Development, Testing, and Psychometric Qualities of the Nash Duty to Care Scale for Disaster Response

Nash, Tracy Jeanne

doi:10.1891/1061-3749.25.2.314

Cited by 7 publications

(12 citation statements)

References 45 publications

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“…The primary strength of this study is that it provides insight into what may differentiate a nurse’s perceived duty to care and subsequent willingness to report to work after disasters or mass casualty events, potential ethical dilemmas related to response, and actionable items to improve the willingness to report. As with previous studies utilizing the NDCS©, 39 the instrument demonstrated good internal consistency reliability within this study, with Cronbach’s α = .83.…”

Section: Strengths and Limitationssupporting

confidence: 85%

“…The instrument used to collect data for this study was the Nash Duty to Care Scale (NDCS©). 39 Since the original evaluation of the psychometric properties of the NDCS© 39 included 372 participants in which 80% were nursing students, our target population was US registered nurses not currently enrolled in any education program. At least 100 subjects in each derived duty to care subgroup were needed, and the identification of more than three groups by the classification program was not expected.…”

Section: Methodsmentioning

confidence: 99%

“…The NDCS© 39 was used to assess the degree to which the nurses in the study sample were likely to respond to the workplace during a disaster based on their perceived level of duty to care. The NDCS© consists of 19 five-point Likert-type items, with responses ranging from 1 (strongly disagree) to 5 (strongly agree), and have a potential data yield of 1 to 5 per item and a potential total instrument data yield of 19 to 95.…”

Section: Instrumentsmentioning

confidence: 99%

“…Exploratory factor analysis resulted in a four-factor model explaining 67.34% of the variance with good internal consistency (Cronbach’s α = .92). 39 The four subscales included perceived risk (seven items; Cronbach’s α = .91), perceived obligation (five items; Cronbach’s α = .83), profession preparedness (four items; Cronbach’s α = .85), and confidence in employer (three items; Cronbach’s α = .81). 39 See Table 1 for the details of each subscale of the NDCS©.…”

Section: Instrumentsmentioning

confidence: 99%

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Characterization of nurses’ duty to care and willingness to report

et al. 2019

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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.

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Section: Strengths and Limitationssupporting

confidence: 85%

Section: Methodsmentioning

confidence: 99%

Section: Instrumentsmentioning

confidence: 99%

Section: Instrumentsmentioning

confidence: 99%

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Characterization of nurses’ duty to care and willingness to report

et al. 2019

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“…Nurses also work within high stress environments and some too, are faced with the effects of a natural disaster event. The work of nurses who choose to volunteer when disasters affect their country or region has been explored in several studies across the globe (Ganz et al 2019;McNeill et al 2019;Nash 2017) and some, as is the case with this study, were caught up by chance in a disaster that affected their healthcare facility. Yet, the collective willingness and duty to care was one core characteristic that was evidenced strongly in the interview data.…”

Section: Discussionmentioning

confidence: 99%

Nurses working in healthcare facilities during natural disasters: a qualitative enquiry

Scrymgeour

Smith

Maxwell

et al. 2020

International Nursing Review

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Aim To explore the ability of nurses to be adequately ready for and to respond to a disaster caused by a natural hazard. Background During a disaster involving a healthcare facility, nurses are commonly the largest group of healthcare workers impacted. The range of problems facing nurses working in healthcare facilities in Australia and New Zealand at the time of disasters triggered by earthquakes and bushfires have been underexamined. Methods A qualitative enquiry was used to explore matters facing nurses working in residential healthcare facilities during a natural disaster. Inductive thematic analysis was used to identify the key themes from fifteen in‐depth interviews with nurses. Findings Participants preserved a robust sense of professional duty, personal obligation and responsibility to their family, patients and the facility, demonstrating the ability to adapt, cope and respond despite experiencing diverse personal, structural and organizational barriers. Discussion Support was provided for using interactive systems and socio‐ecological frameworks to better understand the contributions that individuals, teams and organizations make to facilitate the development and maintenance of adaptive capacity and resilience in a nursing workforce. An ecological model of adaptive capacity can be operationalized to guide education, training for nurses and the development of organizational systems and strategies. Conclusion This study identified factors that help and hinder a nursing workforce’s ability to prepared for, adapt to and learn from natural hazard disasters. Implications for Nursing Policy This understanding of disaster preparedness and how this may be applied to enable the growth of adaptive nurses provides an insight for a global audience which also adds to nurse education, service delivery, organizational and policy development.

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The model for assessing disaster literacy in nurses: Instrument development and cross-sectional validation study

Zhang,

Song

et al. 2024

International Journal of Disaster Risk Reduction

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Development, Testing, and Psychometric Qualities of the Nash Duty to Care Scale for Disaster Response

Abstract: 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.

Cited by 7 publications

References 45 publications

Characterization of nurses’ duty to care and willingness to report

Characterization of nurses’ duty to care and willingness to report

Nurses working in healthcare facilities during natural disasters: a qualitative enquiry

The model for assessing disaster literacy in nurses: Instrument development and cross-sectional validation study

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