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العنوان
Developing and Validating a Disaster
Plan for Nursing Department at
El-maadi Military Hospital /
المؤلف
Elghannam,Howaida Moussa.
هيئة الاعداد
باحث / Howaida Moussa Elghannam
مشرف / Samia M. Adam
مشرف / Samah Faisal Fakhry
تاريخ النشر
2018
عدد الصفحات
294p.;
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
القيادة والإدارة
تاريخ الإجازة
1/1/2018
مكان الإجازة
جامعة عين شمس - كلية التمريض - إدارة التمريض
الفهرس
Only 14 pages are availabe for public view

from 294

from 294

Abstract

The frequency of disasters is increasing worldwide. They
may be natural or man-made. Disaster management is a set of
strategies for dealing with disasters which help ensure that loss
of life and property is at a minimum. It involves four phases:
mitigation, preparedness, response, and recovery. Disaster
planning is essential for hospitals. Its purpose is to provide the
policies, procedures, and guidelines necessary to protect lives
and limit injury, and protect property immediately before,
during, and after a disaster event. Nurses have significant roles
in disaster management and preparedness, and they have to
understand these roles.
The aim of this study was to develop and validate a
disaster plan for nursing department at Al- Maadi military
hospital. The study was carried out in the nursing department at
Al-Maadi Military Hospital using a methodological research,
with a quasi-experimental design for pre-post assessment. The
study subjects consisted of a nursing group that included 110
nurses from different categories, and a jury group of six
academic faculty members and five leaders in disaster management in the Armed Forces. The data collection tools
included an interview questionnaire, checklists for assessment
of nurses’ practice in fire drill, an inventory checklist for
resources, and an opinionnaire for experts’ validation of the
plan. A pilot study was carried out on 11 nurses and the tools
were finalized accordingly. The fieldwork of this study was
carried out through assessment, planning, implementation, and
evaluation phases. The researcher developed the disaster
preparedness plan and related training program based on
analysis of the assessment phase, and in view of the related
literature, implemented it, and evaluated its validity and
effectiveness.
The main study findings were as follows:
 Most nurses were staff nurses (57.3%) with nursing school
diploma (60%), with mean experience 8.6 years, and 92.7%
of them had previously attended training in disaster.
 The validity of the developed disaster preparedness plan as
assessed by experts’ opinions was high with a majority
agreeing upon all items of face and content validity. Nurses’ awareness of natural and man-made disasters was
variable, but significantly improved after implementation of
the program (p<0.001).
 Nurses’ awareness of disaster preparedness plan elements
was generally low before the intervention especially
regarding nurse role, training, evacuation, and fire
protection. However, at the posttest significant
improvements were revealed in almost all its elements.
Overall, only 12.7% were adequately aware at the pretest
compared with 99.1% at the posttest (p<0.001).
 The nurses’ performance in fire drill showed statistically
significant improvements, with none of the nurses had
adequate practice before the intervention compared to 84%
after the intervention (p<0.001).
 The study has also revealed significant improvements in the
availability of most of the disaster preparedness plan
supplies and equipment, in good working condition, with
accessibility and good storage.
In conclusion, the development, validation and
implementation of a disaster preparedness plan effected significant improvements in nurses’ awareness of disasters and
in all their related preparedness elements, in addition to their
performance in fire drill, along with significant improvements
in the resources needed for disaster preparedness.
The study recommends that the plan be implemented in
similar settings, with inclusion of other activities such as
evacuation, and transfer. Full cooperation between researchers
and the administration of the settings is needed. Nurses need
continuing training to refresh their knowledge and maintain
their skills. Further research is proposed to develop plans that
include all categories of health care workers.