Barriers and facilitators to provide continuity of care to dischargeable patients in disasters: A qualitative study

<p>Challenges for Nurses in Disaster Management: A Scoping Review</p>

“…First, as disaster nursing is a new specialty, the lack of a paradigm, few evaluation tools, limited disaster experience, limited availability of experts, and limited opportunities for training are among the major challenges for nurses in disaster management. 17,19,22,24 Second, the level of preparedness in terms of prehospital care, hospitals, and individuals (including nurses) poses a challenge for nurses. One study reported the prehospital care system as a big challenge for nurses, 17 while hospital preparedness was reported in several studies, which noted that hospitals have limited capacities, resources, and staffing, lack awareness about policies and procedures, and have poor planning and leadership.…”

“…17,19,22,24 Second, the level of preparedness in terms of prehospital care, hospitals, and individuals (including nurses) poses a challenge for nurses. One study reported the prehospital care system as a big challenge for nurses, 17 while hospital preparedness was reported in several studies, which noted that hospitals have limited capacities, resources, and staffing, lack awareness about policies and procedures, and have poor planning and leadership. 17,22,24,25 The lack of preparedness of nurses was also reported as a vital challenge in many studies.…”

“…One study reported the prehospital care system as a big challenge for nurses, 17 while hospital preparedness was reported in several studies, which noted that hospitals have limited capacities, resources, and staffing, lack awareness about policies and procedures, and have poor planning and leadership. 17,22,24,25 The lack of preparedness of nurses was also reported as a vital challenge in many studies. 10,18,[21][22][23][24] Third, poor formal education, including undergraduate and postgraduate curriculum issues, is another serious issue affecting nurses.…”

“…This issue was reported several times in the literature. For instance, Roy et al 30 confirmed the lack of organization of the prehospital system in India, while Feizolahzadeh et al 17 indicated that the most common related issues in Iran were insufficient risk communication, weak prehospital measures, and inappropriate distribution of patients to hospitals. A prehospital system in which all first responders, such as police officers, firefighters, and paramedics, work together is essential.…”

A Qualitative Study of Various Aspects of the Application of IoT in Disaster Management

“…Problems and failures on disaster management are attributed to two general categories: (i) infrastructures and facilities, (ii) human negligence. The essential challenges based on the facilities and infrastructures of disaster management including the high costs of investing on disaster management and inadequate budgets dedicated to this area, old and insecure hospitals [22], inappropriate approach of hospital systems when dealing with disasters [23], weakness of disaster alert systems [24], destruction of the infrastructures during a disaster, communication problems, and existence of a large amount of information [25] create more limitations to examine and respond to disasters. Also, human negligence of both disaster management organizations and people may provide many consequences.…”