Problems and Suggested Solutions of Advanced Practice Nursing in Disaster Events

LI Yijing, WANG Cong, HU Qin, XU Ke, ZHU Wei, JIANG Yan

Abstract

Nurses constitute the largest component of the healthcare workforce and are often the mainstay of disaster management. The leadership, decision-making, and coordination skills that advanced practice nurses possess are of critical value for disaster precision nursing. However, previous studies mostly focused on disaster specialist nurses and emergency or critical care nurses and little attention was directed at advanced practice nurses. In this paper, we reviewed published research and summarized the current status of advanced practice nursing in disaster events. We identified through our analysis the problems in advanced practice nursing, including poor disaster education, a lack of clearly-defined rescue roles, and difficulty in the implementation of practice reform. We suggested solutions, including developing a whole-process and multi-form disaster curriculum, refining rescue tasks from a team perspective, and establishing a system of quality and safety supervision for advanced practice nursing, aiming to provide new ideas for the development of disaster nursing in China.


Keywords: Advanced practice nursing,  Disaster nursing,  Nursing administration research,  Review

 

Full Text:

PDF


References


LOKE A Y， GUO C， MOLASSIOTIS A. Development of disaster nursing education and training programs in the past 20 years (2000-2019): a systematic review. Nurse Educ Today，2021，99: 104809. doi: 10.1016/j. nedt.2021.104809.

SU Y， WU X V， OGAWA N， et al. Nursing skills required across natural and man-made disasters: a scoping review. J Adv Nurs，2022，78(10): 3141–3158. doi: 10.1111/jan.15337.

WILSON K P. On the front lines of disaster recovery: nurse practitioners fill the health care void. J Am Assoc Nurse Pract，2020，32(2): 103–105. doi: 10.1097/jxx.0000000000000389.

International Council of Nurses. Core competencies in disaster nursing version 2.0. (2019-11-25)[2023-05-25]. https://www.icn.ch/sites/default/files/inline-files/ICN_Disaster-Comp-Report_WEB_final.pdf.

MORLEY D A， KILGORE C， EDWARDS M， et al. The changing role of Advanced Clinical Practitioners working with older people during the COVID-19 pandemic: a qualitative research study. Int J Nurs Stud，2022， 130: 104235. doi: 10.1016/j.ijnurstu.2022.104235.

Al THOBAITY A， PLUMMER V， WILLIAMS B. What are the most common domains of the core competencies of disaster nursing? A scoping review. Int Emerg Nurs，2017，31: 64–71. doi: 10.1016/j.ienj.2016. 10.003.

WALSH L， SUBBARAO I， GEBBIE K， et al. Core competencies for disaster medicine and public health. Disaster Med Public Health Prep， 2012，6(1): 44–52. doi: 10.1001/dmp.2012.4.

SCHULTZ C H， KOENIG K L， WHITESIDE M， et al. Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Ann Emerg Med，2012，59(3): 196–208.e1. doi: 10.1016/j.annemergmed.2011.09.003.

GEBBIE K M， QURESHI K. Emergency and disaster preparedness: core competencies for nurses. Am J Nurs，2002，102(1): 46–51. doi: 10.1097/ 00000446-200201000-00023.

HUTTON A， VEENEMA T G， GEBBIE K. Review of the International Council of Nurses (ICN) framework of disaster nursing competencies. Prehosp Disaster Med ，2016，31(6): 680–683. doi: 10.1017/s1049023x1600100x.

MAO X， YANG Q， LI X， et al. An illumination of the ICN's core competencies in disaster nursing version 2.0: advanced nursing response to COVID-19 outbreak in China. J Nurs Manag，2021，29(3): 412–420. doi: 10.1111/jonm.13195.

LOKE A Y， LI S， GUO C. Mapping a postgraduate curriculum in disaster nursing with the International Council of Nursing's core competencies in disaster nursing V2.0: the extent of the program in addressing the core competencies. Nurse Educ Today，2021，106: 105063. doi: 10.1016/j.nedt. 2021.105063.

SONNEBORN O， MILLER C， HEAD L， et al. Disaster education and preparedness in the acute care setting: a cross sectional survey of operating theatre nurse's disaster knowledge and education. Nurse Educ Today，2018，65: 23–29. doi: 10.1016/j.nedt.2018.02.015.

GOODHUE C J， BURKE R V， FERRER R R， et al. Willingness to respond in a disaster: a pediatric nurse practitioner national survey. J Pediatr Health Care，2012，26(4): e7–20. doi: 10.1016/j.pedhc.2010.11.003.

CHARNEY R L， LAVIN R P， BENDER A， et al. Ready to respond: a survey of interdisciplinary health-care students and administrators on disaster management competencies. Disaster Med Public Health Prep，2020，14(6): 705–712. doi: 10.1017/dmp.2019.96.

PRIMEAU M S， BENTON A M. Multilevel disaster simulation in nursing: lessons learned in undergraduate and nurse practitioner student collaboration. Nurs Educ Perspect，2021，42(3): 188–189. doi: 10.1097/01. Nep.0000000000000602.

CHANG C W， LIN C W， HUANG C Y， et al. Effectiveness of the virtual reality chemical disaster training program in emergency nurses: a quasi experimental study. Nurse Educ Today，2022，119: 105613. doi: 10.1016/j. nedt.2022.105613.

WOOD L， ZAK C， ADELMAN D S， et al. Disaster response resources and research goals for NPs. Nurse Pract，2020，45(7): 42–47. doi: 10.1097/ 01.NPR.0000669140.78719.fd.

DONELAN K， DESROCHES C M， GUZIKOWSKI S， et al. Physician and nurse practitioner roles in emergency, trauma, critical, and intensive care. Nurs Outlook，2020，68(5): 591–600. doi: 10.1016/j.outlook.2020.04. 010.

FAIRLEY R， EMANUEL T， GOETTL B. Staff augmentation during disaster response. Prehosp Disaster Med，2022，37(1): 1–3. doi: 10.1017/s1049023x22000024.


Refbacks

  • There are currently no refbacks.