Ghimire Animesh, Ghimire Purushottam
School of Nursing and Midwifery, Monash University, Wellington Road, Clayton, VIC 3800, Australia; School of Nursing and School of Public Health, Chitwan Medical College, Bharatpur-5, Kailashnagar, Chitwan, Nepal; Sustainable Prosperity Initiative Nepal, Bhimsengola, Thulo Kharibot, Baneshwor-31, Kathmandu, Nepal.
Sustainable Prosperity Initiative Nepal, Bhimsengola, Thulo Kharibot, Baneshwor-31, Kathmandu, Nepal.
Nurse Educ Today. 2025 Oct;153:106791. doi: 10.1016/j.nedt.2025.106791. Epub 2025 May 29.
Climate change is exacerbating the frequency and intensity of disasters globally, posing significant threats to human health, particularly in vulnerable countries such as Nepal. As frontline healthcare providers, nurses play a crucial role in disaster preparedness and response. However, current nursing education often lacks adequate training to address the complex health challenges arising from climate-related disasters.
This study investigated disaster preparedness training within Nepalese nursing education, focusing on strategies for integrating climate-related disaster preparedness into the curriculum to enhance nursing students' disaster response skills.
A qualitative study employing exploratory and descriptive designs was conducted to gather in-depth perspectives from key stakeholders.
Twelve participants were purposefully recruited from a tertiary nursing institution in Bharatpur, Nepal: six final-year undergraduate nursing students and six nursing faculty members.
Data were collected through four focus group discussions. Discussions were audio-recorded, transcribed verbatim, and analyzed using a thematic analysis framework.
Findings revealed three key themes: (1) Bridging classroom instruction with community-based clinical placement, (2) Bridging the urban-rural divide for equitable disaster response, and (3) Strengthening disaster resilience through interprofessional and multisectoral collaboration.
This study offers crucial insights for transforming disaster preparedness training in Nepalese nursing education. By emphasizing community-focused clinical placements, sustainable healthcare practices, and interdisciplinary collaboration, this research provides a foundation for cultivating a future nursing workforce equipped to navigate the complex health challenges of climate-induced disasters and effectively champion community resilience.
气候变化正在加剧全球灾害的频率和强度，对人类健康构成重大威胁，特别是在尼泊尔等脆弱国家。作为一线医疗服务提供者，护士在灾难准备和应对中发挥着至关重要的作用。然而，目前的护理教育往往缺乏足够的培训，以应对与气候相关的灾害所带来的复杂健康挑战。
本研究调查了尼泊尔护理教育中的灾难准备培训，重点关注将与气候相关的灾难准备纳入课程的策略，以提高护生的灾难应对技能。
采用探索性和描述性设计的定性研究，以收集关键利益相关者的深入观点。
从尼泊尔巴拉特普尔的一所高等护理机构中有意招募了12名参与者：6名本科最后一年的护生和6名护理教员。
通过四次焦点小组讨论收集数据。讨论进行了录音，逐字转录，并使用主题分析框架进行分析。
研究结果揭示了三个关键主题：（1）将课堂教学与基于社区的临床实习相结合；（2）弥合城乡差距以实现公平的灾难应对；（3）通过跨专业和多部门合作增强灾难恢复力。
本研究为尼泊尔护理教育中转变灾难准备培训提供了重要见解。通过强调以社区为重点的临床实习、可持续医疗实践和跨学科合作，本研究为培养未来的护理人员奠定了基础，使其有能力应对气候引发的灾害所带来的复杂健康挑战，并有效地支持社区恢复力。
