Aim: Nurses are healthcare personnel who play an important role in disaster management in all phases of a disaster. However, research findings have pointed out that there is a lack of necessary preparedness for disasters as well as development of nursing competencies. This research aimed at investigating the effects of an interactive teaching method on nursing students' learning achievement and nursing competencies of prevention and mitigation, preparedness, and response based on the framework of disaster nursing competencies of the International Council of Nurses. Methods: Based on the International Council of Nurses' framework of disaster nursing competencies and interactive teaching method, this course was designed and implemented with third-year nursing students at the Thai Red Cross College of Nursing who were enrolled in an emergency and disaster nursing course. The experimental group and control group were asked to complete the learning achievement test and the perceived competencies of prevention and mitigation, preparedness, and response questionnaires. Data was analyzed using an independent-sample t-test and a paired-sample t-test. Results: The mean achievement score of the experimental group was statistically significantly higher than that of the controlled group (p < 0.05). The mean scores of nursing competencies of prevention and mitigation, preparedness, and response of the subjects in the experimental group were statistically significantly higher than those of the subjects in the control group (p < 0.001). Conclusion: It is noteworthy that theoretical teaching via an integrative teaching method can enhance students' achievement, perceived competencies and motivation to learn about nursing actions in response to disasters.
Aim: The aim of the study was to investigate the health effect on and adaptation of the elderly affected by floods in the Lat Krabang District, Bangkok, Thailand in 2011. Methods: A cross-sectional descriptive study was conducted. Data were collected from 290 elderly participants who were affected by the floods using questionnaires. Results: The elderly participants had previous experience with flooding, but the massive flooding in 2011 was the most severe compared to any other experiences in the past. Physical health effects included muscle pain (35.2%), athlete's foot (28.3%), and skin rash (23.1%). The psychological health effects (24.3%) encountered included insomnia, constant stress and tension, attention deficit, and discontentment. Most elderly (89.3%) decided not to relocate thinking they could still live at home, but they were concerned about the safety of their property. In regards to preparation for the flood, they prepared consumer goods, medication, and emergency kits. In addition, they kept abreast with news on television and public announcements in the community. They also helped clear the drainage system and prepared contact information of children, relatives, and government offices in case they needed assistance. Finally, to reduce possible damage to the property, they moved their belongings to high places, built sandbag walls, raised the house level, and prepared a water pump. Conclusion: The 2011 Thailand floods had adverse effects on physical and psychological health of the elderly people. To ensure better management for this vulnerable group, plans to respond to possible disasters need to be devised by relevant agencies to reduce flood-related health impacts.
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