Functioning against the odds: Hospital and residential care nurses' accounts of resilience during disasters

G. Scrymgeour, L. Smith, D. Paton

Research output: Other contribution to conferencePresentation only

Abstract

AIMS Nurses are the single largest group of healthcare workers and are most likely to be involved during and affected by any type of disaster that impacts a healthcare facility. The aim of this research is to examine from a social-ecological perspective how hazard event characteristics interact with personal, team and organisational factors to facilitate the development and maintenance of resilience and adaptive capacity of nurses working within inpatient residential healthcare facilities in New Zealand and Australia during and following a natural disaster. METHODS Phase one of this mixed method study used thematic analysis of literature and qualitative interviews to explore the scope of issues facing nurses working in residential healthcare facilities during a critical event precipitated by a natural disaster. Phase one findings will inform phase two development and validation of a nurse-focused model of adaptive capacity. RESULTS Preliminary findings from phase one interviews identify that that nurse participants maintained a strong sense of professional duty, personal commitment and responsibility to their patients and the facility. They demonstrated the ability to adapt, cope and respond in spite of a range of personal, structural and organisational barriers that occurred during and after the event. CONCLUSIONS The research examined how these factors interacted to help or hinder nurses’ ability to anticipate, be adequately prepared for, be able to cope with and adapt to, and respond to the consequences of complex critical incident events such as disasters. The participant’s resilience and willingness to keep going to provide the best care possible during critically challenging disaster events need to be championed. The knowledge of disaster preparedness and how this can be implemented to facilitate the development of resilient and adaptive nurses represents an important adjunct to nurse training, service delivery, policy development and research considerations.

Conference

ConferenceAsia-Pacific Emergency and Disaster Nursing Network (APEDNN) Conference 2018
Abbreviated titleDisaster Capacity and Resilience Building: Nursing Contributions
Country/TerritoryCambodia
CitySiem Reap
Period15/11/1816/11/18
OtherIn recent years, the focus of disaster management has been shifted from disaster response to capacity and resilience building. The theme of this Conference, “Disaster Capacity and Resilience Building: Nursing Contributions”, is aptly chosen to reflect the latest trend.

This two-day Conference aims to elicit questions and dialogues about disaster capacity and resilience building, and to examine the role and contribution of nurses in disaster-related areas. We will cover a diverse range of topics, from disaster risk assessment and management, disaster preparation in community and healthcare settings, nurses contribution in reducing disaster risks and resilience building, to enhancing disaster resilience and developing effective responses in recovery and rehabilitation stages, etc.

The Conference will bring together leading experts, scholars, health care professionals, representatives from governments and international organisations, and nursing leaders from all over the world to discuss the challenges of capacity and resilience building in face of the complexities and diversities of disasters, the latest research findings and research-based practices, and the direction of future development of emergency and disaster nursing. It also provides a platform for disseminating the latest knowledge, exchanging ideas on best practices and sharing efforts towards capacity and resilience building.
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