First PhD progress presentation delivered at the University of Canberra, Disciplines of Nursing and Midwifery Research Residential School, 31 March 2011

1. The lived experience of Australian nurses working in disaster environments Jamie Ranse RN FRCNA Assistant ProfessorFaculty of Health University of Canberra Web: www.jamieranse.com Twitter: jamieranse Phone: +61 (0)2 6201 5380Email: jamie.ranse@canberra.edu.au Supervisors: Professor Paul Arbon and Dr Lynette Cusack

2. overview Background What we know; Experience Role Education Willingness Resources Professional issues What we don’t know Outline PhD plan

3. background How do you define ‘disaster’? TFQCDM/WADEM, 2002

4. what we know: experience Descriptive events Little or no out-of-hospital experience Ranse, et al., 2010; Robertson, et al., 2005

5. what we know: role Victorian bushfires Wenchuan earthquake Queensland floods Cameron, et al., 2009; Ranse, et al, 2010; Yang, et al., 2010

6. what we know: education Currently haphazard approach On-the-job Competencies Future – within a framework Duong, 2009 ; Hammad, et al., 2010; Ranse, et al., 2010; Usher, et al., 2010

7. what we know: willingness Most willing Not all able Not prepared Arbon et al, 2010; Arbon et al, 2006

8. what we know: resources Granville train crash and bridge collapse Wenchuan earthquake Communicable diseases Yang, et al., 2010

9. what we know: professional issues Altered level of care Autonomous practice Challenges in staffing

10. what we don’t know

11. PhD plan Question What is it like for Australian nurses to work in the out-of-hospital environment during disaster response or recovery? Design Hermeneutic phenomenological Population / Sample Nurses deployed in a civilian team (not defense) Actively participated in the response or recovery to a disaster in the out-of-hospital environment

12. PhD plan Participant recruitment DoHA records of people deployed OR Purposive / advertised with snowballing ~30 participants Data collection Semi-structured individual interviews at 2 points in time Data analysis Thematic analysis Sententious approach van ManenM, 1990

13. PhD plan

14. The lived experience of Australian nurses working in disaster environments Jamie Ranse RN FRCNA Assistant ProfessorFaculty of Health University of Canberra Web: www.jamieranse.com Twitter: jamieranse Phone: +61 (0)2 6201 5380Email: jamie.ranse@canberra.edu.au Supervisors: Professor Paul Arbon and Dr Lynette Cusack