Background: Nurses must balance their perceived duty to care against their perceived risk of harm to determine their willingness to report during disaster events, potentially creating an ethical dilemma and impacting patient care. Research aim: The purpose of this study was to investigate nurses’ perceived duty to care and whether there were differences in willingness to respond during disaster events based on perceived levels of duty to care. Research design: A cross-sectional survey research design was used in this study. Participants and research context: Using a convenience sample with a snowball technique, data were collected from 289 nurses throughout the United States in 2017. Participants were recruited through host university websites, Facebook, and an American Nurses Association discussion board. Ethical considerations: Institutional review board approval was obtained from the University of Texas at Tyler and the University of Arkansas. Findings: Analysis of willingness to report to work based on levels of perceived duty to care resulted in the emergence of two groups: “lower level of perceived duty to care group” and “higher level of perceived duty to care group.” The most discriminating characteristics differentiating the groups included fear of abandonment by co-workers, reporting because it is morally the right thing to, and because of imperatives within the Nursing Code of Ethics. Discussion: The number of nurses in the lower level of perceived duty to care group causes concern. It is important for nursing management to develop strategies to advance nurses’ safety, minimize nurses’ risk, and promote nurses’ knowledge to confidently work during disaster situations. Conclusion: Level of perceived duty to care affects nurses’ willingness to report to work during disasters. Primary indicators of low perceived duty to care are amenable to actionable strategies, potentially increasing nurses’ perceived duty to provide care and willingness to report to work during disasters.
The psychometrically sound instrument for measuring nurses' perceived duty to care for disasters is applicable to contemporary nursing practice, institutional disaster management plans, and patient health outcomes worldwide.
Aim: This manuscript explores nurses' emergency preparedness for disaster response and describes a variety of educational resources to support nurses' preparedness competencies for disaster situations. Methods: A literature review of emergency and disaster preparedness publications was analyzed and synthesized from eight major electronic databases. The universally recognized domains of emergency preparedness described by the revised Emergency Preparedness Information Questionnaire (EPIQ) served as the conceptual framework for the classification of these findings. Results: Nurses do not possess the necessary knowledge and skills to respond to disaster situations. As trusted healthcare providers, all nurses are expected to acquire and sustain knowledge and skills that meet society's contemporary healthcare demands, including the ability to provide care in disaster events. Previous research indicated that a scarcity of emergency preparedness resources has hindered nurses' efforts to become knowledgeable and informed. Findings demonstrated a collection of peer-reviewed research studies, government websites, hospital training guides, academic training modules, continuing education courses, and professional organization guides focused on emergency preparedness and disaster nursing education. Conclusions: Research has suggested that many nurses do not feel comfortable responding to disaster situations. A comprehensive narrative guide to US emergency preparedness and disaster nursing continuing education resources was scripted in a simple-to-use table format. This article will acquaint nurses with this guide, which provides a quick and easy means of accessing a multitude of free online continuing education resources to support the demand for nurses' requisite training and education in emergency preparedness for disaster response, without incurring the burden of cost.
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