8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 1/13

Australasian Emergency Nursing Journal (2013) 16, 52—57

 Available online at www.sciencedirect.com

 jo u r  n al  hom epage:  www.elsevier.com/locate/aen j 

RESEAR! "A"ER

Australasian emergency nurses’ willingness to attend work in a disaster:A survey

Paul Arbon, RN, PhD, A!N a

"amie Ranse, RN, #N, $!ert!lin%d, $!ert!lin%&i, '!rit!arNurs,PhD(!andidate), A!N, !%NA 

a,b,∗

*ynette !usack, RN, PhD, '+A, #N, Di&A&&,c(Nurs) c

"ulie !onsidine, RN, R', #N, $Di&Nurs, $!ert+igher%d, 'N, PhD,

A!N, !%NA d

Ramon -. haban, RN, !/!P, %'0P, PhD, A!N, !%NA e

Richard ". 2oodman, PhD 3 *aura #ahnisch, #A, $radDi&*ib, $radDi&2omtud, ',2 

a

'ayumi 4ako, RN, PhD, 'A!N a

4aren +ammad, RN, #N(+ons), $Di&%mergNsg a

#elinda 'itchell, RN, $!ert%merg, $Di&+lth'gt, 'N, 'A!N g

a School of Nursing and Midwifery, Flinders University, South Australia, Australia# Faculty of Health, University of Canberra, Australiac Adelaide University, Australia$

Deakin University, ictoria, Australiae !esearch Centre for Clinical and Co""unity #ractice $nnovation, %rif&th Health $nstitute,%rif&th

University, 'ueensland, Australia% Flinders Centre for ()ide"iology and *iostatistics, School of Medicine, Flinders University, Australiag Northern Health, ictoria, Australia

Recei&e$ 1 No&em#er 2012' recei&e$ in re&ise$ %orm 1 Aril 2013' accete$ * +ay 2013

4%52R 

D

isasters' +ass casualty inci$ents'

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 2/13

ummary

*ackground+ -.e tye o% $isaster, in$i&i$ual $emogra.ic %actors,

%amily %actors an$ /or lace %actors, .a&e #een i$entie$ in t.e

international, multi$iscilinary literature as %actors t.at inuence

a ersons /illingness to atten$ an$ assist in t.eir /orlace

$uring a $isas  ter 4 !o/e&e r ,  it is unno/n i% t.ese %actors 

are alica#le to Australasian emergency nurses4

 ∗orreson$ing aut.or at 6aculty o% !ealt., ni&ersity o% an#erra, Australia4 -el4 81 9392:1*194(,"ail addresses+ ;amie<;ameiranse4com, ;amie4ranse<can#erra4e$u4au (J4 Ranse)4

157927=> — see %ront matter ? 2013 ollege o% Emergency Nursing Australasia @t$4"u#lis.e$ #y Else&ier @t$4 All rig.ts reser&e$4.tt==$4$oi4org=104101=;4aen;420134054003

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 3/13

Billingness to atten$ /or in a $isaster53

Nurses'Emergency

nursing'

Australia'

Billingness

 Ai"+ -.e researc. aims to $etermine t.e etent to /.ic.

Australasian emergency nurses are /illing to atten$ t.eir

/orlace in a $isaster4

Method+ -.is researc. /as eloratory an$ $escriti&e stu$y $esign,

using online an$ aer #ase$ sur&eys as a means o% $ata collection4

Australasian emergency nurses %rom t/o Australasian emergencynursing colleges an$ %our Australian .ositals /ere recruite$ to

articiate4 ata analysis /as con$ucte$ using #ot. $escriti&e an$

in%erential statistics4

!esults+ Cn total, 951 Australasian emergency nurses articiate$in t.is researc.4 "articiants /ere more /illing to atten$ t.eir/orlace $uring a con&entional $isaster ( )  ≤  04001), i% t.ey/ore$ %ulltime ( )  D  0401), .a$ recei&e$ %ormal e$ucationertaining to $isasters ( ) ≤ 04001), .a$a %amily $isaster lan ( ) D 0400:), $i$ not .a&e c.il$ren ( ) D 04001)

an$ /ore$ in an en&ironment in /.ic. t.ey ercei&e$ t.eir

colleagues, managers an$ organisation to #e reare$4

Conclusions+ -.e %actors t.at inuence$ Australasian emergencynurses to atten$ t.eir /orlace in a $isaster /ere similar to t.at

$escri#e$ in t.e international multi$iscilinary literature4 %

articular note, imro&ing $isaster no/le$ge an$ sills, .a&ing a

%amily $isaster lan an$ imro& ing t.e ercetions o% t.e nurses

/orlace reare$ness can en.ance t.e nurses /illingness to

assist in a $isaster4? 2013 ollege o% Emergency Nursing Australasia @t$4"u#lis.e$ #y Else&ier @t$4 All rig.tsreser&e$4

2hat is known

•  Billingness o% emergency nurses can

#e eresse$ in t.e #roa$ areas o% t.etyes o% $isasters, in$i&i$ual$emogra.ic %actors, %amily %actorsan$ /orlace %actors4• !ealt.care ro%essionals /illingness literature is

re$ominantly $eri&e$ %rom $ata t.atrelates toan international, inter$iscilinaryrat.er t.an Aus tralasian nursingersecti&es4

2hat this &a&er adds

 • 6ormal ostgra$uate e$ucationen.ances t.e /ill ingness o%emergency nurses to atten$ /or in a$isaster4• En.ancing t.e ercetion o% an organisation an$

colleagues rea$iness %or $isasteren.ances t.e /illingness o% sta%% to atten$ /or in a

$isaster4• Billingness is not inuence$ #y /orlace %actors

suc. as t.e articiants .osital siFe(#e$ num#ers) nor t.e .osital locality(metroolitan, rural or remote)4

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 4/13

$isaster e&ent is an e&ent suc. as aan$emic, c.emi cal, #iological orra$iological4 -.ere is a .ig.er /illingnessto /or $uring con&entional e&ents /.encomare$ to noncon&entional e&ents43—

oncerning noncon&entional e&ents,/illingness aears to #e .ig.er i% t.eat.ogen is no/n, re&enta#le an$

treata#le47,:

Cn terms o% $emogra.ic %actors an$/illingness, males are more /illing toatten$ t.eir /orlace $uring a $isastert.an %emales49,5,:—12 A$$itionally, t.e tyean$ amount o% $isaster no/le$ge inuences an in$i&i$uals /illingness toatten$ t.eir /orlace in a $isaster413,19

-.is is articularly true %or noncon&entional $isasters, /.ic. $ecrease/illing ness to atten$ t.eir /orlace ina $isaster4:,15 Emloyment status also in

uences /illingness to atten$ /or in a$isaster /it. arttime /orers less liely toatten$ t.eir /or $uring a $isaster /.encomare$ to t.eir %ulltime colleagues411,1

Billingness to atten$ /or $uring a$isaster is increase$ i% an in$i&i$ualsercei&e$ t.reat o% ill .ealt. to t.eir %amilies is re$uce$411,17—20 A$$itionally, t.e care

o% c.il$ren, ets, an$ el$ers is o% articularimortance, creating a sig nicant #arrierto /illingness to atten$ t.eir /or $uring a

$isaster49—,:,10,11,17,1*—29

Borlaces can inuence t.e /illingness o%in$i&i$uals,

an$ secically emergency nurses, to atten$/or in a $isas ter4 Cna$eGuate .osital

$isaster lans result in a lac o% sta%% con

$ence in .osital reare$ness, /.ic.

su#seGuently .as20

/ntroductiona negati&e inuence on /illingness toatten$ /or4

uring

Emergency +anagement Australia #roa$ly$enes a $isas ter as a serious $isrution toa community causing $eat., in;ury an$=orroerty $amage reGuiring mo#ilisation an$organisation o% resources #eyon$ t.at o% anormal $ayto$ay oerational caacity41

Australasian emergency nurses are %rontlinereson$ers to $isasters an$ are essential to.ealt. #ase$ resonse an$ reco&ery42

6un$amental to in$i&i$ual, community an$societal reco&ery %rom $isasters is emergency nurses /illingness to engage in$isaster resonse4 -.ere is some literatureon emergency nurses /illingness to atten$t.eir /orlace in a $isaster4

A Hcon&entional $isaster e&ent is ane&ent suc. as an eart.Guae, re or oo$4B.ereas a Hnoncon&entional

t.e !1 

N1

200* an$emic in Australia, more t.an one t.ir$

o% emergency $eartment sta%% #ecame ill/it. inuenFalie symtoms resulting in an a&erage o% 347$ays a/ay %rom /or %or eac. ill sta%%mem#er425

igni7cance andaim

Ct is not no/n /.et.er t.e a#o&ementione$ %actors aly to Australasianemergency nurses /illingness to atten$t.eir /orlace in a $isaster4 n$erstan$ingt.e inuences on /illingness to atten$ /or$uring a $isaster /ill .a&e /or%orceimlications an$ /ill ena#le .ealt. ser&icesto ut in lace strategies to maintain su%cient an$ aro riate ser&ices $uring or

%ollo/ing a $isaster4 A$$itionally,

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 5/13

Billingness to atten$ /or in a $isaster5

researc. relate$ to t.e /illingness o% nursessecically is lacing in t.e u#lis.e$literature /it. many aers %ocuse$ on a&ariety o% .ealt.care ro%essionals rat.ert.an nurses secically4

-.e aim o% t.is researc. /as to $eterminet.e etent to /.ic. Australasian emergencynurses are /illing to atten$ t.eir /orlacein a $isaster, articularly in terms o% e$ucational reare$ness an$ t.eir no/le$geo% $isasters, an$ t.eir ro%essional an$ersonal resonsi#ilities4

'ethod

Design

-.is researc. use$ an eloratory an$$escriti&e $esign2

an$ stu$y $ata /as collecte$using a sur&ey4

Po&ulation andsam&le

-.e researc.e$ oulation /ere Australasianemergency nurses4 -.e researc. samleinclu$e$ mem#ers o% eit.er t.e ollege o%Emergency Nursing Australasia (ENA) orAustralian ollege o% Emergency Nursing(AEN) /.o .a$ current email a$$resses/it. t.ese olleges4 A$$itionally, t.e samleinclu$e$ emergency nurses emloye$ in t.eemergency $eartments %rom %our Australian.ositals eac. %rom a $i%%erent state or

territory4

/nstrumentdesign

No eisting u#lis.e$ an$ &ali$ate$ tool /aslocate$ t.at /as suita#le %or t.is stu$y4 Assuc., a sur&ey tool /as $e&el oe$ #ase$ ont.e ro%essional eertise o% t.e researc.team an$ t.emes %rom t.e eistingliterature4 ontent an$ %ace &ali$ity /asesta#lis.e$ %ollo/ing a re&ie/ o% t.e sur&ey #y a anel o% eerts in emergency

.ealt. care an$ $isaster resonse4 -.esur&ey /as ilote$ on 21 emergency nurses%rom t/o Australian .ositals4 -.e results o%t.is ilot /ere summarise$, $iscusse$ #y t.eresearc. team an$ minor amen$ments /erema$e to tool in resonse to comments %romt.e ilot4

Partici&antrecruitment

ENA an$ AEN $istri#ute$ t.e sur&ey &ia email to aroi mately :00 an$ 520mem#ers resecti&ely4 A$$itionally, %ourAustralian .ositals $istri#ute$ t.e sur&ey to

emergency nurses using local email, sta%%intranet systems an$ sta%% notice#oar$s4

Datacollection

nline sur&eys are rea$ily $istri#ute$, easyto comlete an$ o#&iate researc.er #ias427

-.e sur&ey use$ in t.is researc. /as$esigne$ to #e #rie%, taing less t.an 10 minto com lete4 Remar Be# Sur&ey Iersion9-+  , a secure online sur&ey /as use$ at allrecruitment sites4 A$$itionally, t/o .ositalselecte$ to $istri#ute t.e sur&ey using aaer &er sion4 -.e aer &ersion /ascomlete$ #y articiants an$

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 6/13

6"4 Ar#on et al4

returne$ to a secure loce$ #o /it.in t.earticiants /orlace4

Dataanalysis

-.e c.aracteristics o% t.e articiants /ereelore$ using $escriti&e statistics4ni&ariate associations #et/een t.e o&erall/illingness to atten$ t.eir /orlace in a$isaster an$ t.e c.aracteristics o% t.earticiants /ere assesse$ using c.isGuare$tests o% association4 -.e /illingness o%emergency nurses to atten$ t.eir /orlace$uring one or more $i%%erent tyes o%$isaster e&ents /as assesse$ using mie$e%%ects logistic regression mo$els4 -.e$een$ent &aria#le %or t.ese mo$els /as t.e/illingness to atten$ t.eir /orlace (yes orno) an$ t.e in$een$ent &aria#les, t.e tyeo% e&ent, an$ t.e $emogra.ic &aria#le o%interest4 ata /ere analyse$ using S-A-A&ersion 1141 (200*)4

Protection o3 human&artici&ants

Et.ics aro&al to con$uct t.is researc. /asgrante$ #y t.e %our Australian .osital, as/ell as t.e aut.ors a%liate$ institutions4

-.e researc. /as con$ucte$ in accor$ance

/it. t.e aro&e$ rotocol an$ t.ere /ereno /it.$ra/als or comlaints recei&e$4Sur&eys /ere anonymous an$ consent /asimlie$ /.en articiants comlete$ an$returne$ t.eir sur&ey4

Results

Cn total, 951 articiants comlete$ t.esur&ey4 -.e mean age (±S) o% articiants

/as 3*4: (±*471) years4 -.e ma;ority o% t.e articiants /ere %emale (nD 373, :9)4

0y&e o3disaster

-.e o&er/.elming ma;ority o% articiantsreorte$ a /ill ingness to atten$ t.eir/orlace in a $isaster4 -.ere /as some$i%%erence in t.eir /illingness /it. resectto atten$ing t.eir /orlace in acon&entional (n  D  925, *747) an$ noncon&entional (n  D 391, :43) $isaster4 -.eo$$s o% emergency nurses #eing /illing toatten$ t.eir /orlace $uring a con&entional$isaster /as 234* times .ig.er t.an t.e o$$s

o% #eing /illing to atten$ t.eir /orlace ina noncon&entional $isasters (R D 234*, *5C D 104:5—524:, ) ≤ 04001)4

/ndividual demogra&hic3actors

Ken$er $i$ not inuence articiants/illingness to atten$ t.eir /orlace in a$isaster (  2 D  04*9, 1$%,  ) D 0433)4 Cn total,

*242 o% /omen (n D 150) an$ *247 o% men(n D 320) reorte$ t.eir /illingness to atten$/or $uring a $isas ter4 A$$itionally,articiants /illingness to atten$ /or$uring a $isaster /as not inuence$ #y t.eiremloyment classication, %or eamleenrolle$ nurse (n  D 19, 341), reg istere$nurse (n  D  229, 9*47) or clinical nursesecialist (n D :*, 1*47) (  2 D 7402, 3$%, ) D

0407)4 !o/e&er, artici ants /.o /ore$

more t.an 045 %ulltime eGui&alent (6-E), #utnot %ulltime /ere 34: times more /illing toatten$

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 7/13

t.eir /orlace in a $isaster (R D 34:' *5C  D  1417—12455,  ) D  0403) an$ t.ose/oring %ulltime /ere 94: times more/illing to atten$ t.eir /orlace in a$isaster (R D 94:' *5 C D 1499—154:5 ) D

0401) t.an t.ose /oring less t.an 045

6-E (R  D  2411' *5 C  D  04:*—5409,  )  D040:*)4 nly 124* (n D 5:) o% articiants/ore$ less t.an 045 %ull time eGui& alent4

-.ere /as no association #et/eenarticiants /ill ingness to atten$ /or$uring a $isaster an$ le&el o% Gualication,suc. as .a&ing a .osital certicate (n D 32,741), #ac.elor $egree (n D  105, 2343) orostgra$uate Gualication (n  D  19:, 324:)(R  D  149, *5 C  D  04*—242'  ) D  041:)4

!o/e&er, nurses /ere more t.an %our timesliely to #e /illing to atten$ /or $uring a$isaster i% t.ey .a$ sills an$=or no/le$gein $isasters (R D 945, *5C D 143—140' ) ≤ 04001)4 Nearly .al% o% t.e articiants

(n D 217, 9:42) in$icate$ t.at t.ey .el$ aGualication t.atcontaine$ some $isaster content, suc. as aGualication in emergency nursing,arame$icine, in%ectious $iseases, $isaster

management or u#lic .ealt.4 "articiants

/.o .el$ a Gualication t.at inclu$e$$isaster content, /ere more t.an t/o timesmore liely to atten$ t.eir /orlace in a$isaster t.an t.ose /.o $i$ not .ol$ suc. aGualica tion (R  D  242' *5 C  D  1411—41*,  )  D  0402:)4 +ore t.an t.reeGuarters(n  D  3:9, :541) o% articiants .a$ comlete$ a $isastercourse suc. as a .osital

e$ucation session, military training, +C++Sor AC+S4 B.ile not statistically signicant,

t.is e$ucation .a$ a ten$ency to ositi&ely

inu ence t.eir /illingness to atten$ t.eir/orlace in a $isaster (R D 2411' *5 C D04:*—5409, ) D 040:*)4

amily3actors

-.e ma;ority o% articiants (n  D  317,724*) reorte$ t.at t.ey $i$ not .a&e anemergency lan %or t.emsel&es an$

emloyers, /ere reare$ %or a $isaster (RD 24, *5 C D 1475—940, ) ≤ 04001)4

Discussion

-.is researc. a$$s to t.e un$erstan$ing o%

Australasian emergency nurses /illingnessto atten$ t.eir /orlace in a $isaster, an$t.e %actors t.at inuence t.is /illingness4n$erstan$ing t.ese %actors ro&i$es insig.tinto t.e /or %orce imlications an$ areaso% %ocus %or .ealt. ser&ices to maintain su%cient an$ aroriate ser&ices $uring or %ollo/ing a $isaster4 &erall, Australasianemergency nurses are .ig.ly /illing toatten$ t.eir /orlace in a $isaster4

!o/e&er, t.e tye o% $isaster, in$i&i$ual$emogra.ic %ac tors, %amily %actors an$/orlace %actors, inuence$ t.eir/illingness4

0y&e o3disaster

"articiants /ere more /illing to atten$/or in a con &entional $isaster /.encomare$ to noncon&entional $isasters4

-.ese results are consistent /it. t.einternational multi$iscilinary literature43—

,19 A ossi#le elanation %or t.is n$ing ist.at con&entional $isasters are morelocalise$ an$ &isi#le, /.ereas noncon&entional $isasters are not4

Strategies to increase t.e /illingness o%nurses to atten$ t.eir /orlace $uringnoncon&entional $isasters t.at mayconsi$ere$ #y .ealt. ser&ices an$ olicy

maers may inclu$e a&aila#ility o%aroriate treatment, ro.ylais an$aroriate in%ection control measures49,:,15,21

/ndividual demogra&hic3actors

2:

t.eir %amilies4 -.e o$$s o% articiants /it. a $isaster lan

Cn Australia *04 o% nurses are %emale4 !o/e&er, gen

#eing /illing to atten$ t.eir /orlace in a$isaster /ere

7479 times .ig.er t.an t.e o$$s o% nurses/.o $i$ not .a&e $isaster lan (R D 7479,

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 8/13

*5 C D 1472—394*9, ) D 0400:)4 $er $i$ not inuence t.e /illingness o%articiants o% t.is

researc. to atten$ t.eir /orlace in a$isaster4 -.is n$ing is $i%%erent to t.at o%

ot.er stu$ies t.at i$entie$ males to9,5,:—12Cn terms o% li&ing arrangements, 3*49 (n

D 17) o% ar ticiants li&e$ /it. c.il$ren,39 (n  D  152) li&e$ /it. a artner=sousean$ .a$ no c.il$ren, /.ilst 24 (n D 11*)

o% articiants li&e$ alone or /it. ot.er%amily=%rien$s4 -.e .ig.est roortion o%articiants un/illing to atten$ t.eir

#e more /illing to atten$ in a $isaster t.an %emales4

-.e elanation %or t.is is $i%cult to$etermine an$ reGuires %urt.erin&estigation4

-.is researc. concurs /it. re&iousresearc. t.at nurses /.o /or arttime areless liely to atten$ t.eir /orlace

11,1

/orlace in a $isaster /ere t.ose /.o li&e$ /it. c.il$ren

$uring a $isaster t.an t.ose /.o /or %ulltime4 -.ere

(  2 D 3747, 2$%, ) DL04001)4

2ork&lace3actors

Billingness /as not inuence$ #y t.e siFe o%a articiants .osital o% emloyment(R D 04*1' *5 C D 041—1439, ) D 043)4"articiants State or -erritory (  2 D  :495,7$%, ) D 042*), an$ t.eir .osital settingsuc. as a ter tiary, ur#an, rural an$regional .osital (  2 D  04:, 3$%'  ) D  04::)$i$ not inuence t.eir /illingness toatten$ t.eir /orlace in a $isaster4!o/e&er, articiants /ere more /illing toatten$ t.eir /orlace in a $isaster i% t.ey

ercei&e$ t.at t.eir nursing colleagues (RD 243,*5 C D 14—9415, ) ≤ 04001), managers (R D 2409, *5

C  D  143—3407,  )  D  04001), me$ical an$allie$ .ealt. col leagues (R D 240, *5 CD 14:—9403, ) ≤ 04001) an$ t.eir

are a num#er o% ossi#ilities to elaint.is n$ing, /.ic..as not #een elore$ in $etail in t.e$isaster /illingness literature, suc. as t.erelations.i #et/een /oring art time asa nurse in an emergency $eartment an$.a&ing %amily resonsi#ilities or ot.er

commitments4-.e results %rom t.is researc. suort

t.e notion t.at nurses /it. sills an$no/le$ge relate$ to $isas ters increase/illingness to atten$ t.eir /orlace in$isasters4:,13—15,2* !o/e&er, concerns a#outt.e %reGuency an$ tye o% $isaster trainingan$ e$ucation among Aus tralasianemergency nurses .a&e #een raise$430—32 -.is/as eemlie$ in a stu$y o% Australasian

emergency nurses .ig.lig.ting t.at ona&erage $isaster training /as last recei&e$

1*42  mont.s rior to t.at researc. $atacollection47

As suc., $isaster relate$ content s.oul$ #einclu$e$ in %or mal Gualications an$ more%reGuent in%ormal courses an$ .ositale$ucation sessions s.oul$ #e con$ucte$ toen.ance

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 9/13

t.e /illingness o% emergency nurses toatten$ t.eir /or lace in a $isaster4

amily3actors

-.is researc. .as $emonstrate$ t.atarticiants /it. a %amily $isaster lan /ereeig.t times more /illing to atten$ t.eir/orlace in a $isaster4 -.is is consistent/it. ot.er researc. stu$ies t.at s.o/ nurses/.o .a&e .ig.er er sonal reare$ness,suc. as a .ome $isaster lan, .a&ecorreson$ingly .ig.er le&els o% /illingnessto atten$ t.eir /orlace in a $isaster45,33

Nurses s.oul$ #e acti&ely encour age$ to

$e&elo %amily an$ ersonal $isaster lans4arer resonsi#ilities %or c.il$ren /as aey %actor t.at $ecrease$ emergency nurses/illingness to atten$ t.eir /orlace in a$isaster4 -.is n$ing is consistent /it. re&iously u#lis.e$ literature t.at s.o/s.ealt.care /orers /.o .a&e $een$entc.il$ren are less /illing to /or $ur ing a$isaster /.en comare$ to t.ose /it.out$een$ent c.il$ren49,:,10,11,23 4 6amily is aconcern %or .ealt.care ro %essionals' as

suc. it is o% little surrise t.at t.e ercei&e$a#ility or ina#ility to communicate /it.%amily an$ %rien$s, articularly $uringerio$s o% Guarantine or eten$e$ s.i%ts, inuences /illingness to atten$ /orlace in a$isaster4,29

2ork&lace3actors

"articiants in t.is researc. /ere more/illing to atten$ t.eir /orlace in a$isaster i% t.ey ercei&e$ t.eir nursingcolleagues, managers, me$ical an$ allie$.ealt. colleagues, an$ emloyers /erereare$ %or $isaster resonse4 -.is n$ing iscongruent /it. ot.er stu$ies in /.ic./illingness is inuence$ #y t.e ercei&e$

le&el o% .osital reare$ness420

As suc., organisations s.oul$ increase t.e

ercetions o% $isaster reare$nessamongst sta%% using a&aila#le $isasterreare$ness c.eclists or action car$s,

un$ertaing routine $isaster eercise, an$.a&ing &isi#le $isaster lans4

*imitations

-.e ma;or limitation o% t.is stu$y /asselection #ias4 -.e articiants in t.isresearc. /ere a sel%selecting con&eniencesamle recruite$ %rom t.e t/o Australasianemergency nursing olleges an$ %rom %ourAustralian .os itals4 -.ere%ore, t.egeneralisa#ility o% t.e stu$y n$ings to allAustralasian emergency nurses is limite$4

!onclusion

-.is researc. is t.e rst Australasian researc.o% t.e %ac tors t.at inuence t.e /illingness

o% Australasian emergency nurses to atten$/or in a $isaster4 -.is researc. .as .ig.lig.te$ t.at /illingness can #e inuence$ #yt.e tye o% $isaster, in$i&i$ual $emogra.ic%actors an$ /orlace %ac tors4 "otentially,in$i&i$uals, %amilies an$ /orlaces can inuence t.eir /illingness #y .a&ing imro&e$

%ormal $isas ter no/le$ge an$ sills,.a&ing a %amily $isaster lan an$ imro&ingt.e ercetion o% /orlace reare$ness4

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 10/13

Authorcontributions

All aut.ors /ere resonsi#le %or t.e researc.concetion, $esign an$ imlementation o%t.is researc. ro;ect4 All aut.ors contri#ute$to t.e interretation o% t.e researc. n$ings4 JR, @ an$ @M $e&eloe$ t.e initial

u#lication outline4 JR /rote t.e rst $ra%tmanuscrit4 All aut.ors re&ie/e$ t.e ma$ecritical re&isions %or imortant intellec tualcontent an$ aro&e$ t.e nal manuscrit4

unding

-.is researc. /as artially suorte$t.roug. a 6lin$ers ni&ersity, Cn$ustry"artners.i Krant4 A$$itional inin$ suort

to comlete t.is ro;ect /as ro&i$e$ #y t.eaut.ors &arious institutions4

Provenance and con7ict o3interest

-.e %ollo/ing aut.ors .ol$ e$itorial ositions/it.in t.e Australasian Emergency NursingJournal Ramon S.a#an is E$itorin.ie%'Julie onsi$ine is euty E$itor' an$ Jamie

Ranse is Associate E$itor (isasters)4 Aut.orsS.a#an, onsi$ine an$ Ranse .a$ no role tolay in t.e e$itorial man agement, eerre&ie/ or e$itorial $ecisionmaing relate$to t.e aer /.atsoe&er4 aren !amma$ is acomany $irec tor o% t.e ollege o%Emergency Nursing Australasia, /.ic. o/nst.e Australasian Emergency Nursing Journal,an$ .a$ no role in t.e e$itorial

management, eer re&ie/ or e$itorial$ecisionmaing o% t.is aer4 -.ere are no

ot.er cometing interests4 -.is aer /asnot commissione$4

Re3erences

14 Emergency +anagement Australia4

 Australian e"ergency "an age"ent 

 glossary4  an#erra AttorneyKenerals eartment,  Australian Ko&ernment' 1**:4

24 !amma$ , Ar#on " , Ke##ie 4Emergency nurses an$  $isaster  resonsean eloration o% Sout. Australian 

emergency nurses no/le$ge an$ ercetions o%  t.eir roles in $isasterresonse4   Aust ("erg Nurs - 

2011'18(2):7—*9434 one , ummings M4 !osital $isaster 

sta%ng i% you call, /ill t.ey come A" - 

Disast Med 200' 1 (1)2:—34 94 Ste%%en , +asterson @,  .ristos S, 

or$ic +4 B illingness to reson$ o%emergency $eartment  ersonnel an$ 

t.eir re $icte$ articiation in  masscasualty terrorist  e&ents4  - ("erg Med

200*'96(1)93—*454 Oures.i , Kers.on RR, S.erman  +6, 

Strau# -, Ke##ie E, +col lum +, et al4!ealt. care /orers a#ility  an$/illingness to reort to $uty $uring catastro.ic $isasters4 -  Urban Health

2005';(3)37:—::44 Smit. E, Murle Jr 6+, Arc.er 6@4

"arame$ics ercetions o% ris an$/illingness to /or $uring $isasters4  Aust 

 - ("erg Manage 200*';8 (3)21—7474 onsi$ine J, +itc.ell M4  .emical, 

#iological  an$ ra$iological inci$entsreare$ness an$ ercetions o% emergency nurses4 Disasters 200*'99 (3)9:2—*74

:4 Krimes E, +en$ias E"4 Nursesintentions to reson$ to #ioter rorism

an$ ot.er in%ectious $isease emergencies4Nurs .utlook

2010'<(1)10—4*4 Mutsas.&ili +, -riner B, amami$Fe K,a;aia +, +cNutt @A4

/nowledge and antici)ated behavior ofhealth care workers

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 11/13

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 12/13

in res)onse to an outbreak of   )ande"icin&uen0a in %eorgia'20074

104 o/$en J, rane @, @eFotte , Klo&er J, NyGuist A4 " re an$emic lanning sur&ey o% .ealt.care /orers at a tertiary care c.il$rens .osital et.ical  an$

/or%orce issues4 $n&uen .ther !es) irus 2010'8(9)213—224114 amery S, Bilson S, raer !, Kratus ,

Kreenel$ S, C&es J, et al4 Bill t.e N!Scontinue to %unction in an inuenFa an$emic A sur&ey o% .ealt.care /orers in t.e Best +i$lan$s, 4 *MC #ublic

Health 200*'= (1)1924124 +atsuis.i , Cto A, +ouri , itamura N, 

Aimoto , +ino  , et al4 6actors

associate$ /it. moti&ation an$ .esitation to /or  among .ealt. ro%essionals $uring a u#lic crisis a cross sec tionalstu$y o% .osital /orers in Jaan $uring t.e an$emic (!1N1) 200*4 *MC #ublic Health 2010' 1> (1)724 

134 Malicer R, mer S, Marnett ,  E&erly K4 @ocal u#lic .ealt. /or ers ercetions to/ar$ reson$ing to  an inuenFaan$emic4 *MC #ublic Health 

200'6 (1)**—1074194 !oe , urr.eim , Marnett , Este, e/ley , al ton , et al4 Billingness o% %rontline .ealt. care /orers to /or$uring a u#lic .ealt.  emergency4  Austr

 - ("erg Manage

2010';<(3)3*—974154 Cr&in M, in$ric. @, "atterson B,

Sout.all A4  Sur&ey o%  .os  ital.ealt.care ersonnel resonse $uring a 

otential a&ian  inuenFa an$emic /ill t.ey come to /or #rehos) Disast  Med 

200:';9(9)32:—35414 +artinese 6, ei;Fers K, Krant S, @in$ J4

!o/ /oul$ Australian .osital sta%% react to an a&ian inuenFa a$mission, or an inuenFa an$emic ("erg Med Austr  200*';1(1)12—294

174 Masta NE, E$/ar$s SE, Sc.ulte J4Assessing u#lic .ealt.  $eartment

emloyees /illingness to reort to /or$ur ing an inuenFa an$emic4  - #ublic Health Manag #ract

200*'1<(5)375—:341:4 E.renstein M" , !anses 6 , SalF#erger M4

CnuenFa an$emic an$ ro%essional $uty 6amily or atients rst  A sur&ey o% .osital  emloyees4 *MC #ub  Health

200'6 341*4 +artin S4 Nurses a#ility an$ /illingness

to /or $uring an $emic u4  - Nurs Manag 2011' 1= (1)*:—10:4 204 Seale !, @eae , +acCntyre R4 Bill

t.ey ;ust ac u an$ lea&e Attitu$es an$ inten$e$ #e.a&iour o% .osital .ealt.care /orers $uring an inuenFaan$emic4 *MC Health Serv !es

200*'=(1)304214 Karrett A@, "ar PS, Re$lener C4

+itigating a#senteeism in .os ital

/orers $uring a an$emic4 Disast Med#ub Health #re)

200*'9(Sul4 2)S191—74

8/12/2019 (276620712) Considine Australasianemergency 2013

http://slidepdf.com/reader/full/276620712-considine-australasianemergency-2013 13/13

224 Kers.on RR, +ag$a @A, Oures.i  A, Riley  !E, Scanlon E,  arney +- , et al46actors associate$ /it.  t.e a#ility an$/illingness o% essential /orers to reort to  $uty $uring a an$emic4  - .ccu) (nviron Med 2010'<;(10)**5—10034

234 C&es J, Kreenel$ S, "erry J, raer !, 

Kratus , "etts J,  et al4  !ealt.care/orers attitu$es  to /oring $uring 

an$emic  inuenFa a Gualitati&e stu$y4 *MC #ublic Health 200*'=(1)54

294 Sulli&an -@, Amaratunga , ".illis ", orneil B, onnor E, @emyre  @,  et al4 C% sc.ools are close$, /.o /ill  /atc.our i$s 6amily caregi&ing an$  ot.ersources o% role conict  among nurses$uring largescale out#reas4 #rehos) 

Disast Med 200*';8(9)312—254

254 6itFKeral$ KJ, " atric JR, 6iel$ing E, S.a#an  RQ, Ar#on " , Aiten  " , et al4#ande"ic 1H2N23 4556 $n&uen0a outbreak

in  Australia+ $")act on e"ergency

de)art"ents4 Mris#ane Oueenslan$ ni &ersity o% -ec.nology' 20104

24 "olit 6, Mec -4 .ater 10 $esigning 

Guantitati&e stu$ ies4 Cn 6 ", - M,e$itors4 Nursing  research+ generating 

and assessing evidence for   nursing 

 )ractice4 " .ila$el.ia B olterslu/er=@iincott Billiams Bilins' 200:4

274 Jiro;/ong S, Jo.nson +, Belc.  A4 !esearch  "ethods in nurs ing 7

"idwifery+ )athways to  evidence,based

 )ractice4 @on$on  Sy$ney %or$ 

ni&ersity "ress' 201142:4 Australian Cnstitute o%  !ealt. an$

Bel%are, Nursing an$ mi$ /i%ery la#our%orce 20074 Cn  National health  labour

 force series8 an#erra Australian Cnstitute o% !ealt. an$ Bel%are'200*4 41—5:4

2*4 onsi$ine J, +itc.ell M4 .emical, #iological an$  ra$iological  inci$ents

reare$ness an$  ercetions o% emergency nurses4  Disasters

200: 3 :2 *2

304 uong 4 isaster e$ucation an$ training o%  emergency nurses  in Sout. Australia4  Aust ("erg Nurs - 200*'1; (3):—*24

314 !amma$ S, Ar#on " , Ke##ie +4 Emergency nurses  an$ $isaster  resonse an  eloration o% Sout.  Australian emergency nurses  no/le$ge an$ 

ercetions o%  t.eir roles  in $isaster resonse4  Aust ("erg  Nurs - 

2011'18 (2):7—*94324 Ranse J, Ar#on " , S.a#an RQ, onsi$ineJ, +itc.ell M, @enson S4

isaster content in Australian tertiary ostgra$uate emergency nursing courses Cmlications %or e$ucational reare$ness4 Cn Abstract 9 2:th ;orld  Congress on Disaster and ("ergency

Medicine4 20124334 Koo$.ue J, Mure RI, 6errer RR,.os.i N, orey 6, er man JS4Billingness to reson$ in a $isaster ae$iatric nurse ractitioner nationalsur&ey4 - #ediatr Health Care 2011';6e7—204