{"title":"Exploring the Factors Promoting Nurses' Stages of Change for Patient Evacuation in Disasters: A Directed Content Analysis.","authors":"Shandiz Moslehi, Asghar Tavan, Sajjad Narimani, Nadia Sedri, Mostafa Modareszadeh","doi":"10.1016/j.jen.2024.12.006","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Identifying factors that enhance the stages of behavior change and nurses' readiness to evacuate patients during disasters can facilitate the proper management of the patient evacuation process in emergencies. This study aimed to identify the factors related to the stages of behavior change and nurses' readiness to evacuate patients during disasters.</p><p><strong>Methods: </strong>This qualitative study was conducted as a directed content analysis using the Hsieh and Shannon method and the MAXQDA 2020 software. Data were collected between January and June 2024 among nurses from various hospitals in Iran. The interview guideline was designed based on the transtheoretical model. Twenty nurses who met the inclusion criteria were selected through purposive sampling. Data collection was done through face-to-face, semi-structured interviews.</p><p><strong>Results: </strong>The study's findings indicated that all nurses were in the first 3 stages of behavior change. The components for enhancing the stages of behavior change in nurses for patient evacuation during disasters included 4 main categories (cognitive processes of change, behavioral processes of change, resource provision, and risk communication) and 15 subcategories. From the nurses' point of view, stimulus control to manage fear, increase awareness, and dramatic relief were important components in promoting the stages of behavior change toward readiness.</p><p><strong>Discussion: </strong>This study revealed factors that enhance nurses' preparedness for evacuating patients in disasters. Training courses and operational maneuvers based on the stages of behavior change in nurses may effectively increase the process of patient evacuation during disasters.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Emergency Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jen.2024.12.006","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Identifying factors that enhance the stages of behavior change and nurses' readiness to evacuate patients during disasters can facilitate the proper management of the patient evacuation process in emergencies. This study aimed to identify the factors related to the stages of behavior change and nurses' readiness to evacuate patients during disasters.
Methods: This qualitative study was conducted as a directed content analysis using the Hsieh and Shannon method and the MAXQDA 2020 software. Data were collected between January and June 2024 among nurses from various hospitals in Iran. The interview guideline was designed based on the transtheoretical model. Twenty nurses who met the inclusion criteria were selected through purposive sampling. Data collection was done through face-to-face, semi-structured interviews.
Results: The study's findings indicated that all nurses were in the first 3 stages of behavior change. The components for enhancing the stages of behavior change in nurses for patient evacuation during disasters included 4 main categories (cognitive processes of change, behavioral processes of change, resource provision, and risk communication) and 15 subcategories. From the nurses' point of view, stimulus control to manage fear, increase awareness, and dramatic relief were important components in promoting the stages of behavior change toward readiness.
Discussion: This study revealed factors that enhance nurses' preparedness for evacuating patients in disasters. Training courses and operational maneuvers based on the stages of behavior change in nurses may effectively increase the process of patient evacuation during disasters.
引言：识别增强行为改变阶段的因素和护士在灾难期间撤离患者的准备可以促进紧急情况下患者撤离过程的适当管理。本研究旨在找出灾害中行为改变阶段与护士撤离病人准备程度相关的因素。方法：本定性研究采用Hsieh and Shannon方法和MAXQDA 2020软件进行定向内容分析。数据收集于2024年1月至6月期间，来自伊朗各医院的护士。访谈指南是基于跨理论模型设计的。通过目的抽样，选取符合纳入标准的护士20名。数据收集是通过面对面的半结构化访谈完成的。结果：所有护士均处于行为改变的前3个阶段。加强灾害疏散护士行为变化阶段的组成部分包括4大类（变化认知过程、变化行为过程、资源提供和风险沟通）和15小类。从护士的角度来看，刺激控制来管理恐惧，提高意识，戏剧性的缓解是促进行为阶段向准备的重要组成部分。讨论：本研究揭示了提高护士在灾难中疏散病人的准备程度的因素。基于护士行为变化阶段的培训课程和操作演习可以有效地增加灾难期间患者撤离的过程。
期刊介绍：
The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice.
The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics.
The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
