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Title: Sustaining nurses in a disaster : a constructivist grounded theory
Author: Ahayalimudin, Nurul Ain Binti
ISNI:       0000 0004 9357 9372
Awarding Body: University of Warwick
Current Institution: University of Warwick
Date of Award: 2019
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Introduction: With signs of climate change and global warming recently, Malaysia, as one of the tropical countries in the world, is vulnerable to wide-scale disasters such as floods, tsunamis and earthquakes. Thus, it requires a response from healthcare organisations; including nurses, who are the largest population within the healthcare profession. They play a significant role in helping the affected population. Other disasters such as mass casualty incidents, pandemics and armed intrusion also require a response from the healthcare disaster response team. Within Malaysia’s local context, studies of nurses’ experiences during a disaster are rare. Therefore, this study aimed to explore nurses’ experiences of working in a disaster situation and to identify factors that contribute to and that hinder the nurses’ response. Methodology and Methods: This is a qualitative study using a constructivist grounded theory approach. Thirty nurses were recruited from nine hospitals across seven states in Peninsular Malaysia, between January and September 2016. Five emergency physicians were also interviewed about nurses’ involvement in disasters. Semi-structured, in-depth one-to-one interviews were used to gain rich data on the nurses’ experiences. Findings: ‘Ensuring individual sustainability when in a hostile environment’ was identified as the core category, overarching the three categories of 1) establishing competencies and responsibilities, 2) managing emotions and 3) getting support. These categories formed the foundation of a model named ‘Being A Disaster Nurse’. The findings revealed that a concern of the nurses in this study was ‘being unprepared’ for a disaster response. Conclusion: This study adds to the current body of knowledge on nurses’ experiences during disaster responses, in particular amongst Malaysian nurses. This study adopted constructivist grounded theory, which is a relatively new approach amongst researchers that have an interest in disaster nursing. In addition, this study identifies the role of religion as a coping mechanism for the nurses who have been involved in disaster response. By offering them the competencies, support needed and actions that could assist them to manage their emotions, it could lead to nurses being more prepared and able to cope with disaster situations, enabling the provision of appropriate disaster management. Therefore, it is vital for healthcare administrators to ensure the sustainability of the nurses while responding to disaster events.
Supervisor: Not available Sponsor: Ministry of Education ; Malaysia ; International Islamic University Malaysia
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: GB Physical geography ; RT Nursing