Aim: Emergency department (ED) nurses are among the first professionals to provide care for peopl... more Aim: Emergency department (ED) nurses are among the first professionals to provide care for people affected by a terror attack. Given the ever-present threat of terror attacks, as evidenced by an upward trend in incidents worldwide, this review is highly topical. The aim of this review is to explore ED nurses' perceptions and experiences in responding to a terror attack, identified in current, published literature. Methods: This is an integrative literature review. A search of electronic databases was conducted in November 2014. Eleven articles (n = 11) met the criteria for review. Results: Thematic analysis was applied and seven themes emerged from the review: i) training; ii) disaster plans; iii) anticipating the arrival of patients; iv) willingness to respond; v) safety; vi) caring for people affected by terror attack; and vii) psychological effect. Conclusion: Terror attacks involving chemical, biological, radiological, or nuclear (CBRN) threats in particular emerged as a strong focus; present throughout most of the themes. The key findings to emerge from the review demonstrate that more focus needs to be placed on appropriate preparedness of emergency department nurses in order to mitigate negative long-term effects of responding to terror attacks.
In this review, the current status of emergency department triage in mainland China is explored, ... more In this review, the current status of emergency department triage in mainland China is explored, with the purpose of generating a deeper understanding of the topic. Literature was identified through electronic databases, and was included for review if published between 2002 and 2012, included significant discussion of daily emergency department triage in mainland China, was peer reviewed, and published in English or Chinese. Thematic analysis was used to identify themes which emerged from the reviewed literature. This resulted in 21 articles included for review. Four themes emerged from the review: triage process, triage training, qualification of triage nurses, and quality of triage. The review demonstrates that there is currently not a unified approach to emergency department triage in mainland China. Additionally, there are limitations in triage training for nurses and confusion around the role of triage nurses. This review highlights that emergency department triage in mainland ...
Much of the literature about emergency nurses willingness to work during disasters has been from ... more Much of the literature about emergency nurses willingness to work during disasters has been from a non-Australian perspective. Despite the many recent disasters, little is known of Australian nurse's willingness to participate in disaster response. This paper presents findings from a study that explored nurses willingness to attend work during a disaster and the factors that influenced this decision. Data were collected consecutively using a combination of focus group and interview methods. Participants in this study, registered nurses from emergency departments, were recruited through convenience sampling from four hospitals in Australia. Participant narrative was electronically recorded, transcribed and thematically analysed. The participants for both the focus groups and interviews compromised a mix of ages, genders and years of experience as emergency nurses from across four jurisdictions within Australia. Three major themes that influenced willingness emerged with a number of subthemes. Theme one reflected the uncertainty of the situation such as the type of disaster. The second theme surrounded the preparedness of the workplace, emergency nurse and colleagues, and the third theme considered personal and professional choice based on home and work circumstances and responsibilities. The decision to attend work or not during a disaster, includes a number of complex personal, work-related and professional factors that can change, depending on the type of disaster, preparedness of the work environment and the emergency nurses' personal responsibilities at that time.
... Title, Understanding the Willingness of Ausrtralian Emerency Nurses to Respond to a Disaster.... more ... Title, Understanding the Willingness of Ausrtralian Emerency Nurses to Respond to a Disaster. Author, Arbon, Paul; Cusack, Lynette; Ranse, Jamie; Shaban, Ramon Zenel; Considine, Julie; Mitchell, Belinda; Hammad, Karen; Banisch, Laura; Kako, Mayumi; Woodman, Richard. ...
Natural disasters may lead to infectious disease outbreaks when they result in substantial popula... more Natural disasters may lead to infectious disease outbreaks when they result in substantial population displacement and exacerbate synergic risk factors (change in the environment, in human conditions and in the vulnerability to existing pathogens) for disease transmission. We reviewed risk factors and potential infectious diseases resulting from prolonged secondary effects of major natural disasters that occurred from 2000 to 2011. Natural disasters including floods, tsunamis, earthquakes, tropical cyclones (e.g., hurricanes and typhoons) and tornadoes have been secondarily described with the following infectious diseases including diarrheal diseases, acute respiratory infections, malaria, leptospirosis, measles, dengue fever, viral hepatitis, typhoid fever, meningitis, as well as tetanus and cutaneous mucormycosis. Risk assessment is essential in post-disaster situations and the rapid implementation of control measures through re-establishment and improvement of primary healthcare delivery should be given high priority, especially in the absence of pre-disaster surveillance data.
Aim: Emergency department (ED) nurses are among the first professionals to provide care for peopl... more Aim: Emergency department (ED) nurses are among the first professionals to provide care for people affected by a terror attack. Given the ever-present threat of terror attacks, as evidenced by an upward trend in incidents worldwide, this review is highly topical. The aim of this review is to explore ED nurses' perceptions and experiences in responding to a terror attack, identified in current, published literature. Methods: This is an integrative literature review. A search of electronic databases was conducted in November 2014. Eleven articles (n = 11) met the criteria for review. Results: Thematic analysis was applied and seven themes emerged from the review: i) training; ii) disaster plans; iii) anticipating the arrival of patients; iv) willingness to respond; v) safety; vi) caring for people affected by terror attack; and vii) psychological effect. Conclusion: Terror attacks involving chemical, biological, radiological, or nuclear (CBRN) threats in particular emerged as a strong focus; present throughout most of the themes. The key findings to emerge from the review demonstrate that more focus needs to be placed on appropriate preparedness of emergency department nurses in order to mitigate negative long-term effects of responding to terror attacks.
In this review, the current status of emergency department triage in mainland China is explored, ... more In this review, the current status of emergency department triage in mainland China is explored, with the purpose of generating a deeper understanding of the topic. Literature was identified through electronic databases, and was included for review if published between 2002 and 2012, included significant discussion of daily emergency department triage in mainland China, was peer reviewed, and published in English or Chinese. Thematic analysis was used to identify themes which emerged from the reviewed literature. This resulted in 21 articles included for review. Four themes emerged from the review: triage process, triage training, qualification of triage nurses, and quality of triage. The review demonstrates that there is currently not a unified approach to emergency department triage in mainland China. Additionally, there are limitations in triage training for nurses and confusion around the role of triage nurses. This review highlights that emergency department triage in mainland ...
Much of the literature about emergency nurses willingness to work during disasters has been from ... more Much of the literature about emergency nurses willingness to work during disasters has been from a non-Australian perspective. Despite the many recent disasters, little is known of Australian nurse's willingness to participate in disaster response. This paper presents findings from a study that explored nurses willingness to attend work during a disaster and the factors that influenced this decision. Data were collected consecutively using a combination of focus group and interview methods. Participants in this study, registered nurses from emergency departments, were recruited through convenience sampling from four hospitals in Australia. Participant narrative was electronically recorded, transcribed and thematically analysed. The participants for both the focus groups and interviews compromised a mix of ages, genders and years of experience as emergency nurses from across four jurisdictions within Australia. Three major themes that influenced willingness emerged with a number of subthemes. Theme one reflected the uncertainty of the situation such as the type of disaster. The second theme surrounded the preparedness of the workplace, emergency nurse and colleagues, and the third theme considered personal and professional choice based on home and work circumstances and responsibilities. The decision to attend work or not during a disaster, includes a number of complex personal, work-related and professional factors that can change, depending on the type of disaster, preparedness of the work environment and the emergency nurses' personal responsibilities at that time.
... Title, Understanding the Willingness of Ausrtralian Emerency Nurses to Respond to a Disaster.... more ... Title, Understanding the Willingness of Ausrtralian Emerency Nurses to Respond to a Disaster. Author, Arbon, Paul; Cusack, Lynette; Ranse, Jamie; Shaban, Ramon Zenel; Considine, Julie; Mitchell, Belinda; Hammad, Karen; Banisch, Laura; Kako, Mayumi; Woodman, Richard. ...
Natural disasters may lead to infectious disease outbreaks when they result in substantial popula... more Natural disasters may lead to infectious disease outbreaks when they result in substantial population displacement and exacerbate synergic risk factors (change in the environment, in human conditions and in the vulnerability to existing pathogens) for disease transmission. We reviewed risk factors and potential infectious diseases resulting from prolonged secondary effects of major natural disasters that occurred from 2000 to 2011. Natural disasters including floods, tsunamis, earthquakes, tropical cyclones (e.g., hurricanes and typhoons) and tornadoes have been secondarily described with the following infectious diseases including diarrheal diseases, acute respiratory infections, malaria, leptospirosis, measles, dengue fever, viral hepatitis, typhoid fever, meningitis, as well as tetanus and cutaneous mucormycosis. Risk assessment is essential in post-disaster situations and the rapid implementation of control measures through re-establishment and improvement of primary healthcare delivery should be given high priority, especially in the absence of pre-disaster surveillance data.
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