French Emily D, Sole Mary Lou, Byers Jacqueline Fowler
Emergency Department, Parrish Medical Center, Titusville, FL, USA.
J Emerg Nurs. 2002 Apr;28(2):111-7. doi: 10.1067/men.2002.123076.
The idea for this study was inspired by the response to Hurricane Floyd. Nurses are relied upon and expected to fulfill responsible roles during disaster situations, but little is known about the needs or concerns that nurses experience when they meet expectations and function as disaster responders.
Official copies of disaster protocols from 4 area hospitals were reviewed, and 4 focus groups consisting of ED nurses from respective hospitals provided information about nurses' concerns or needs in response to Hurricane Floyd.
Of primary importance to nurses was family safety, pet care, and personal safety while at work. Secondary concerns were basic needs such as food, water, sleep, shelter, and rest. Group commitment levels to providing care during disaster situations varied greatly. Participants requested that hospital policy revisions address work assignments, pay/financial compensation, flexibility for extenuating circumstances, pet care, family sheltering, and provision of basic needs.
It is not sufficient for a few key officials and planners to know their roles and responsibilities during a disaster; the roles of everyone involved must be clearly understood. Many participants described their conflict as family commitment versus professional obligation. We identified several areas of concerns in our interviews, and those areas have been clearly defined in the revised protocols. Other areas have yet to be addressed.
本研究的想法源于对弗洛伊德飓风的应对。在灾难情况下，护士被依赖并被期望履行责任，但对于护士在达到期望并作为灾难应对者发挥作用时所经历的需求或担忧，我们知之甚少。
查阅了4家地区医院的灾难预案官方副本，4个由各医院急诊科护士组成的焦点小组提供了有关护士在应对弗洛伊德飓风时的担忧或需求的信息。
对护士来说最重要的是家庭安全、宠物照料以及工作时的个人安全。次要担忧是食物、水、睡眠、住所和休息等基本需求。在灾难情况下提供护理的团队承诺水平差异很大。参与者要求医院政策修订应涉及工作分配、薪酬/经济补偿、特殊情况的灵活性、宠物照料、家庭安置以及基本需求的提供。
仅有少数关键官员和规划者了解他们在灾难中的角色和责任是不够的；必须清楚地了解每个相关人员的角色。许多参与者将他们的冲突描述为家庭责任与职业义务之间的冲突。我们在访谈中确定了几个担忧领域，这些领域已在修订后的预案中得到明确界定。其他领域尚未得到解决。
