service Center, Hangzhou, Zhejiang, China.
6
Aba Prefecture People's Hospital, Medical Department, Sichuan, China.
7
The First Affiliated Hospital of Fujian Medical University, Oral and Maxillofacial Surgery, Fujian, China.

Abstract

AIM:

The aim of this study was to investigate the disaster experiences of nurses called to assist survivors one month after the 2013 Ya'an earthquake.

BACKGROUND:

China has experienced an increasing number of earthquake disasters in the past four decades. Although a health and disaster management system was initiated after the 2008 Wenchuan earthquake, nurses' roles and experiences in a disaster have been overlooked.

METHODS:

The researchers used qualitative descriptive design that included 16 participants. Data were collected using semi-structured interviews and observation notes, after which a qualitative content analysis was conducted.

FINDINGS:

Three major themes emerged: the process of being dispatched from hospitals to the disaster zone, the effort involved in getting to and working in the affected site and reflecting on the challenges they encountered.

DISCUSSION:

About half of the participants had received disaster nursing training before deploying to the disaster site, but they consistently expressed a lack of physical and psychological preparedness regarding the process of being dispatched from their hospitals to the disaster zone.

LIMITATIONS:

This was a single-incident experience. Caution should be taken when trying to extend the findings to other parts of China.

CONCLUSION:

These findings highlighted the need for disaster in-service training as well as for having disaster plans in place.

IMPLICATIONS FOR NURSING AND HEALTH POLICY:

Hospital and nursing leaders should provide disaster training opportunities that included topics such as compiling resource inventories, formulating disaster drills and simulations, managing emergencies, and using emergency communication methods. Health policy-makers should be required to prioritize capacity-building training for front-line nurses as well as to develop and implement disaster management plans to better prepare nurses for future disasters.

KEYWORDS:

China; Disaster; Disaster Nursing; Disaster Preparedness; Disaster Response; Nurses; Qualitative Investigation; Sichuan Ya'an Earthquake

PMID:
27659041
DOI:
10.1111/inr.12316
[Indexed for MEDLINE]

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