{"title":"Middle-Range Theory of Disaster Cognitive Readiness in Nursing Practice Through Theory Derivation and Sentence Synthesis.","authors":"Sinwoo Hwang, Seoyoung Baek","doi":"10.1111/phn.13528","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Disaster nursing is a complex, dynamic, and resource-limited working environment, like military operations. As the COVID-19 outbreak has shown, not only hospitals, but all communities need nurses who can systematically respond to disasters. It is important for nurses to possess the necessary readiness to respond to disasters with confidence and autonomy. However, there is a lack of evidence for a theoretical framework for nurses' cognitive readiness for disaster nursing.</p><p><strong>Objective: </strong>The purpose of this study was to describe the development of a middle-range theory about nurse's cognitive readiness in disaster response.</p><p><strong>Methods: </strong>Fletcher and Wind's model was modified to develop a theoretical framework for disaster cognitive readiness by using theory derivation and sentence synthesis.</p><p><strong>Results: </strong>In the developed theory, \"Disaster cognitive readiness\" refers to the cognitive preparedness of nurses for effectively responding to and managing disaster situations which are in high-stakes, complex environments, achieved through a combination of education, training, and practice in essential skills such as problem-solving, communication, resilience, and ethics. The theory for disaster cognitive readiness described the competencies: knowledge, problem-solving, metacognition, decision-making, adaptability, risk-communication, resilience, and ethics. The outcomes of disaster cognitive readiness are personal (job satisfaction, professional growth) and organizational (disaster management, disaster resilience) outcomes.</p><p><strong>Conclusion: </strong>The results of this study are expected to be useful in developing educational and training programs that emphasize the characteristics of disaster nursing competencies and in verifying their effectiveness in enhancing disaster cognitive readiness as well as individual and organizational outcomes.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/phn.13528","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
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Abstract
Introduction: Disaster nursing is a complex, dynamic, and resource-limited working environment, like military operations. As the COVID-19 outbreak has shown, not only hospitals, but all communities need nurses who can systematically respond to disasters. It is important for nurses to possess the necessary readiness to respond to disasters with confidence and autonomy. However, there is a lack of evidence for a theoretical framework for nurses' cognitive readiness for disaster nursing.
Objective: The purpose of this study was to describe the development of a middle-range theory about nurse's cognitive readiness in disaster response.
Methods: Fletcher and Wind's model was modified to develop a theoretical framework for disaster cognitive readiness by using theory derivation and sentence synthesis.
Results: In the developed theory, "Disaster cognitive readiness" refers to the cognitive preparedness of nurses for effectively responding to and managing disaster situations which are in high-stakes, complex environments, achieved through a combination of education, training, and practice in essential skills such as problem-solving, communication, resilience, and ethics. The theory for disaster cognitive readiness described the competencies: knowledge, problem-solving, metacognition, decision-making, adaptability, risk-communication, resilience, and ethics. The outcomes of disaster cognitive readiness are personal (job satisfaction, professional growth) and organizational (disaster management, disaster resilience) outcomes.
Conclusion: The results of this study are expected to be useful in developing educational and training programs that emphasize the characteristics of disaster nursing competencies and in verifying their effectiveness in enhancing disaster cognitive readiness as well as individual and organizational outcomes.
期刊介绍：
Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.
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