Faculty of Nursing, Division of Surgical Nursing, Chiang Mai University, Chiang Mai, Thailand.
Faculty of Nursing, Division of Public Health Nursing, Chiang Mai University, Chiang Mai, Thailand.
J Clin Nurs. 2022 Apr;31(7-8):1073-1081. doi: 10.1111/jocn.15971. Epub 2021 Jul 19.
To improve hospitals disaster preparedness during floods.
The Thai flood disaster in 2011 struck several sectors, including hospitals. It is necessary to build a disaster preparedness system that ensures that hospitals have the capacity to respond effectively to any kind of disaster.
This qualitative study was conducted using content analysis. Purposive sampling was used to select 15 participants, including doctors, nurses and other staff involved in disaster preparedness, and semi-structured interviews were conducted with them. The study was reported according to COREQ guidelines.
Healthcare personnel identified several ways in which flood disaster preparedness of hospitals may be enhanced. Three themes and eight subthemes were identified during the data analysis. The three themes were as follows: 1) ongoing efforts for flood prevention and mitigation at a national level; 2) developing operational guidelines to effectively prevent and resolve flood problems at provincial levels; and 3) increasing the levels of flood readiness at the hospital level.
The results of this study indicate strategies to help policymakers and health personnel enhance flood disaster preparedness measures at hospitals based on the experiences of hospital personnel involved in one of the worst flood disasters worldwide.
Hospitals alone cannot deal with unpredictable events; they need additional assistance in disaster preparedness. There are three levels at which improving hospital flood disaster preparedness can take place: national, provincial and hospital levels. Nursing professionals participate in hospital disaster preparedness and work with multidisciplinary teams to provide services. Nurses should be prepared for such participation, as their involvement, through tailored services for hospital disaster preparedness, can expand the literature on nursing knowledge to improve clinical outcomes.
提高医院在洪水中的灾害应对能力。
2011 年泰国洪灾袭击了多个领域，包括医院。有必要建立一个灾害准备系统，确保医院有能力有效应对任何类型的灾害。
本研究采用定性内容分析法。采用目的抽样选择了 15 名参与者，包括参与灾害准备的医生、护士和其他工作人员，并对他们进行了半结构化访谈。本研究根据 COREQ 指南进行了报告。
医疗保健人员确定了几种可以增强医院洪灾应对能力的方法。在数据分析过程中，确定了三个主题和八个子主题。这三个主题如下：1）在国家层面持续努力预防和减轻洪水灾害；2）制定操作指南，在省级层面有效预防和解决洪水问题；3）提高医院层面的防洪准备水平。
本研究的结果表明，根据参与全球最严重洪水灾害之一的医院工作人员的经验，有一些策略可以帮助政策制定者和卫生人员加强医院的洪灾应对措施。
医院自身无法应对不可预测的事件；他们在灾害准备方面需要额外的帮助。提高医院防洪灾害准备能力可以在三个层面上进行：国家、省和医院层面。护理专业人员参与医院灾害准备，并与多学科团队合作提供服务。护士应该为此做好准备，因为他们的参与，通过为医院灾害准备量身定制的服务，可以扩展护理知识文献，以改善临床结果。
