2009
DOI: 10.3928/00220124-20090201-04
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Duty to Care

Abstract: <p>The potential threat of a pandemic influenza outbreak has placed emergency preparedness in the health care spotlight. Hospitals are increasingly gearing up readiness plans in preparation. Most of these plans are related to the implementation of protocols and stockpiling of supplies, medications, and equipment. These plans are dependent on staff for implementation, but will nurses’ duty to care for patients outweigh their competing obligations to their families and the risk of their own exposure?</p… Show more

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Cited by 23 publications
(15 citation statements)
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“…It is believed that the majority of nurses in most U.S. states, including Texas, are largely unprepared to respond to and manage major disaster situations (Twedell, ). Factors that affect mitigation may include age, lack of disaster preparedness education in nursing schools (Garbutt, Peltier, and Fitzpatrick, ), lack of knowledge of a formal plan regarding preparedness in the practice setting (Goodhue, Burke, Chamber, Ferrer & Upperman, ), lack of understanding of communication methods in disaster preparedness (Coyle, Sapnas, & Ward‐Presson, ), and perception of what constitutes disaster preparedness (Fung et al, ).…”
Section: Brief Overview Of the Literaturementioning
confidence: 99%
See 1 more Smart Citation
“…It is believed that the majority of nurses in most U.S. states, including Texas, are largely unprepared to respond to and manage major disaster situations (Twedell, ). Factors that affect mitigation may include age, lack of disaster preparedness education in nursing schools (Garbutt, Peltier, and Fitzpatrick, ), lack of knowledge of a formal plan regarding preparedness in the practice setting (Goodhue, Burke, Chamber, Ferrer & Upperman, ), lack of understanding of communication methods in disaster preparedness (Coyle, Sapnas, & Ward‐Presson, ), and perception of what constitutes disaster preparedness (Fung et al, ).…”
Section: Brief Overview Of the Literaturementioning
confidence: 99%
“…They should be encouraged to step out of their comfort zone and assume other positions, such as emergency operations coordinator and positions of leadership in the emergency operations center during a mock drill or actual event. The American Nurses Association (ANA) Code of ethics (second provision) states that nurses’ primary commitment is to the patient (ANA, ); however, the fifth provision states that the nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety (Twedell, ). The nurse must be clear regarding personal responsibilities during a major disaster event, which will include being faced with ethical considerations.…”
Section: Conclusion and Recommendationsmentioning
confidence: 99%
“…Com as doenças emergentes, como a Aids, nos anos 1980, e mais recentemente a influenza, a Severe Acute Respiratory Syndrome (SARS), traduzida para o português como Síndrome Respiratória Aguda, e outras, têm sido bastante discutido, na Enfermagem, o dever de cuidar. É claro que, na medida em que avançam os conhecimentos acerca das patologias e de como se proteger no trabalho, a questão do risco a ser confrontado com a obrigação modifica-se (8) . Durante a epidemia de SARS, na Ásia, houve profissionais que cuidaram dos pacientes por medo de perderem seus empregos.…”
Section: Introductionunclassified
“…Although it is unclear when duty to perform professional obligations supplants duty to safeguard protection from harmful situations (Twedell, 2009), evidence demonstrates that lack of disaster preparedness education (Garbutt et al, 2008), lack of communication skills in mitigating disaster situations (Coyle et al, 2007), and lack of self-efficacy and perceived disaster nursing knowledge (Baack & Alfred, 2013;Melnikov, Itzhaki, & Kagan, 2014) may skew the judgment process and effect nurses' preparedness to report for duty. Because it is also clear from the second provision of the Code that "the nurse's primary commitment is to the patient," (ANA, 2015, p. 5), and from the fifth provision that nurses are "committed to lifelong learning," including "continuing education and self-study" (ANA, 2015, p. 22), emergency preparedness competencies should be viewed as a professional priority, to endow all nurses with current preparedness knowledge that will ultimately affect their ability to provide care when society needs it the most; that is, during disasters.…”
Section: Role Of Ethics In Continuing Educationmentioning
confidence: 99%
“…While scientific research and professional organizations uphold the demand for all nurses to acquire and maintain disaster nursing competencies (Duong, 2009;Fung et al, 2008;Hsu et al, 2006;Jennings-Sanders, 2004), evidence supports that training in disaster prevention, detection, management, and mitigation remains inadequate (Fung et al, 2008;Twedell, 2009;Weiner et al, 2005). Content in disaster nursing is lacking in many American nursing schools and, as a result, many nurses have received minimal or no disaster nursing education (Rebmann & Mohr, 2010) and are faced with the daunting task of acquiring requisite preparedness resources and competencies on their own (Bistaraki et al, 2011;Considine & Mitchell, 2009;Duong, 2009).…”
Section: Introductionmentioning
confidence: 99%