Iranian nurses providing aid in a disaster zone

Nurse Know-How: Are Iranian Nurses Ready for Disaster?

"A new study unveils a tool to assess disaster preparedness among Iranian nurses, highlighting crucial gaps in knowledge, attitude, and practice."


Disasters, both natural and man-made, are increasingly frequent and devastating. From earthquakes to floods, these events test the resilience of communities and the readiness of healthcare systems. Nurses, as frontline responders, play a vital role in disaster management, providing immediate care and support to affected populations.

In Iran, a country prone to various natural disasters, the preparedness of nurses is particularly critical. However, a significant gap exists: the absence of a standardized tool to evaluate the knowledge, attitude, and practices (KAP) of Iranian nurses concerning disaster preparedness. This lack of assessment makes it difficult to identify areas for improvement and to tailor training programs effectively.

Recognizing this need, a team of researchers has developed and validated a new questionnaire designed specifically to measure disaster preparedness among Iranian nurses. This innovative tool promises to provide valuable insights into the current state of readiness and to guide efforts to enhance nurses' capabilities in disaster response.

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Disaster Definitions and FEMA Assistance

Britannica defines a disaster as a natural or human-generated calamitous event causing major loss of human life or damage to the environment, private property, or public infrastructure. Such events may occur suddenly, as with an earthquake or oil spill, or unfold over a longer period. FEMA provides information on formal disaster declarations, disaster types, and its role, while DisasterAssistance.gov lists states with FEMA Individual Assistance declarations and allows users to check declared counties and apply for assistance.

Why Assess Disaster Preparedness?

Iranian nurses providing aid in a disaster zone

Effective disaster response hinges on a well-prepared healthcare workforce. Nurses, often the first healthcare professionals on the scene, must possess the knowledge, skills, and confidence to manage mass casualty events, provide essential medical care, and coordinate with other responders. Studies have shown that timely intervention by nurses can significantly reduce casualties and improve outcomes.

The newly developed questionnaire addresses several key areas of disaster preparedness:

  • Knowledge: Assesses nurses' understanding of disaster management principles, emergency protocols, and potential hazards.
  • Attitude: Measures nurses' beliefs, perceptions, and willingness to participate in disaster response efforts.
  • Practice: Evaluates nurses' self-reported abilities to perform essential tasks during a disaster, such as triage, wound care, and medication administration.
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Research on Nursing Disaster Preparedness

Recent research has examined nurses' disaster-management competence through measures of knowledge, attitude, performance, and competence, including a study of nurses caring for COVID-19 patients that used a four-part survey and a researcher-made questionnaire. Other work has addressed nurses' knowledge and attitudes toward potential landslide disasters, noting that disasters can reduce communities' quality of life, including health. Disaster-preparedness research has also drawn on questionnaires assessing nurses' knowledge, attitude, and practice, while broader emergency-medicine literature describes disasters as events that severely affect communities, families, and individuals.

By evaluating these three crucial aspects, the questionnaire offers a holistic view of nurses' readiness and pinpoints specific areas where targeted training and resources are needed. The questionnaire consists of two parts: the first gathers demographic data such as age, gender, experience, and education level. The second part includes questions assessing knowledge (6 questions), attitude (11 questions), and practice (6 questions). A three-point Likert scale is used, ranging from 1 to 3, to gauge agreement with each item.

A Step Towards a More Resilient Healthcare System

The development and validation of this questionnaire represent a significant step forward in enhancing disaster preparedness among Iranian nurses. By providing a reliable and valid tool for assessing current capabilities, this study paves the way for targeted interventions, improved training programs, and a more resilient healthcare system capable of effectively responding to future disasters. With further research and implementation, this questionnaire can serve as a model for other countries seeking to strengthen their disaster preparedness efforts and protect their communities.

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Building an Iran-Focused Preparedness Framework

The cited Iranian disaster-management source identifies emergency preparedness and scale development as central topics. It also specifically highlights factor analysis and Iran, indicating an emphasis on developing or evaluating a preparedness-measurement framework in that context. Such a framework can support structured assessment of disaster-management readiness, although the supplied source material does not provide specific results or conclusions about Iranian nurses.

How consistently did the questionnaire measure preparedness?

  • 0.82 intraclass correlation coefficientWhen the questionnaire was administered again, its test-retest intraclass correlation coefficient was 0.82.[1]

What the validation results say about the measure

Together, the reliability results suggest that the questionnaire’s items showed acceptable internal consistency and that scores were reasonably stable when retested. These properties support using the measure to assess nurses’ preparedness, but do not establish how prepared the nurses were.[1]

The factor analysis grouped responses into underlying dimensions, providing evidence about the questionnaire’s structure rather than a direct test of disaster-response performance.[1]

How the Iranian nurses' questionnaire was developed and tested

PopulationNurses[1]
Sample size112[1]
SettingThree public educational centers affiliated with Ilam University of Medical Sciences, Ilam, Iran[1]
Main outcomeReliability and validity of a questionnaire measuring nurses' knowledge, attitude and practice of disaster preparedness[1]
Effect sizeCronbach's alpha was 0.785; intraclass correlation coefficient was 0.82; total variance was 67.57%[1]
Times cited19[1]

How this questionnaire fits the wider research

The Iranian questionnaire was built from a literature review and tested with nurses, while a later COVID-19 study used a researcher-made survey covering knowledge, attitude, performance, and competence. The measures therefore addressed overlapping but not identical constructs.[1] [2]

A 2019 article on a disaster-attitude scale cited the 2016 work as an earlier questionnaire measuring nurses’ knowledge, attitude, and practice of preparedness.[3]

Another study reported a strong relationship between nurses’ self-efficacy and disaster preparedness management, illustrating that preparedness research also examines factors beyond questionnaire structure.[4]

What a follow-up would need to clarify

  • How closely do questionnaire responses correspond to nurses’ observed performance during disaster-related tasks?[1] [2]
  • How do the questionnaire’s dimensions relate to competence, given later findings linking knowledge, attitude, and performance with competence?[1] [2]

About this Article -

Written with AI assistance from published research, and reviewed by the Mystum team. See our About page for more information.

This article is based on research published under:

DOI-LINK: 10.7860/jcdr/2016/19894.8337, Alternate LINK

Title: Development And Validation Of A Questionnaire To Measure Iranian Nurses’ Knowledge, Attitude And Practice Regarding Disaster Preparedness

Subject: Clinical Biochemistry

Journal: JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

Publisher: JCDR Research and Publications

Authors: Hamed Tavan

Published: 2016-01-01

Everything You Need To Know

1

What is the main focus of this study regarding Iranian nurses?

The study focuses on the disaster preparedness of Iranian nurses. A new questionnaire was developed and validated to assess the knowledge, attitude, and practice (KAP) of these nurses. This is important because nurses are frontline responders during disasters and their preparedness directly impacts the effectiveness of healthcare response. The questionnaire helps identify areas needing improvement, guiding better training and resource allocation.

2

What specific areas does the questionnaire assess in the context of disaster preparedness for Iranian nurses?

The questionnaire developed for Iranian nurses assesses three key areas: knowledge, attitude, and practice (KAP). Knowledge evaluates understanding of disaster management principles and protocols. Attitude measures beliefs and willingness to participate in disaster response. Practice assesses self-reported abilities in essential tasks like triage and wound care. The questionnaire uses a three-point Likert scale to gauge agreement with each item. This holistic approach provides a comprehensive view of the nurses' readiness for disaster scenarios.

3

Why is the preparedness of Iranian nurses particularly important in the context of disasters?

Disasters, both natural and man-made, are becoming more frequent and devastating. Events like earthquakes and floods test community resilience. The preparedness of healthcare systems, particularly Iranian nurses, is crucial due to the country's vulnerability to various disasters. Well-prepared nurses can significantly reduce casualties and improve outcomes by providing immediate care and support to those affected. This emphasizes the need for effective disaster response and highlights the important role of nurses.

4

What is the significance of assessing disaster preparedness among Iranian nurses?

The significance of assessing disaster preparedness lies in enhancing the effectiveness of the healthcare system's response to emergencies. The questionnaire developed for Iranian nurses helps by providing a reliable tool to evaluate their current capabilities. By identifying gaps in knowledge, attitude, and practice, the study can facilitate targeted interventions, improved training programs, and better resource allocation. This assessment directly supports the goal of creating a more resilient healthcare system that can effectively manage future disasters.

5

What is the structure of the questionnaire used to assess disaster preparedness among Iranian nurses?

The questionnaire developed includes two parts: the first gathers demographic data such as age, gender, experience, and education level. The second part contains questions to assess knowledge (6 questions), attitude (11 questions), and practice (6 questions). This structure provides a comprehensive assessment by combining personal background with direct evaluation of the core components of disaster preparedness. This approach ensures that both individual attributes and preparedness-related knowledge are thoroughly evaluated.

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