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Table 2 Results of data analysis

From: Nurses’ experiences of providing medical services during the Kermanshah earthquake in Iran: a qualitative study

Categories

Subcategories

Codes

Individual experiences

satisfaction

The sense of pleasure / Mental refreshment when helping others

Gaining a good feeling when talking with injured and needy people

Gaining a good feeling because of effective group work

Professional experiences

Using the facilities in the best way and creativity and innovation to compensate for the lack of equipment

Learning to resist against problems/Increasing resilience and learning patience and perseverance

Physical and mental experiences

Fatigue due to continuous work/Ignoring physical conditions at work

Psychological problems due to working under disaster conditions/Bad mental conditions/Hard psychological conditions of working with injured children

Anxiety and worry about future problems and dangers/Fear and panic caused by aftershocks

Mental conflict and worry about the family situation

Neglect of psychological issues of the disaster medical assistance teams (DMAT) after

returning/Not receiving feedback after returning

Operational experiences

Command, leadership, and supervision

Lack of unit management and clear command

Weak supervision and control over the process of delivering services

Coordination

Poorly coordinated dispatch (delayed flights - return of several medical forces from the airport)

Poorly coordinated dispatch to the affected areas

Uncoordinated dispatch of medical forces to the earthquake affected area

Organizing human resources

Giving no time off work to tired local forces in some areas and use of dispatched nurses as extra forces

Lack of proper management in the use of forces/ Failure to use all the capacity and capabilities of the dispatched forces

The feeling of having extra forces/ Feeling inefficient in some situations

logistic

An increase in the number of medical staff in some areas and problems in supporting them/ Providing no support for nurses in some areas (resting in cold tents, risk of theft of portable equipment)

Inappropriate clothing, etiquette, and organization for nurses

Protocols and instructions

Absence of clear guidelines regarding the job description

No description of specific duties

Training and empowerment

Attendance of trained teams in disaster-affected areas

Pre-disaster training

Holding periodic maneuvers

Continuation of service delivery after the response phase

Continuation of post-earthquake services by nurses

Post-earthquake empowerment and rehabilitation of affected people

Social and cultural experiences

Social participation

People’s participation in collecting bodies and identifying the injured

Availability of people affected during the war and using their experiences

Cultural experiences

Using local forces/ Paying attention to the cultural issues of the region

Facilitating people’s communication by employing medical forces of the same language