Ziapour Arash, Darabi Fateme
Cardiovascular Research Center, Health Policy and Promotion Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran.
Public Health Nurs. 2025 Apr 4. doi: 10.1111/phn.13560.
In the past two decades, disasters have directly affected the lives of nearly 1.23 million people. Asia is the most affected region in the world by all types of disasters, such as war and natural disasters, accounting for 44% of all disasters, 58% of total deaths, and 70% of all victims. Iran has remained one of the most heavily impacted countries by various disasters. Emergency nurses are expected to use their professional expertise to provide the necessary nursing services to reduce disaster-related risks. Nurses at all levels of healthcare play a crucial role in disaster risk management and must possess the readiness and core competencies to respond to disasters. Therefore, core nursing competencies in emergency situations are essential for dealing with disasters. Policymakers have been too busy or lack the expertise to read and understand complex scientific articles. As a result, they need policy briefs that cover the key points so they can plan and implement the necessary interventions based on evidence. Thus, the aim of this study is to provide a framework for producing policy briefs for policymaking and enhancing nurses' core competencies in disasters by policymakers in government and health authorities. Implications for Policy: Policymakers and hospital managers should design and implement structured training programs to improve nurses' core competencies. Before disasters occur, a written plan with clear roles that are understandable for all nursing staff should be established; this can increase nurses' response times in assisting affected people. It is essential that nursing managers provide specific guidelines for standard and structured training during disasters to enhance nurses' awareness of disasters and communication skills.
在过去二十年中,灾害已直接影响了近123万人的生活。亚洲是世界上受各类灾害影响最严重的地区,如战争和自然灾害,占所有灾害的44%,死亡总数的58%,以及所有受灾者的70%。伊朗一直是受各种灾害影响最严重的国家之一。急诊护士应运用其专业知识提供必要的护理服务,以降低与灾害相关的风险。各级医疗保健机构的护士在灾害风险管理中发挥着关键作用,必须具备应对灾害的准备和核心能力。因此,紧急情况下的核心护理能力对于应对灾害至关重要。政策制定者一直过于忙碌或缺乏阅读和理解复杂科学文章的专业知识。因此,他们需要涵盖要点的政策简报,以便能够基于证据规划和实施必要的干预措施。因此,本研究的目的是为政策制定者在政府和卫生当局制定政策简报以及提高护士在灾害中的核心能力提供一个框架。对政策的启示:政策制定者和医院管理人员应设计并实施结构化培训计划,以提高护士的核心能力。在灾害发生前,应制定一份书面计划,明确所有护理人员都能理解的角色;这可以提高护士在协助受灾群众方面的反应速度。至关重要的是,护理管理人员应在灾害期间提供标准和结构化培训的具体指导方针,以提高护士的灾害意识和沟通技巧。