Search

Nurses who work in regional and rural hospitals face unique challenges to disaster preparedness and response. Geographical location and isolation, decreased resources and subsequent workforce, along with organizational and financial restraints are some of the hurdles these individuals and communities face [1,2]. The Disaster Preparedness Evaluation Tool was applied a population of Regional and Rural Emergency Nurses in New South Wales. Thirty-two nurses participated in this study. Their level of disaster preparedness was at a moderate level for knowledge, skills and preparation for disaster management. Their experiences broadly mirrored those found in earlier research. Results highlighted the nature of and delivery of continuing professional development in relation to disaster preparedness; mechanisms to encourage emergency department nurses to develop personal and family preparedness plans (to improved disaster preparedness); increased training in relation to psychological assessment of patients, and identification of biological agent signs and symptoms. [ABSTRACT FROM AUTHOR]

Purpose – Ethics is the foundation on which societies and cultures are based and are fundamental to political, social and economic decision making. Ethical dilemmas have created controversy and heated debate over the years. Disasters have been defined in public health terms as destructive events that result in the need for a wide range of emergency resources to assist and ensure the survival of the stricken population. Lack of medical resources, in conjunction with a mass casualty situation, can present specific ethical challenges. The purpose of this paper is to explore the ethics of disaster management. Design/methodology/approach – In and after a disaster, ethical questions arise regarding appropriate and fair allocation of relief funds to help with recovery. Research in disaster settings poses unique ethical dilemmas. The researcher must determine how to balance the critical need for research with the ethical obligation of respect for, and protection of, the interests of research participants. Ethics as part of an educational program made available to health care providers may assist disaster responders to make the difficult ethical decisions involved in disasters. This literature review discusses these issues in conjunction with disaster response and recovery. Findings – The cardinal virtues of disaster response are prudence, courage, justice, stewardship, vigilance, resilience, self-effacing charity and communication. These eight virtues are not considered all inclusive, no more than Aristotle considered that his morals or virtues were all inclusive. Ongoing work in disaster management will help to ensure that such situations are managed in an ethical manner that respects the rights and privileges of all those involved. Research limitations/implications – The literature reviewed for this paper was based on peer reviewed scholarly writings. Concepts of ethics and justice are important issues in disaster situations. This paper offers ideas to prompt further discussion among disaster managers and students of disaster studies. Practical implications – Social changes are reliant on an understanding of ethics and how it affects society. This paper puts forward ethical concepts to prompt discussion by disaster responders and managers with the hope of improving disaster management. Originality/value – The paper is an original document that may be useful to students of disaster management and those who teach disaster management [ABSTRACT FROM AUTHOR]