The lived experience of Australian nurses working in disaster environments

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THE LIVED EXPERIENCE OF AUSTRALIAN NURSES WORKING IN DISASTER ENVIRONMENTS Jamie Ranse RN FRCNA Assistant Professor Faculty of Health University of Canberra Web: www.jamieranse.com Twitter: jamieranse Phone: +61 (0)2 6201 5380 Email: jamie.ranse@canberra. edu.au Supervisors: Professor Paul Arbon and Dr Lynette Cusack

description

First PhD progress presentation delivered at the University of Canberra, Disciplines of Nursing and Midwifery Research Residential School, 31 March 2011

Transcript of The lived experience of Australian nurses working in disaster environments

Page 1: The lived experience of Australian nurses working in disaster environments

THE LIVED EXPERIENCE OF AUSTRALIAN NURSES WORKING IN DISASTER ENVIRONMENTS

Jamie Ranse RN FRCNAAssistant ProfessorFaculty of Health University of Canberra

Web: www.jamieranse.comTwitter: jamieransePhone: +61 (0)2 6201 5380Email: [email protected]

Supervisors: Professor Paul Arbon and Dr Lynette Cusack

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overview

• Background• What we know;

– Experience– Role– Education– Willingness– Resources – Professional issues

• What we don’t know• Outline PhD plan

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background

• How do you define ‘disaster’?

TFQCDM/WADEM, 2002

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what we know: experience

• Descriptive events• Little or no out-of-hospital experience

Ranse, et al., 2010; Robertson, et al., 2005

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what we know: role

• Victorian bushfires• Wenchuan earthquake• Queensland floods

Cameron, et al., 2009; Ranse, et al, 2010; Yang, et al., 2010

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what we know: education

• Currently haphazard approach• On-the-job• Competencies• Future – within a framework

Duong, 2009 ; Hammad, et al., 2010; Ranse, et al., 2010; Usher, et al., 2010

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what we know: willingness

• Most willing• Not all able• Not prepared

Arbon et al, 2010; Arbon et al, 2006

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what we know: resources

• Granville train crash and bridge collapse• Wenchuan earthquake• Communicable diseases

Yang, et al., 2010

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what we know: professional issues

• Altered level of care• Autonomous practice• Challenges in staffing

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what we don’t know

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PhD plan

Question• What is it like for Australian nurses to work in the out-of-

hospital environment during disaster response or recovery?

Design• Hermeneutic phenomenological

Population / Sample• Nurses deployed in a civilian team (not defense)• Actively participated in the response or recovery to a

disaster in the out-of-hospital environment

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PhD plan

Participant recruitment• DoHA records of people deployed OR• Purposive / advertised with snowballing• ~30 participants

Data collection• Semi-structured individual interviews at 2 points in time

Data analysis • Thematic analysis• Sententious approach

van Manen M, 1990

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PhD plan

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THE LIVED EXPERIENCE OF AUSTRALIAN NURSES WORKING IN DISASTER ENVIRONMENTS

Jamie Ranse RN FRCNAAssistant ProfessorFaculty of Health University of Canberra

Web: www.jamieranse.comTwitter: jamieransePhone: +61 (0)2 6201 5380Email: [email protected]

Supervisors: Professor Paul Arbon and Dr Lynette Cusack