Keshni Singh , Mamatuki Sosefo , Antony Robinson , Chris Rossiter , Di Brown
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Impact of COVID-19 and the hospital disaster response on nurses working in a Fijian emergency department
Objective
This research examined the impact of the COVID-19 pandemic on Registered Nurses working in the Emergency Department (ED) of a major Fijian hospital. It explored the role of formal disaster response and highlighted lessons that can be learned for future disasters, especially in low-resource settings.
Methods
This exploratory qualitative study reports the perspectives of 16 Registered Nurses working in the ED during the 2021 COVID-19 outbreak.
Results
The implementation of disaster plans helped staff feel supported. Rapid deployment of tents provided much-needed extra space but increased challenges due to heat and shortages of human and material resources. High-volume mortality meant extended delays in adequately managing the deceased. Absence from family for patients and staff led to mental stress; this experience was ameliorated for nurses by support from the ED manager and clinical colleagues.
Conclusion
Planning and training are crucial prior to any disaster. In future, surge capacity and emergency response must be implemented by including clinicians in planning and delivery. It is crucial that provision of extra space is matched with sufficient extra staff. Adequate and early management of dead bodies is also vital.
期刊介绍:
International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care.
The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.