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"Disaster Planning methods"
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Effectiveness of a Structured Disaster Management Training Program on Nurses’ Disaster Readiness for Response to Emergencies and Disasters: A Randomized Controlled Trial
Background . Most frontline nurses lack sufficient readiness for effective disaster response. Therefore, designing a disaster management training program (DMTP) to promote nurses’ readiness for disaster response is imperative. Aim . This study aimed to evaluate the effectiveness of a structured DMTP on nurses’ readiness for response to disasters. Methods . A randomized controlled trial was conducted. One hundred eligible nurses, recruited using convenience sampling from a medical centre in northern Taiwan, were randomly assigned to either the experimental (EG, n = 50) or control (CG, n = 50) group. Both groups received regular continuous nursing education. The EG received an extra two‐day (16 h) structured DMTP delivered by transdisciplinary collaborations through multiple teaching strategies (lectures, simulations, problem‐solving lessons, demonstrations, tabletop exercises, discussions, group presentations, and reflections). Readiness for disaster response, consisting of four subscales (emergency response, clinical management, self‐protection, and personal preparation), was assessed at baseline and 12 weeks after the intervention. Generalized estimating equations were used as the primary method of data analyses to evaluate the intervention effects. Results . Ninety‐four nurses (94%) completed the study, and 100 nurses were included in the intention‐to‐treat analysis. While participants in the EG had increased readiness for disaster response after training and at the 12‐week follow‐up, those in the CG exhibited no differences between baseline and 12‐week follow‐up. When the group × time interaction was examined, the EG had a greater increase in readiness for disaster response and its four domains, including emergency response, clinical management, self‐protection, and personal preparedness after 12 weeks, than the CG. Conclusion . A two‐day structured DMTP utilizing multiple teaching strategies through transdisciplinary collaborations is recommended to enhance hospital nurses’ readiness for disaster response. Implications for Nursing Management . Nursing leaders should consider incorporating such a structured DMTP into ongoing nursing training as a critical component of professional development programs, thereby strengthening nurses’ disaster readiness in hospital settings.
Journal Article
The impact of earthquake preparedness training on mothers with physically disabled children: a randomized controlled study
This study aimed to evaluate the effect of earthquake preparedness training on the psychological resilience and earthquake preparedness levels of mothers with physically disabled children. The study was conducted at a special education and rehabilitation center in a province in eastern Turkey between January and April 2024, using a pre-test/post-test control group experimental design. A total of 78 mothers participated, with 39 randomly assigned to the experimental group and 39 to the control group. The experimental group received earthquake preparedness training. Data were analyzed using SPSS version 26. It was determined that 38.5% of the mothers in the experimental group were between 32–39 years of age, equal numbers of primary (35.9%) and secondary (35.9%) school graduates, 84.6% had nuclear families and 89.7% lived in urban areas. In the control group, 38.5% of the mothers were between 25–31 years of age, 33.3% were primary school graduates, 79.5% had nuclear families and 97.4% lived in urban areas. The experimental and control groups were similar in terms of baseline characteristics. Before the training, Adult Psychological Resilience Scale (APRS) scores were comparable between groups. After the training, the experimental group showed a significant increase in psychological resilience compared to the control group (p < .05). Similarly, Disaster Preparedness Scale (DPS) scores were comparable before the training, but the experimental group showed a significant increase in earthquake preparedness after the training (p < .05). The training enhanced both psychological resilience and earthquake preparedness in mothers, increasing their knowledge and awareness about earthquakes. Developing earthquake preparedness training and materials specifically for families with physically disabled children will contribute to the safety and well-being of both families and their children.
Journal Article
The Impact of Disaster Preparedness Training on Disaster Preparedness and Attitudes Toward Fertility and Childbearing Among Women of Reproductive Age
Natural disasters are frequent occurrences worldwide and can influence fertility preferences. This study aimed to assess the impact of disaster preparedness training on the disaster readiness levels of women of reproductive age and their fertility and childbearing attitudes.
The study employed a classic experimental design with a pre-test and post-test control group. The sample consisted of women of reproductive age in Turkey, determined through the G-Power 3.1.9.7 program, with intervention (
= 88) and control (
= 88) groups totaling 176 participants. Data were collected using a \"Preliminary Evaluation Form,\" \"Descriptive Information Form,\" \"Disaster Preparedness Scale (DPS),\" and \"Attitudes Toward Fertility and Childbearing Scale (AFCS).\"
In the intervention group, the post-test scores significantly increased for the DPS and the AFCS sub-scale on the importance of fertility for the future (
<0.05).
The study found that disaster preparedness training provided to women of reproductive age improved their disaster readiness levels. Following the training, the women's knowledge about physical protection during disasters, assistance in disasters, and disaster warnings and systems also increased. Additionally, the training enhanced the positive attitudes of these women toward childbearing.
Journal Article
Evaluating Community Partnerships Addressing Community Resilience in Los Angeles, California
Community resilience has grown in importance in national disaster response and recovery efforts. However, measurement of community resilience, particularly the content and quality of relationships aimed at improving resilience, is lacking. To address this gap, we used a social network survey to measure the number, type, and quality of relationships among organizations participating in 16 coalitions brought together to address community resilience in the Los Angeles Community Disaster Resilience project. These coalitions were randomized to one of two approaches (community resilience or preparedness). Resilience coalitions received training and support to develop these partnerships and implement new activities. Both coalition types received expert facilitation by a public health nurse or community educator. We also measured the activities each coalition engaged in and the extent to which partners participated in these activities at two time points. We found that the community resilience coalitions were initially larger and had lower trust among members than the preparedness communities. Over time, these trust differences dissipated. While both coalitions grew, the resilience community coalitions maintained their size difference throughout the project. We also found differences in the types of activities implemented by the resilience communities; these differences were directly related to the trainings provided. This information is useful to organizations seeking guidance on expanding the network of community-based organizations that participate in community resilience activities.
Journal Article
The Los Angeles County Community Disaster Resilience Project — A Community-Level, Public Health Initiative to Build Community Disaster Resilience
Public health officials need evidence-based methods for improving community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Project (LACCDR), a public health program for increasing community disaster resilience. The LACCDR Project utilizes a pretest–posttest method with control group design. Sixteen communities in Los Angeles County were selected and randomly assigned to the experimental community resilience group or the comparison group. Community coalitions in the experimental group receive training from a public health nurse trained in community resilience in a toolkit developed for the project. The toolkit is grounded in theory and uses multiple components to address education, community engagement, community and individual self-sufficiency, and partnerships among community organizations and governmental agencies. The comparison communities receive training in traditional disaster preparedness topics of disaster supplies and emergency communication plans. Outcome indicators include longitudinal changes in inter-organizational linkages among community organizations, community member responses in table-top exercises, and changes in household level community resilience behaviors and attitudes. The LACCDR Project is a significant opportunity and effort to operationalize and meaningfully measure factors and strategies to increase community resilience. This paper is intended to provide public health and academic researchers with new tools to conduct their community resilience programs and evaluation research. Results are not yet available and will be presented in future reports.
Journal Article
Using the Precaution Adoption Process model to describe a disaster preparedness intervention among low-income Latinos
Only 40-50% of households in the United States are currently disaster prepared. In this intervention study, respondent-driven sampling was used to select a sample (n = 187) of low income, Latino residents of Los Angeles County, randomly assigned into two treatment conditions: (i) household preparedness education received through \"promotora\" (community health worker) led small group meetings, and (ii) household preparedness education received through print media. Weinstein's Precaution Adoption Process, a stage model appropriate for risk communication guided the intervention. Outcomes are conceptualized as stages of decision making linked to having disaster supplies and creating a family communication plan. Quantitative results showed a significant shift over time from awareness to action and maintenance stages for disaster communication plans and supplies in both study arms; however, the shift in stage for a communication plan for those in the \"platica\" study arm was (P < 0.0001) than for those in the media arm. For changes in stage linked to disaster supplies, people in both media and \"platica\" study arms improved at the same rate. Simple media-based communications may be sufficient to encourage disadvantaged households to obtain disaster supplies; however, adoption of the more complex disaster family communication requires interpersonal education.
Journal Article