Objective: This study evaluates the self-perceived nursing readiness of Japanese nurses dispatched to disaster areas following the Great East Japan Earthquake. Identifying readiness deficits is the first step in providing targeted training and education to enhance disaster nursing readiness. Methods: This study employed a quantitative, non-experimental, descriptive research design. A purposive sample of participants (N = 427) was drawn from 171 of 609 randomly selected hospitals from all hospitals nationwide, including base disaster hospitals. Data were collected using the Readiness Estimate and Deploy ability Index Japanese Version (READI-J-V), which evaluates self-reported competencies in seven dimensions with 67 items measuring nursing readiness for disaster. These competencies are necessary for coping with unexpected disaster work environments. The data were analyzed using descriptive statistics and one-way analysis of variance (ANOVA). Results: Overall, the nurses reported moderate readiness levels; low levels were reported on several items. Nurses with previous dispatch experience, longer nursing experience, and a nursing specialty had higher total scores. The ANOVA also revealed significant differences in all seven dimensions of the READI-J-V. Conclusion: The findings support the need for a structured estimate tool that measures disaster nursing competencies and emphasizes training and education to ensure disaster nursing readiness
Objectives
This study aimed to identify factors related to the practical utilization of community health needs assessment (CHNA) models that public health nurses (PHNs) learned in their fundamental education.
Design
A nationwide questionnaire survey was conducted via postal mail.
Sample
We randomly selected 630 public health institutes in Japan. The participants were 3397 full‐time novice and mid‐level PHNs.
Measurements
The questionnaire included the participants’ basic personal information, six items regarding the perception of CHNA with a 4‐point Likert scale, learned models in their undergraduate education, their utilization in practical settings, and the reasons for their answer in narrative form.
Results
There were 951 valid responses. The results of logistic regression showed that the significant positively factors with model utilization were perception of CHNA as “not troublesome” or “not impossible as they learned,” continuing education with 5 years of experience, and identification of the learned model in continuing education. Furthermore, the results of text mining showed the reasons for non‐utilization of the model included being “busy” and having a lack of “opportunity.”
Conclusions
This study showed the associated factors with rare utilization of a learned model for PHNs. These findings may suggest improvement of continuing education and development of an appropriate assessment model.
The factors identified in our investigation can be used to predict effective clinical instructors and to develop preparation programmes to enhance their confidence and interests and potentially increase their role satisfaction.
This cross-sectional study determined whether various factors, such as parental behavior, attitude, and knowledge and sibling and peer behaviors, were associated with smoking and drinking among early adolescents in the Republic of Vanuatu. For this purpose, logistic regression analysis was used to determine the relative importance of the factors as well as the influences of the parents/guardians, siblings, and peers. The participants consisted of 157 seventh- and eighth-grade adolescents (mean age = 13.3 years; 52.2% girls), including their parents/guardians, from three public schools in Vanuatu. According to the results, the proportions of smokers and drinkers among the adolescents were 12.7% each, while the majority of the parents/guardians disapproved of underage smoking and drinking. In addition, peer influences (i.e., regularly smoking and/or drinking and offering tobacco and/or alcohol) was significantly associated with ever smoking and drinking, whereas parental and sibling influences did not have a significant impact on ever smoking and drinking. In sum, being given tobacco or alcohol from peers had the strongest association with ever smoking and drinking among the adolescents in this study. Thus, future school-based intervention programs should focus on enhancing early adolescents’ life skills, including the ability to resist offers of tobacco and/or alcohol from their peers.
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