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Exploring Nurses' Perceptions of Disaster Preparedness Competencies

*Wiwin Winarti orcid scopus  -  Department of Nursing, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta, Indonesia
Naomi Gracya  -  Department of Nursing, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta, Indonesia
Open Access Copyright (c) 2023 Nurse Media Journal of Nursing
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Abstract

Background: Indonesia frequently experiences natural disasters, underscoring the importance of nursing competencies in disaster preparedness. Nevertheless, especially among general nurses, the factors shaping these competencies are not well understood.

Purpose: This study aimed to explore Indonesian nurses’ perceptions of disaster preparedness competencies and compare these perceptions across distinct characteristics.

Methods: Adopting a cross-sectional design, 230 nurses from all wards of a public hospital in Jakarta Province were selected via quota sampling. The Nurses’ Perceptions of Disaster Core Competencies Scale (NPDCC) questionnaire was utilized to assess nurses’ perceptions of competencies across five domains. The study employed  Chi-square, Fisher’s exact, and Likelihood ratio tests, followed by backward (likelihood ratio) multiple logistic regression, to analyze the relationship between nurses’ characteristics and their perception of disaster preparedness competencies.

Results: Results indicated that 51.7% of nurses perceived their disaster competencies as high, with an average score of 175.84(25.017). Further analysis revealed that nurses’ perceptions of these competencies were influenced by education (p=0.002), disaster simulation experience (p=0.036), and awareness of hospital disaster plans (p=0.012), with Nagelkerke’s R2=0.140. Nurses with a diploma qualification were 2.569 times more likely to perceive their skills as lower. Lack of simulation experience and unawareness of the plan further diminished perceived competencies, with ORs of 2.050 and 5.420, respectively.

Conclusion: While education, disaster simulation experience, and plan awareness are crucial for nurses’ perceptions of disaster competencies, enhancing other supportive factors is also vital. This study recommends that hospitals increase educational opportunities, emphasizing regular disaster simulations and granting better access to disaster plans, to bolster nurses’ disaster preparedness competencies.

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Keywords: Competencies; disaster; nurses; perception; preparedness

Article Metrics:

  1. Adam, A. M. (2020). Sample size determination in survey research. Journal of Scientific Research and Reports, 26(5), 90–97. https://doi.org/10.9734/jsrr/2020/v26i530263
  2. Al Harthi, M., Al Thobaity, A., Al Ahmari, W., & Almalki, M. (2020). Challenges for nurses in disaster management: A scoping review. Risk Management and Healthcare Policy, 13, 2627–2634. https://doi.org/10.2147/RMHP.S279513
  3. Al Thobaity, A., Plummer, V., & Williams, B. (2015). What are the most common domains of the core competencies of disaster nursing? A scoping review. International Emergency Nursing, 31, 64–71. https://doi.org/10.1016/j.ienj.2016.10.003
  4. 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
  5. Bond, A. E., & Tichy, M. (2007). The disaster preparedness evaluation tool. Brigham Young University
  6. Celik, F. (2010). Disaster preparedness status of nurses working at Turkish red crescent (Unpublished master’s thesis, Istanbul University)
  7. Chegini, Z., Arab-Zozani, M., Kakemam, E., Lotfi, M., Nobakht, A., & Aziz Karkan, H. (2022). Disaster preparedness and core competencies among emergency nurses: A cross-sectional study. Nursing Open, 9(2), 1294–1302. https://doi.org/10.1002/NOP2.1172
  8. Chiang, H. H., Ting, C. W., Chao, E., & Chen, K. J. (2020). Using tabletop exercises to evaluate nurses’ clinical performance of hazardous materials disaster management: A cross-sectional study. Nurse Education Today, 87, 104358. https://doi.org/10.1016/j.nedt.2020.104358
  9. Goniewicz, K., Goniewicz, M., Burkle, F. M., & Khorram-Manesh, A. (2021). Cohort research analysis of disaster experience, preparedness, and competency-based training among nurses. PloS One, 16(1), e0244488. https://doi.org/10.1371/journal.pone.0244488
  10. International Council of Nurses. (2019). International council of nurses core competencies in disaster nursing version 2.0. ICN. https://www.icn.ch/sites/default/files/inline-files/ICN_Disaster-Comp-Report_WEB.pdf
  11. Jeong, S., & Lee, O. (2020). Correlations between emergency code awareness and disaster nursing competencies among clinical nurses: A cross-sectional study. Journal of Nursing Management, 28(6), 1326–1334. https://doi.org/10.1111/jonm.13086
  12. Ituma, O. W. N., Ranse, J., Bail, K., & Hutton, A. (2022). Disaster education for Australian nursing students: An integrative review of published literature to inform curricula. Collegian, 29(1), 93–99. https://doi.org/10.1016/j.colegn.2021.04.005
  13. Kalanlar, B. (2018). Effects of disaster nursing education on nursing students’ knowledge and preparedness for disasters. International Journal of Disaster Risk Reduction, 28, 475–480. https://doi.org/10.1016/j.ijdrr.2017.12.008
  14. Karnjuš, I., Prosen, M., & Ličen, S. (2021). Nurses’ core disaster-response competencies for combating COVID-19—A cross-sectional study. PloS one, 16(6), e0252934. https://doi.org/10.1371/journal.pone.0252934
  15. Kim, J., & Lee, O. (2020). Effects of a simulation-based education program for nursing students responding to mass casualty incidents: A pre-post intervention study. Nurse Education Today, 85, 104297. https://doi.org/10.1016/j.nedt.2019.104297
  16. Labrague, L.J., Hammad, K., Gloe, D.S., McEnroe-Petitte, D.M., Fronda, D.C., Obeidat, A.A., Leocadio, M.C., Cayaban, A.R. & 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
  17. Li, H., Dong, S., He, L., Wang, R., Long, S., He, F., Tang, H., & Feng, L. (2021). Nurses’ core emergency competencies for COVID-19 in China: A cross-sectional study. International Nursing Review, 68(4), 524–532. https://doi.org/10.1111/inr.12692
  18. Mahmudan, A. (2021). Tenaga kesehatan Indonesia didominasi perawat pada 2021 [Indonesian health workers dominated by nurses in 2021]. DataIndonesia. https://dataindonesia.id/ragam/detail/tenaga-kesehatan-indonesia-didominasi-perawat-pada-2021
  19. Martono, M., Satino, S., Nursalam, N., Efendi, F., & Bushy, A. (2019). Indonesian nurses’ perception of disaster management preparedness. Chinese Journal of Traumatology - English Edition, 22(1), 41–46. https://doi.org/10.1016/j.cjtee.2018.09.002
  20. Mercy Corps. (2020). Indonesia tsunamis facts-what to know. Mercy Corps. https://www.mercycorps.org/blog/facts-indonesia-disasters
  21. Perpiñá-Galvañ, J., Juliá-Sanchis, R., Olmos-Castelló, É., Mollá-Pérez, S., & Sanjuan-Quiles, Á. (2021). European educational programmes in health emergency and disaster management: An integrative review. International Journal of Environmental Research and Public Health, 18(21), 11455. https://doi.org/10.3390/ijerph182111455
  22. Ranse, J., Ituma, O. W. N., Bail, K., & Hutton, A. (2022). Disaster education in undergraduate nursing curriculum: A Delphi study to prioritise content for nursing students. Collegian, 29(5), 590-597. https://doi.org/10.1016/j.colegn.2022.02.001
  23. Rizqillah, A. F., & Suna, J. (2018). Indonesian emergency nurses’ preparedness to respond to disaster: A descriptive survey. Australasian Emergency Care, 21(2), 64–68. https://doi.org/10.1016/J.AUEC.2018.04.001
  24. Said, N. B., & Chiang, V. C. L. (2020). The knowledge, skill competencies, and psychological preparedness of nurses for disasters: A systematic review. International emergency nursing, 48, 100806. https://doi.org/10.1016/j.ienj.2019.100806
  25. Sangkala, M. S., & Gerdtz, M. F. (2018). Disaster preparedness and learning needs among community health nurse coordinators in South Sulawesi Indonesia. Australasian Emergency Care, 21(1), 23–30. https://doi.org/10.1016/J.AUEC.2017.11.002
  26. Setyawati, A. D., Lu, Y. Y., Liu, C. Y., & Liang, S. Y. (2020). Disaster knowledge, skills, and preparedness among nurses in Bengkulu, Indonesia: A descriptive correlational survey study. Journal of Emergency Nursing, 46(5), 633–641. https://doi.org/10.1016/J.JEN.2020.04.004
  27. Shinchi, K., Matsunaga, H., & Fukuyama, Y. (2019). Proposal of a model of disaster medical education for practical risk management and disaster nursing: The SINCHI education model. Prehospital and Disaster Medicine, 34(4), 438–441. https://doi.org/10.1017/S1049023X19004564
  28. Songwathana, P., & Timalsina, R. (2021). Disaster preparedness among nurses of developing countries: An integrative review. International Emergency Nursing, 55, 100955. https://doi.org/10.1016/J.IENJ.2020.100955
  29. Taskiran, G., & Baykal, U. (2019). Nurses’ disaster preparedness and corecompetencies in Turkey: A descriptive correlational design. International Nursing Review, 66(2), 165–175. https://doi.org/10.1111/inr.12083
  30. The National Agency for Disaster Management (2021). Catatan refleksi akhir tahun penanggulangan bencana 2021 – BNPB [End of year reflection notes on disaster management 2021 – BNPB]. BNPB. https://bnpb.go.id/berita/catatan-refleksi-akhir-tahun-penanggulangan-bencana-2021
  31. Unver, V., Basak, T., Tastan, S., Kok, G., Guvenc, G., Demirtas, A., Ayhan, H., Köse, G., Iyigun, E., & Tosune, N. (2018). Analysis of the effects of high-fidelity simulation on nursing students’ perceptions of their preparedness for disasters. International Emergency Nursing, 38, 3-9. https://doi.org/10.1016/j.ienj.2018.03.002
  32. Veenema, T. G., Lavin, R. P., Schneider-Firestone, S., Couig, M. P., Langan, J. C., Qureshi, K., Scerpella, D., & Sasnett, L. (2019). National assessment of nursing schools and nurse educators readiness for radiation emergencies and nuclear events. Disaster Medicine and Public Health Preparedness, 13(5-6), 936–945. https://doi.org/10.1017/dmp.2019.17

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