Quality of healthcare services provided in disaster shelters: An integrative literature review

Veenema, Tener Goodwin; Rains, Adam B.; Casey-Lockyer, Mary; Springer, Janice; Kowal, Mary K.

doi:10.1016/j.ienj.2015.01.004

Cited by 28 publications

(18 citation statements)

References 25 publications

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“…The loss resulting from the destruction associated with disasters leads to the development of various levels of psychological trauma in survivors [ 38 ], and psychological crisis intervention in disaster sites is a frequent nursing activity [ 16 , 34 ]. For example, mental and psychiatric illness were identified as major health care service concerns in disaster shelters, and mental health care has been identified as one of the most important issues in disaster-stricken areas [ 39 ]. Mental health knowledge is required to meet the psychological needs of disaster victims as well as to help colleagues [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Nursing Activities in Humanitarian Aid and Disaster Relief

et al. 2016

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BackgroundAlthough nurses play an important role in humanitarian aid and disaster relief (HA/DR), little is known about the nursing activities that are performed in HA/DR. We aimed to clarify the nursing activities performed by Japanese nurses in HA/DR and to examine the factors associated with the frequency of nursing activities.MethodsA self-administered questionnaire survey was completed by 147 nurses with HA/DR experience. The survey extracted information on demographic characteristics, past experience (e.g., disaster medical training experience, HA/DR experience), circumstances surrounding their dispatched to HA/DR (e.g., team size, disaster type, post-disaster phase, mission term), and the frequency of nursing activities performed under HA/DR. The frequency of nursing activities was rated on a 5-point Likert scale. Evaluation of nursing activities was conducted based on the “nursing activity score”, which represents the frequency of each nursing activity. Factors related to the nursing activity score were evaluated by multiple logistic regression analysis.ResultsNurses were involved in 27 nursing activities in HA/DR, 10 of which were performed frequently. On analysis, factors significantly associated with nursing activity score were nursing license as a registered nurse (OR 7.79, 95% CI 2.95–20.57), two or more experiences with disaster medical training (OR 2.90 95%, CI 1.12–7.49) and a post-disaster phase of three weeks or longer (OR 8.77, 95% CI 2.59–29.67).ConclusionsThese results will contribute to the design of evidence-based disaster medical training that improves the quality of nursing activities.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Nursing Activities in Humanitarian Aid and Disaster Relief

et al. 2016

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“…Nurses have few opportunities to develop their expertise, yet they require regular education and practice, especially regarding how to care for patients exposed to chemical and biological radiation or nuclear hazards [33]. They are often not well prepared for caring for patients with symptoms related to biological weapons [1,19,34].…”

Section: Introductionmentioning

confidence: 99%

What are the most common domains of the core competencies of disaster nursing? A scoping review

Thobaity

Plummer

Williams

2017

International Emergency Nursing

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Knowledge of the domains of the core competencies, such as understanding the content and location of the disaster plan, communication during disaster and ethical issues is fundamental for nurses. Including these domains in the planning and provision of training for nurses, such as disaster drills, will strengthen their preparedness to respond competently to disaster cases. Nurses must be involved in future research in this area to explore and describe their fundamental competencies in each domain.

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“…In such settings, it has been reported that the symptoms of preexisting medical conditions, including hypertension, respiratory problems, and diabetes, worsen [8], thus reflecting the accumulated adverse effect of residing in shelters [6]. Recently, Veenema et al [10] reviewed the literature on the quality of health care services and health outcomes in shelter residents. Although the related literature is limited, the authors had reported that nurse staffing levels and staff preparedness, access to medications/medication management, infection control, referrals, communication, and mental health were important features related to the quality of disaster health care services.…”

Section: Introductionmentioning

confidence: 99%

Sleep in a Gymnasium: A Study to Examine the Psychophysiological and Environmental Conditions in Shelter-Analogue Settings

Mizuno

Okamoto-Mizuno

Tanabe

et al. 2016

IJERPH

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We aimed to examine sleep in shelter-analogue settings to determine the sleep and environmental conditions in evacuation shelters. A summer social/educational event was conducted in an elementary school, wherein children and their parents (n = 109) spent one night in the school gymnasium; a total of 15 children and 7 adults completed the study. Data were recording using wrist actigraphy and questionnaires, from two days before the event to two days after the event. During the night in the gymnasium, sleep initiation in the children was found to be significantly delayed, whereas adults did not show any significant change in actigraphic sleep parameters. Although 57% of adults complained of stiffness of the floor, only 7% of children had the same complaint. The nocturnal noise recorded at four locations in the gymnasium showed that the percentage of 1-min data epochs with a noise level >40 dB ranged from 53% to 74% during lights-out. The number of subjects that woke up during the night showed a similar pattern with the changes in the noise level. The changes in sleep might represent event-specific responses, such as to a noisy environment, and the different complaints between adults and children could be useful in shelter management.

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Quality of healthcare services provided in disaster shelters: An integrative literature review

Cited by 28 publications

References 25 publications

Factors Associated with Nursing Activities in Humanitarian Aid and Disaster Relief

Factors Associated with Nursing Activities in Humanitarian Aid and Disaster Relief

What are the most common domains of the core competencies of disaster nursing? A scoping review

Sleep in a Gymnasium: A Study to Examine the Psychophysiological and Environmental Conditions in Shelter-Analogue Settings

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