PDF(Pubmed)
Abstract：
BACKGROUND: Research on disaster preparedness in public hospitals is limited, and specialised units such as obstetric departments need to be even more prepared when rendering health care to vulnerable populations. Disasters can be natural, such as floods due to human interventions, sinkholes due to mining, or pandemic occurrences, such as the recent COVID-19 pandemic. Research on disaster preparedness is limited, and even more so in specialised units such as obstetrics and evacuating a ward of maternal and neonatal patients present unique challenges. Being prepared for any disaster is the only assurance of effective patient healthcare during a disaster. This study explored and described nurses\' knowledge and attitudes regarding preparedness for a disaster in an obstetric unit in a public institution. The study aimed to make recommendations to improve disaster preparedness in an obstetric ward based on the nurses\' knowledge and attitudes.
METHODS: This study utilised an exploratory, descriptive qualitative design within a contextual approach. The data were acquired through individual interviews that were done using a semi-structured interview schedule. An observational walkabout was performed with the unit manager to validate interviewee responses. The study employed purposive sampling with a sample size of 17 nurses (N = 32, n = 17) and a response rate of 53%. The interviews were transcribed verbatim, and later, the data underwent analysis using theme analysis and a co-coder.
RESULTS: The results indicate that the participants demonstrate an awareness of disaster terminology but need more assertiveness in executing the institutional disaster policy. The results illustrate that more frequent training, disaster rehearsals, and simulations should be implemented to improve disaster readiness. Strategies are recommended to enhance preparedness for a disaster in the obstetric unit.
CONCLUSIONS: The study findings recommend more education and training opportunities that should be regularly instilled as a practice within the obstetric ward. More disaster drills and simulation exercises should be performed to ensure confidence in disaster preparedness. Obstetric staff of all levels should be involved with policymaking and disaster plan development.
METHODS: This study utilised an exploratory, descriptive qualitative design within a contextual approach. The data were acquired through individual interviews that were done using a semi-structured interview schedule. An observational walkabout was performed with the unit manager to validate interviewee responses. The study employed purposive sampling with a sample size of 17 nurses (N = 32, n = 17) and a response rate of 53%. The interviews were transcribed verbatim, and later, the data underwent analysis using theme analysis and a co-coder.
RESULTS: The results indicate that the participants demonstrate an awareness of disaster terminology but need more assertiveness in executing the institutional disaster policy. The results illustrate that more frequent training, disaster rehearsals, and simulations should be implemented to improve disaster readiness. Strategies are recommended to enhance preparedness for a disaster in the obstetric unit.
CONCLUSIONS: The study findings recommend more education and training opportunities that should be regularly instilled as a practice within the obstetric ward. More disaster drills and simulation exercises should be performed to ensure confidence in disaster preparedness. Obstetric staff of all levels should be involved with policymaking and disaster plan development.
摘要：
背景：关于公立医院备灾的研究有限，在为弱势群体提供医疗保健时，产科等专门机构需要做好更多准备。灾难可以是自然的，比如人类干预导致的洪水，采矿造成的污水坑，或大流行事件，例如最近的COVID-19大流行。关于备灾的研究是有限的,在产科和疏散孕产妇和新生儿患者病房等专门机构中，更是如此。为任何灾难做好准备是灾难期间有效患者医疗保健的唯一保证。这项研究探索并描述了护士对公共机构产科灾难准备的知识和态度。该研究旨在根据护士的知识和态度提出建议，以提高产科病房的备灾能力。
方法：本研究利用探索性，上下文方法中的描述性定性设计。数据是通过使用半结构化访谈时间表进行的个人访谈获得的。与单位经理进行了观察性演练，以验证受访者的回答。该研究采用目的性抽样，样本量为17名护士（N=32，n=17），反应率为53％。采访是逐字抄写的，后来,使用主题分析和联合编码器对数据进行了分析.
结果：结果表明，参与者表现出对灾难术语的认识，但在执行机构灾难政策时需要更加自信。结果表明，更频繁的培训，灾难彩排,和模拟应实施，以提高灾害准备。建议采取战略，以加强产科单位对灾难的准备。
结论：研究结果推荐了更多的教育和培训机会，应定期在产科病房内灌输这些机会。应进行更多的灾难演习和模拟演习，以确保对备灾的信心。各级产科工作人员应参与决策和灾害计划的制定。
方法：本研究利用探索性，上下文方法中的描述性定性设计。数据是通过使用半结构化访谈时间表进行的个人访谈获得的。与单位经理进行了观察性演练，以验证受访者的回答。该研究采用目的性抽样，样本量为17名护士（N=32，n=17），反应率为53％。采访是逐字抄写的，后来,使用主题分析和联合编码器对数据进行了分析.
结果：结果表明，参与者表现出对灾难术语的认识，但在执行机构灾难政策时需要更加自信。结果表明，更频繁的培训，灾难彩排,和模拟应实施，以提高灾害准备。建议采取战略，以加强产科单位对灾难的准备。
结论：研究结果推荐了更多的教育和培训机会，应定期在产科病房内灌输这些机会。应进行更多的灾难演习和模拟演习，以确保对备灾的信心。各级产科工作人员应参与决策和灾害计划的制定。
