Dağ Yeliz Suna, Zengin Mürşide, Yayan Emriye Hilal, Dağ Serhat
Firat University, Faculty of Health Sciences, Elazığ, Turkey.
Adiyaman University, Faculty of Health Sciences, Adıyaman, Turkey.
Int Nurs Rev. 2025 Jun;72(2):e13031. doi: 10.1111/inr.13031. Epub 2024 Aug 2.
Children are a particularly vulnerable group in natural disasters such as earthquakes, and although they represent a difficult group to research in such situations, there appears to be a lack of literature investigating children's experiences in the immediate post-earthquake period. Experienced nurses can shed light on children's experiences.
This study was conducted to examine the experiences of nurses caring for children affected by the earthquake in Kahramanmaraş, Turkey.
This phenomenological study was conducted with nurses who provided care to children during the Kahramanmaraş earthquake between May and August 2023. The study sample consisted of 14 nurses selected using a purposive sampling technique. Data were collected through in-depth interviews by using the "Introductory Information Form" and "Semi-structured Interview Form" developed by the researchers. The interviews were subsequently analyzed using Colaizzi's method.
The results revealed five themes under two main themes. Under the main theme of nurse, there are subthemes of chaos, helplessness-incompetence, while under the main theme of child, there are subthemes of unresponsiveness, intertwined needs, empathy, and care. The study also highlights the chaotic environment in the immediate aftermath of the earthquake, characterized by a high number of pediatric casualties and psychological trauma, and the nurses' feelings of helplessness as a result of being separated from their families.
This study found that nurses caring for children in the earthquake had difficulties in managing children's hospital processes and they demonstrated an empathic approach by trying to communicate with the children in their care. The nurses stated that children should be supported psychologically as well as having their basic needs such as water, food, and shelter met.
Health policymakers should be aware that in the early stages of major disasters such as earthquakes, children are not only physically injured but also have basic needs such as water, shelter, and food, and are emotionally affected. It is recommended that disaster management plans be developed to address all children's needs and nurses be provided with psychological support and training to improve their knowledge and skills.
在地震等自然灾害中，儿童是特别脆弱的群体。尽管在这种情况下对这一群体进行研究很困难，但似乎缺乏关于儿童震后初期经历的文献。经验丰富的护士能够揭示儿童的经历。
本研究旨在调查在土耳其加济安泰普照顾受地震影响儿童的护士的经历。
本现象学研究针对在2023年5月至8月加济安泰普地震期间为儿童提供护理的护士开展。研究样本由采用目的抽样技术选取的14名护士组成。通过使用研究人员编制的“基本信息表”和“半结构化访谈表”进行深入访谈收集数据。随后采用科莱齐法对访谈进行分析。
结果在两个主要主题下揭示了五个主题。在“护士”这一主要主题下，有“混乱”“无助 - 无能力”等子主题；在“儿童”这一主要主题下，有“无反应”“交织的需求”“同理心”和“关爱”等子主题。该研究还突出了地震刚发生后的混乱环境，其特点是大量儿童伤亡和心理创伤，以及护士因与家人分离而产生的无助感。
本研究发现，在地震中照顾儿童的护士在管理儿童医院流程方面存在困难，并且他们通过尝试与所护理的儿童沟通表现出一种共情的方式。护士们表示，儿童不仅应在心理上得到支持，其水、食物和住所等基本需求也应得到满足。
卫生政策制定者应意识到，在地震等重大灾难的早期阶段，儿童不仅身体受伤，而且有水、住所和食物等基本需求，并且在情感上也受到影响。建议制定灾害管理计划以满足所有儿童的需求，并为护士提供心理支持和培训，以提高他们的知识和技能。
