The effect of guidance booklet on knowledge and attitudes of nurses regarding disaster preparedness at hospitals

摘要

Background: Disasters have a potential of producing mass casualties thereby straining the health care systems. This means that hospitals need to be prepared for an unusual increase in workload, hence the importance of hospital disaster preparedness. Aim: The aim of the study to evaluate the effect of a guidance booklet on knowledge and attitude about disaster preparedness among nurses. Methods: Research design: A quasi experimental research design with pre-test post-test time series and follow up assessment. Setting: the study was conducted at University Hospital, in Menoufia Governorate, Egypt. Subjects: The convenience sample, it include all nursing managers (nursing directors and nursing supervisors n = 12), all head nurses (n = 48) and staff nurses (n = 280), available at the time of the study. They have all fulfilled the eligibility criterion of a working experience of not less than one year of the study settings. Tools of data collection: Two tools were used for data collection. Tool one: consists of three parts; part (a) to collect socio-demographics data and part (b) aimed to collect nurses' knowledge about general disaster, classification and disaster preparedness and part (c) aimed to assess the nurses' awareness by hospital disasters on external or internal level. Tool two: Attitudes of nurses towards disaster management plan. Results: The results of this study showed that, majority of nurses scored weak estimation in knowledge, awareness and attitudes level at pre-test measurement. Conversely, lowest percentages had moderate level, and good level of knowledge related to general disaster, while only 12.6% of nurses were satisfactory awareness about hospital disaster preparedness and 37.5% had positive attitude towards disaster management. There was statistically-significant (p < .001). Conclusions: It was concluded that, guidance booklet was successful in achieving significant improvement in nurses’ knowledge regarding disaster preparedness which was reflected in improvement and changing their attitude towards disaster. Recommendation: Continued nursing education should be open to all hospital staff according to their needs to increase their awareness about disaster preparedness.