Table 2 Score of nurses’ perceptions of core competencies required for disaster risk management
From: Iranian nurses’ perceptions of core competencies required for disaster risk management
Sub scales | Items | M ± SD Pre item | M ± SD pre subscale |
|---|---|---|---|
Critical thinking skills | 1. I can use the ethical principles and the nationally approved information in order to decide the actions to be taken and prioritize them in case of a disaster. | 3.8 ± 0.8 | 3.73 ± 0.84 |
2. During and after the mass casualty, I can make decisions to assess the nursing care needs of the victims. | 3.89 ± 0.8 | ||
3. I can explain the basic nursing care for the individuals, families, society and special groups (children, elders, disabled people and Pregnant etc.) in accordance with the needs of pre-disaster, disaster and post-disaster period. | 3.64 ± 0.86 | ||
4. I can explain the principles of triage applied and accepted in the mass casualties (i.e. START-Simple Triage and Rapid Treatment) | 3.6 ± 0.9 | ||
Special diagnostic skills | 5. In the case of a disaster, I can assess the risk situations that can affect the health of mine, my team and the victims, together with the disaster response team | 3.69 ± 0.81 | 3.46 ± 0.87 |
6. I can recognize the possible indications of the situation the group of people, with the same symptoms, is exposed to. | 3.58 ± 0.81 | ||
7. I can explain the general symptoms and findings of the exposure to the chemical, biological, radioactive, nuclear and explosive substances that threaten human health. | 3.2 ± 0.93 | ||
8. I can update my knowledge on the chemical, biological, radiological, nuclear and explosive substances in accordance with the up-to-date information. | 3.47 ± 0.91 | ||
9. I can explain the essential elements (nature, size, limits, duration etc. of the event) required for the assessment of a mass casualty. | 3.23 ± 0.91 | ||
10. I can determine the groups that may highly likely be affected and require special care (children, elders, people with a suppressed immune system etc.) during the mass casualty. | 3.59 ± 0.85 | ||
General diagnostic skills | 11. I can get a history of health to assess exposure to chemical, biological, radiological, nuclear and explosive substances. | 3.47 ± 0.91 | 3.7 ± 0.64 |
12. I can assess the airway patency and respiration. | 3.95 ± 0.76 | ||
13. I can perform a cardiovascular assessment including the monitoring of the vital signs and the shock signs. | 4.01 ± 0.79 | ||
14. I can assess the dermatological conditions, especially like injury, burn and eruption. | 3.86 ± 0.79 | ||
15. I can do pain assessment. | 3.92 ± 0.76 | ||
16. I can assess the condition of injury from head to foot. | 3.81 ± 0.87 | ||
17. I can do a general gastrointestinal system assessment including stool sampling. | 3.52 ± 0.92 | ||
18. I can do basic neurological assessment. | 3.58 ± 0.87 | ||
19. I can do a basic musculoskeletal system assessment. | 3.68 ± 0.86 | ||
20. I can do a basic mental, spiritual and emotional state assessment. | 3.69 ± 0.87 | ||
21. I can assess the immediate and late psychological reactions/responses of the individual, family and community following mass casualty. | 3.44 ± 0.9 | ||
22. I can refer the victims to the appropriate sources (psychiatrists, Psychologists, consultants, and psychiatric nurses etc.) in order to provide psychological support in the disasters. | 3.71 ± 0.82 | ||
23. I can explain the psychological effects of the disaster on the professional disaster response teams (healthcare professionals, Firefighters, ambulance personnel, police etc.). | 3.51 ± 0.9 | ||
Technical skills | 24. I can ensure safe drug management (especially vasoactive and analgesic drugs, oral, subcutaneous, intramuscular and intravenous drug administrations, etc.) | 3.79 ± 0.84 | 3.91 ± 0.65 |
25. I can provide safe vaccinations for the protection of the community health in disasters. | 3.8 ± 0.85 | ||
26. I know and apply the appropriate nursing interventions against the side effects of the drugs administered. | 3.66 ± 0.85 | ||
27. I can apply basic first aid practices. | 3.97 ± 0.76 | ||
28. I can administer oxygen and apply breathing techniques | 4.13 ± 0.78 | ||
29. I can insert a urinary catheter. | 4.14 ± 0.9 | ||
30. I can insert a nasogastric tube. | 4.11 ± 0.93 | ||
31. I can apply lavage (e.g. eye and wound lavage). | 4.03 ± 0.82 | ||
32. I can perform the basic wound care. | 4.03 ± 0.82 | ||
33. In case of exposure to the chemical, biological, radiological, nuclear and explosive substances, I can start the appropriate isolation and decontamination processes by assessing the needs of the victims, mine and the disaster response team. | 3.48 ± 0.91 | ||
34. I know and can apply the safety concerns and the use of the personal protective equipment. | 3.91 ± 0.88 | ||
35. I can choose and use the personal protective equipment as required. | 4.01 ± 0.8 | ||
36. Taking into account the nature of the exposure factors and/or injuries, I can apply fluid/nutritional therapy in accordance with the medical treatment and follow up the fluid that the patients take in and out. | 3.90 ± 0.77 | ||
37. I can assess the transfer status of the injured individual and perform preparation, care, and follow-up in such a way to ensure the safety of the patient during the transfer. | 3.78 ± 0.87 | ||
Communication skills | 38. I know the disaster management system of the institution I work for and I can explain my professional role in the emergency plans. | 3.51 ± 0.9 | 3.55 ± 0.86 |
39. I can explain the emergency plans at my workplace and the functions of these plans at community, regional and provincial levels. | 3.44 ± 0.9 | ||
40. I know and can apply the importance of the security and privacy issues during the intervention of mass casualties. | 3.64 ± 0.83 | ||
41. I can ensure the appropriate recording of nursing assessments, interventions and care results during and after the mass casualty. | 3.62 ± 0.86 | ||
42. I can refer applications from patients, the media and other sources to appropriate sources for information about mass casualties. | 3.55 ± 0.88 | ||
43. I can explain the basic principles of risk communication to be applied for the individuals and groups affected by disaster during a mass casualty. | 3.48 ± 0.85 | ||
44. I can recognize the fear, panic and stress reactions that the victims, families and disaster response teams can display during a disaster. | 3.61 ± 0.84 | ||
45. I can explain the appropriate coping strategies to provide support for myself and others against negative effects of disasters. | 3.57 ± 0.85 | ||
Total Score of NPDCC | 3.67 ± 0.77 | ||