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Emergency department registered nurses overestimate their disaster competency: A cross-sectional study
Jason P Murphy1, Lisa Kurland2, Monica Rådestad3
1Karolinska Institutet, Department of Clinical Science and Education, Stockholm, Sweden; Sophiahemmet University, Department of Health Promoting Science, Stockholm, Sweden.
International Emergency Nursing
|August 1, 2021
Summary
Emergency department registered nurses (ED RNs) tend to overestimate their disaster preparedness. Factors like experience and education positively influence preparedness, highlighting the need for formal disaster education for better self-assessment and patient safety during major incidents.
Area of Science:
- Nursing
- Disaster Preparedness
- Healthcare Management
Background:
- Major incidents pose a significant threat to healthcare systems, particularly emergency departments (EDs).
- The disaster nursing competency of registered nurses (RNs) is crucial for hospital surge capacity and patient safety.
- Assessing ED RNs' self-perceived disaster preparedness is vital for effective incident response.
Purpose of the Study:
- To assess the self-perceived disaster preparedness of emergency department registered nurses (ED RNs).
- To identify factors influencing ED RNs' disaster preparedness and self-assessment accuracy.
Main Methods:
- A cross-sectional study utilizing a self-assessment questionnaire distributed to ED RNs across six hospitals.
- A five-point Likert-type scale was employed to measure disaster nursing competencies.
- Data collection occurred between January 10th and February 19th, 2019.
Main Results:
- ED RNs reported low overall disaster preparedness based on the Total Disaster Competency mean.
- RNs significantly overestimated their disaster nursing competency compared to the established mean.
- Clinical experience and higher education levels were positively associated with better disaster preparedness and self-assessment.
Conclusions:
- ED RNs generally overestimate their disaster preparedness, potentially impacting patient outcomes during major incidents.
- Clinical experience, advanced education, and formal disaster training enhance preparedness and self-awareness.
- Improving disaster education for ED RNs is essential for accurate self-assessment and improved patient safety during crises.
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