Exploring the disaster content of postgraduate emergency nursing courses in Australia<br />Jamie Ranse<br />LecturerDiscip...
research team<br />Mr Jamie Ranse1,2<br />Prof Paul Arbon2<br />Mr Ramon Shaban3,4<br />Dr Julie Considine5,6<br />Ms Beli...
overview<br /><ul><li>Background
Aims
Methods
Results
Discussion</li></li></ul><li>background<br /><ul><li>Non-consistent
National framework
Workplace based training
ED workforce (post-graduate qualifications)</li></li></ul><li>aims<br />This research aims to describe the disaster conten...
methods<br /><ul><li>Post-graduate
Emergency nursing programs in 2009
Structured telephone interviews
Course convenors </li></li></ul><li>results<br />Courses overview<br /><ul><li>12 Universities:
10 Graduate Certificate
6 Graduate Diploma
6 Masters</li></ul>Participants<br /><ul><li>10 participants </li></li></ul><li>results: demographics<br />Gender<br /><ul...
Other disaster education: 4 (40%)
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Exploring the disaster content in Australian postgraduate emergency nursing programs

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Paper presented at the 8th International Conference for Emergency Nurses, Canberra, Australia, 16th October 2010.

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  • Non-consistent: allows for local contextWorkplace based – reliance on workplaceit could be argued that existing disaster education for nurses is somewhat haphazard and fragmented, and that the required competencies of a nurse to adequately perform in a disaster are not well understood. In the United States, core competencies for nurses in emergencies and disasters have been suggested (Gebbie &amp; Qureshi, 2002); However, these are not necessarily applicable to the Australian context. Therefore, a need exists to develop a structured approach to train and educate the most appropriate nurses to the most appropriate level. Work has recently commenced on a proposed disaster education and training framework for the Australian context (FitzGerald, et al., 2010). However, this is in its infancy and requires further development and buy-in prior to implementation. Similarly, the World Health Organization and International Council of Nurses have developed a set of ‘disaster nursing competencies’ which will assist to progress this need (WHO &amp; ICN, 2009).
  • Other disaster education, MIMMS, Australian Disaster Medicine Course
  • Sustainability (eg: human and physical resources)Communications Techniques (i.e. radio procedure, phonetic alphabet)  Disaster plans – local / state / federal Mental health (eg: PTSD) in relation to disastersPopulations with specific needs (eg: children, elderly, disabled, sensory / technology impaired)Types of disasters (eg: CBR, natural, etc…)Examples of disasters (eg: bushfires, tsunami, etc…)
  • Yes – in final exam
  • Prior to these modification, there was only 1 that had some disaster content.
  • Exploring the disaster content in Australian postgraduate emergency nursing programs

    1. 1. Exploring the disaster content of postgraduate emergency nursing courses in Australia<br />Jamie Ranse<br />LecturerDisciplines of Nursing and MidwiferyFaculty of Health <br />University of Canberra<br />Phone: +61 (0)2 6201 5380Fax: +61 (0)2 6201 5128<br />Email: jamie.ranse@canberra.edu.au <br />Blog: www.jamieranse.com<br />Twitter: jamieranse<br />
    2. 2. research team<br />Mr Jamie Ranse1,2<br />Prof Paul Arbon2<br />Mr Ramon Shaban3,4<br />Dr Julie Considine5,6<br />Ms Belinda Mitchell5,6<br />Mr Shane Lenson7<br />1. University of Canberra<br />2. Flinders University<br />3. Griffith University <br />4. Princess Alexandra Hospital <br />5. Deakin University<br />6. Northern Health<br />7. Royal College of Nursing, Australia <br />Acknowledgements <br />Ben Morley Scholarship (CENA)<br />Participants<br />
    3. 3. overview<br /><ul><li>Background
    4. 4. Aims
    5. 5. Methods
    6. 6. Results
    7. 7. Discussion</li></li></ul><li>background<br /><ul><li>Non-consistent
    8. 8. National framework
    9. 9. Workplace based training
    10. 10. ED workforce (post-graduate qualifications)</li></li></ul><li>aims<br />This research aims to describe the disaster content in post-graduate emergency nursing programs in Australia<br />
    11. 11. methods<br /><ul><li>Post-graduate
    12. 12. Emergency nursing programs in 2009
    13. 13. Structured telephone interviews
    14. 14. Course convenors </li></li></ul><li>results<br />Courses overview<br /><ul><li>12 Universities:
    15. 15. 10 Graduate Certificate
    16. 16. 6 Graduate Diploma
    17. 17. 6 Masters</li></ul>Participants<br /><ul><li>10 participants </li></li></ul><li>results: demographics<br />Gender<br /><ul><li>10 Female (100%)</li></ul>Age<br /><ul><li>42yrs (30 – 53)</li></ul>Post-graduate education<br /><ul><li>Disaster: Nil
    18. 18. Other disaster education: 4 (40%)
    19. 19. Education / teaching: 4 (40%)
    20. 20. Other education: 10 (100%)</li></li></ul><li>results: demographics<br />Education<br /><ul><li>General: 9.4yrs (1 – 20)
    21. 21. Convenor: 2.1yrs (1 – 3)</li></ul>Nursing experience<br /><ul><li>General nursing: 19yrs (9 – 24)
    22. 22. Emergency nursing: 13yrs (1 – 21)</li></ul>Other professional experience <br /><ul><li>Military: 2 (20%)
    23. 23. Pre-hospital: Nil</li></li></ul><li>results: demographics<br />Previous disaster experience<br /><ul><li>Yes: 3 (30%)
    24. 24. No: 7 (70%)</li></ul>Type of disaster<br /><ul><li>Bushfire related
    25. 25. Clinical facility evacuation
    26. 26. Defence </li></li></ul><li>results: course content overview<br />Graduates<br /><ul><li>32 per year, per course (9 – 80)</li></ul>Course delivery<br /><ul><li>Face-to-face, online, blended and self-directed</li></ul>Content related to disasters<br /><ul><li>Yes: 7 (70%)
    27. 27. No: 3 (30%)</li></li></ul><li>results: disaster content overview<br />Elements of disaster content in courses:<br />Community and public health response<br />Pre-hospital response<br />Hospital response<br />Disaster triage<br />Sustainability<br />Disaster exercises<br />Incident systems<br />Nursing role in disaster<br />Communications Techniques<br />Management of the dead and dying<br />Disaster plans<br />Role of other organisations in disaster response<br />Mental health in relation to disasters<br />Populations with specific needs<br />Types of disasters<br />Examples of disasters<br />Health effects of disasters<br />
    28. 28. results: disaster content overview<br />Learning outcomes related to disasters:<br /><ul><li>Yes: 3
    29. 29. Implication of disaster management at local, state and national level
    30. 30. Definition of disaster
    31. 31. New challenges
    32. 32. ED role
    33. 33. Nurses role
    34. 34. No: 4</li></ul>Assessment items related to disasters:<br /><ul><li>Yes: 1
    35. 35. No: 6</li></li></ul><li>results: disaster content overview<br />Who delivers the content?<br /><ul><li>Course Convenor (6)
    36. 36. Expert (5)
    37. 37. Clinician (2)</li></ul>Disaster content delivery<br /><ul><li>Lecture / seminar (4)
    38. 38. Tutorial (2)
    39. 39. Online (1)
    40. 40. Table-top (1)
    41. 41. Triage exercise (1)</li></li></ul><li>results: disaster content clarification<br />(1. strongly disagree, 2. disagree, 3. no opinion, 4. agree, 5. strongly agree)<br />Real world disasters are a likely scenario for students in this course: 4.3<br />Disaster content is important in post-graduate emergency nursing: 4.6 <br />More time should be more focus on disaster content: 3.6<br />More time should be spent discussing disasters: 3.7<br />
    42. 42. results: disaster content modification <br />Course last modified<br />Mean: 1 yr ago (0 – 4)<br />Modification related to disasters<br /><ul><li>Yes: 5 (50%)
    43. 43. No: 5 (50%)</li></ul>Type of modification<br /><ul><li>Pandemic / Terrorism
    44. 44. Online
    45. 45. Different speakers</li></li></ul><li>discussion<br /><ul><li>Variation in post-graduate emergency programs
    46. 46. Disaster not discussed in all programs
    47. 47. Disaster content varied in all programs
    48. 48. Disaster content considered important for nurses
    49. 49. National framework and consistency</li></li></ul><li>Exploring the disaster content of postgraduate emergency nursing courses in Australia<br />Jamie Ranse<br />LecturerDisciplines of Nursing and MidwiferyFaculty of Health <br />University of Canberra<br />Phone: +61 (0)2 6201 5380Fax: +61 (0)2 6201 5128<br />Email: jamie.ranse@canberra.edu.au <br />Blog: www.jamieranse.com<br />Twitter: jamieranse<br />
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