understanding the willingness of australian emergency nurses to respond to a health care disaster
DESCRIPTION
Paper presented at the 8th International Conference for Emergency Nurses, Canberra, Australia, 14th October 2010.TRANSCRIPT
Understanding the willingness of Australian emergency nurses to respond to a
health care disaster
Jamie RanseLecturerDisciplines of Nursing and MidwiferyFaculty of Health University of Canberra
Phone: +61 (0)2 6201 5380Email: [email protected]: www.jamieranse.comTwitter: jamieranse
Image from: Centre for Research on the Epidemiology of Disasters (http://www.cred.be)
Research team
Prof Paul Arbon1
Mr Jamie Ranse1,2
Mr Ramon Shaban3,4
Dr Julie Considine5,6
Ms Belinda Mitchell5,6
Ms Karen Hammad1
Dr Lunette Cusack1
Dr Mayumi Kako1
Ms Laura Bahnisch1
1. Flinders University2. University of Canberra 3. Griffith University 4. Princess Alexandra Hospital 5. Deakin University6. Northern Health
Research GrantFlinders University, Industry Partnership Grant
Overview
• Background• Aims• Methods • Results• Discussion
Background
• Disaster happen• EDs are likely to be involved• Willingness influenced by:
• Perceived risk of the event• Previous knowledge and experience• Personal concerns of family• Professional obligations• Conventional versus non-conventional
Cone & Cummings 2006; Considine & Mitchell 2008; Dimaggio et al. 2005; Hope et al. 2010; Irvin et al. 2008; Masterson et al. 2009; Shaw et al. 2006; Syrett et al. 2007; Tzeng 2004
Aims
• To investigate the willingness of Australian emergency nurses to respond to a health care disaster
Methods
• Sample• Emergency Nurses employed in Australia
• Mixed-method approach• Phase 1: A national survey• Phase 2: Focus Groups • Phase 3: Individual Interviews
• Data analysis• Descriptive statistics (phase 1)
• Protection of participants
Results
• 451 surveys returned
• Demographics• Employment characteristics• Other responsibilities• Willingness• Preparedness
Results: Demographics
• Gender• Female = 373 (82.7%)• Male = 71 (15.7%)
Results: Demographics
Results: Employment Characteristics
Results: Employment Characteristics
Results: Education
0
20
40
60
80
100
120
140
160
180
Live
alo
ne
Partn
er/ s
pous
e
Sole
pare
nt w
ith c
hildr
en
Olde
r fam
ily m
embe
r/s
Young
er fa
mily
mem
ber/s
House
mat
es/ f
riend
s
Partn
er/s
pous
e & c
hildr
en
Co
un
t
Results: Other Responsibilities
Results: Other Responsibilities
• Dependent children
Results: Other Responsibilities
Results: Other Responsibilities
• Partner responsibilities
0
5 0
1 0 0
1 5 0
2 0 0
2 5 0
3 0 0
3 5 0
4 0 0
t r a n s p o r ti n c i d e n t
n a t u r a ld i s a s t e r
p a n d e m i co u t b r e a k
C B R t e r r o r i s ta t t a c k
Results: Willingness
Results: Willingness
0
5 0
1 0 0
1 5 0
2 0 0
2 5 0
3 0 0
3 5 0
4 0 0
4 5 0
s 1 s 2 s 3 n s 1 n s 2 n s 3
co
un
ts
s1= A professional nurse has a responsibility to work under any circumstances.
s2= I have knowledge/ skills to deal with health-care disasters.
s3= My work environment supports working in health-care disasters
Results: Willingness
0
5 0
1 0 0
1 5 0
2 0 0
2 5 0
3 0 0
3 5 0
4 0 0
4 5 0
s 1 s 2 s 3 n s 1 n s 2 n s 3
ns1= I have a right to say ‘no’ to exposing myself and my family/ dependents to risk.
ns2= I need more knowledge and skills before I am able to attend health-care disasters.
ns3= Managers should organise other staff / employers who agree to attend such circumstances.
0
5 0
1 0 0
1 5 0
2 0 0
2 5 0
3 0 0
3 5 0
4 0 0
4 5 0
s 1 s 2 s 3 n s 1 n s 2 n s 3
co
un
ts
0
5 0
1 0 0
1 5 0
2 0 0
2 5 0
c a r e p r o v is io n s w o r k in g c o n d i t io n s P P E e d u c a t io n / t r a in in gc o u r s e
O t h e r
t y p e o f i m p r o v e m e n t s
Results: Willingness
0
50
100
150
200
250
family preparedness employer'spreparedness
colleagues'preparedness
staff's preparedness medical-allied staffpreparedness
manager'spreparedness
Results: Preparedness
Discussion
• Practice• Important to have an understanding of the factors that
may influence willingness
• Education• Framework for disaster education
• Research• Inferential statistics• Focus groups• Individual interviews
Understanding the willingness of Australian emergency nurses to respond to a
health care disaster
Jamie RanseLecturerDisciplines of Nursing and MidwiferyFaculty of Health University of Canberra
Phone: +61 (0)2 6201 5380Email: [email protected]: www.jamieranse.comTwitter: jamieranse
Image from: Centre for Research on the Epidemiology of Disasters (http://www.cred.be)