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Nursing Leadership in Disaster Management

www.koreanurse.or.kr

Cho-Ja Kim, RN, Ph.D.President

Korean Nurses Association

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CONTENTSCONTENTS

I. Introduction

II. Disasters in Korea

III. Disaster Health Needs

IV. Nursing Activities

V. Conclusion

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INTRODUCTIONINTRODUCTION

Rapid change of the world

Increase of exposure to

unexpected disaster situations

New roles of nurses

Nursing leadership

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DISASTERS IN KOREADISASTERS IN KOREA

Average rainfall in Korea: 1,365 mm

(World average: 950 mm)

Floods and typhoons as main types

of disasters in Korea

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DISASTERS IN KOREADISASTERS IN KOREA

Yearly loss for last decade(1991- 2000)

- 122 persons killed

- 17,219 persons lost their houses

- 580 million USD of property loss

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DISASTERS IN KOREADISASTERS IN KOREA

Rapid industrialization and lack of

safety concerns cause increase of man-

made disasters

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DISASTERS IN KOREADISASTERS IN KOREA

Major Disasters in 1990’

Year Accident

1993 Derailment of train

1993 Sinking of ferry

1993 Air crash in Mokpo

1995 Collapse of department store

1995 Explosion of LNG

1997 Air crash in Guam

2003 Fire of Daegu subway

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DISASTERS IN KOREADISASTERS IN KOREA

Derailment of Train(1993): 78 death & 196 injured

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Year Accident Loss

1993 Derailment of train 78 death & 196 injure

1993 Sinking of ferry 292 death & 70 injured

1993 Air crash in Mokpo 66 death

1995 Collapse of department store 502 death & 938 injured

1995 Explosion of LNG 101 death & 202 injured

1997 Air crash in Guam 229 death & 25 injured

2003 Fire of Daegu subway 192 death & 148 injured

Air Crash in Mokpo(1993): 66 death

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Collapse of Department Store(1995): 202 death & 938 injured

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Explosion of Subway LNG(1995): 101 death & 202 injured

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DISASTERS IN KOREADISASTERS IN KOREA

Major Disasters in 1990’

Air Crash in Guam(1997): 229 death & 25 injured

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Fire of Daegu Subway(2003): 192 death & 148 injured

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Heavy Rain and Flood(2006): 39 death and 773 lost houses

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HEALTH NEEDS IN DISASTERSHEALTH NEEDS IN DISASTERS

<Symptoms of Flood Victims>

Physical symptoms: Skin problems,

Common cold, Stress, Diarrheas

Mental symptoms: Depression,

Agitation, Hypersensitivity, Chest pain

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HEALTH NEEDS IN DISASTERSHEALTH NEEDS IN DISASTERS

<Symptoms of Man-made Disaster Victims>

Being disabled

Chronic pain

Psychological problems

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NURSING ACTIVITIESNURSING ACTIVITIES

▪EMTs:Rescuing first-aidTransferring to hospital

DISASTER

▪Nurses in hospital ER teams

▪Nurses in mobilehealth service teams▪Community health centers

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NURSING ACTIVITIESNURSING ACTIVITIES

NEMA Advisory Committee Activity

National Emergency Management Agency

(NEMA)

Three nursing scholars are members

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NURSING ACTIVITIESNURSING ACTIVITIES

Networking with Civil NGOs :

Disaster Safety Networking (DSN)

9 NGOs established a network for

for disaster preparedness

KNA is actively participating

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NURSING ACTIVITIESNURSING ACTIVITIES

Nursing Research Activities

To develop a textbook on safety

education

To develop a community-based

psychological support system

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NURSING ACTIVITIESNURSING ACTIVITIES

International Relief Activities

Volunteer Nurses (join to Korean Red

Cross/ hospital teams)

Armed Forces Nurses

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EDUCATION AND TRAININGEDUCATION AND TRAINING

Mid. 1990’s : <10 nursing colleges

opened disaster-related subjects

1999: a text book published

2001: KNA approved ‘Disaster Nursing’

as continuing education program

2004: Emergency Nurse Specialist

Program opened

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RESEARCH ACTIVITIESRESEARCH ACTIVITIES

1st Study

‘Curriculum Development for Disaster Health

Services’ (1996)

Disaster Nursing Research Center

► Center for Global Health and Disaster Nursing Studies

► Nursing Research Center at Armed Forces Academy

► Seoul Narrative Research Center(interdisciplinary

research)

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RESEARCH ACTIVITIESRESEARCH ACTIVITIES

Curriculum development & need

assessment at the level of disaster

preparedness

Studies about victims & International

cooperative studies

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CONCLUSIONCONCLUSION

International networking, sharing,

cooperation are important

KNA composed TFT for disaster nursing

since 2005

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CONCLUSIONCONCLUSION

Challenges for Nursing Leadership in

Disaster Management

1. To be more positive in government cooperation and

linking with major relief groups

2. To participate in policy-making for expanding

independent and distinctive nursing roles in disaster

management

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CONCLUSIONCONCLUSION

3. To encourage evidence-based research through

field study and international cooperative

researches

4. To train managerial manpower in disaster

nursing through developing a systemic training

program

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THANK YOU !