apednn annual conference 2019 - sn.polyu.edu.hk book.pdf · prof. alex molasiotis chair professor...

APEDNN Annual Conference 2019

Content

Programme Schedule ……………………………………………………. P.2

Keynote Sessions

- Keynote Session 1 ……………………………………………………. P.7

- Keynote Session 2 ……………………………………………………. P.10

Scientific Session ……………………………………………………. P.14

Expert Panel Discussion ……………………………………………………. P.18

Concurrent Sessions

- Concurrent Session 1 ……………………………………………………. P.24




Poster Presentations ……………………………………………………. P.36

1

APEDNN Annual Conference 2019 Conference Programme

Programme Schedule

Conference date: 12 – 13 November

Pre-conference meeting (Core group members only): 11 November, 14:30 – 16:30 @ GH501

Post-conference meeting (Core group members only): 14 November, 10:00 – 12:00 @ GH501

Day 1 - 12 November 2019

Time Speakers Moderators

09:30 Opening Ceremony

Prof. Alex MOLASIOTIS

Chair Professor of Nursing and Head of School, School of Nursing

Director, WHO Collaborating Centre for Community Health Services

The Hong Kong Polytechnic University

Hong Kong SAR

Ms Elizabeth IRO

Chief Nursing Officer, World Health Organization

Prof. Alice Yuen

LOKE

10:00 Photo Session

Coffee Break

11:00 Keynote Speech

1. The experience and challenges in the face of Dorian Hurricane in

the Bahamas

Mrs Prescola ROLLE

Nursing Officer I, Medical Area Deputy Supervisor, Princess

Margaret Hospital, The Bahamas

2. Emergency preparedness - You and me can be the one

Mr Alex Ying-Keung WONG

Chief Staff Officer, Auxiliary Medical Service, The Government of

the Hong Kong SAR

3. Transdisciplinary efforts on a policy development to reduce disaster

vulnerabilities

Prof Ogcheol LEE Chairperson, World Society of Disaster Nursing, Red Cross College

of Nursing, Chung-Ang University, South Korea

Dr Sunshine

CHAN

Lunch

Venue: Staff Club, 5/F, Communal Building, PolyU

14:00 Scientific Session

1. The integration of Sendai Frameworks of Disaster Risk Reduction

(SFDRR) and ICN framework of disaster nursing competencies

into disaster nursing education

Dr Fu-Chih LAI

Associate Professor, College of Nursing, Taipei Medical

University, Taiwan

Mrs Kathleen

FRITSCH

2



14:00 2. Current state of disaster education in undergraduate nursing

programs in South Korea

Prof. Hyewon KIM

Head, Military Health Policy Research Centre, Korea Armed

Forces Nursing Academy, South Korea

3. Combining the arts & sciences to improve disaster risk reduction

Dr Timothy SIM

Deputy Director, WHO Collaborating Centre for Community

Health Services, School of Nursing, The Hong Kong Polytechnic

University

Mrs Kathleen

FRITSCH

Coffee Break

16:00 Concurrent Session 1

Venue: Chiang Chen Studio Theatre, PolyU

1.1 Tao YI [China] The outcomes of peer-led disaster preparedness

education in comparison to education delivered by health

professionals in mobility disability

1.2 Li YIN [China] Development of a disaster preparedness guideline

for enterostomates in the prevention and management of

peristomal complications

1.3 Rui XIA [China] Effectiveness of disaster preparedness program

for nursing students in Chengdu, Sichuan of China: Randomized

controlled trial

1.4 Xiaorong MAO [China] The disaster preparedness of emergency

nurses in Sichuan, China: A cross-sectional study

1.5 Lan SHI [China] Formation and evaluation of the Hospital

Nursing Organization Disaster Preparedness Measurement Scale

(HNODPMS)

Dr Chunlan GUO


Venue: AG101, Core A, PolyU

2.1 Ye TAO [Japan] The challenges nurses faced in caring vulnerable

population during disaster relief missions in Sichuan, China

2.2 Chunjuan LIU [China] Overcoming enterostomal challenges

during disasters: A triangulation study

2.3 Wenjiao HUANG [China] Development of disaster response core

knowledge and skill training course for clinical nurse

2.4 Tianzhi LIAO [China] Outdoor survival: The core competence

urgently needed by disaster nurses

2.5 Ly CHANVATANAK [Cambodia] Developing effective

emergency risk communication strategies through network partner

collaboration to reduce vulnerabilities to disasters

Dr Natma

THUNGSORN

18:00 Conference Dinner

Venue: Chairman’s Place, Mezzanine Level, New World Millennium Hong Kong Hotel

Address: 72 Mody Road, Tsim Sha Tsui East, Kowloon, Hong Kong

3


Day 2 - 13 November 2019


09:00 Keynote Speech

1. Politics and power: Health care capacity for disaster response

under a changing climate in the Pacific

Dr Michele RUMSEY

Director, WHO Collaborating Centre for Nursing, Midwifery

and Health Development, University of Technology Sydney,

Australia

2. The team building and management of the WHO EMT

Mr Lei YE

Vice President of Emergency Nursing Committee, Chinese

Nursing Association; President of Emergency Nursing

Committee, Sichuan Nursing Association; Head nurse of the

Emergency Department, West China Hospital of Sichuan

University, China

3. Nurses’ roles in preparing and responding to the threats of

emerging infections: Experience sharing in Hong Kong

Mr Anthony Ngai-Ming NG

Senior Nursing Officer, Infection Control Branch, Centre for

Health Protection, Department of Health, The Government of

the Hong Kong SAR

Dr Sijian LI

Coffee Break

11:00 Expert Panel Discussion

Topic: Discussion on the revised version of ICN competencies

and the impacts it may have on nursing education and practice

Dr Bettina EVIO [Philippines]

Prof. Seunyong JOE [South Korea]

Prof. Alice Yuen LOKE [Hong Kong SAR]

Prof. Sonoe MASHINO [Japan]

Dr Caryn WEST [Australia]

Prof. Kristine

QURESHI

Lunch

Venue: Staff Club, 5/F, Communal Building, PolyU

4




Venue: Chiang Chen Studio Theatre, PolyU

3.1 Sheeba PAUL [India] Hazard identification and risk analysis

(HIRA) in critical care units of Christian Medical College,

Vellore, India

3.2 Xiuhua HUANG [China] Enterostomal surgeons perspectives

on how to overcome enterostomal challenges during disasters

3.3 Somkid RUPNGAM [Thailand] Factors predicting the

systemic inflammatory response syndrome in trauma patients

3.4 Shaohua CHEN [China] Social workers’ experience in

organizing community fire emergency drills after participating

in ICS system training

Dr Rattima

SIRIHORACHAI


Venue: AG101, Core A, PolyU

4.1 Li XIE [China] Stroke survivors’ and their caregivers’

earthquake experience before and after the occurrence of a

stroke

4.2 Xin ZHOU [China] An enterostomal-friendly vest designed

for disaster situations

4.3 Qin HU [Japan] Role of resilience in the association between

demographic characteristics and prolonged grief disorder of

bereaved survivors ten years after Wenchuan Earthquake

4.4 Jiaoji HE [China] Psychological experience among uses of

lower-limb prostheses from the 2008 Wenchuan earthquake

Prof. Xianqiong

FENG

Coffee Break

16:00 Closing Ceremony

Prof. Alice Yuen LOKE

Co-secretariat of APEDNN

Professor & Associate Head, School of Nursing, The Hong Kong

Polytechnic University, HKSAR

Dr Rattima SIRIHORACHAI Co-secretariat of APEDNN

Department of Surgical Nursing

Mahidol University

Thailand

Prof. Ogcheol LEE

Chairperson, World Society of Disaster Nursing, Red Cross

College of Nursing, Chung-Ang University, South Korea

5

APEDNN Annual Conference 2019 Keynote Sessions

Keynote Sessions

6


Keynote Session 1

The experience and challenges in the face of Dorian Hurricane in the Bahamas

Prescola ROLLE

Nursing Officer I

Medical Area Deputy Supervisor

Princess Margaret Hospital The Bahamas

Biography

Mrs Prescola Rolle is a nurse leader and is one of the area Supervisor for the Medical Area at the Princess

Margaret Hospital of the Public Hospitals Authority (PHA) in the Bahamas. Her nursing experience spans

over thirty-five years; where she worked in all areas of the health care environment providing quality health

care. As a nurse leader she was able to capture the coveted Public Hospitals Authority Leader of the year

award; over more than four thousand employees.

A natural leader and a noted speaker who have presented at national regional and international conferences

including the Caribbean Nurses Organization and the International Council of Nurses conferences. Mrs

Rolle is graduate and Trainer of Trainers of the International Council of Nursing (ICN) Leadership for

Change program and is the current National and Regional Coordinator of the International Council of

Nursing (ICN) Leadership for Change program. She is also a graduate of the prestigious 2019 Global

Nursing Leadership program held in Geneva Switzerland.

Her educational and professional accomplishments are numerous. She holds a master’s degree in Nursing

administration from the University of the West Indies, a master’s degree In Business Administration from

McHari College with specialty in Human Resource, Bachelors and Associate degrees in Nursing; College

of The Bahamas. She is also a Certified Medical Surgical Registered Nurse with USA certification and a

Certified Professional Manager.

She is an active member of her professional organization; where she served as past president of the Nurses

Association of the Commonwealth of the Bahamas 2006-2008. She also served on the Bahamas Nursing

Council chairing the standards and practice committee 2006- 2012. She presently serves on the Hospital

Infection Control Committee; she is a mentor and lecturer for student nurses, graduate nurses and the

management and leadership program for senior registered nurses at PHA.

Mrs Rolle is presently a board member of the National Women’s Advisory Council for the Bahamas; whose

mission is to champion the cause for equality and safety for women in the country and the region. She is

also a Justice of the peace of the Commonwealth of the Bahamas. She and her husband are proud parents

of one son one daughter and a son in law.

7


Emergency preparedness - You and me can be the one

Alex Ying-Keung WONG

Chief Staff Officer

Auxiliary Medical Service

The Government of the Hong Kong SAR

Biography

Graduated from the Hong Kong Polytechnic University in 1995, Mr. Wong Ying-keung had taken up his

first career as an emergency nurse in a local A&E Department. In late 1997, Mr. Wong joined the Fire

Services Department as an Ambulance Officer. His 22 year work in the Department since then covered

multiple facets in training, quality assurance, administration and operation. He had fruitful frontline

commanding experience, including the 2008 Olympic Equestrian in Hong Kong, 2009 East Asian Games,

2016 Mongkok riot, 2017 MTR arson, etc. In 2018, Mr. Wong took up a post in the Department responsible

for public education on emergency preparedness. He successfully led his team to promote such idea using

the famous character “Anyone”.

In mid-2019, Mr. Wong left Fire Services and was appointed as the Chief Staff Officer of Auxiliary Medical

Service. Commanding more than 4000 full-time and volunteers, he is to lead the Service to augment other

government departments in rendering quality emergency and regular medical and health services to the

public.

Abstract

Emergency – Most people would probably think of requesting for assistance from rescue parties or

government departments when they come across emergency situations.

Emergency Preparedness –Most people may consider how much the government or some related

organizations are doing.

As a matter of fact, in places or countries which are natural disasters-prone, the government and some

NGOs have public education programmes on emergency preparedness. Not just on preparedness, but also

on response and resilience. Involving citizens in such plans and actions is in fact a collaborative strategy to

reduce vulnerabilities and probably subsequent death, injury and damage.

The presenter of this topic would share his working experience in public education on emergency

preparedness, down-to-earth publicity, and involvement of volunteers in response to emergency events.

8


Transdisciplinary efforts on policy development to reduce disaster vulnerabilities

Ogcheol LEE

Chairperson

World Society of Disaster Nursing

Red Cross College of Nursing

Chung-Ang University

Biography

Prof. Lee received her B.S.N. from Adventist University of Philippines, M.P.H from Seoul National

University, Ph.D. in Nursing from Yonsei University in 2000, and postdoctoral research fellowship at

Center for Refugee and Disaster Response, Johns Hopkins University, U.S.A. during 2003. She is a

professor of Red Cross College of Nursing and the Chief Professor of Department of Global Nursing at

Graduate School, Chung-Ang University. She firstly introduced the concept of disaster nursing to Korea

and established the Korean Academy of Disaster Nursing in 2010. She is undertaking the Chairperson

position of the World Society of Disaster Nursing from 2019.

Abstract

The Sendai Framework for Disaster Risk Reduction (2016-2030) is a global agreement in which each

country should strive to reduce disaster vulnerability and strengthen resilience. Disaster vulnerability

reductions are the responsibility of government and organizations, but also individuals' safety competencies.

The necessity for disaster preparedness of individuals to respond to a sudden disaster situation has been

recognized since the 2014 Sewol ferry disaster in Korea. To achieve the goal, the policy researches

regarding to safety education were funded by government.

Though nursing is not regarded as a leading part nor an expert field in disaster preparedness, it must

necessarily be a team member. Not only disaster onsite but also hospitals, schools, and communities, nurses

have been working for saving lives and health of victims and potential victims. A government funding

research in 2015 was a starting point to communicate with various sectoral representatives of each Ministry

and brainstorming with transdisciplinary experts in disaster management. The research team has been

invited as a panel or reviewer for a new Act or policy, for example, “Framework Act on the Promotion of

Safety Education for Citizens” which was enforced from 2017. By working with a committee of Prime

Minister's, we could develop the Korean Framework of Age-specific Safety Education in 2019 including

core value, vision, principles, contents, and strategies. The framework is based on Rogers’ Theory of

Unitary Human Beings, Parse’s Human Becoming Theory, and Heinrich’s Corrective Action Sequence

(enforcement, engineering, education).

In conclusion, the participation of nursing in the policy development for disaster preparedness contributed

establishing a nationwide system for people to equip with knowledge and attitudes towards safety life based

on human growth and development and sharing a transdisciplinary consensus. The active communication

of nursing with policy makers, disaster responders, decision-makers, and potential victims is a core factor

for reducing disaster vulnerability and strengthening community resilience.

9


Keynote Session 2

Politics and power: Health care capacity for disaster response under a changing climate

in the Pacific

Michele RUMSEY

Director

WHO Collaborating Centre for Nursing

Midwifery and Health Development

University of Technology Sydney

Australia

Biography

Michele has over 25 years’ experience as an international health care adviser and policy expert, with health

professional expertise in human resources for health, health system strengthening, capacity development,

stakeholder participation and regulation in the Pacific region and Europe. Michele has particular expertise

in providing monitoring and evaluation, research, and consulting services in the above areas, as well as

designing capacity development activities targeting health system strengthening through leadership

capacity, curriculum development and faculty development.

Michele has worked extensively in Papua New Guinea for the past 10 years, closely and collaboratively

with the National Department of Health. She has a strong understanding of the complex health system and

the many health programs being funded by DFAT Australia. Under Michele’s leadership as Director of the

WHO CC UTS, the Center has contributed to 50 projects in 25 countries and coordinated projects to the

value of $22 Million over a 10 year period. The WHO CC carries out the important role of Secretariat for

the South Pacific Chief Nursing, Midwifery Officers Alliance (SPCNMOA), working closely with many

regional partners.

Abstract

In Pacific Island Countries (PICs), the health sector is actively involved in disaster coordination at the

national level, providing frontline response to the health care needs of their respective population. However

the effectiveness of the health sector response is often constrained by limited capacity. This research

investigated disaster response in the Pacific and how climate change is likely to affect responding

organisations in both Australia and in Pacific island countries. The research focused on how some of the

immediate humanitarian needs following a disaster are met by various stakeholders in four case study

countries (Fiji, Cook Islands, Vanuatu and Samoa). Presentation will also touch on other relevant

PARsificia research approaches within the Pacific and connection to politics and power of discussion

making.

10


Results: ‘Capacity’ -including health care capacity is one of the objective determinants identified as most

significant in influencing the adaptive capacity of the organisations within the ‘disaster response system.

While health care workers are ready to respond to climate driven disasters, their response is often

constrained by limited human resources technical and material capacity, resulting in relatively high levels

of vulnerability. Significant gaps identified in the research include the lack of technical capacity for

psychosocial support and the need for a coordinated regional approach to address the health care training

needs.

Recommendations: include the establishment of a disaster response trust fund for health sector response

supported by donors; and a coordinated approach to technical up-skilling and training with emphasis on

building institutional and individual capacity in PICs. Outcomes when Pacific leaders own research and

change model to suit local context.

11


The team building and management of the WHO EMT

Lei YE

Head Nurse

Emergency Department

West China Hospital

Sichuan University

China

Biography

Head Nurse of the Emergency Department, West China Hospital of Sichuan University

Vice President of Emergency Nursing Committee, Chinese Nursing Association

President of Emergency Nursing Committee, Sichuan Nursing Association

Member of the WHO EMT (Type Ⅲ )

Took part in the rescue of Wenchuan earthquake 2008, Nepal earthquake 2015 and so on.

Abstract

West China Hospital rescue team has experienced several big disaster reliefs. Rich experiences were

accumulated. Based on the WHO basic principles of EMT standards, West China Hospital rescue team

optimize the SOPs and got WHO EMT (type Ⅲ) certification. This EMT became the first civilian WHO

EMT (type III) in the world. The experiences of the construction and management of the EMT will be

introduced in the presentation.

12


Nurses’ roles in preparing and responding to the threats of emerging infections:

Experience sharing in Hong Kong

Anthony Ngai-Ming NG

Senior Nursing Officer

Infection Control Branch

Centre for Health Protection

Department of Health

The Government of the Hong Kong SAR

Biography

As a senior nursing officer at the Infection Control Branch of the Centre for Health Protection, Mr Anthony

Ng plays an important role in planning and developing the implementation of training programmes in

infection control for public and private sectors; coordinating the implementation of infection control policy

and programmes in healthcare settings; and coordinating research on special infection control programmes.

During his work in the hospital infection control team, he has actively involved in several cross-

departmental projects, including hospital accreditation, commissioning, and infection control projects, in

particular the control of MDRO transmission and environmental hygiene in hospital setting.

Abstract

After the first human H5N1 case was diagnosed in Hong Kong 1997; and the SARS epidemic in 2003, the

way we view and deal with emerging infectious diseases has been revolutionized. We have accumulated

and expanded the experience in effective preparedness strategies to tackle the novel infectious diseases that

would be potentially emerge in our territory. To ensure we can provide a comprehensive and generalizable

responses, transdisciplinary collaboration include engaging experts in clinical and public health

management; application of information technology; and laboratory preparedness are all crucial. In the

presentation, the overview of the preparedness on emerging infectious diseases in Hong Kong would be

shared, in particular, the nurses’ roles in preparing and responding these threats would be emphasized.

13

APEDNN Annual Conference 2019 Scientific Session

Scientific Session

14


Scientific Session

The integration of Sendai Frameworks of Disaster Risk Reduction (SFDRR) and ICN

framework of disaster nursing competencies into disaster nursing education

Fu-Chih LAI

Associate Professor

College of Nursing

Taipei Medical University

Taiwan

Biography

Professor Fu-Chih Lai received Doctorate degree from Kent State University and Master degree from Case

Western Reserve University in Cleveland, Ohio, U.S.A. He currently teaches medical/ surgical, emergency,

disaster nursing and long-term care as well as nursing theory, health care management and delivery system

for international and graduate students. He has adopted OSCE, simulation, VR, and AR to enhance nursing

education. In leadership, he actively serves as vice chair of Disaster Nursing Committee, Taiwan Nurses

Association since 2012. In research, he had received grant for disaster nursing and radiation disaster

cooperating with universities in Japan for disaster nursing and research.

Abstract

Asia has the greatest number of land, population, and disaster risks. However, an Asia-Specific disaster

nursing education platform that incorporates disaster nursing practice and research as well as accommodates

social, cultural, and developmental varieties has not been developed. Although disaster nursing education

has been established and implemented in some Asian countries with different strategies, contents,

frameworks, and evaluation measurements, the connections and integrations among those different

measures have not been addressed in disaster nursing arena. The Sendai Framework for Disaster Risk

Reduction (SFDRR) has been developed since 2015 and been endorsed by the International Council of

Nurses (ICN), however, it has not been adopted in disaster nursing education in Asia.

Taiwan Nurses Association had integrated ICN framework of disaster nursing competencies into the

development of disaster nursing framework in 2012. After the promulgation of SFDRR in 2015, Taiwan

Nurses Association modified existing disaster nursing framework that is based on ICN framework of

disaster nursing competencies along with SFDRR for future disaster nursing education including contents,

competencies, and evaluations.

Taiwan’s experience that integrated ICN framework and SFDRR can be illustrated as an insight for

developing Asia-Specific disaster nursing education platform. In this Asia-specific platform, differences

among countries, communities, and organizations from various dimensions in disaster can be taken into

consideration. Furthermore, technology advancement of artificial intelligence, big data, and Cloud can

facilitate the connections, cooperation, and expansion of this Asia-Specific disaster nursing education

platform that build Asia continent back better from disasters with greater resilience that can foresee risk

precisely, prepare sufficiently, respond immediately, and recover comprehensively in all phases of disaster.

15


Current state of disaster education in undergraduate nursing programs in South Korea

Hyewon KIM

Associate Professor

Korea Armed Forces Nursing Academy

South Korea

Biography

Dr Hyewon Kim is a Major and an Associate Professor in the Korea Armed Forces Nursing Academy.

During the past ten years, she has significant contribution in curriculum development and teaching for

military nursing. She has also been assigned to be the Head of Military Health Policy Research Center

because of her continued and outstanding efforts in translating research into teaching and practice and wide

publication.

Abstract

Aims

The purpose of this study is to survey the current state of disaster education in undergraduate nursing

programs.

Methods

This descriptive study was conducted to 100 professors at nursing schools in South Korea. The data were

collected using structured questionnaires composed of items on disaster education contents from August,

2017 to May, 2018 and were analyzed using frequency, percent, x2 -test with SPSS program.

Results

95% of the participated schools had disaster courses, 54% of the schools had only one disaster course. 50.7%

had disaster course in senior grade with multiple responses followed by junior, sophomore in order. 50.3%

reported community nursing as a disaster 54% of the schools had only one course with multiple responses.

Disaster education contents showed that overview domain was 64.0~79.0%, disaster management cycle

domain 76.0~90.0%, population problems domain 52.0~77.0%, clinical domain 73.0~90.0%, disaster type

domain 76.0~83.0%, education and training domain 34.0~40.0% research domain 32.0~38.0%, future

direction 35.0% each. Related factors to disaster education in nursing schools was the number of students

and having disaster courses.

Conclusions

Based on the results, it is in need to develop disaster education program for undergraduate nursing students

considering disaster education needs and content priority.

16


Combining the arts & sciences to improve disaster risk reduction

Timothy SIM

Deputy Director

WHO Collaborating Centre for Community Health Services

School of Nursing


Hong Kong SAR

Biography

Dr Timothy Sim is currently an Associate Professor at the Department of Applied Social Sciences, as well

as the Deputy Director of the World Health Organization Collaborating Center for Community Health

Services, School of Nursing, The Hong Kong Polytechnic University. He was the Director of the Hong

Kong Polytechnic University and the United Nations Office for Disaster Risks Reduction Collaboration

Programme from 2015-2016. Timothy has published widely on disaster management and risk reduction

and currently serves as one of the Associate Editors of the “Oxford Encyclopedia of Natural Hazard

Governance”.

Abstract

This scientific talk will share about the experience of implementing a first-of-its-kind earthquake resilience

scenario in China, which shows that the arts can turn scientific evidence and practical knowledge into

compelling messages that connect with people, change attitudes and inspire action to reduce the risk of

disasters.

The PAGER-O project, funded by the Chinese and UK governments, tested an innovative earthquake

resilience scenario which brought together a range of expert disciplines (physical sciences, engineering,

social sciences and the arts), giving equal emphasis to each. It engaged national and local decision-makers

and stakeholders in a participatory way, breaking away from siloed approaches to mitigate the risks of

earthquakes.

The scenario explored the consequences of a future, hypothetical earthquake in the city of Weinan in

Shaanxi Province. We chose a scenario approach to help stakeholders and decision-makers envisage the

reality of the situation and convince them of the need to act.

The results of the experiment have exceeded our expectations and revealed the power of the arts to shape

technical information into formats that resonate with people’s emotions, change attitudes and inspire action.

Feedback has been positive. National and local policy-makers and practitioners, the expert community,

civil society and project stakeholders all appreciated the combination of and balance between the sciences

(physical and social) and the arts.

The approach worked well because the research underpinning the narratives was solid and credible, and the

narratives in turn amplified the reach of that knowledge by presenting it in an accessible format that

resonated with people. Ultimately, the result has been greater than the sum of its parts.

17

APEDNN Annual Conference 2019 Expert Panel Discussion

Expert Panel Discussion

18


Expert Panel Discussion on the revised version of ICN competencies and the impacts it

may have on nursing education and practice

Bettina EVIO

Assistant Professor

University of the Philippines Manila College of Nursing

The Philippines

Bettina D. Evio is an Assistant Professor at the University of the Philippines College of Nursing and an

Affiliate Faculty at the UP Open University Faculty of Management and Development Studies. She

finished her Bachelor of Science in Commerce, Major in Accountancy from De La Salle University (Taft,

Manila) and Bachelor of Nursing from the University of the Philippines Manila. She obtained her Master

of Arts in Nursing from the University of Asia & Pacific - Institute for Nursing Development. She is also

the Chairperson of the Committee on Disaster Preparedness of the Philippine Nurses Association.

Seunyong JOE

Professor and Director of Health Management Division

Korea Armed Forces Nursing Academy

South Korea

Prof. Joe is currently the Training Management Officer for the Military Nursing Training Simulation Center

at the Korea Armed Forces Nursing Academy (KAFNA). Prof. Joe is also a faculty member in Trauma

Nursing Core Course by Emergency Nursing Association and a senior instructor of mass casualty tabletop

exercise by Emergo Training Center. She holds a BSN from KAFNA, a MSN and a Doctorate in community

health nursing from Yonsei University,

Her research focus is on military nursing, disaster management, and the development of nursing education

program, currently focusing on CBRNE preparedness. As a principal investigator, she together with other

colleagues fulfilled many research projects in the past 15 years.

19


Alice Yuen LOKE

Professor and Associate Head (Postgraduate Education)

School of Nursing


Hong Kong SAR

Prof. Alice Yuen Loke is Professor and Associate Head (Postgraduate Education) at the School of Nursing,

The Hong Kong Polytechnic University. She oversees the postgraduate programmes on disaster nursing,

and an online Master of Science in Disaster Management. She is also the theme leader for the Family and

Community Health Research Theme, which includes a task force on disaster nursing.

She has supervised doctoral/PhD students and published numerous papers on promotion of disaster

awareness and preparedness among adolescents, families with young children, and elderlies for disaster.

Her latest publications, together with her PhD student, focus on disaster preparedness and resilience of

healthcare rescue workers in China.

Sonoe MASHINO

Executive Director and Professor

Research Institute of Nursing Care for People and Community

University of Hyogo

Japan

Sonoe Mashino, RN, PHN, PhD, is the Executive Director and Professor of Research Institute of Nursing

Care for People and Community, University of Hyogo, Japan. The Institute is designated as the WHO

Collaborating Centre for Disaster Risk Management for Health. She also serves as a faculty member of

Disaster Nursing Global Leader program, which is a five-year PhD program operated by 5 nationally

leading graduate schools of Nursing in Japan. For over 15 years, she has taught nursing leadership and

management for undergraduate and graduate levels. She has also made a contribution on the development

of curriculum for disaster nursing in Japan. Her research interests include transformation of nursing care

system and nursing education, human resource management in nursing and health care, capacity building

for nurses in disaster risk management and psychosocial care of disaster survivors and responders.

20


Caryn WEST

Deputy Academic Head – Nursing and Midwifery

Director WHOCC N&M Education and Research Capacity Building

Associate Dean, Research

College of Healthcare Sciences

James Cook University

Australia

A/Prof Caryn West is a registered nurse, researcher and academic. Her clinical experience, teaching and

publications reflect her areas of interest and show evidence of her developing commitment to research and

publication in health and public health arenas. A/Prof West has built a diverse research portfolio within

nursing and public health through her professional roles and awards, including an early career fellowship

with the National Health and Medical Research Council (NHMRC) and directorship of the World Health

Organisation Collaborating Centre (WHOCC) for Nursing, Midwifery Education and Research Capacity

Building. Caryn’s areas of research interest include disaster management, nursing education, and alcohol-

related injuries in Australian Indigenous communities which are drawn together through the theme of

resilience.

Caryn maintains a strong international reputation through her involvement with research centres,

international humanitarian projects and international mixed methods research associations.

Working extensively with Asia Pacific and Western Pacific countries A/Prof West is the current executive

committee member for the Western Pacific Region of the Global Network of World Health Organisation

Collaborating Centre for Nursing and Midwifery, and a committee member and advisor for the Asia Pacific

Emergency Disaster Nurses Network (APEDNN).

21

APEDNN Annual Conference 2019 Concurrent Sessions

Concurrent Sessions

22


No. Presenter Abstract Title

Co

ncu

rren

t S

essi

on

1

A276 Tao YI

[China] The outcomes of peer-led disaster preparedness education in comparison to

education delivered by health professionals in mobility disability adults

A325 Li YIN

[China]

Development of a disaster preparedness guideline for enterostomates in the

prevention and management of peristomal complications

A286 Rui XIA

[China] Effectiveness of disaster preparedness program for nursing students in

Chengdu, Sichuan of China: Randomized controlled trial

A285 Xiaorong MAO

[China] The disaster preparedness of emergency nurses in Sichuan, China: A cross-

sectional study

A289 Lan SHI

[China]

Formation and evaluation of the Hospital Nursing Organization Disaster

Preparedness Measurement Scale

Con

curr

ent

Ses

sion

2

A258 Ye TAO

[Japan]

The challenges nurses faced in caring vulnerable population during disaster

relief missions in Sichuan, China

A324 Chunjuan LIU

[China]

Overcoming enterostomal challenges during disasters: A triangulation study

A259 Wenjiao HUANG

[China]

Development of disaster response core knowledge and skill training course

for clinical nurse

A331 Tianzhi LIAO

[China] Outdoor survival: The core competence urgently needed by disaster nurses

A269 Ly CHANVATANAK

[Cambodia]

Developing effective emergency risk communication strategies through

network partner collaboration to reduce vulnerabilities to disasters

Co

ncu

rren

t S

essi

on

3 A282 Sheeba PAUL

[India]

Hazard identification and risk analysis (HIRA) in critical care units of

Christian Medical College, Vellore, India

A339 Xiuhua HUANG

[China]

Enterostomal surgeons perspectives on how to overcome enterostomal

challenges during disasters

A343 Somkid RUPNGAM

[Thailand]

Factors predicting the systemic inflammatory response syndrome in trauma

patients

A271 Shaohua CHEN

[China]

Social workers’ experience in organizing community fire emergency drills

after participating in ICS system training

Con

curr

ent

Ses

sio

n 4

A334 Li XIE

[China]

Stroke survivors’ and their caregivers’ earthquake experience before and

after the occurrence of a stroke

A327 Xin ZHOU

[China]

An enterostomal-friendly vest designed for disaster situations

A274 Qin HU

[Japan]

Role of resilience in the association between demographic characteristics

and prolonged grief disorder of bereaved survivors ten years after Wenchuan

earthquake

A322 Jiaoji HE

[China]

Psychological experience among uses of lower-limb prostheses from the

2008 Wenchuan earthquake

23


Concurrent Session 1

A276 The outcomes of peer-led disaster preparedness education in comparison to education delivered by health

professionals in mobility disability adults

Tao YI 1, Xuemei LUO 2, Yu ZHUO 3, & Xiaohua JIANG 4 1 School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China

2 Department of General Surgery, Mianzhu people's Hospital, Mianzhu City, Deyang, Sichuan, China 3 Department of Psychiatry, West China Hospital of Sichuan University, Chengdu, Sichuan, China

4 Department of Neurosurgery, Sichuan Provincial People's Hospital, Chengdu, Sichuan, China

AIMS To compare the effectiveness of disaster preparedness education by peers and health professionals in mobility

disability adults.

METHODS We enrolled 121 patients with mobility disability who were referred to a rehabilitation department in Mianzhu

City. We performed a two-group pretest-posttest study using a randomized control design with a wait-list

control group. In the experimental group. The disaster preparedness education was led by peer mentors. Peer

mentors are adults who have mobility disability and who share similar life situations and experiences with

targeting audiences. With extensive training prior to study, mentors led the small-group exercises, facilitated

class activities, assisted the participants during hands-on learning activities, performed in-class demonstrations,

and served as role models providing support, motivation, and encouragement to program participants. In the

control group, education was carried out by health professionals with routine education strategies. Data

collected at baseline, immediately after and 1 month after included demographic variables, knowledge, attitude

and behavior towards disaster preparedness. The teaching program consisted of four sessions. The contents

involved disaster safety knowledge, disaster preparedness plan and supplies.

RESULTS Both peer mentors and health professionals who invested in teaching equally empowered participates with better

disaster preparedness level regarding to disaster knowledge, attitude and behaviors. However, peer-led

education among mobility disability adults was more effective over the long-term with better adherence to their

acquired knowledge and skills.

CONCLUSIONS Result of this study showed that peer education can improve disaster preparedness levels in mobility disability

adults and achieve short-term outcomes. This is the first targeted and tailored disaster preparedness program for

mobility disability population involved with peer mentors. Ongoing education is crucial for individuals with

mobility impairment in order to maintain disaster preparedness level throughout a lifetime of disability.

However, due to shortage of resources, disaster preparedness knowledge and skill are usually unapproachable

to people with disability. In these cases, peer educators can be used. Besides, people with disability participating

in the design, implementation and evaluation of this study takes concerted action with the principle of inclusion.

This work will contribute to increasing awareness for policy makers and educators to pay more attention to

those vulnerable groups and reduce community vulnerability in a sustainable manner. Challenges remains in

the longer period of follow-up and larger scale of sampling.

24


A325 Development of a disaster preparedness guideline for enterostomates in the prevention and

management of peristomal complications

Li YIN 1,6, Xin ZHOU 2,6, Xiuhua HUANG 3,6, Chunjuan LIU 4,6, Shuai ZHANG 5,6 & Sunshine CHAN 7 1 Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of

Electronic Science & Technology of China, Chengdu, Sichuan, China; Radiation Oncology Key Laboratory of Sichuan Province 2 Emergency Department, Mianyang Central Hospital, Mianyang, Sichuan, China

3 Surgical Intensive Care Unit, Chengdu Children and Women Central Hospital, Chengdu, Sichuan, China 4 West China School of Nursing/West China Hospital, Sichuan University, Chengdu, Sichuan, China

5 Pediatric Intensive Care Unit, Nursing Department, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China;

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education. 6 Institute for Disaster Management and Reconstruction, Sichuan University – The Hong Kong Polytechnic University, Chengdu, Sichuan, China

7 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China

AIMS Stoma brings a variety of daily challenges to the enterostomates. Peristomal complications, may lead to pain and

increases the burden of care, are the most common and feared problems faced by the enterostomates. In a disaster

state, the enterostomates become a vulnerable population with special care needs. Good disaster preparation can

reduce the impact of disaster and improve resilience. Existing disaster preparedness guidelines fall short for the

enterostomates, so there is an urgent need to provide some guidelines for this group of people.

METHODS Through semi-structured interviews with enterostomates, personal caregivers, enterostomal therapists, and

enterologists; the self-care experience, knowledge and skills needed for enterostomal care, disaster preparedness,

and deficits were identified. Based on the interview data in combination with the most updated scientific

evidence, a set of guidelines was developed. Enterostomal therapists, enterologists, and experienced

enterostomates were invited to determine validity, practicability, and readability of the guideline.

RESULTS The disaster preparedness guideline for enterostomates (in the form of an e-book) includes six aspects:

(1) Basic information on enterostomas (types, specific characteristics);

(2) Personal adaptation (diet, showering and personal grooming, sleeping, physical activity, sports, outgoing

and travelling);

(3) Peristomal care supplies and appliances (choices, function);

(4) Peristomal care step-by-step guide (procedural information, cleansing);

(5) Identification and management of skin complications (simple self-assessment tools, problem solving);

and

(6) Emergency kit (food, water, personal hygiene, medication for own condition, emergency tools and gear,

first-aid kit, other necessary items).

CONCLUSIONS The disaster preparedness guideline provides practical instructions for the enterostomates to perform appropriate

care in maintaining peristomal skin integrity in the event of disasters as well as under normal circumstances.

The contents of the guide is written in simple language interspersed with diagrams to aid understanding. The

validity and practicability were determined by enterostomal therapists and enterologists, and the relevancy and

readability were determined by experienced enterostomates.

25


A286 Effectiveness of disaster preparedness program for nursing students in Chengdu, Sichuan of China:

Randomized controlled trial

Rui XIA 1, Bingbing CHAN 2, Qiu JIN 3, Zipeng ZHANG 4, Fang ZHANG 5 & Sijian LI 6 1 Chengdu Second People's Hospital, China

2 The First Hospital of Quanzhou, China 3 West China Hospital of Sichuan University, China

4 Chengdu Fourth People's Hospital, China 5 Wuhan Union Hospital, China


AIMS 1) To develop a disaster preparedness program to improve knowledge, attitude and skill of disaster

preparedness; and 2) To evaluate the effectiveness of the program.

METHODS This investigation used an experimental study design with pretest-posttest comparison study. Sixty-three

nursing students were randomly assigned into the intervention (n=31) and control group (n=32). The

intervention group received a seven-hour program. The outcomes were measured by using structured self-

reported questionnaire covering knowledge, attitude and skill of disaster basic, triage and family preparedness

planning. The data were collected at pre-intervention (T0) and post-intervention (T1). Qualitative data were

collected using three focus-group interviews at T1 and analyzed by using qualitative content analysis.

RESULTS Compared with the control group, the knowledge and skills of the disaster basic, triage and family preparedness

planning improved significantly in the post-test. The information obtained from focus group interviews showed:

1) increasing the awareness of disaster risk; 2) stimulated their eagerness of learning more about disaster

knowledge and the consciousness in disaster triage skills. Participants also expressed that the training methods

were new, especially using disaster scenario, group discussion and competition, and the interactive teaching

method which could stimulate their self-directed and peer learning.

CONCLUSIONS This study demonstrated that a disaster preparedness program improved knowledge and skills of disaster basic,

triage and family preparedness planning among nursing students. The findings could serve a basis for further

development of disaster preparedness programs for nurse educators, hospital administrators and researchers in

supporting nursing students as well nurses to be sufficiently prepared for disaster response and recovery.

A285 The disaster preparedness of emergency nurses in Sichuan china: A cross-sectional study

Xiaorong MAO 1,2,3, Feng TIAN 1, Xia ZENG 1, Huarong PU 1, Xiuying HU 2 & Alice Yuen LOKE 3 1 Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital

2 School of Nursing/ Institute for Disaster Management and Reconstruction, Sichuan University 3 School of Nursing, The Hong Kong Polytechnic University

AIMS The increasing frequency of disasters in Sichuan requires healthcare professional to prepare to respond to

disasters to mitigate the negative consequences of the disastrous event on the affected people. Disaster

preparedness play an important role in disaster risk reduction. The purpose of this study is to investigate the

disaster preparedness among emergency nurses in Sichuan, China and its influence factors.

METHODS This is a cross sectional study that was conducted using internet survey trough snowball sampling among

emergency nurses in Sichuan China. The measurements used in this study were demographic information,

Chinese version disaster preparedness evaluation tool.

RESULTS A total of 621 emergency nurses participated in this study. The total score in disaster preparedness for

emergency nurses was (188.79±35.02), which was at a medium level. The score of disaster knowledge was

(57.70±11.72), the score of disaster management was (90.45±19.96), the score of disaster technology was

(45.04±11.84). Multi-regression analysis showed that the position, number of night duty shift, income, marriage

status, experience of disaster rescue, and disaster training were the influencing factors of disaster preparedness

among emergency nurses.

CONCLUSIONS The disaster preparedness of emergency nurses is at the middle level. It is necessary to provide tailored disaster

nursing education and training for emergency nurses to improve the level of disaster preparedness and to

increase their abilities to respond disaster effectively.

26


A289 Formation and evaluation of the Hospital Nursing Organization Disaster Preparedness Measurement

Scale

Lan SHI 1, Mingxuan LI 2, Xiaofeng XU 3, Zhengdong WANG 4 1 Medical Intensive Care Unit, Fujian Provincial Hospital, Fuzhou, China

2 Emergency Department, West China Second University Hospital, Chengdu, China 3 Operating Room, West China Second University Hospital, Chengdu, China

4 Neonatology Department, West China Second University Hospital, Chengdu, China

AIMS To translate and revise the organizational disaster preparedness measurement scale, and to test its reliability and

validity.

METHODS The Chinese version of the Hospital Nursing Organization Disaster Preparedness Measurement Scale

(HNODPMS) was developed through translation, back translation, and culturally debugging. A total of 2,657

nurses from 50 nursing organizations of tertiary hospitals in seven administrative regions of China were

investigated to check the reliability and validity of the scale.

RESULTS The corrected HNODPMS consists of five dimensions, for a total of 72 entries. The KMO test value was 0.949,

and Bartlett’s spherical approximation chi-square was 90922.34, with a significant p=0.000. The exploratory

factor analysis generates five factors with a cumulative variance contribution rate of 61.132%, and the factor

load of each item is greater than or equal to 0.4. The results of confirmatory factor analysis showed that the chi-

square degree of freedom ratio (χ2/df)=1.782, the relative goodness of fit index (CFI)=0.982, the absolute

goodness of fit index (GFI)=0.919, the value-added fitting index (IFI)=0.982, normalized fitting index

(NFI)=0.959, Tucker-Lewis index (TLI)=0.979, approximate error root mean square (RMSEA)=0.024,

indicating that the observation index fits well with the five-factor theoretical models, and the HNODPMS had

good structural validity. The Cronbach’s α coefficient of the total scale was 0.930, and the content validity score

was 0.960.

CONCLUSIONS The corrected HNODPMS has good reliability and validity, which can provide an effective evaluation tool for

nursing peers to carry out future research on disaster preparedness.

27



A258 The challenges nurses faced in caring vulnerable population during disaster relief missions in Sichuan,

China

Ye TAO 1, Jianna ZHANG 2 & Sonoe MASHINO 3 1 Graduate School of Nursing Art and Science, University of Hyogo, Japan

2 Emergency Department, West China Hospital of Sichuan University, China 3 The Research Institute of Nursing Care for People and Community, University of Hyogo, Japan

AIMS This study aimed to identify the challenges of caring vulnerable population through interpreting disaster relief

experiences of Chinese nurses.

METHODS This is a collaborative study between China and Japan. Qualitative research method with focus group interview

and individual semi-structured interview was used in this study. The study results were analyzed based on Braun

& Clarke’s thematic analysis method.

RESULTS The findings described the themes arising from 13 Chinese nurses who worked in six different domestic disaster

relief missions. Three major themes, 10 categories, 22 subcategories and 47 codes were identified. The three

themes were challenges in the capacity of individual nurses, challenges in emergency response system and

challenges on unpreparedness of vulnerable population. Ten categories were extracted from the narratives of

participants: unawareness of vulnerable population; caring people with different culture; providing mental

health care for vulnerable population; non-proficiency in special nursing skills to care vulnerable population;

emergency response system lacking attention to vulnerable population; providing caring under chaotic on-site

command system; preparing dispatch with insufficient information about affected vulnerable population; lack

of resources to care vulnerable population; lack of coordination in follow-up onsite treatment for vulnerable

population; and caring unprepared vulnerable population.

CONCLUSIONS This study revealed that the vulnerable population needed special attention even in the acute phase of a disaster.

The study results suggested that nurses needed to equip more nursing capacity other than emergency skills such

as transcultural nursing skill, mental healthcare skill, and other special nursing skills to care a variety of

vulnerable population during disaster relief missions. In future disaster nursing training, the nursing capacity to

care vulnerable population should be emphasized. What is more, it is necessary for Chinese emergency response

system to pay more attention to the vulnerable population in disaster.

A324 Overcoming enterostomal challenges during disasters: A triangulation study

Chunjuan LIU 1,2, Xin ZHOU 3,2, Xiuhua HUANG 4,2, Li YIN 5,2, Shuai ZHANG 6,2 & Sunshine CHAN 7 1 West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China

2 Institute for Disaster Management and Reconstruction, Sichuan University – The Hong Kong Polytechnic University, China 3 Emergency Department, Mianyang Central Hospital, Mianyang, Sichuan, China

4 Surgical Intensive Care Unit, Chengdu Children and Women Central Hospital, Chengdu, Sichuan, China 5 Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of

Electronic Science & Technology of China, Chengdu, Sichuan, China; Radiation Oncology Key Laboratory of Sichuan Province 6 Pediatric Intensive Care Unit, Nursing Department, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education 7 School of Nursing, The Hong Kong Polytechnic University, Hong Kong, SAR, China

AIMS To explore factors leading to peristomal skin complications during disaster situations and to identify effective strategies to

reduce and manage peristomal skin complications with an aim to overcome the challenges faced by enterostomates during

disasters and emergency situations. METHODS Triangulation was used as a method of inquiry. Semi-structured interviews were conducted among 11 patients with

enterostomy, five caregivers, five enterostomal therapists, and seven enterologists. Data were transcribed verbatim and

analyzed by qualitative content analysis. RESULTS Findings indicated that the following conditions contribute to an increased risk of peristomal complications, especially in the

event of disasters: (1) Personal factors such as obesity, skin diseases, immune-suppression, etc; (2) Type of ostomy, high level

colostomy and ileostomy are more likely to cause peristomal skin problems compared to low level colostomy; (3) Knowledge

deficit leading to self-management insufficiency and lack of motivation or ability to take care of the stoma; (4) Lack of disaster

preparedness resulting lack of appliances and accessories for cleansing and pouching. These factors may have negative effects

on the physical, psychological, and social wellbeing for the enterostomates, in turn, creating a higher risk for peristomal

complications. CONCLUSIONS In order to reduce the risk, specific measures must be undertaken to improve the capacity of enterostomates. These include

reducing personal factors like weight management and taking appropriate actions to treat the underlying medical conditions;

systematic education to improve knowledge and skills (how to choose and use ostomy products, stoma care skills, identification

of skin problems in the early stage); enterostomates are also encouraged to make a plan, get a disaster skincare kit, and be

informed. It is believed that these strategies will help enterostomates to reduce the risk of peristomal complications.

28


A259 Development of disaster response core knowledge and skill training course for clinical nurse

Wenjiao HUANG 1, Linqian LI 2 & Xianqiong FENG 3 1 Department of Pediatric, West China Hospital of Sichuan University, China

2 Department of Integrated TCM and Western Medicine, West China Hospital of Sichuan University, China 3 School of Nursing, Sichuan University, China

AIMS To develop disaster response core knowledge and skill training course for clinical nurse.

METHODS Based on M. E. Mullins’ six-step approach curriculum development for medical education (problem

identification, needs assessment, provision of goals and objectives, designing of educational strategies,

implementation, and evaluation), a disaster response core knowledge and skill training course for clinical nurses

was developed by the Department of Nursing, West China Hospital. The course has trained 46 nurses selected

from different hospitals in China. The training course was in the Laboratory of Disaster Nursing, Sichuan

University – Hong Kong Polytechnic University Institute for Disaster Management and Reconstruction (IDMR)

for 3days. The general disaster response capacity score, and scores of knowledge, attitude, self-efficacy, and

behavioral desire were evaluated before training, immediately after training, and 6 months after training by

questionnaire survey.

RESULTS There were 20 males and 26 females included in this course, aged 32.83±6.173 (20~55), 73.3% with bachelor

degree, 43.5% with junior professional title, and 47.8% with intermediate title, 26.1% with experience of

disaster relief, and 32.6% having received relevant training. The evaluation survey showed that the general

disaster response capacity score, and scores of knowledge immediately after training were both significantly

higher than those before training (both P<0.05), however, the general disaster response capacity score, and

scores of knowledge 6 month later were both lower than those immediately after training, but still significantly

higher than those before training (both P<0.05).The investigation of the trainees’ feedback showed that they

liked and needed such training.

CONCLUSIONS The results indicated that planned and systematic disaster response training improves the development of

disaster nursing.

A331 Outdoor survival: The core competence urgently needed by disaster nurses

Tianzhi LIAO & Lin LAN

Neurology, Chengdu Second People’s Hospital

AIMS The core competence by disaster nurses plays a significant role in prevention, preparedness, response and

reconstruction in four aspects of disaster management. At present, China's focus on disaster relief is changing,

the response is still an important part of disaster management. This article intends to discuss the survivability

of outdoor disaster nurses.

METHODS Due to the special type of disaster nurse population and difficulty in sampling objectively, the method of

convenient sampling was adopted to take the observation of 2015 & 2017 grade disaster nursing students of

The Hong Kong Polytechnic University. All the participants participated in the simulated field survival training

organized by Outdoor Sports Institute, Sichuan University. They observed and recorded the completion of such

subjects as hiking, weight-bearing, cable landing, orientation, jungle crossing, camping, field foraging,

drowning, and camping etc.

RESULTS All the trainees successfully completed all subjects and gained valuable outdoor experience

CONCLUSIONS The survivability of outdoor disaster nurses is core competence, it could be improved though education and

training programs which enhance their disaster preparedness and response.

29


A269 Developing effective emergency risk communication strategies through network partner collaboration to

reduce vulnerabilities to disasters

Ly CHANVATANAK 1, Patricia CHING 2, Danny TONG 3 & Peggy OR 4 1 Clinical Practices & Skills and Simulation Unit, University of Health Sciences, Kingdom of Cambodia, Cambodia

2 World Health Organization Collaboration Centre for Infectious Disease Epidemiology and Control,

School of Public Health, The University of Hong Kong, Hong Kong 3 Nursing Services Department, Hospital Authority, Hong Kong

4 Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong

AIMS To provide effective simulation training strategies through network partner collaboration to enhance emergency

risk communication to reduce vulnerabilities to disasters.

METHODS An exploratory research design. To develop effective simulation training strategies through the creation of case

scenarios between faculty members from Hong Kong and Cambodia. A series of meetings (face to face and/or

Teleconference) will be held to identify the emergency risks of communication at the occurrence of disasters at

both the regional and country levels. Case scenarios will be derived according to the selected priority and to

encourage nurses to bridge the gap between current knowledge and clinical application. Guidelines on proper

and standard steps for communication and response to any types of disasters will be developed through partner

collaboration to reduce disaster vulnerabilities.

RESULTS Case scenarios will be developed based on the partner collaboration between Hong Kong and Cambodia.

Guidelines on proper response to any types of disasters will be developed through simulation training by

experienced educators and nurses who understand the complexity of nursing practice and the challenges of

teaching and learning.

CONCLUSIONS We can disseminate the collaborative experience with network partners on the reduction of disaster

vulnerabilities, and build safe and resilient communities in Asia Pacific to sustain their development.

30



A282 Hazard identification and risk analysis (HIRA) in critical care units of Christian Medical College,

Vellore, India

Sheeba PAUL & Jeyalinda DURAIRAJ College of Nursing, Christian Medical College, Vellore, India

AIMS 1. To identify and assess the Hazard vulnerability and risk related to disaster in critical care units.

2. To determine the control measures to eliminate or minimize the risk of disaster in critical care units.

METHODS A descriptive research design will be undertaken to meet the study objectives. HIRA will be assessed in 15 critical

care units including emergency department using Hazard Vulnerability Analysis (HVA) tool developed by Kaiser

Permanente. HVA has the following events like

Natural hazards

Technological hazard

Human hazard and

Hazardous material

The risk of hazards equals product of probability & severity. The severity will be calculated from the difference

between magnitude and mitigation. The cumulative index will provide hazard vulnerability score.

RESULTS The findings will be presented in great detail in the conference.

CONCLUSIONS Identification of hazard and the risk assessment in critical care units will enhance patient safety and hospital safety

through emergency response plan. HIRA will be able to offer the best to greater number of people enabling health

care facilities to identify and reduce the potential hazards.

A339 Enterostomal surgeons perspectives on how to overcome enterostomal challenges during disasters

Xiuhua HUANG 1,6, Shuai ZHANG 2,6, Chunjuan LIU 3,6, Xin ZHOU 4,6, Li YIN 5,6 & Sunshine CHAN 7 1 Surgical Intensive Care Unit, Chengdu Children and Women Central Hospital, Chengdu, Sichuan, China

2 Pediatric Intensive Care Unit, Nursing Department, West China Second University Hospital of Sichuan University,

Chengdu, Sichuan, China; Key Laboratory of Birth Defects and

Related Diseases of Women and Children (Sichuan University), Ministry of Education 3 West China School of Nursing, West China Hospital, Chengdu, Sichuan, China

4 Emergency Department, Mianyang Central Hospital, Mianyang, Sichuan, China 5 Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science & Technology of

China, Chengdu, Sichuan, China; Radiation Oncology Key Laboratory of Sichuan Province 6 Institute for Disaster Management and Reconstruction, Sichuan University – The Hong Kong Polytechnic University, Chengdu, Sichuan, China


AIMS Peristomal complications may be contributed by factors related to the enterostomates, enterostomal therapists, and

enterostomal surgeons. Existing studies primarily focus on the enterostomates and different types of appliances.

Perspectives from surgeons may provide important insight on the prevention of such problems, especially in the event

of disaster.

METHODS In this study, seven experienced enterostomal surgeons were invited to discuss what challenges exist and how these

problems can be solved. Interview data were transcribed verbatim and analyzed by qualitative content analysis.

RESULTS Data from these seven enterostomal surgeons indicated that challenges could be categorized into four main aspects:

1. As the creation of ostomy is not a life-threatening operation, this type of surgery is not given priority, resulting

in siting is not done, attention is not given to peristomal skin condition, omission from the disaster preparedness

plan.

2. Surgeons who perform the surgery may be not proficient in the operation, resulting in knowledge and skills

deficit both intraoperatively and postoperatively.

3. Surgeons are not proactive in providing just-in-time health education to, and communicate with, the

enterostomates.

4. Surgeons consider that ostomy care are not within their professional boundary. They rely on enterostomal

therapists, junior nurses, and enterostomal specialist to deal with any stoma issues.

These enterostomal surgeons opined that surgeons should ask more, bear more responsibility, collaborate with the

healthcare team, and clinical training and rotation be developed to increase their capacity to properly take care of

these people both under normal circumstances and in the event of disaster.

CONCLUSIONS Not given priority, not proficient, not proactive, and not within their professional boundary have been identified by

enterostomal surgeons as challenges in the current healthcare system and strategies are proposed to solve these

problems.

31


A271 Social workers' experience in organizing community fire emergency drills after participating in ICS

system training

Shaohua CHEN 1, Sijian LI 2 & Rui XIA 3 1 School of Nursing, Capital Medical University, Beijing, China

2 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China 3 Hematology Department, Chengdu Second People’s Hospital of Sichuan Province, China

AIMS To explore social workers' personal experience in organizing community fire emergency drills after

participating in ICS system training.

METHODS A descriptive qualitative approach was adopted. Twenty-three social works completed this study. Qualitative

data were collected using two focus-group interviews with a semi-structured question guide. Qualitative content

analysis was applied.

RESULTS In order to explain the process of mastering ICS system knowledge, a model that included 3 categories was

developed, advanced synthesis emerged as the key category. From participating in ICS knowledge training to

organizing emergency drills, social workers' understanding of ICS knowledge has changed from generalization

to differentiation, and finally to advanced integration. The mastering process included three process: knowledge

acquisition, knowledge transfer, and knowledge evaluation. During the emergency drill, the social workers

experienced self-confidence before, the chaos in the early stage, the calm in the later stage and the sublimation

after the drill.

CONCLUSIONS This study illustrated the importance of understanding social workers' experience in organizing community fire

emergency drills after participating in ICS system training. Training and emergency drills of ICS knowledge

for social workers can improve their ability to respond to emergencies. Government agencies should provide

more learning opportunities for social workers as much as possible.

A343 Factors predicting the systemic inflammatory response syndrome in trauma patients

Somkid RUPNGAM 1, Suporn DANAIDUTSADEEKUL 1, Orapan THOSINGHA 1 & Jatuporn SIRIKUN 2 1 Faculty of Nursing, Mahidol University, Thailand

2 Faculty of Medicine, Mahidol University, Thailand

AIMS This research aimed to study the predictive power of age, comorbidity, substance use, modified early warning

score (MEWS) on systemic inflammatory response syndrome (SIRS).

METHODS The sample was 147 hospitalized trauma patients within 24 – 72 hours after injury. The instruments consisted

of demographic and clinical data, comorbidity, substance use, MEWS and SIRS score. Data analysis was

performed by using the binary logistic regression. The level of significance was .05

RESULTS The majority of participants were male (68.7%). The average of age was 46.95 year (SD = 19.59). The

participants who had comorbidity was 36.7%, most of them were hypertensive (18.4%). The participants with

substance use was 57.1%, nearly half of substance use was alcohol (47.6%). Most of MEWS was mild (79.6%).

The SIRS was found 55.1% and majority of SIRS was mild (42.9%). The result showed that age, substance use,

and MEWS could significantly predict 31% (Nagelkerke R2 = .31, p <.05) of SIRS in hospitalized trauma

patients whereas comorbidity could not predict SIRS.

CONCLUSIONS Nurse should assess SIRS as high risk for trauma patients with older adults and substance use. Furthermore, the

patients with moderate to severe MEWS in emergency department could be early detected SIRS in hospitalized

trauma patients in order to reduce complication and proper management.

32



A334 Stroke survivors’ and their caregivers’ earthquake experience before and after the occurrence of a stroke

Li XIE 1,2, Shenghua ZHANG 1,3, Xianyan YIN 1,4, Lan WANG 1,3, Bin ZENG 1,5 & Sijian LI 6 1 Institute for Disaster Management and Reconstruction, Sichuan University-The Hong Kong Polytechnic University, China

2 ChengDu Women's and Children's Central Hospital, China 3 West China Second University Hospital, China

4 Ya'an Polytechnic College, China 5 Sichuan Provincial People's Hospital, China


AIMS To explore stroke survivors’ and their caregivers’ earthquake experience before and after the occurrence of a stroke

METHODS The descriptive qualitative research was guided by naturalistic paradigm. One hundred and forty-three patients

discharged from a comprehensive hospital in Sichuan were invited by telephone follow-up. In addition, 19 families

with stroke patients agreed to participate in this study. Of those, 19 stroke survivors and 17 caregivers who finished

the interviews at their home settings. Data were collected using a semi-structured question guide and analyzed by

using qualitative data analysis.

RESULTS Five themes emerged from the data. They were (1) previous earthquake experiences; (2) changes in activities of daily

living after a stroke; (3) risk perception in responding to an earthquake; (4) changes in living environment at home;

and (5) external surroundings in the community/society.

CONCLUSIONS The findings were important for nurses to better understand stroke survivors’ and their caregivers’ earthquake

experience before and after the occurrence of a stroke. Previous earthquake experience is especially important for

them to recognize their special needs after a stroke not only at home settings, but also in an external environment.

Balancing the risk and actual ability following a stroke is critical which may help them to cope with an earthquake

situation before it strikes. The challenge is how to enable stroke survivors and their family caregivers to be well

prepared before a disaster, and able to ensure their safety during an earthquake, and to manage their health

conditions after an earthquake.

33


A327 An enterostomal-friendly vest designed for disaster situations

Xin ZHOU 1,2, Shuai ZHANG 3,2, Xiuhua HUANG 4,2, Li YIN 5,2, Chunjuan LIU 6,2 & Sunshine CHAN 7

1 Emergency Department, Mianyang Central Hospital, Mianyang, Sichuan, China 2 Institute for Disaster Management and Reconstruction, Sichuan University –The Hong Kong Polytechnic University, China

3 Pediatric Intensive Care Unit, Nursing Department, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education. 4 Surgical Intensive Care Unit, Chengdu Children and Women Central Hospital, Chengdu, Sichuan, China

5 Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of

Electronic Science & Technology of China, Chengdu, Sichuan, China; Radiation Oncology Key Laboratory of Sichuan Province 6 West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China


AIMS People with chronic illnesses and disability have to address their own health needs in their normal everyday

life. These health needs may pose specific challenges for them during disaster situations. Through an in-depth

interview of 11 individuals with a stoma in Sichuan, they expressed that they were afraid of leakage which

might lead to peristomal skin complications. Besides, they were concerned about the pouching security during

evacuation as well as privacy space during pouch changes. At present, no suitable device is available in the

market. An enterostomal-friendly vest is therefore designed to address all these needs.

METHODS This newly designed enterostomal-friendly vest includes four important functions: 1. In the standby mode, there

are four pockets in the front. The appliances can be placed in a predetermined pocket (Appliances and

Accessories: adhesive remover, adhesive system, deodorant, hand-rub, mirror, scissors, stoma bags, thin plastic

bag for waste; Barrier: Hydrocol, moldable rings, ostomy paste & powder; Cleansing: cotton wool, small cup,

wet tissues; Drugs. These pockets provide hints for the enterostomates not to forget about things that they need

for pouching change; 2. On the inner side, a belt is designed to provide support for the pouching bag to reduce

the risk of leakage. 3. The vest can further be unfolded to form a private space for peristomal skin care when

no toilet facility is available during a disaster. 4. As the vest is made of water-proof material, it can also be used

as a poncho on rainy days to maintain the integrity of the peristomal skin.

RESULTS

CONCLUSIONS In order to enhance enterostomates to bring their own supportive appliances and accessories to manage their

stomas and to maintain skin integrity during a disaster, a multi-functional enterostomal-friendly vest is designed

to address these needs and concerns.

34


A274 Role of resilience in the association between demographic characteristics and prolonged grief disorder of

bereaved survivors ten years after Wenchuan earthquake

Qin HU 1 & Maki UMEDA 2 1 College of Nursing Art and Science, University of Hyogo, Japan

2 Research Institute of Nursing Care for People and Community, University of Hyogo, Japan

AIMS This study aims to examine the prevalence of prolonged grief disorder of bereaved survivors ten years after the

Wenchuan earthquake, and to exam the associations among demographics, prolonged grief disorder (PGD) and

resilience.

METHODS A cross-sectional study had conducted in two harder-hit areas of Wenchuan earthquake. Prolonged Grief

Disorder Questionnaire (PG-13) and the Resilience Scale-14 (RS-14) were measured for a total of 213 bereaved

survivors. ANOVA and Pearson regressions were used to assess the associations among demographics, PGD

and resilience. Multivariable linear regression and Bootstrap tested the mediation effect of resilience on the

associations between demographics and PGD.

RESULTS Twenty-two (10.3%) bereaved survivors met the criteria of PGD. Female, lower educated, lower monthly

income, loss of child, house completely damaged had higher score of PGD. The mediating effect of resilience

was statistically significant in the association of the following demographic variables: for monthly income (β=-

1.30) & ethnicity (β=-2.79). Direct effect of monthly income was also significant independent of the mediating

effect: higher income was positively associated with PGD (β=1.53). Resilience also had a significant mediating

effect on the association with the loss of child (β=3.26), while direct effect of loss of child (β=4.89) remained

significant.

CONCLUSIONS This study revealed the bereaved survivors were still grieving ten years post loss after the Wenchuan earthquake.

It highlights the importance of having long-term psychological care for the bereaved survivors in Wenchuan

area, and called for special attention on Han nationality, people with higher income and those who have loss a

child among the bereaved. This research provided valuable information for early observation of PGD in nursing

practice. Further programs on enhancing resilience to reduce PGD, can also be performed based on the findings

of this research.

A322 Psychological experience among users of lower-limb prostheses from the 2008 Wenchuan earthquake

Jiaoji HE 1, Xiuxia LIN 2, Yalin TIAN 1, Yu, AI 3, Xinyue HUANG 4, Sijian LI 5 1 West China Second University Hospital, China.

2 Fujian Provincial Hospital, China. 3 The Third Hospital of Mianyang City of Sichuan Province, China.

4 Sichuan Provincial People’s Hospital, China. 5 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China

AIMS To explore psychological experience and coping strategies among users of lower-limb prostheses in the process

of 10 years following 2008 Wenchuan earthquake.

METHODS A qualitative descriptive investigation was conducted between September 2018 and June 2019. Fifty-seven

individuals who were using lower limb prosthetics were invited and 22 were willing to participate. Qualitative

data were collected using semi-structured interview guide. Data were analyzed by using qualitative content

analysis.

RESULTS Five major themes were emergent from the initial stage of the recovery to the present. 1) Fears of an earthquake;

2) Sadness from losing loved ones and their experience of the earthquake or amputation; 3) Worries of the

future and becoming a burden; 4) Body image anxiety and discomfort; and 5) Hurt by the limitation of life.

Among these psychological experience, body image anxiety and discomfort were the toughest part for them to

deal with. Both family / social and government support over time could become a positive motive to help them

enhance confidence to overcome negative feelings such as fears, sadness, worries or anxiety.

CONCLUSIONS These findings highlighted the users’ long-term psychological rehabilitation and social support needs in

adapting to their new lives at home and community settings. Public education on disability and psychosocial

interactions should be part of the overall rehabilitation process for long-term post-disaster recovery. Increased

efforts need to be made to provide resources to give emotional and psychological support to individuals with

amputation follow an earthquake.

35

APEDNN Annual Conference 2019 Poster Presentations

Poster Presentations

36


No. Presenter Abstract Title

A262 Stanley KK LAM

[Hong Kong SAR]

Characteristics of an emerging infectious disease situation that influence emergency

nurses’ risk appraisal: A qualitative descriptive study

A264 Xiuxia LIN

[China]

Physical and environmental hurdles for persons with lower limb prosthesis

following the 2008 Wenchuan earthquake

A265 Lifen ZHANG

[China]

Discussion on the mode of disaster nursing care training and management for

emergency response team in general hospital

A273 Maria SY HUNG

[Hong Kong SAR]

Who will show up? Nursing students’ knowledge, perceived ability, and willingness

in responding to disaster

A277 Hiroko OKUDA

[Japan]

Roles and competencies required of Public Health Nurses (PHNs) for collaborative

activities with external supporters during times of disaster in Japan

A279 Yingfang HUO

[China]

The nurses' care coordination competency for mechanically ventilated patients in

emergency and intensive care units in Guangzhou, China

A287 Terry NGIRMANG

[Palau]

The gaps in rural Palau disaster preparedness

A292 Jing LI

[China]

Recovery experiences of nurses in severely damaged regions after the 2008

Wenchuan earthquake

A297 Zhengdong WANG

[China]

Study on the differences of disaster preparedness between nursing managers and

general nurses in China's tertiary hospitals

A317 Xianyan YIN

[China]

Exploring the impact of earthquake experience and physical mobility of stroke

survivors and caregivers on earthquake escape choices

A323 Xin ZHOU

[China]

The development of a hospital - individual and family - community disaster

preparedness education model for the enterostomates

37


Poster Presentation

A262 Characteristics of an emerging infectious disease situation that influence emergency nurses’ risk

appraisal: A qualitative descriptive study

Stanley KK LAM 1, Enid WY KWONG 2, Maria SY HUNG 1, Samantha MC PANG 2 & WT CHIEN 3 1 School of Nursing, Tung Wah College, Hong Kong

2 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China 3 The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong

AIMS Emerging infectious diseases are considered as a pressing challenge to global public health. Throughout public health

response to emerging infectious diseases, emergency nurses serve a vital role in minimizing the risk of disease

transmission among patients, staff, visitors, and communities. However, their practices and performances are

oftentimes reported to be inconsistent during different epidemic events, hindering their contributions to public health

preparedness and response. The present study aimed at exploring the characteristics of an emerging infectious disease

situation that are influential to emergency nurses’ risk perceptions.

METHODS The present study used a qualitative descriptive approach. A purposive sampling method was employed to recruit

emergency nurses who worked in public hospitals in Hong Kong. Semi-structured interviews were conducted to 26

emergency nurses to explore their experiences and perceptions of the perceived risk from emerging infectious

diseases. The data were interpreted using a thematic analysis strategy.

RESULTS Five overarching theme regarding characteristics of an emerging infectious disease situation that influence emergency

nurses’ risk appraisal emerged from the data: (1) the novelty of an emerging infectious disease, (2) the severity of an

emerging infectious disease, (3) the proximity to an emerging infectious disease, (4) the complexity of an emerging

infectious disease situation, and (5) the response levels towards an emerging infectious disease situation. The findings

suggest that there is an absence of a consensual categorization system for emerging infectious disease outbreaks,

which has resulted in uncertainty and discrepancies in assessing the risk and seriousness of non-influenza outbreaks.

CONCLUSIONS The findings have delineated the several factors that might contribute to emergency nurses’ attitudes and practices in

the course of an emerging infectious disease event. It is anticipated that the information may help to predict the

attitudes and behaviors of emergency nurses in future impending epidemic events, enhancing emergency nurses’

preparedness towards in such situations.

A264 Physical and environmental hurdles for persons with lower limb prosthesis following the 2008 Wenchuan

earthquake

Xiuxia LIN 1, Yu, AI 2, Xinyue HUANG 3, Yalin TIAN 4, Jiaoji HE 4 & Sijian LI 5 1 Fujian Provincial Hospital, China

2 The Third Hospital of Mianyang City of Sichuan Province, China 3 Sichuan Provincial People’s Hospital, China

4 West China Second University Hospital, China 5 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China

AIMS To explore physical and environmental hurdles for individuals with lower limb prosthesis caused by 2008 Wenchuan

earthquake.

METHODS A qualitative descriptive investigation was conducted between September 2018 and June 2019. Fifty-seven

prosthetics were invited from an outpatient department who received regular physical check-up. Of those, twenty-

two were willing to take part in this study. Data were collected using semi-structured interview guide and analyzed

by utilizing qualitative content analysis.

RESULTS There were three major themes identified from the initial stage of the recovery to the present. They were: (1) physical

discomforts when wearing prosthetic especially during the summer (i.e., feeling hot and perspire profusely on stump

site, eczema/rash itching) and the winter (i.e., more pain in rainy/foggy/cold days, cold skin no perception/frostbite);

(2) limitation in outdoor activities (i.e., the road going up and down, rough or irregular, pedestrians slippery or

watery); (3) no special disabled facility at the airport and access in public transportation.

CONCLUSIONS The findings were important for health care professionals, especially nurses to understand barriers and limitations for

persons with prosthesis. It is significant to note that nurses should play an important role in assisting people with

disability to reduce physical discomforts through health education. Policy-makers and community leaders should

modify community environment and public facility so as to decrease hurdles and assist people with disability moving

and travelling around outside safely and smoothly with dignity.

38


A265 Discussion on the mode of disaster nursing care training and management for emergency response team

in general hospital

Lifen ZHANG

The Second Affiliated Hospital of Kunming Medical University

AIMS To explore the mode of disaster nursing care training and management for emergency response team in general

hospital and make preparation for responding to the emergency.

METHODS To set up a disaster nursing care emergency response team consisting of 54 registered nurses from all clinical

departments of the hospital and rotated every 3 years. Detailed disaster nursing care training programs were

developed and had been completed 12 times, 3 of which were emergency drills or practical operation, as planned

in the past 3 years. Information was sorted and analyzed after interviewing with the nurses participating in the

programs since the three-year training was end.

RESULTS Three themes were summarized as follows: (1) The necessity of setting up emergency response teams in the

hospital; (2) Improvement in the knowledge of disaster nursing care; (3) Recommendation on increasing the

frequency of practical operations and emergency drills.

CONCLUSIONS Setting up disaster nursing care emergency response teams in the hospital and conducting standardized

management and training will help improve the nurses' ability of disaster nursing care. This model is worth

learning from, but the content and methods of training remain to be improved continuously in the next training.

A273 Who will show up? Nursing students’ knowledge, perceived ability, and willingness in responding to

disaster

Maria SY HUNG, Stanley KK LAM & Meyrick CM CHOW

School of Nursing, Tung Wah College, Hong Kong

AIMS The healthcare professionals’ capacity and obligation to provide services in a disaster are the indispensable

elements in disaster management. Effective disaster training could enhance nursing competence and other

attributes in handling public health emergencies and disasters. The study aimed to evaluate the effectiveness of

disaster education among undergraduate nursing students.

METHODS This study adopted a single group, pre, and post-test research design. Students who were 1) aged 18 or above,

2) studying a disaster and trauma nursing course of undergraduate nursing programs in a large tertiary institution

were recruited. The self-completed questionnaire about knowledge, willingness, and ability in disaster

management with open-ended questions for 3 major concerns that would influence participants’ willingness &

perceived ability was used. The reliability for the measurements is satisfied: Perceived ability pre and post-

course α= 0.89; Willingness pre and post-course α=0.79.

RESULTS Totally 157 students with 82.2% of female and 17.8% of male participated in the study. Most of them aged 21-

23. Paired sample t-tests were used to compare disaster knowledge, willingness, and perceived ability before

and after the training course. Positive significant results were found in disaster knowledge (t(149) = -8.25,

p<.01, d = -0.93) and perceived ability (t(156) = -7.95, p<.01, d = -0.90). In details, the perceived ability has a

significant increase for each item, which effect sizes range from -0.52 to -0.87. However, there is no significant

improvement in willingness. Their major concerns were personal risk perceptions; the nature, location, and

proximity of different disasters; and adequacy of organizational support.

CONCLUSIONS Incorporation of disaster training into the tertiary education curricula and essential components of basic training

for nursing professionals could be a long-term strategy to expand the number and preparation of healthcare

professionals for future disasters. Government or healthcare organizations should provide strategies and

adequate support to allay their concerns.

39


A277 Roles and competencies required of public health nurses (PHNs) for collaborative activities with external supporters

during times of disaster in japan

Hiroko OKUDA 1, Misako MIYAZAKI 2, Sanae HARUYAMA 3, Mai ISHIKAWA 4,

Naoko Uemura 5, Yoshiharu Kim 6 & Yasuhiro Kanatani 7 1 National Institute of Public Health, Japan

2 Chiba University Graduate School of Nursing, Japan 3 Jichi Medical University, Japan

4 Gunma University, Japan 5 Tokyo Kasei University, Japan

6 National Center of Neurology and Psychiatry, Japan 7 Tokai University, Japan

AIMS The purpose of this study was to clarify the roles and the competencies required of PHNs for collaborative activities with

external supporters at times of disaster.

METHODS We conducted a Delphi survey of 500 PHNs belonging to 16 municipalities. The questionnaire was based on a literature

review and PHNs with experience in disaster support were interviewed.

RESULTS Responses were obtained from 238 PHNs in Round 1, 175 PHNs in Round 2, and 132 PHNs in Round 3. The following are

considered as very important competencies for PHNs: 1) In the acute phase, “To clarify the need for support and human

resources for the needy; and then you can report to the leader” (90.9％); “To clarify the request to the external supporters,

make a plan concerning the period of the request, the amount of human resources needed, and the contents of the work; and

then you can report to the leader” (87.0％); “In order for external supporters to be able to work effectively, the public health

center and municipalities will prepare a system for acceptance” (86.2％ ); 2) In the chronic phase, “To respond to

consultation matters received from external supporters and to use the contents of the report to examine measures” (87.9%);

“Sharing information about and the policies of the disaster response headquarters among supporters” (85.6%); 3) In the

calm phase, “To confirm the contents, method, and necessity of receiving assistance based on damage assumption in all

disaster cycles” (81.5%).

CONCLUSIONS The roles and competencies required of PHNs for effective support with external supporters were recognized in all phases.

A particularly important role was adequate assessment and management in order to assist the judgment of the leader. This

work was supported by MHLW Grant 2018.

A279 The nurses' care coordination competency for mechanically ventilated patients in emergency and

intensive care units in Guangzhou, china

Yingfang HUO 1, Yinji LIANG 1, Chenli LIN 2, Lebing YU 1 & Shuang ZHOU 1 1 School of Nursing, Jinan University, China

2 School of Medicine, Jinan University, China

AIMS Nurses care coordination competency (NCCC) has a significant influence on the rapid and effective rescue in

emergency and intensive care unit. This study was performed to provide a new, valid and reliable evaluation

method for the research study of NCCC in Guangzhou, China.

METHODS Firstly, a Chinese NCCC scale (NCCCS) with 22 items was formed after translation and cultural debugging.

Secondly, 203 nurses of emergency and intensive care unit from four hospitals in Guangzhou were investigated

by methodological research. Finally, the validity of NCCCS in Chinese version was tested by structural validity,

the reliability was tested by Cronbach's alpha coefficient and split coefficient, and the influencing factors were

analyzed.

RESULTS The average score for NCCCS was 3.84 ± 1.03. Construct validity was confirmed by inter-scale correlations

studies which showed that the correlations between items and total scores ranged from 0.457 to 0.740. All items

were preserved because the high Cronbach’ alpha coefficient (0.951 to 0.955). Moreover, gender, full-time or

part-time staff, hierarchical level of nurses and NCCC are closely related.

CONCLUSIONS This result indicates that the Chinese version of NCCCS is suitable for evaluating nurses from emergency and

intensive care unit in China. Based on available evidence, nurse coordination is at a high level in mechanical

ventilation care. In particular, female nurses, full-time nurses, and higher hierarchical-level nurses are more

prominent.

40


A287 The gaps in rural Palau disaster preparedness

Terry NGIRMANG

Nursing Program, Palau Community College, Republic of Palau

AIMS Having knowledge of disaster risk management is at the forefront of the struggle to lessen the negative effects

of a disaster on vulnerable populations, and of the utmost importance as it helps people in coping with hazards

and even more so for learners to have a deeper understanding of the various fundamentals of disaster risk

management.

With this in mind, the main objective of this evidence and practice based study is to assess the effectiveness of

Palau’s efforts at inclusion of disaster management principles and practices in and through community

educational outreach programs to outlying states and populations further from the main island of Koror, where

half of the island nation’s 21,000 residents are living. More emphasis was put on assessing the learners’

behavioral changes after they had learned about disaster management in their community, and to what extent

they applied the knowledge in their homes and communities.

METHODS This study centered on five states with learners in the community and community traditional leaders being the

key respondents. The study is carried out using both qualitative and quantitative methodologies with the use of

questionnaires, focus group discussions, and individual interviews.

RESULTS The key findings of the study was that the government of Palau is not doing enough to ensure that the principles

and practices of disaster management were disseminated to the learners and applied within the traditional

community planning and practice. This study found that although the government notice stipulates that schools

and government facilities should do emergency and fire drills, these activities do not carry over to the wider

community as a whole.

CONCLUSIONS Thus, the learners’ behavior and attitude strongly indicated that there are gaps within the system that require

urgent attention to improve the learners’ level of preparedness.

A292 Recovery experiences of nurses in severely damaged regions after the 2008 Wenchuan earthquke

Jing LI 1, Fang WU 2, Hua WEI 3, Lisha HUANG 4 & Yaodan ZHANG 5 1 Vascular and Pediatric Surgery Department, Zhongshan Hospital affiliated to Xiamen University,

Xiamen City of Fujian Province, China 2 Maternity and Children Unit, Chengdu Women and Children Central Hospital, Chengdu, China

3 Pediatric Hematology Department, West China Second University Hospital, Chengdu, China 4 Emergency Department, West China Second University Hospital, Chengdu, China

5 Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, China

AIMS The aim of this study was to investigate the recovery experiences of nurses in severely damaged regions during

ten years after the 2008 Wenchuan earthquake.

METHODS The researchers used qualitative design that included 20 participants who have participated in the 2008

Wenchuan earthquake relief in severely damaged regions. Data were collected using semi-structured interviews

and observation notes, after which a qualitative content analysis was conducted.

RESULTS Four major themes emerged: positive and negative long-term effects on individuals, the changes in family

behavior, reflection on hospital disaster management and the suggestions on disaster-related education and

training.

CONCLUSIONS These findings highlighted the need of improvement in hospital disaster management and training. More

attention should be taken to ensure the investment of disaster preparedness, formulate plans for various disaster

affairs, implement supporting and supervising functions, provide long-term and sustained psychological

counseling to nurses who have been participated in disaster response. Hospital nursing leaders should enrich

the curriculum content, adjust the proportion of theoretical and practical courses, and expand the training

population.

41


A297 Study on the differences of disaster preparedness between nursing managers and general nurses in

China's tertiary hospitals

Zhengdong WANG 1, Xiaofeng XU 2, Lan SHI 3 & Mingxuan LI 4 1 Neonatology Department, West China Second University Hospital, Chengdu, China

2 Operating Room, West China Second University Hospital, Chengdu, China 3 Medical Intensive Care Unit, Fujian Provincial Hospital, Fuzhou, China

4 Emergency Department, West China Second University Hospital, Chengdu, China

AIMS To analyze the differences in the experience of nursing managers and general nurses in China's tertiary hospitals.

METHODS A convenient sample and purpose, in the form of network questionnaire was conducted in seven administrative

regions of the country in total of 50 hospitals.

RESULTS 2,657 valid questionnaires were collected, including 394 nursing managers. Nursing managers felt that the

nursing organization's disaster preparedness scored 74.28±12.78 and the nurse scored 73.02±14.50. Care

managers and general nurses for disasters that may affect the degree of attention to the shortage of staff nurses,

medical supplies interruption, without water and other aspects, the difference was significant (P<0.05);

impediments in readiness perceived organizational disaster nursing aspects, senior leaders in the lack of

attention to support care, information about the disaster and precise information, these bring serious

consequences and other disasters, and the difference was significant (P<0.05).

CONCLUSIONS There is a significant difference in the disaster preparedness of hospital care organizations experienced by

nursing managers and general nurses.

A317 Exploring the impact of earthquake experience and physical mobility of stroke survivors and caregivers

on earthquake escape choices

Xianyan YIN 1, Li XIE 2, Shenghua ZHANG 3, Lan WANG 3 & Bin ZENG 4 1 Ya'an Polytechnic College, China

2 Sichuan Provincial People's Hospital, China 3 ChengDu Women's and Children's Central Hospital, China

4 West China Second University Hospital, China

AIMS Exploring the impact of earthquake experience and physical mobility of stroke survivors and caregivers on earthquake

escape choices

METHODS Through a semi-structured interview, 19 survivor families were interviewed to explore the earthquake experience and

stroke experience of stroke families.

RESULTS If stroke survivors and caregivers suffered from the 512 Wenchuan Earthquake once again, instinctive reactions and

physical movement disorders, fear of injury during evacuation and whether someone helped to transfer would affect

the escape choice of stroke families.

CONCLUSIONS After the Wenchuan earthquake, the earthquake response knowledge was disseminated through the internet,

newspapers, lectures, etc., and the earthquake response knowledge of stroke families gradually increased, but the

awareness of disaster preparedness is still insufficient. The government and relevant departments should strengthen

the publicity of disaster preparedness knowledge to enhance individuals and the community's awareness of disaster

preparedness enhances the resilience of stroke families.

42


A323 The development of a hospital - individual and family - community disaster preparedness education

model for the enterostomates

Xin ZHOU 1, Shuai ZHANG 2, Li YIN 3, Chunjuan LIU 4 , Xiuhua HUANG 5 & Sunshine CHAN 6 1 Emergency Department, Mianyang Central Hospital, Mianyang, Sichuan, China

2 Pediatric Intensive Care Unit, Nursing Department, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China;

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education 3 Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine,

University of Electronic Science & Technology of China, Chengdu, Sichuan, China; Radiation Oncology Key Laboratory of Sichuan Province 4 West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China

5 Surgical Intensive Care Unit, Chengdu Children and Women Central Hospital, Chengdu, Sichuan, China 6 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China

AIMS Peristomal complication is one of the most common complications after ostomy and are more prominent due to

environmental constraints and lack of ostomy care products during disasters. At present, very little attention is paid

to the disaster preparedness education of the enterostomy population. It is believed that enterostomates, family and

community, as well as the hospital should work together to strengthen their awareness and preparedness behavior,

better cope with the challenges faced in the disaster, and reduce the occurrence of peristomal complications.

METHODS Based on the interview data with eleven enterostomates, five caregivers, five enterostomal therapists and seven

enterologists, a hospital - individual and family - community disaster preparedness education model for the

enterostomates is formulated.

RESULTS Hospital - individual and family - community disaster preparedness education model:

1. Hospital: Provide multi-disciplinary, multi-dimensional, and multi-media stoma-specific and disaster preparedness

education before the patients are discharged to the community. These should include daily stoma care and emergency

measures.

2. Individual and family: Concrete measures should be taken to strengthen personal and family preparedness. They

should be able to select appropriate ostomy products according to their own stoma type, economic conditions, and

personal preferences, as well as to develop personal-family disaster kit to include cleansing products, ostomy

protection products, ostomy bags, accessories, and commonly used drugs. If in doubt, they are encouraged to

communicate with the support groups to strengthen their own capacity.

3. Community: Establish a continuous disaster preparedness education monitoring system. A registry for

enterostomates should be set up. This is to maintain regular follow-up, provide information on ostomy supplies and

ostomy care, a channel for communication and referral with hospitals in case of serious complications. Regular

disaster preparedness training and drills can be conducted for the enterostomy population.

CONCLUSIONS The proposed model provides a systematic and continuous disaster preparedness education for the enterostomal

population extending from the hospital to home and the community. It is envisaged that their disaster preparedness

can be improved and their ability to deal with the challenges they may have in the event of disaster can be

strengthened.

43

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