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   2018| July-December  | Volume 19 | Issue 2  
    Online since June 5, 2020

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Disaster management - introduction, community preparedness and response and role of a public health nurse
Rajeswari Siva, Prema
July-December 2018, 19(2):58-72
Numerous disaster events and threats in the 21st century has increased the emphasis on disaster nursing and those principles that guide the nurse’s practice in response to disasters. A global nursing workforce is needed that possesses the knowledge, skills, and abilities to respond to any disaster or large-scale public health emergency in a timely and appropriate manner. This paper highlights the need for preparedness and response in times of disaster from a community and public nursing perspective.
  4,863 181 -
Knowledge and attitude regarding disaster preparedness and management among nurses and nursing students
Radhika Mariappan, Ratna Philip
July-December 2018, 19(2):81-84
Disaster is a sudden adverse or unfortunate extreme event, which causes great damage to human beings. Disaster is any occurrence that causes damage, economic disruption, loss of human life and deterioration in health services on a scale sufficient to warrant an extraordinary response from outside the affected community area.The nurses’ role is to respond in all serious events that could threaten the life of others. Every nurse must seek for new challenges on disaster management and emergency responses. The present study was done to determine the nurses’ knowledge and attitude regarding the disaster preparedness and management. A comparative cross-sectional study was conducted to assess the knowledge and attitude among nurses and nursing students in selected hospital at Khammam. Fifty nurses and fifty nursing students were selected by using convenience sampling technique. Data was collected by using a self-administered questionnaire to assess the knowledge and a Likert scale to assess the attitude. The results showed that 32% of the staff nurses and 14% of the nursing students had adequate knowledge regarding disaster management. With regard to attitude among staff nurses, majority, i.e., 92% had favourable attitude and 8% were neutral in their attitude. Among nursing students 98% had an favourable attitude and 2% were neutral. The study concludes that staff nurses have better knowledge when compared to nursing students and nursing students have better attitude when compared to the staff nurses towards disaster preparedness and management.
  2,783 177 -
Lived experience of the disaster victims of South Indian floods 2015: A concatenated disaster crisis model using phenomenographical framework analysis
Ponnambily Jobin, Sudha , Sarasu
July-December 2018, 19(2):44-53
The 2015 South Indian floods resulted from heavy rainfall in November-December 2015. The South Indian states of Tamil Nadu and Andhra Pradesh, particularly the city of Chennai, Tamil Nadu were badly affected. The aim of this study was to explore the variation in the lived experience of the disaster victims of South Indian floodsand develop a Concatenated Disaster Crisis model. A phenomenographical design was chosen to explore the variation in the lived experience of the disaster victims of the floods which focused on investigating ‘how people experience a natural phenomenon?'. The duration of the study was one year with three phases of data collection and the total sample size was 22. Phenomenographical analysis method of familiarization, compilation, condensation, preliminary grouping, preliminary comparison of categories, naming the categories and final outcome space was used to understand the variations and collective meaning in the participants’ experience. Categories of the description in the form of ten categories named ‘phases’ and descriptions as ‘views’ and an outcome space named Concatenated Disaster Crisis model emerged from the data. The Disaster Crisis model was developed based on the three types of disasters that are linked within an event namely natural disaster, socio-economic disaster and psychological disaster. The Concatenated Disaster Crisis model facilitate nurses to identify the chain of experiences of the victims with the variations therein, plan the allocation of resources carefully and meet the needs of the victims of disaster in different phases of their experiences.
  1,939 133 -
Effectiveness of structured teaching programme on knowledge and attitude regarding disaster preparedness among nursing students
Temjennaro B Pongen, Tolivi Kiho, >Toshikala Pongen, Unuzo Venyo, Vahboi Singson, Vungzahoih , Lumchio E Humtsoe
July-December 2018, 19(2):75-80
Disasters cause serious disruption of the normal functioning of a community or society, resulting in widespread devastating human, property or environmental effects,the recovery from which requires assistance from outside the affected community. In disaster prone areas, disaster preparedness can minimize injuries, loss of life, and damage to property. Health care professionals and students are great resources in times of disaster and their knowledge on disaster management enables optimal and timely services during a disastrous event. Apre-experimental research study was undertaken with the objective to assess the knowledge and attitude of nursing students regarding disaster preparedness for earthquakes and fires and to determine the effectiveness of a structured teaching programme on knowledge and attitude. Proportionate stratified random sampling was done to obtain a sample of 52 first year and second year B.Sc (N) and G.N.M students and data was collected using a self-administered knowledge questionnaire and an attitude scale. The study findings showed that 8% nursing students had adequate knowledge about disaster preparedness. Majority (62%) of the nursing students had positive/favorable attitude regarding disaster preparedness. Effectiveness of the structured teaching programme, was assessed using paired t- test, and was found to be statistically significant at ρ < 0.05. Study findings support the promotion of routine assessment of knowledge and attitude and regular trainings on disaster preparedness using structured teaching programmes to ensure adequate disaster preparedness among nursing students.
  1,965 73 -
Effectiveness of structured teaching programme on knowledge regarding disaster management among the school teachers
Anju Jose, Anu C Thomas, Sumayya
July-December 2018, 19(2):54-57
Disasters in any form cause major destruction to the structure of the society. It claims more lives and properties also. The concept of disaster preparedness is the need of the hour. This can reduce the impact of disaster on human lives. School is a place where young children spend most of the time. The teachers are responsible for the safety of children at school. Educating them on disaster management may be helpful in crisis situation. Hence a study to evaluate the effectiveness of structured teaching programme on knowledge regarding disaster management among the school teachers was conducted among 60 school teachers selected by adopting simple random sampling method. The results found that the intervention was effective in improving the knowledge of teachers on disaster management.
  1,746 101 -
An overview of psychosocial impacts of disaster
Preethi T Louis
July-December 2018, 19(2):27-34
Disaster or calamity causes widespread destruction or distress. For any catastrophe, we determine the degree of suffering by the size, shape, impact and the probability of reoccurrence. Stress and emotional pain can have a significant effect on individuals and communities. Recovering from the impact of the calamity and regaininga sense of control is a vital focus in delivering psychosocial interventions. The present article attempts to explore the psychosocial profiles of victims of flood, drought, storms, and cyclones that have occurred in the Indian subcontinent over the last decade and the immediate and long-term implications of the disaster. We discuss essential methods of providing relief and rehabilitation in this paper. Finally, although many South East Asian countries have been deliberating on several useful models for disaster management, further research on understanding the psycho-social impact of calamities are recommended.
  1,620 76 -
Kerala flood: A situational experience and response
Angela Gnanadurai
July-December 2018, 19(2):35-37
The mass casualty incident associated with a disaster requires immediate and effective response. Thoughtful planning and coordination of relief work mitigates the effect of disasters. This article describes the author’s situational experience of being part of the response and relief team of mass casualty management in a tertiary hospital during the Kerala floods, South India, 2018.
  1,433 73 -
Disaster management: Capacity building
Theophilus S Ravikumar
July-December 2018, 19(2):18-22
Indian subcontinent is highly prone to more disasters. India ranks fifth in the economic losses due to disaster. Sendai framework for disaster risk reduction which was adopted by United Nations general assembly advocates on capacity building among the health professionals. Capacity building involves strengthening of physical, social, economical, and attitudinal domains of people at every area. Government of India has created a multi-tiered system for effective disaster management at every level. The Asia Pacific Emergency and Disaster Nursing Network of WHO (APEDNN) also plays a significant role in capacity building in the Asia Pacific region for disaster management. International Council for Nurses in its efforts to building capacity has launched a framework on Disaster Nursing Competencies under the four areas of disaster cycle. The ten competencies puported by ICN will enable capacity among nursing workforce.
  1,402 75 -
Mass casualty management
Jeyalindha Christopher
July-December 2018, 19(2):23-26
Mass Casualty Incidents have become an everyday event in India and occur as a result of minor or major and natural or manmade disasters. An increase in morbidity andloss of life can occur if community and heath care centers are not adequately prepared for responding effectively to mass casualty incidents. This paper elaborates on the hospital preparedness activities needed for comprehensive mass casualty management.
  1,347 88 -
Effectiveness of family support groups in improving the coping levels and strategies adopted by widows affected by tsunami
Shimy Mathew, Rosaline Jayakaran, Anantha K Rajan, Kamala R John
July-December 2018, 19(2):38-43
Natural disasters tend to disperse families and disrupt communities leading to death, injury, and separation from homes. Following a traumatic event, about 20% of people need some kind of psychosocial support to deal with stress and related problems and 5% of people can be expected to have serious mental health disorders. Amixed methods study was done to assess the effectiveness of family support groups in improving the coping levels and strategies adopted by widows affected by tsunami in selected villages ofNagappatinam district, Tamilnadu. Purposive sampling was used to select 3 0 widows who lost their husbands in Tsunami in 2004, in the 18 proj ect villages of Sirgazhi Taluk ofNagappatinam district. A coping scale prepared by the researcher based on Brief Cope Inventory and Impact of Events Scale and semi structured interview guide were used to collect data during the first week after obtaining oral consent. Participants were divided into groups often members with 2-3 supporters based on their coping and geographical proximity. The groups met once a week for four weeks and discussed aspects of psychological and financial coping and challenges for future. Post-test on coping was done during the sixth week. Study findings showed that family support groups were very effective in improving the coping levels of the widows. The mean difference of the effectiveness of support groups on coping related to psychological, behavioral, and cognitive aspects were highly significant (p<.001). Early psychosocial interventions can help disaster victims cope with various stressors and hence nurses need to intervene at various stages of response and recovery in a disaster.
  1,063 69 -
Effectiveness of community based mass casualty preparedness program among rural youth and their knowledge, attitude and selected skills towards mass casualty management
Joben V Daniel, Rajeswari Siva, Theophilus S Ravikumar, Venkat R Mohan, Grace Rebekah
July-December 2018, 19(2):85-90
Mass casualty incidents associated with road traffic accidents have become more frequent during the last decades. Many lives can be saved if the rural youths are trained as first responders in mass casually management. This study was aimed to assess the effectiveness of community based mass casually preparedness program among rural youth on their knowledge, attitude and selected skills towards mass casualty management, using a quasi experimental design. Two villages were conveniently selectedand were allotted to control and experimental group using lot method. From each village 40 youth were randomly selected for the study. Experimental group received community based mass casually preparedness program which included video based teaching and skill demonstration. Knowledge questionnaire, attitude scale and observation checklist on mass casually management was used to collect the data. There was a significant improvement in knowledge (p< .01) and skill (p< .01) among rural youth in experimental group. The findings suggest that equipping rural youth with necessary knowledge and skill for mass casualty management will not only save lives but will also be a ready manpower at the community level.
  970 63 -
Role of asia-pacific emergency and disaster nursing network (APEDNN) in disaster risk reduction
Alice Y Loke, Sunshine Chan
July-December 2018, 19(2):12-17
  923 69 -
Sendai framework for disaster risk reduction united nations office for disaster risk reduction

July-December 2018, 19(2):73-74
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