Limited resources in disasters may negatively affect the care of paediatric patients and cause complications to be prevented. The aim of this study was to investigate the professional competence of nurses regarding triage management in children during the Kahramanmaraş earthquake and the difficulties they experienced in the decision-making process. This study used a qualitative exploratory research design with a phenomenological approach. In-depth interviews were conducted with the participants individually and through focus group discussions using a semi-structured interview form. A total of 23 participants working in the emergency department during and after the earthquake were included in this study, which was conducted using a purposive sampling technique. Data were analyzed using content analysis procedures. Max Qualitative Data Analysis (2020) programme was used to code the data. As a result of data analysis, 4 main themes and 15 sub-themes emerged. The four main themes were “Professional Competencies of Nurses During Disasters,” “Triage Decision in the Emergency Department,” “Expectations of Nurses Working in a Disaster Area” and “Participation in Disaster Education”. The results of this study showed that nurses are exposed to difficulties arising from many individuals, psychological, professional, environmental, and educational variables in the early period of disaster. Participants' views revealed a strong relationship between being professionally competent, providing appropriate care to patients and emotional exhaustion.
Floods have been a challenging phenomenon, jeopardizing human life and property. Measures have been taken to alleviate flood effects, including using flood early warning systems (EWS), which give warnings to people. Despite the use of warnings from EWS, there is limited information on warnings contribution to mitigate flood effects. This study investigates the status of flood early warning response measures by communities in areas where floods frequently occur in Kilosa District. The data were collected from 375 household heads through surveys and triangulated by 17 participants via focus group discussions, 22 officials through key informant interviews, and a literature survey. The data were descriptively analysed, and chi-square tests and binary logistic regression analyses were done. Results indicate that 76.53 % of the respondents receive flood early warnings from word of mouth among relatives (54.21 %), phones (45.45 %), and radios (31.65 %). Upon receiving the early warnings, 45.43 % inform family members about what to do, 43.82 % vacate flood-prone areas, and 6.99 % make flood emergency response plans. Those flood warning response measures are significantly an outcome of the households’ distance from the rivers causing floods (p < .0001), chances of receiving flood warnings (p < .0001), past flood experience (p < .0001), and the nature of the houses (p < .0007). In conclusion, individuals can proactively protect against floods by diverting floodwaters away from populated areas and reducing human exposure to flood risks. To actively protect against floods, communities should implement multiple warning systems, establish reliable mechanisms to disseminate alerts and install water level gauges in all flood-prone rivers.
A series of wildfires in Oregon in 2020 resulted in severe human and property losses. Given the stressful and time-sensitive nature of such events, providing timely information to people during extreme weather events like wildfires can be challenging. Understanding individuals' most-frequently-used information sources along with their information seeking behaviors can help communicators to target audiences and effectively communicate emergency information. A quantitative study was conducted to explore the information sources Oregon residents frequently used during 2020 wildfire season along with the factors underlying their information seeking behaviors. The results indicated television news was the most frequently used information source by the respondents, followed by the National Weather Service. Rural and urban/suburban residents varied on their reliance on friends, family, and neighbors as information sources during the wildfires. Additionally, risk awareness, community type, emotional response to climate change, media trust, and age significantly predicted the information seeking behaviors of Oregon residents during the 2020 wildfire season. Those involved in communicating information during emergencies should be mindful of their audiences’ information source use and create messages for sources most likely to be relied upon. The implications of this research are useful for stakeholders dealing with emergency communication and management to better understand the public and their information needs and behaviors during emergencies.
Village clerks are responsible for providing first aid at the community level during natural hazards and public health emergencies such as the COVID-19 pandemic. However, it is very challenging for a village clerk to fully understand the requirements related to disaster preparedness, response and recovery that must be dealt with in both problems. In this study, an evaluation framework was developed to assess and compare the self-efficacy of village clerks in managing disasters triggered by natural hazards and public health emergencies in Taiwan. A survey was conducted with 181 participants with different personal backgrounds and a diversity of experiences with disasters. Compared with public health emergencies, village clerks exhibited more eagerness for knowledge as well as a higher degree of comprehension and confidence in carrying out their duties in the face of natural hazards. A correlation analysis showed that age, years of service, vocational education, and experience were significant to the village clerks' self-efficacy, but the significance levels varied with the type of disaster. A regression analysis further revealed that undergoing adequate vocational training was the key factor behind the village clerks’ better self-efficacy at dealing with disasters triggered by natural hazards. Based on this finding, we recommend that on-the-job training for dealing with public health emergencies should be as diversified as it is in the case of natural hazards. For village clerks, the exchange of experience and logistics will be beneficial in order to reduce the gap in managing disasters triggered by natural hazards and public health emergencies.
This paper investigates the factors affecting evacuation behaviour of tourists in wildfire scenarios by conducting a scoping review using the Preferred Reporting Items for Systematic reviews and Meta-Analysis approach - here using only its extension for scoping reviews. A total of 524 scientific papers were identified in the Web of Science and Scopus and 23 studies were fully reviewed. Key variables affecting the evacuation behaviour of tourists included property attachment, past experience and preparedness, safety culture, risk perception, individual and group socio-demographics, interaction with authorities, place of residence/length of stay, transportation mode and emergency information. These variables were used to apply archetypes of evacuation behaviour related to the decision to evacuate or stay based on expected tourist behaviour.