Development of the Framework for Disaster Preparedness on Disaster

本研究的目的是开发护理备灾的框架。作为第一步，通过文献回顾和访谈提取了包括群体和个人在内的准备要素。文献包括研究论文、国际组织的报告或指南/手册。访谈由美国、摩洛哥、中国和日本的健康专家或护理经理完成。结果提炼出护理提供、护理教育、护理管理、护理研究四大类，每一大类又分为七大类：设备/机构、人员、预算、组织/制度、社区特色/文化、信息/沟通、理念/态度。作为下一步，对这些类别的验证进行了检查。共有28项要素与77人中的27名院系、研究人员和从业者达成一致。下一步是提取每个类别的项目。采用德尔菲法。第一轮是27人中的6人，第二轮是6人中的5人，第三轮是5人中的4人，决赛是1人。共获得421个项目，其中护理提供项目122个，护理教育项目90个，护理管理项目132个，护理研究项目77个。与会者人数较少是因为时间有限和物品数量较多。该仪器还需进一步研究完善。

The purpose of this research was to develop the framework for disaster preparedness in nursing. As the 1st step, preparedness elements were extracted through literature review and interview including group and individual. Literature included research paper, reports from international organizations, or guidelines/manuals. Interview was done with health professionals or nursing manager in USA, Morocco, China, and Japan. As the results, four large categories : care provision, nursing education, nursing administration, nursing research were extracted with seven middle categories for each : equipment/institution, personnel, budget, organization/system, community characteristics/culture, information/communication, philosophy/attitude. As the next step, validations of these categories were examined. Total 28 elements were agreed with 27 faculties, researchers, and practitioners out of 77 people. Next process was extraction of items for each categories. It was done by Delphi method. Respondents were six participants out of 27 persons as the first round, five participants of six participants as the second round, four out of five as the third round, and 1 person as final round. Total 421 items were obtained including 122 items as care provision, 90 items as nursing education, 132 items as nursing administration, and 77 items for nursing research. Small number of participants was because of time limitation and large number of items. The instrument will be required further research for refine.