Upload
others
View
7
Download
0
Embed Size (px)
Citation preview
APEDNN Annual Conference 2019
Content
Programme Schedule ……………………………………………………. P.2
Keynote Sessions
- Keynote Session 1 ……………………………………………………. P.7
- Keynote Session 2 ……………………………………………………. P.10
Scientific Session ……………………………………………………. P.14
Expert Panel Discussion ……………………………………………………. P.18
Concurrent Sessions
- Concurrent Session 1 ……………………………………………………. P.24
- Concurrent Session 2 ……………………………………………………. P.28
- Concurrent Session 3 ……………………………………………………. P.31
- Concurrent Session 4 ……………………………………………………. P.33
Poster Presentations ……………………………………………………. P.36
1
APEDNN Annual Conference 2019 Conference Programme
Programme Schedule
Conference date: 12 – 13 November
Pre-conference meeting (Core group members only): 11 November, 14:30 – 16:30 @ GH501
Post-conference meeting (Core group members only): 14 November, 10:00 – 12:00 @ GH501
Day 1 - 12 November 2019
Time Speakers Moderators
09:30 Opening Ceremony
Prof. Alex MOLASIOTIS
Chair Professor of Nursing and Head of School, School of Nursing
Director, WHO Collaborating Centre for Community Health Services
The Hong Kong Polytechnic University
Hong Kong SAR
Ms Elizabeth IRO
Chief Nursing Officer, World Health Organization
Prof. Alice Yuen
LOKE
10:00 Photo Session
Coffee Break
11:00 Keynote Speech
1. The experience and challenges in the face of Dorian Hurricane in
the Bahamas
Mrs Prescola ROLLE
Nursing Officer I, Medical Area Deputy Supervisor, Princess
Margaret Hospital, The Bahamas
2. Emergency preparedness - You and me can be the one
Mr Alex Ying-Keung WONG
Chief Staff Officer, Auxiliary Medical Service, The Government of
the Hong Kong SAR
3. Transdisciplinary efforts on a policy development to reduce disaster
vulnerabilities
Prof Ogcheol LEE Chairperson, World Society of Disaster Nursing, Red Cross College
of Nursing, Chung-Ang University, South Korea
Dr Sunshine
CHAN
Lunch
Venue: Staff Club, 5/F, Communal Building, PolyU
14:00 Scientific Session
1. The integration of Sendai Frameworks of Disaster Risk Reduction
(SFDRR) and ICN framework of disaster nursing competencies
into disaster nursing education
Dr Fu-Chih LAI
Associate Professor, College of Nursing, Taipei Medical
University, Taiwan
Mrs Kathleen
FRITSCH
2
APEDNN Annual Conference 2019 Conference Programme
Time Speakers Moderators
14:00 2. Current state of disaster education in undergraduate nursing
programs in South Korea
Prof. Hyewon KIM
Head, Military Health Policy Research Centre, Korea Armed
Forces Nursing Academy, South Korea
3. Combining the arts & sciences to improve disaster risk reduction
Dr Timothy SIM
Deputy Director, WHO Collaborating Centre for Community
Health Services, School of Nursing, The Hong Kong Polytechnic
University
Mrs Kathleen
FRITSCH
Coffee Break
16:00 Concurrent Session 1
Venue: Chiang Chen Studio Theatre, PolyU
1.1 Tao YI [China] The outcomes of peer-led disaster preparedness
education in comparison to education delivered by health
professionals in mobility disability
1.2 Li YIN [China] Development of a disaster preparedness guideline
for enterostomates in the prevention and management of
peristomal complications
1.3 Rui XIA [China] Effectiveness of disaster preparedness program
for nursing students in Chengdu, Sichuan of China: Randomized
controlled trial
1.4 Xiaorong MAO [China] The disaster preparedness of emergency
nurses in Sichuan, China: A cross-sectional study
1.5 Lan SHI [China] Formation and evaluation of the Hospital
Nursing Organization Disaster Preparedness Measurement Scale
(HNODPMS)
Dr Chunlan GUO
16:00 Concurrent Session 2
Venue: AG101, Core A, PolyU
2.1 Ye TAO [Japan] The challenges nurses faced in caring vulnerable
population during disaster relief missions in Sichuan, China
2.2 Chunjuan LIU [China] Overcoming enterostomal challenges
during disasters: A triangulation study
2.3 Wenjiao HUANG [China] Development of disaster response core
knowledge and skill training course for clinical nurse
2.4 Tianzhi LIAO [China] Outdoor survival: The core competence
urgently needed by disaster nurses
2.5 Ly CHANVATANAK [Cambodia] Developing effective
emergency risk communication strategies through network partner
collaboration to reduce vulnerabilities to disasters
Dr Natma
THUNGSORN
18:00 Conference Dinner
Venue: Chairman’s Place, Mezzanine Level, New World Millennium Hong Kong Hotel
Address: 72 Mody Road, Tsim Sha Tsui East, Kowloon, Hong Kong
3
APEDNN Annual Conference 2019 Conference Programme
Day 2 - 13 November 2019
Time Speakers Moderators
09:00 Keynote Speech
1. Politics and power: Health care capacity for disaster response
under a changing climate in the Pacific
Dr Michele RUMSEY
Director, WHO Collaborating Centre for Nursing, Midwifery
and Health Development, University of Technology Sydney,
Australia
2. The team building and management of the WHO EMT
Mr Lei YE
Vice President of Emergency Nursing Committee, Chinese
Nursing Association; President of Emergency Nursing
Committee, Sichuan Nursing Association; Head nurse of the
Emergency Department, West China Hospital of Sichuan
University, China
3. Nurses’ roles in preparing and responding to the threats of
emerging infections: Experience sharing in Hong Kong
Mr Anthony Ngai-Ming NG
Senior Nursing Officer, Infection Control Branch, Centre for
Health Protection, Department of Health, The Government of
the Hong Kong SAR
Dr Sijian LI
Coffee Break
11:00 Expert Panel Discussion
Topic: Discussion on the revised version of ICN competencies
and the impacts it may have on nursing education and practice
Dr Bettina EVIO [Philippines]
Prof. Seunyong JOE [South Korea]
Prof. Alice Yuen LOKE [Hong Kong SAR]
Prof. Sonoe MASHINO [Japan]
Dr Caryn WEST [Australia]
Prof. Kristine
QURESHI
Lunch
Venue: Staff Club, 5/F, Communal Building, PolyU
4
APEDNN Annual Conference 2019 Conference Programme
Time Speakers Moderators
14:00 Concurrent Session 3
Venue: Chiang Chen Studio Theatre, PolyU
3.1 Sheeba PAUL [India] Hazard identification and risk analysis
(HIRA) in critical care units of Christian Medical College,
Vellore, India
3.2 Xiuhua HUANG [China] Enterostomal surgeons perspectives
on how to overcome enterostomal challenges during disasters
3.3 Somkid RUPNGAM [Thailand] Factors predicting the
systemic inflammatory response syndrome in trauma patients
3.4 Shaohua CHEN [China] Social workers’ experience in
organizing community fire emergency drills after participating
in ICS system training
Dr Rattima
SIRIHORACHAI
14:00 Concurrent Session 4
Venue: AG101, Core A, PolyU
4.1 Li XIE [China] Stroke survivors’ and their caregivers’
earthquake experience before and after the occurrence of a
stroke
4.2 Xin ZHOU [China] An enterostomal-friendly vest designed
for disaster situations
4.3 Qin HU [Japan] Role of resilience in the association between
demographic characteristics and prolonged grief disorder of
bereaved survivors ten years after Wenchuan Earthquake
4.4 Jiaoji HE [China] Psychological experience among uses of
lower-limb prostheses from the 2008 Wenchuan earthquake
Prof. Xianqiong
FENG
Coffee Break
16:00 Closing Ceremony
Prof. Alice Yuen LOKE
Co-secretariat of APEDNN
Professor & Associate Head, School of Nursing, The Hong Kong
Polytechnic University, HKSAR
Dr Rattima SIRIHORACHAI Co-secretariat of APEDNN
Department of Surgical Nursing
Mahidol University
Thailand
Prof. Ogcheol LEE
Chairperson, World Society of Disaster Nursing, Red Cross
College of Nursing, Chung-Ang University, South Korea
5
APEDNN Annual Conference 2019 Keynote Sessions
Keynote Sessions
6
APEDNN Annual Conference 2019 Keynote Sessions
Keynote Session 1
The experience and challenges in the face of Dorian Hurricane in the Bahamas
Prescola ROLLE
Nursing Officer I
Medical Area Deputy Supervisor
Princess Margaret Hospital The Bahamas
Biography
Mrs Prescola Rolle is a nurse leader and is one of the area Supervisor for the Medical Area at the Princess
Margaret Hospital of the Public Hospitals Authority (PHA) in the Bahamas. Her nursing experience spans
over thirty-five years; where she worked in all areas of the health care environment providing quality health
care. As a nurse leader she was able to capture the coveted Public Hospitals Authority Leader of the year
award; over more than four thousand employees.
A natural leader and a noted speaker who have presented at national regional and international conferences
including the Caribbean Nurses Organization and the International Council of Nurses conferences. Mrs
Rolle is graduate and Trainer of Trainers of the International Council of Nursing (ICN) Leadership for
Change program and is the current National and Regional Coordinator of the International Council of
Nursing (ICN) Leadership for Change program. She is also a graduate of the prestigious 2019 Global
Nursing Leadership program held in Geneva Switzerland.
Her educational and professional accomplishments are numerous. She holds a master’s degree in Nursing
administration from the University of the West Indies, a master’s degree In Business Administration from
McHari College with specialty in Human Resource, Bachelors and Associate degrees in Nursing; College
of The Bahamas. She is also a Certified Medical Surgical Registered Nurse with USA certification and a
Certified Professional Manager.
She is an active member of her professional organization; where she served as past president of the Nurses
Association of the Commonwealth of the Bahamas 2006-2008. She also served on the Bahamas Nursing
Council chairing the standards and practice committee 2006- 2012. She presently serves on the Hospital
Infection Control Committee; she is a mentor and lecturer for student nurses, graduate nurses and the
management and leadership program for senior registered nurses at PHA.
Mrs Rolle is presently a board member of the National Women’s Advisory Council for the Bahamas; whose
mission is to champion the cause for equality and safety for women in the country and the region. She is
also a Justice of the peace of the Commonwealth of the Bahamas. She and her husband are proud parents
of one son one daughter and a son in law.
7
APEDNN Annual Conference 2019 Keynote Sessions
Emergency preparedness - You and me can be the one
Alex Ying-Keung WONG
Chief Staff Officer
Auxiliary Medical Service
The Government of the Hong Kong SAR
Biography
Graduated from the Hong Kong Polytechnic University in 1995, Mr. Wong Ying-keung had taken up his
first career as an emergency nurse in a local A&E Department. In late 1997, Mr. Wong joined the Fire
Services Department as an Ambulance Officer. His 22 year work in the Department since then covered
multiple facets in training, quality assurance, administration and operation. He had fruitful frontline
commanding experience, including the 2008 Olympic Equestrian in Hong Kong, 2009 East Asian Games,
2016 Mongkok riot, 2017 MTR arson, etc. In 2018, Mr. Wong took up a post in the Department responsible
for public education on emergency preparedness. He successfully led his team to promote such idea using
the famous character “Anyone”.
In mid-2019, Mr. Wong left Fire Services and was appointed as the Chief Staff Officer of Auxiliary Medical
Service. Commanding more than 4000 full-time and volunteers, he is to lead the Service to augment other
government departments in rendering quality emergency and regular medical and health services to the
public.
Abstract
Emergency – Most people would probably think of requesting for assistance from rescue parties or
government departments when they come across emergency situations.
Emergency Preparedness –Most people may consider how much the government or some related
organizations are doing.
As a matter of fact, in places or countries which are natural disasters-prone, the government and some
NGOs have public education programmes on emergency preparedness. Not just on preparedness, but also
on response and resilience. Involving citizens in such plans and actions is in fact a collaborative strategy to
reduce vulnerabilities and probably subsequent death, injury and damage.
The presenter of this topic would share his working experience in public education on emergency
preparedness, down-to-earth publicity, and involvement of volunteers in response to emergency events.
8
APEDNN Annual Conference 2019 Keynote Sessions
Transdisciplinary efforts on policy development to reduce disaster vulnerabilities
Ogcheol LEE
Chairperson
World Society of Disaster Nursing
Red Cross College of Nursing
Chung-Ang University
Biography
Prof. Lee received her B.S.N. from Adventist University of Philippines, M.P.H from Seoul National
University, Ph.D. in Nursing from Yonsei University in 2000, and postdoctoral research fellowship at
Center for Refugee and Disaster Response, Johns Hopkins University, U.S.A. during 2003. She is a
professor of Red Cross College of Nursing and the Chief Professor of Department of Global Nursing at
Graduate School, Chung-Ang University. She firstly introduced the concept of disaster nursing to Korea
and established the Korean Academy of Disaster Nursing in 2010. She is undertaking the Chairperson
position of the World Society of Disaster Nursing from 2019.
Abstract
The Sendai Framework for Disaster Risk Reduction (2016-2030) is a global agreement in which each
country should strive to reduce disaster vulnerability and strengthen resilience. Disaster vulnerability
reductions are the responsibility of government and organizations, but also individuals' safety competencies.
The necessity for disaster preparedness of individuals to respond to a sudden disaster situation has been
recognized since the 2014 Sewol ferry disaster in Korea. To achieve the goal, the policy researches
regarding to safety education were funded by government.
Though nursing is not regarded as a leading part nor an expert field in disaster preparedness, it must
necessarily be a team member. Not only disaster onsite but also hospitals, schools, and communities, nurses
have been working for saving lives and health of victims and potential victims. A government funding
research in 2015 was a starting point to communicate with various sectoral representatives of each Ministry
and brainstorming with transdisciplinary experts in disaster management. The research team has been
invited as a panel or reviewer for a new Act or policy, for example, “Framework Act on the Promotion of
Safety Education for Citizens” which was enforced from 2017. By working with a committee of Prime
Minister's, we could develop the Korean Framework of Age-specific Safety Education in 2019 including
core value, vision, principles, contents, and strategies. The framework is based on Rogers’ Theory of
Unitary Human Beings, Parse’s Human Becoming Theory, and Heinrich’s Corrective Action Sequence
(enforcement, engineering, education).
In conclusion, the participation of nursing in the policy development for disaster preparedness contributed
establishing a nationwide system for people to equip with knowledge and attitudes towards safety life based
on human growth and development and sharing a transdisciplinary consensus. The active communication
of nursing with policy makers, disaster responders, decision-makers, and potential victims is a core factor
for reducing disaster vulnerability and strengthening community resilience.
9
APEDNN Annual Conference 2019 Keynote Sessions
Keynote Session 2
Politics and power: Health care capacity for disaster response under a changing climate
in the Pacific
Michele RUMSEY
Director
WHO Collaborating Centre for Nursing
Midwifery and Health Development
University of Technology Sydney
Australia
Biography
Michele has over 25 years’ experience as an international health care adviser and policy expert, with health
professional expertise in human resources for health, health system strengthening, capacity development,
stakeholder participation and regulation in the Pacific region and Europe. Michele has particular expertise
in providing monitoring and evaluation, research, and consulting services in the above areas, as well as
designing capacity development activities targeting health system strengthening through leadership
capacity, curriculum development and faculty development.
Michele has worked extensively in Papua New Guinea for the past 10 years, closely and collaboratively
with the National Department of Health. She has a strong understanding of the complex health system and
the many health programs being funded by DFAT Australia. Under Michele’s leadership as Director of the
WHO CC UTS, the Center has contributed to 50 projects in 25 countries and coordinated projects to the
value of $22 Million over a 10 year period. The WHO CC carries out the important role of Secretariat for
the South Pacific Chief Nursing, Midwifery Officers Alliance (SPCNMOA), working closely with many
regional partners.
Abstract
In Pacific Island Countries (PICs), the health sector is actively involved in disaster coordination at the
national level, providing frontline response to the health care needs of their respective population. However
the effectiveness of the health sector response is often constrained by limited capacity. This research
investigated disaster response in the Pacific and how climate change is likely to affect responding
organisations in both Australia and in Pacific island countries. The research focused on how some of the
immediate humanitarian needs following a disaster are met by various stakeholders in four case study
countries (Fiji, Cook Islands, Vanuatu and Samoa). Presentation will also touch on other relevant
PARsificia research approaches within the Pacific and connection to politics and power of discussion
making.
10
APEDNN Annual Conference 2019 Keynote Sessions
Results: ‘Capacity’ -including health care capacity is one of the objective determinants identified as most
significant in influencing the adaptive capacity of the organisations within the ‘disaster response system.
While health care workers are ready to respond to climate driven disasters, their response is often
constrained by limited human resources technical and material capacity, resulting in relatively high levels
of vulnerability. Significant gaps identified in the research include the lack of technical capacity for
psychosocial support and the need for a coordinated regional approach to address the health care training
needs.
Recommendations: include the establishment of a disaster response trust fund for health sector response
supported by donors; and a coordinated approach to technical up-skilling and training with emphasis on
building institutional and individual capacity in PICs. Outcomes when Pacific leaders own research and
change model to suit local context.
11
APEDNN Annual Conference 2019 Keynote Sessions
The team building and management of the WHO EMT
Lei YE
Head Nurse
Emergency Department
West China Hospital
Sichuan University
China
Biography
Head Nurse of the Emergency Department, West China Hospital of Sichuan University
Vice President of Emergency Nursing Committee, Chinese Nursing Association
President of Emergency Nursing Committee, Sichuan Nursing Association
Member of the WHO EMT (Type Ⅲ )
Took part in the rescue of Wenchuan earthquake 2008, Nepal earthquake 2015 and so on.
Abstract
West China Hospital rescue team has experienced several big disaster reliefs. Rich experiences were
accumulated. Based on the WHO basic principles of EMT standards, West China Hospital rescue team
optimize the SOPs and got WHO EMT (type Ⅲ) certification. This EMT became the first civilian WHO
EMT (type III) in the world. The experiences of the construction and management of the EMT will be
introduced in the presentation.
12
APEDNN Annual Conference 2019 Keynote Sessions
Nurses’ roles in preparing and responding to the threats of emerging infections:
Experience sharing in Hong Kong
Anthony Ngai-Ming NG
Senior Nursing Officer
Infection Control Branch
Centre for Health Protection
Department of Health
The Government of the Hong Kong SAR
Biography
As a senior nursing officer at the Infection Control Branch of the Centre for Health Protection, Mr Anthony
Ng plays an important role in planning and developing the implementation of training programmes in
infection control for public and private sectors; coordinating the implementation of infection control policy
and programmes in healthcare settings; and coordinating research on special infection control programmes.
During his work in the hospital infection control team, he has actively involved in several cross-
departmental projects, including hospital accreditation, commissioning, and infection control projects, in
particular the control of MDRO transmission and environmental hygiene in hospital setting.
Abstract
After the first human H5N1 case was diagnosed in Hong Kong 1997; and the SARS epidemic in 2003, the
way we view and deal with emerging infectious diseases has been revolutionized. We have accumulated
and expanded the experience in effective preparedness strategies to tackle the novel infectious diseases that
would be potentially emerge in our territory. To ensure we can provide a comprehensive and generalizable
responses, transdisciplinary collaboration include engaging experts in clinical and public health
management; application of information technology; and laboratory preparedness are all crucial. In the
presentation, the overview of the preparedness on emerging infectious diseases in Hong Kong would be
shared, in particular, the nurses’ roles in preparing and responding these threats would be emphasized.
13
APEDNN Annual Conference 2019 Scientific Session
Scientific Session
14
APEDNN Annual Conference 2019 Scientific Session
Scientific Session
The integration of Sendai Frameworks of Disaster Risk Reduction (SFDRR) and ICN
framework of disaster nursing competencies into disaster nursing education
Fu-Chih LAI
Associate Professor
College of Nursing
Taipei Medical University
Taiwan
Biography
Professor Fu-Chih Lai received Doctorate degree from Kent State University and Master degree from Case
Western Reserve University in Cleveland, Ohio, U.S.A. He currently teaches medical/ surgical, emergency,
disaster nursing and long-term care as well as nursing theory, health care management and delivery system
for international and graduate students. He has adopted OSCE, simulation, VR, and AR to enhance nursing
education. In leadership, he actively serves as vice chair of Disaster Nursing Committee, Taiwan Nurses
Association since 2012. In research, he had received grant for disaster nursing and radiation disaster
cooperating with universities in Japan for disaster nursing and research.
Abstract
Asia has the greatest number of land, population, and disaster risks. However, an Asia-Specific disaster
nursing education platform that incorporates disaster nursing practice and research as well as accommodates
social, cultural, and developmental varieties has not been developed. Although disaster nursing education
has been established and implemented in some Asian countries with different strategies, contents,
frameworks, and evaluation measurements, the connections and integrations among those different
measures have not been addressed in disaster nursing arena. The Sendai Framework for Disaster Risk
Reduction (SFDRR) has been developed since 2015 and been endorsed by the International Council of
Nurses (ICN), however, it has not been adopted in disaster nursing education in Asia.
Taiwan Nurses Association had integrated ICN framework of disaster nursing competencies into the
development of disaster nursing framework in 2012. After the promulgation of SFDRR in 2015, Taiwan
Nurses Association modified existing disaster nursing framework that is based on ICN framework of
disaster nursing competencies along with SFDRR for future disaster nursing education including contents,
competencies, and evaluations.
Taiwan’s experience that integrated ICN framework and SFDRR can be illustrated as an insight for
developing Asia-Specific disaster nursing education platform. In this Asia-specific platform, differences
among countries, communities, and organizations from various dimensions in disaster can be taken into
consideration. Furthermore, technology advancement of artificial intelligence, big data, and Cloud can
facilitate the connections, cooperation, and expansion of this Asia-Specific disaster nursing education
platform that build Asia continent back better from disasters with greater resilience that can foresee risk
precisely, prepare sufficiently, respond immediately, and recover comprehensively in all phases of disaster.
15
APEDNN Annual Conference 2019 Scientific Session
Current state of disaster education in undergraduate nursing programs in South Korea
Hyewon KIM
Associate Professor
Korea Armed Forces Nursing Academy
South Korea
Biography
Dr Hyewon Kim is a Major and an Associate Professor in the Korea Armed Forces Nursing Academy.
During the past ten years, she has significant contribution in curriculum development and teaching for
military nursing. She has also been assigned to be the Head of Military Health Policy Research Center
because of her continued and outstanding efforts in translating research into teaching and practice and wide
publication.
Abstract
Aims
The purpose of this study is to survey the current state of disaster education in undergraduate nursing
programs.
Methods
This descriptive study was conducted to 100 professors at nursing schools in South Korea. The data were
collected using structured questionnaires composed of items on disaster education contents from August,
2017 to May, 2018 and were analyzed using frequency, percent, x2 -test with SPSS program.
Results
95% of the participated schools had disaster courses, 54% of the schools had only one disaster course. 50.7%
had disaster course in senior grade with multiple responses followed by junior, sophomore in order. 50.3%
reported community nursing as a disaster 54% of the schools had only one course with multiple responses.
Disaster education contents showed that overview domain was 64.0~79.0%, disaster management cycle
domain 76.0~90.0%, population problems domain 52.0~77.0%, clinical domain 73.0~90.0%, disaster type
domain 76.0~83.0%, education and training domain 34.0~40.0% research domain 32.0~38.0%, future
direction 35.0% each. Related factors to disaster education in nursing schools was the number of students
and having disaster courses.
Conclusions
Based on the results, it is in need to develop disaster education program for undergraduate nursing students
considering disaster education needs and content priority.
16
APEDNN Annual Conference 2019 Scientific Session
Combining the arts & sciences to improve disaster risk reduction
Timothy SIM
Deputy Director
WHO Collaborating Centre for Community Health Services
School of Nursing
The Hong Kong Polytechnic University
Hong Kong SAR
Biography
Dr Timothy Sim is currently an Associate Professor at the Department of Applied Social Sciences, as well
as the Deputy Director of the World Health Organization Collaborating Center for Community Health
Services, School of Nursing, The Hong Kong Polytechnic University. He was the Director of the Hong
Kong Polytechnic University and the United Nations Office for Disaster Risks Reduction Collaboration
Programme from 2015-2016. Timothy has published widely on disaster management and risk reduction
and currently serves as one of the Associate Editors of the “Oxford Encyclopedia of Natural Hazard
Governance”.
Abstract
This scientific talk will share about the experience of implementing a first-of-its-kind earthquake resilience
scenario in China, which shows that the arts can turn scientific evidence and practical knowledge into
compelling messages that connect with people, change attitudes and inspire action to reduce the risk of
disasters.
The PAGER-O project, funded by the Chinese and UK governments, tested an innovative earthquake
resilience scenario which brought together a range of expert disciplines (physical sciences, engineering,
social sciences and the arts), giving equal emphasis to each. It engaged national and local decision-makers
and stakeholders in a participatory way, breaking away from siloed approaches to mitigate the risks of
earthquakes.
The scenario explored the consequences of a future, hypothetical earthquake in the city of Weinan in
Shaanxi Province. We chose a scenario approach to help stakeholders and decision-makers envisage the
reality of the situation and convince them of the need to act.
The results of the experiment have exceeded our expectations and revealed the power of the arts to shape
technical information into formats that resonate with people’s emotions, change attitudes and inspire action.
Feedback has been positive. National and local policy-makers and practitioners, the expert community,
civil society and project stakeholders all appreciated the combination of and balance between the sciences
(physical and social) and the arts.
The approach worked well because the research underpinning the narratives was solid and credible, and the
narratives in turn amplified the reach of that knowledge by presenting it in an accessible format that
resonated with people. Ultimately, the result has been greater than the sum of its parts.
17
APEDNN Annual Conference 2019 Expert Panel Discussion
Expert Panel Discussion
18
APEDNN Annual Conference 2019 Expert Panel Discussion
Expert Panel Discussion on the revised version of ICN competencies and the impacts it
may have on nursing education and practice
Bettina EVIO
Assistant Professor
University of the Philippines Manila College of Nursing
The Philippines
Bettina D. Evio is an Assistant Professor at the University of the Philippines College of Nursing and an
Affiliate Faculty at the UP Open University Faculty of Management and Development Studies. She
finished her Bachelor of Science in Commerce, Major in Accountancy from De La Salle University (Taft,
Manila) and Bachelor of Nursing from the University of the Philippines Manila. She obtained her Master
of Arts in Nursing from the University of Asia & Pacific - Institute for Nursing Development. She is also
the Chairperson of the Committee on Disaster Preparedness of the Philippine Nurses Association.
Seunyong JOE
Professor and Director of Health Management Division
Korea Armed Forces Nursing Academy
South Korea
Prof. Joe is currently the Training Management Officer for the Military Nursing Training Simulation Center
at the Korea Armed Forces Nursing Academy (KAFNA). Prof. Joe is also a faculty member in Trauma
Nursing Core Course by Emergency Nursing Association and a senior instructor of mass casualty tabletop
exercise by Emergo Training Center. She holds a BSN from KAFNA, a MSN and a Doctorate in community
health nursing from Yonsei University,
Her research focus is on military nursing, disaster management, and the development of nursing education
program, currently focusing on CBRNE preparedness. As a principal investigator, she together with other
colleagues fulfilled many research projects in the past 15 years.
19
APEDNN Annual Conference 2019 Expert Panel Discussion
Alice Yuen LOKE
Professor and Associate Head (Postgraduate Education)
School of Nursing
The Hong Kong Polytechnic University
Hong Kong SAR
Prof. Alice Yuen Loke is Professor and Associate Head (Postgraduate Education) at the School of Nursing,
The Hong Kong Polytechnic University. She oversees the postgraduate programmes on disaster nursing,
and an online Master of Science in Disaster Management. She is also the theme leader for the Family and
Community Health Research Theme, which includes a task force on disaster nursing.
She has supervised doctoral/PhD students and published numerous papers on promotion of disaster
awareness and preparedness among adolescents, families with young children, and elderlies for disaster.
Her latest publications, together with her PhD student, focus on disaster preparedness and resilience of
healthcare rescue workers in China.
Sonoe MASHINO
Executive Director and Professor
Research Institute of Nursing Care for People and Community
University of Hyogo
Japan
Sonoe Mashino, RN, PHN, PhD, is the Executive Director and Professor of Research Institute of Nursing
Care for People and Community, University of Hyogo, Japan. The Institute is designated as the WHO
Collaborating Centre for Disaster Risk Management for Health. She also serves as a faculty member of
Disaster Nursing Global Leader program, which is a five-year PhD program operated by 5 nationally
leading graduate schools of Nursing in Japan. For over 15 years, she has taught nursing leadership and
management for undergraduate and graduate levels. She has also made a contribution on the development
of curriculum for disaster nursing in Japan. Her research interests include transformation of nursing care
system and nursing education, human resource management in nursing and health care, capacity building
for nurses in disaster risk management and psychosocial care of disaster survivors and responders.
20
APEDNN Annual Conference 2019 Expert Panel Discussion
Caryn WEST
Deputy Academic Head – Nursing and Midwifery
Director WHOCC N&M Education and Research Capacity Building
Associate Dean, Research
College of Healthcare Sciences
James Cook University
Australia
A/Prof Caryn West is a registered nurse, researcher and academic. Her clinical experience, teaching and
publications reflect her areas of interest and show evidence of her developing commitment to research and
publication in health and public health arenas. A/Prof West has built a diverse research portfolio within
nursing and public health through her professional roles and awards, including an early career fellowship
with the National Health and Medical Research Council (NHMRC) and directorship of the World Health
Organisation Collaborating Centre (WHOCC) for Nursing, Midwifery Education and Research Capacity
Building. Caryn’s areas of research interest include disaster management, nursing education, and alcohol-
related injuries in Australian Indigenous communities which are drawn together through the theme of
resilience.
Caryn maintains a strong international reputation through her involvement with research centres,
international humanitarian projects and international mixed methods research associations.
Working extensively with Asia Pacific and Western Pacific countries A/Prof West is the current executive
committee member for the Western Pacific Region of the Global Network of World Health Organisation
Collaborating Centre for Nursing and Midwifery, and a committee member and advisor for the Asia Pacific
Emergency Disaster Nurses Network (APEDNN).
21
APEDNN Annual Conference 2019 Concurrent Sessions
Concurrent Sessions
22
APEDNN Annual Conference 2019 Concurrent Sessions
No. Presenter Abstract Title
Co
ncu
rren
t S
essi
on
1
A276 Tao YI
[China] The outcomes of peer-led disaster preparedness education in comparison to
education delivered by health professionals in mobility disability adults
A325 Li YIN
[China]
Development of a disaster preparedness guideline for enterostomates in the
prevention and management of peristomal complications
A286 Rui XIA
[China] Effectiveness of disaster preparedness program for nursing students in
Chengdu, Sichuan of China: Randomized controlled trial
A285 Xiaorong MAO
[China] The disaster preparedness of emergency nurses in Sichuan, China: A cross-
sectional study
A289 Lan SHI
[China]
Formation and evaluation of the Hospital Nursing Organization Disaster
Preparedness Measurement Scale
Con
curr
ent
Ses
sion
2
A258 Ye TAO
[Japan]
The challenges nurses faced in caring vulnerable population during disaster
relief missions in Sichuan, China
A324 Chunjuan LIU
[China]
Overcoming enterostomal challenges during disasters: A triangulation study
A259 Wenjiao HUANG
[China]
Development of disaster response core knowledge and skill training course
for clinical nurse
A331 Tianzhi LIAO
[China] Outdoor survival: The core competence urgently needed by disaster nurses
A269 Ly CHANVATANAK
[Cambodia]
Developing effective emergency risk communication strategies through
network partner collaboration to reduce vulnerabilities to disasters
Co
ncu
rren
t S
essi
on
3 A282 Sheeba PAUL
[India]
Hazard identification and risk analysis (HIRA) in critical care units of
Christian Medical College, Vellore, India
A339 Xiuhua HUANG
[China]
Enterostomal surgeons perspectives on how to overcome enterostomal
challenges during disasters
A343 Somkid RUPNGAM
[Thailand]
Factors predicting the systemic inflammatory response syndrome in trauma
patients
A271 Shaohua CHEN
[China]
Social workers’ experience in organizing community fire emergency drills
after participating in ICS system training
Con
curr
ent
Ses
sio
n 4
A334 Li XIE
[China]
Stroke survivors’ and their caregivers’ earthquake experience before and
after the occurrence of a stroke
A327 Xin ZHOU
[China]
An enterostomal-friendly vest designed for disaster situations
A274 Qin HU
[Japan]
Role of resilience in the association between demographic characteristics
and prolonged grief disorder of bereaved survivors ten years after Wenchuan
earthquake
A322 Jiaoji HE
[China]
Psychological experience among uses of lower-limb prostheses from the
2008 Wenchuan earthquake
23
APEDNN Annual Conference 2019 Concurrent Sessions
Concurrent Session 1
A276 The outcomes of peer-led disaster preparedness education in comparison to education delivered by health
professionals in mobility disability adults
Tao YI 1, Xuemei LUO 2, Yu ZHUO 3, & Xiaohua JIANG 4 1 School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China
2 Department of General Surgery, Mianzhu people's Hospital, Mianzhu City, Deyang, Sichuan, China 3 Department of Psychiatry, West China Hospital of Sichuan University, Chengdu, Sichuan, China
4 Department of Neurosurgery, Sichuan Provincial People's Hospital, Chengdu, Sichuan, China
AIMS To compare the effectiveness of disaster preparedness education by peers and health professionals in mobility
disability adults.
METHODS We enrolled 121 patients with mobility disability who were referred to a rehabilitation department in Mianzhu
City. We performed a two-group pretest-posttest study using a randomized control design with a wait-list
control group. In the experimental group. The disaster preparedness education was led by peer mentors. Peer
mentors are adults who have mobility disability and who share similar life situations and experiences with
targeting audiences. With extensive training prior to study, mentors led the small-group exercises, facilitated
class activities, assisted the participants during hands-on learning activities, performed in-class demonstrations,
and served as role models providing support, motivation, and encouragement to program participants. In the
control group, education was carried out by health professionals with routine education strategies. Data
collected at baseline, immediately after and 1 month after included demographic variables, knowledge, attitude
and behavior towards disaster preparedness. The teaching program consisted of four sessions. The contents
involved disaster safety knowledge, disaster preparedness plan and supplies.
RESULTS Both peer mentors and health professionals who invested in teaching equally empowered participates with better
disaster preparedness level regarding to disaster knowledge, attitude and behaviors. However, peer-led
education among mobility disability adults was more effective over the long-term with better adherence to their
acquired knowledge and skills.
CONCLUSIONS Result of this study showed that peer education can improve disaster preparedness levels in mobility disability
adults and achieve short-term outcomes. This is the first targeted and tailored disaster preparedness program for
mobility disability population involved with peer mentors. Ongoing education is crucial for individuals with
mobility impairment in order to maintain disaster preparedness level throughout a lifetime of disability.
However, due to shortage of resources, disaster preparedness knowledge and skill are usually unapproachable
to people with disability. In these cases, peer educators can be used. Besides, people with disability participating
in the design, implementation and evaluation of this study takes concerted action with the principle of inclusion.
This work will contribute to increasing awareness for policy makers and educators to pay more attention to
those vulnerable groups and reduce community vulnerability in a sustainable manner. Challenges remains in
the longer period of follow-up and larger scale of sampling.
24
APEDNN Annual Conference 2019 Concurrent Sessions
A325 Development of a disaster preparedness guideline for enterostomates in the prevention and
management of peristomal complications
Li YIN 1,6, Xin ZHOU 2,6, Xiuhua HUANG 3,6, Chunjuan LIU 4,6, Shuai ZHANG 5,6 & Sunshine CHAN 7 1 Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of
Electronic Science & Technology of China, Chengdu, Sichuan, China; Radiation Oncology Key Laboratory of Sichuan Province 2 Emergency Department, Mianyang Central Hospital, Mianyang, Sichuan, China
3 Surgical Intensive Care Unit, Chengdu Children and Women Central Hospital, Chengdu, Sichuan, China 4 West China School of Nursing/West China Hospital, Sichuan University, Chengdu, Sichuan, China
5 Pediatric Intensive Care Unit, Nursing Department, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China;
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education. 6 Institute for Disaster Management and Reconstruction, Sichuan University – The Hong Kong Polytechnic University, Chengdu, Sichuan, China
7 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
AIMS Stoma brings a variety of daily challenges to the enterostomates. Peristomal complications, may lead to pain and
increases the burden of care, are the most common and feared problems faced by the enterostomates. In a disaster
state, the enterostomates become a vulnerable population with special care needs. Good disaster preparation can
reduce the impact of disaster and improve resilience. Existing disaster preparedness guidelines fall short for the
enterostomates, so there is an urgent need to provide some guidelines for this group of people.
METHODS Through semi-structured interviews with enterostomates, personal caregivers, enterostomal therapists, and
enterologists; the self-care experience, knowledge and skills needed for enterostomal care, disaster preparedness,
and deficits were identified. Based on the interview data in combination with the most updated scientific
evidence, a set of guidelines was developed. Enterostomal therapists, enterologists, and experienced
enterostomates were invited to determine validity, practicability, and readability of the guideline.
RESULTS The disaster preparedness guideline for enterostomates (in the form of an e-book) includes six aspects:
(1) Basic information on enterostomas (types, specific characteristics);
(2) Personal adaptation (diet, showering and personal grooming, sleeping, physical activity, sports, outgoing
and travelling);
(3) Peristomal care supplies and appliances (choices, function);
(4) Peristomal care step-by-step guide (procedural information, cleansing);
(5) Identification and management of skin complications (simple self-assessment tools, problem solving);
and
(6) Emergency kit (food, water, personal hygiene, medication for own condition, emergency tools and gear,
first-aid kit, other necessary items).
CONCLUSIONS The disaster preparedness guideline provides practical instructions for the enterostomates to perform appropriate
care in maintaining peristomal skin integrity in the event of disasters as well as under normal circumstances.
The contents of the guide is written in simple language interspersed with diagrams to aid understanding. The
validity and practicability were determined by enterostomal therapists and enterologists, and the relevancy and
readability were determined by experienced enterostomates.
25
APEDNN Annual Conference 2019 Concurrent Sessions
A286 Effectiveness of disaster preparedness program for nursing students in Chengdu, Sichuan of China:
Randomized controlled trial
Rui XIA 1, Bingbing CHAN 2, Qiu JIN 3, Zipeng ZHANG 4, Fang ZHANG 5 & Sijian LI 6 1 Chengdu Second People's Hospital, China
2 The First Hospital of Quanzhou, China 3 West China Hospital of Sichuan University, China
4 Chengdu Fourth People's Hospital, China 5 Wuhan Union Hospital, China
6 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
AIMS 1) To develop a disaster preparedness program to improve knowledge, attitude and skill of disaster
preparedness; and 2) To evaluate the effectiveness of the program.
METHODS This investigation used an experimental study design with pretest-posttest comparison study. Sixty-three
nursing students were randomly assigned into the intervention (n=31) and control group (n=32). The
intervention group received a seven-hour program. The outcomes were measured by using structured self-
reported questionnaire covering knowledge, attitude and skill of disaster basic, triage and family preparedness
planning. The data were collected at pre-intervention (T0) and post-intervention (T1). Qualitative data were
collected using three focus-group interviews at T1 and analyzed by using qualitative content analysis.
RESULTS Compared with the control group, the knowledge and skills of the disaster basic, triage and family preparedness
planning improved significantly in the post-test. The information obtained from focus group interviews showed:
1) increasing the awareness of disaster risk; 2) stimulated their eagerness of learning more about disaster
knowledge and the consciousness in disaster triage skills. Participants also expressed that the training methods
were new, especially using disaster scenario, group discussion and competition, and the interactive teaching
method which could stimulate their self-directed and peer learning.
CONCLUSIONS This study demonstrated that a disaster preparedness program improved knowledge and skills of disaster basic,
triage and family preparedness planning among nursing students. The findings could serve a basis for further
development of disaster preparedness programs for nurse educators, hospital administrators and researchers in
supporting nursing students as well nurses to be sufficiently prepared for disaster response and recovery.
A285 The disaster preparedness of emergency nurses in Sichuan china: A cross-sectional study
Xiaorong MAO 1,2,3, Feng TIAN 1, Xia ZENG 1, Huarong PU 1, Xiuying HU 2 & Alice Yuen LOKE 3 1 Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital
2 School of Nursing/ Institute for Disaster Management and Reconstruction, Sichuan University 3 School of Nursing, The Hong Kong Polytechnic University
AIMS The increasing frequency of disasters in Sichuan requires healthcare professional to prepare to respond to
disasters to mitigate the negative consequences of the disastrous event on the affected people. Disaster
preparedness play an important role in disaster risk reduction. The purpose of this study is to investigate the
disaster preparedness among emergency nurses in Sichuan, China and its influence factors.
METHODS This is a cross sectional study that was conducted using internet survey trough snowball sampling among
emergency nurses in Sichuan China. The measurements used in this study were demographic information,
Chinese version disaster preparedness evaluation tool.
RESULTS A total of 621 emergency nurses participated in this study. The total score in disaster preparedness for
emergency nurses was (188.79±35.02), which was at a medium level. The score of disaster knowledge was
(57.70±11.72), the score of disaster management was (90.45±19.96), the score of disaster technology was
(45.04±11.84). Multi-regression analysis showed that the position, number of night duty shift, income, marriage
status, experience of disaster rescue, and disaster training were the influencing factors of disaster preparedness
among emergency nurses.
CONCLUSIONS The disaster preparedness of emergency nurses is at the middle level. It is necessary to provide tailored disaster
nursing education and training for emergency nurses to improve the level of disaster preparedness and to
increase their abilities to respond disaster effectively.
26
APEDNN Annual Conference 2019 Concurrent Sessions
A289 Formation and evaluation of the Hospital Nursing Organization Disaster Preparedness Measurement
Scale
Lan SHI 1, Mingxuan LI 2, Xiaofeng XU 3, Zhengdong WANG 4 1 Medical Intensive Care Unit, Fujian Provincial Hospital, Fuzhou, China
2 Emergency Department, West China Second University Hospital, Chengdu, China 3 Operating Room, West China Second University Hospital, Chengdu, China
4 Neonatology Department, West China Second University Hospital, Chengdu, China
AIMS To translate and revise the organizational disaster preparedness measurement scale, and to test its reliability and
validity.
METHODS The Chinese version of the Hospital Nursing Organization Disaster Preparedness Measurement Scale
(HNODPMS) was developed through translation, back translation, and culturally debugging. A total of 2,657
nurses from 50 nursing organizations of tertiary hospitals in seven administrative regions of China were
investigated to check the reliability and validity of the scale.
RESULTS The corrected HNODPMS consists of five dimensions, for a total of 72 entries. The KMO test value was 0.949,
and Bartlett’s spherical approximation chi-square was 90922.34, with a significant p=0.000. The exploratory
factor analysis generates five factors with a cumulative variance contribution rate of 61.132%, and the factor
load of each item is greater than or equal to 0.4. The results of confirmatory factor analysis showed that the chi-
square degree of freedom ratio (χ2/df)=1.782, the relative goodness of fit index (CFI)=0.982, the absolute
goodness of fit index (GFI)=0.919, the value-added fitting index (IFI)=0.982, normalized fitting index
(NFI)=0.959, Tucker-Lewis index (TLI)=0.979, approximate error root mean square (RMSEA)=0.024,
indicating that the observation index fits well with the five-factor theoretical models, and the HNODPMS had
good structural validity. The Cronbach’s α coefficient of the total scale was 0.930, and the content validity score
was 0.960.
CONCLUSIONS The corrected HNODPMS has good reliability and validity, which can provide an effective evaluation tool for
nursing peers to carry out future research on disaster preparedness.
27
APEDNN Annual Conference 2019 Concurrent Sessions
Concurrent Session 2
A258 The challenges nurses faced in caring vulnerable population during disaster relief missions in Sichuan,
China
Ye TAO 1, Jianna ZHANG 2 & Sonoe MASHINO 3 1 Graduate School of Nursing Art and Science, University of Hyogo, Japan
2 Emergency Department, West China Hospital of Sichuan University, China 3 The Research Institute of Nursing Care for People and Community, University of Hyogo, Japan
AIMS This study aimed to identify the challenges of caring vulnerable population through interpreting disaster relief
experiences of Chinese nurses.
METHODS This is a collaborative study between China and Japan. Qualitative research method with focus group interview
and individual semi-structured interview was used in this study. The study results were analyzed based on Braun
& Clarke’s thematic analysis method.
RESULTS The findings described the themes arising from 13 Chinese nurses who worked in six different domestic disaster
relief missions. Three major themes, 10 categories, 22 subcategories and 47 codes were identified. The three
themes were challenges in the capacity of individual nurses, challenges in emergency response system and
challenges on unpreparedness of vulnerable population. Ten categories were extracted from the narratives of
participants: unawareness of vulnerable population; caring people with different culture; providing mental
health care for vulnerable population; non-proficiency in special nursing skills to care vulnerable population;
emergency response system lacking attention to vulnerable population; providing caring under chaotic on-site
command system; preparing dispatch with insufficient information about affected vulnerable population; lack
of resources to care vulnerable population; lack of coordination in follow-up onsite treatment for vulnerable
population; and caring unprepared vulnerable population.
CONCLUSIONS This study revealed that the vulnerable population needed special attention even in the acute phase of a disaster.
The study results suggested that nurses needed to equip more nursing capacity other than emergency skills such
as transcultural nursing skill, mental healthcare skill, and other special nursing skills to care a variety of
vulnerable population during disaster relief missions. In future disaster nursing training, the nursing capacity to
care vulnerable population should be emphasized. What is more, it is necessary for Chinese emergency response
system to pay more attention to the vulnerable population in disaster.
A324 Overcoming enterostomal challenges during disasters: A triangulation study
Chunjuan LIU 1,2, Xin ZHOU 3,2, Xiuhua HUANG 4,2, Li YIN 5,2, Shuai ZHANG 6,2 & Sunshine CHAN 7 1 West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China
2 Institute for Disaster Management and Reconstruction, Sichuan University – The Hong Kong Polytechnic University, China 3 Emergency Department, Mianyang Central Hospital, Mianyang, Sichuan, China
4 Surgical Intensive Care Unit, Chengdu Children and Women Central Hospital, Chengdu, Sichuan, China 5 Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of
Electronic Science & Technology of China, Chengdu, Sichuan, China; Radiation Oncology Key Laboratory of Sichuan Province 6 Pediatric Intensive Care Unit, Nursing Department, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education 7 School of Nursing, The Hong Kong Polytechnic University, Hong Kong, SAR, China
AIMS To explore factors leading to peristomal skin complications during disaster situations and to identify effective strategies to
reduce and manage peristomal skin complications with an aim to overcome the challenges faced by enterostomates during
disasters and emergency situations. METHODS Triangulation was used as a method of inquiry. Semi-structured interviews were conducted among 11 patients with
enterostomy, five caregivers, five enterostomal therapists, and seven enterologists. Data were transcribed verbatim and
analyzed by qualitative content analysis. RESULTS Findings indicated that the following conditions contribute to an increased risk of peristomal complications, especially in the
event of disasters: (1) Personal factors such as obesity, skin diseases, immune-suppression, etc; (2) Type of ostomy, high level
colostomy and ileostomy are more likely to cause peristomal skin problems compared to low level colostomy; (3) Knowledge
deficit leading to self-management insufficiency and lack of motivation or ability to take care of the stoma; (4) Lack of disaster
preparedness resulting lack of appliances and accessories for cleansing and pouching. These factors may have negative effects
on the physical, psychological, and social wellbeing for the enterostomates, in turn, creating a higher risk for peristomal
complications. CONCLUSIONS In order to reduce the risk, specific measures must be undertaken to improve the capacity of enterostomates. These include
reducing personal factors like weight management and taking appropriate actions to treat the underlying medical conditions;
systematic education to improve knowledge and skills (how to choose and use ostomy products, stoma care skills, identification
of skin problems in the early stage); enterostomates are also encouraged to make a plan, get a disaster skincare kit, and be
informed. It is believed that these strategies will help enterostomates to reduce the risk of peristomal complications.
28
APEDNN Annual Conference 2019 Concurrent Sessions
A259 Development of disaster response core knowledge and skill training course for clinical nurse
Wenjiao HUANG 1, Linqian LI 2 & Xianqiong FENG 3 1 Department of Pediatric, West China Hospital of Sichuan University, China
2 Department of Integrated TCM and Western Medicine, West China Hospital of Sichuan University, China 3 School of Nursing, Sichuan University, China
AIMS To develop disaster response core knowledge and skill training course for clinical nurse.
METHODS Based on M. E. Mullins’ six-step approach curriculum development for medical education (problem
identification, needs assessment, provision of goals and objectives, designing of educational strategies,
implementation, and evaluation), a disaster response core knowledge and skill training course for clinical nurses
was developed by the Department of Nursing, West China Hospital. The course has trained 46 nurses selected
from different hospitals in China. The training course was in the Laboratory of Disaster Nursing, Sichuan
University – Hong Kong Polytechnic University Institute for Disaster Management and Reconstruction (IDMR)
for 3days. The general disaster response capacity score, and scores of knowledge, attitude, self-efficacy, and
behavioral desire were evaluated before training, immediately after training, and 6 months after training by
questionnaire survey.
RESULTS There were 20 males and 26 females included in this course, aged 32.83±6.173 (20~55), 73.3% with bachelor
degree, 43.5% with junior professional title, and 47.8% with intermediate title, 26.1% with experience of
disaster relief, and 32.6% having received relevant training. The evaluation survey showed that the general
disaster response capacity score, and scores of knowledge immediately after training were both significantly
higher than those before training (both P<0.05), however, the general disaster response capacity score, and
scores of knowledge 6 month later were both lower than those immediately after training, but still significantly
higher than those before training (both P<0.05).The investigation of the trainees’ feedback showed that they
liked and needed such training.
CONCLUSIONS The results indicated that planned and systematic disaster response training improves the development of
disaster nursing.
A331 Outdoor survival: The core competence urgently needed by disaster nurses
Tianzhi LIAO & Lin LAN
Neurology, Chengdu Second People’s Hospital
AIMS The core competence by disaster nurses plays a significant role in prevention, preparedness, response and
reconstruction in four aspects of disaster management. At present, China's focus on disaster relief is changing,
the response is still an important part of disaster management. This article intends to discuss the survivability
of outdoor disaster nurses.
METHODS Due to the special type of disaster nurse population and difficulty in sampling objectively, the method of
convenient sampling was adopted to take the observation of 2015 & 2017 grade disaster nursing students of
The Hong Kong Polytechnic University. All the participants participated in the simulated field survival training
organized by Outdoor Sports Institute, Sichuan University. They observed and recorded the completion of such
subjects as hiking, weight-bearing, cable landing, orientation, jungle crossing, camping, field foraging,
drowning, and camping etc.
RESULTS All the trainees successfully completed all subjects and gained valuable outdoor experience
CONCLUSIONS The survivability of outdoor disaster nurses is core competence, it could be improved though education and
training programs which enhance their disaster preparedness and response.
29
APEDNN Annual Conference 2019 Concurrent Sessions
A269 Developing effective emergency risk communication strategies through network partner collaboration to
reduce vulnerabilities to disasters
Ly CHANVATANAK 1, Patricia CHING 2, Danny TONG 3 & Peggy OR 4 1 Clinical Practices & Skills and Simulation Unit, University of Health Sciences, Kingdom of Cambodia, Cambodia
2 World Health Organization Collaboration Centre for Infectious Disease Epidemiology and Control,
School of Public Health, The University of Hong Kong, Hong Kong 3 Nursing Services Department, Hospital Authority, Hong Kong
4 Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong
AIMS To provide effective simulation training strategies through network partner collaboration to enhance emergency
risk communication to reduce vulnerabilities to disasters.
METHODS An exploratory research design. To develop effective simulation training strategies through the creation of case
scenarios between faculty members from Hong Kong and Cambodia. A series of meetings (face to face and/or
Teleconference) will be held to identify the emergency risks of communication at the occurrence of disasters at
both the regional and country levels. Case scenarios will be derived according to the selected priority and to
encourage nurses to bridge the gap between current knowledge and clinical application. Guidelines on proper
and standard steps for communication and response to any types of disasters will be developed through partner
collaboration to reduce disaster vulnerabilities.
RESULTS Case scenarios will be developed based on the partner collaboration between Hong Kong and Cambodia.
Guidelines on proper response to any types of disasters will be developed through simulation training by
experienced educators and nurses who understand the complexity of nursing practice and the challenges of
teaching and learning.
CONCLUSIONS We can disseminate the collaborative experience with network partners on the reduction of disaster
vulnerabilities, and build safe and resilient communities in Asia Pacific to sustain their development.
30
APEDNN Annual Conference 2019 Concurrent Sessions
Concurrent Session 3
A282 Hazard identification and risk analysis (HIRA) in critical care units of Christian Medical College,
Vellore, India
Sheeba PAUL & Jeyalinda DURAIRAJ College of Nursing, Christian Medical College, Vellore, India
AIMS 1. To identify and assess the Hazard vulnerability and risk related to disaster in critical care units.
2. To determine the control measures to eliminate or minimize the risk of disaster in critical care units.
METHODS A descriptive research design will be undertaken to meet the study objectives. HIRA will be assessed in 15 critical
care units including emergency department using Hazard Vulnerability Analysis (HVA) tool developed by Kaiser
Permanente. HVA has the following events like
Natural hazards
Technological hazard
Human hazard and
Hazardous material
The risk of hazards equals product of probability & severity. The severity will be calculated from the difference
between magnitude and mitigation. The cumulative index will provide hazard vulnerability score.
RESULTS The findings will be presented in great detail in the conference.
CONCLUSIONS Identification of hazard and the risk assessment in critical care units will enhance patient safety and hospital safety
through emergency response plan. HIRA will be able to offer the best to greater number of people enabling health
care facilities to identify and reduce the potential hazards.
A339 Enterostomal surgeons perspectives on how to overcome enterostomal challenges during disasters
Xiuhua HUANG 1,6, Shuai ZHANG 2,6, Chunjuan LIU 3,6, Xin ZHOU 4,6, Li YIN 5,6 & Sunshine CHAN 7 1 Surgical Intensive Care Unit, Chengdu Children and Women Central Hospital, Chengdu, Sichuan, China
2 Pediatric Intensive Care Unit, Nursing Department, West China Second University Hospital of Sichuan University,
Chengdu, Sichuan, China; Key Laboratory of Birth Defects and
Related Diseases of Women and Children (Sichuan University), Ministry of Education 3 West China School of Nursing, West China Hospital, Chengdu, Sichuan, China
4 Emergency Department, Mianyang Central Hospital, Mianyang, Sichuan, China 5 Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science & Technology of
China, Chengdu, Sichuan, China; Radiation Oncology Key Laboratory of Sichuan Province 6 Institute for Disaster Management and Reconstruction, Sichuan University – The Hong Kong Polytechnic University, Chengdu, Sichuan, China
7 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
AIMS Peristomal complications may be contributed by factors related to the enterostomates, enterostomal therapists, and
enterostomal surgeons. Existing studies primarily focus on the enterostomates and different types of appliances.
Perspectives from surgeons may provide important insight on the prevention of such problems, especially in the event
of disaster.
METHODS In this study, seven experienced enterostomal surgeons were invited to discuss what challenges exist and how these
problems can be solved. Interview data were transcribed verbatim and analyzed by qualitative content analysis.
RESULTS Data from these seven enterostomal surgeons indicated that challenges could be categorized into four main aspects:
1. As the creation of ostomy is not a life-threatening operation, this type of surgery is not given priority, resulting
in siting is not done, attention is not given to peristomal skin condition, omission from the disaster preparedness
plan.
2. Surgeons who perform the surgery may be not proficient in the operation, resulting in knowledge and skills
deficit both intraoperatively and postoperatively.
3. Surgeons are not proactive in providing just-in-time health education to, and communicate with, the
enterostomates.
4. Surgeons consider that ostomy care are not within their professional boundary. They rely on enterostomal
therapists, junior nurses, and enterostomal specialist to deal with any stoma issues.
These enterostomal surgeons opined that surgeons should ask more, bear more responsibility, collaborate with the
healthcare team, and clinical training and rotation be developed to increase their capacity to properly take care of
these people both under normal circumstances and in the event of disaster.
CONCLUSIONS Not given priority, not proficient, not proactive, and not within their professional boundary have been identified by
enterostomal surgeons as challenges in the current healthcare system and strategies are proposed to solve these
problems.
31
APEDNN Annual Conference 2019 Concurrent Sessions
A271 Social workers' experience in organizing community fire emergency drills after participating in ICS
system training
Shaohua CHEN 1, Sijian LI 2 & Rui XIA 3 1 School of Nursing, Capital Medical University, Beijing, China
2 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China 3 Hematology Department, Chengdu Second People’s Hospital of Sichuan Province, China
AIMS To explore social workers' personal experience in organizing community fire emergency drills after
participating in ICS system training.
METHODS A descriptive qualitative approach was adopted. Twenty-three social works completed this study. Qualitative
data were collected using two focus-group interviews with a semi-structured question guide. Qualitative content
analysis was applied.
RESULTS In order to explain the process of mastering ICS system knowledge, a model that included 3 categories was
developed, advanced synthesis emerged as the key category. From participating in ICS knowledge training to
organizing emergency drills, social workers' understanding of ICS knowledge has changed from generalization
to differentiation, and finally to advanced integration. The mastering process included three process: knowledge
acquisition, knowledge transfer, and knowledge evaluation. During the emergency drill, the social workers
experienced self-confidence before, the chaos in the early stage, the calm in the later stage and the sublimation
after the drill.
CONCLUSIONS This study illustrated the importance of understanding social workers' experience in organizing community fire
emergency drills after participating in ICS system training. Training and emergency drills of ICS knowledge
for social workers can improve their ability to respond to emergencies. Government agencies should provide
more learning opportunities for social workers as much as possible.
A343 Factors predicting the systemic inflammatory response syndrome in trauma patients
Somkid RUPNGAM 1, Suporn DANAIDUTSADEEKUL 1, Orapan THOSINGHA 1 & Jatuporn SIRIKUN 2 1 Faculty of Nursing, Mahidol University, Thailand
2 Faculty of Medicine, Mahidol University, Thailand
AIMS This research aimed to study the predictive power of age, comorbidity, substance use, modified early warning
score (MEWS) on systemic inflammatory response syndrome (SIRS).
METHODS The sample was 147 hospitalized trauma patients within 24 – 72 hours after injury. The instruments consisted
of demographic and clinical data, comorbidity, substance use, MEWS and SIRS score. Data analysis was
performed by using the binary logistic regression. The level of significance was .05
RESULTS The majority of participants were male (68.7%). The average of age was 46.95 year (SD = 19.59). The
participants who had comorbidity was 36.7%, most of them were hypertensive (18.4%). The participants with
substance use was 57.1%, nearly half of substance use was alcohol (47.6%). Most of MEWS was mild (79.6%).
The SIRS was found 55.1% and majority of SIRS was mild (42.9%). The result showed that age, substance use,
and MEWS could significantly predict 31% (Nagelkerke R2 = .31, p <.05) of SIRS in hospitalized trauma
patients whereas comorbidity could not predict SIRS.
CONCLUSIONS Nurse should assess SIRS as high risk for trauma patients with older adults and substance use. Furthermore, the
patients with moderate to severe MEWS in emergency department could be early detected SIRS in hospitalized
trauma patients in order to reduce complication and proper management.
32
APEDNN Annual Conference 2019 Concurrent Sessions
Concurrent Session 4
A334 Stroke survivors’ and their caregivers’ earthquake experience before and after the occurrence of a stroke
Li XIE 1,2, Shenghua ZHANG 1,3, Xianyan YIN 1,4, Lan WANG 1,3, Bin ZENG 1,5 & Sijian LI 6 1 Institute for Disaster Management and Reconstruction, Sichuan University-The Hong Kong Polytechnic University, China
2 ChengDu Women's and Children's Central Hospital, China 3 West China Second University Hospital, China
4 Ya'an Polytechnic College, China 5 Sichuan Provincial People's Hospital, China
6 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
AIMS To explore stroke survivors’ and their caregivers’ earthquake experience before and after the occurrence of a stroke
METHODS The descriptive qualitative research was guided by naturalistic paradigm. One hundred and forty-three patients
discharged from a comprehensive hospital in Sichuan were invited by telephone follow-up. In addition, 19 families
with stroke patients agreed to participate in this study. Of those, 19 stroke survivors and 17 caregivers who finished
the interviews at their home settings. Data were collected using a semi-structured question guide and analyzed by
using qualitative data analysis.
RESULTS Five themes emerged from the data. They were (1) previous earthquake experiences; (2) changes in activities of daily
living after a stroke; (3) risk perception in responding to an earthquake; (4) changes in living environment at home;
and (5) external surroundings in the community/society.
CONCLUSIONS The findings were important for nurses to better understand stroke survivors’ and their caregivers’ earthquake
experience before and after the occurrence of a stroke. Previous earthquake experience is especially important for
them to recognize their special needs after a stroke not only at home settings, but also in an external environment.
Balancing the risk and actual ability following a stroke is critical which may help them to cope with an earthquake
situation before it strikes. The challenge is how to enable stroke survivors and their family caregivers to be well
prepared before a disaster, and able to ensure their safety during an earthquake, and to manage their health
conditions after an earthquake.
33
APEDNN Annual Conference 2019 Concurrent Sessions
A327 An enterostomal-friendly vest designed for disaster situations
Xin ZHOU 1,2, Shuai ZHANG 3,2, Xiuhua HUANG 4,2, Li YIN 5,2, Chunjuan LIU 6,2 & Sunshine CHAN 7
1 Emergency Department, Mianyang Central Hospital, Mianyang, Sichuan, China 2 Institute for Disaster Management and Reconstruction, Sichuan University –The Hong Kong Polytechnic University, China
3 Pediatric Intensive Care Unit, Nursing Department, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education. 4 Surgical Intensive Care Unit, Chengdu Children and Women Central Hospital, Chengdu, Sichuan, China
5 Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of
Electronic Science & Technology of China, Chengdu, Sichuan, China; Radiation Oncology Key Laboratory of Sichuan Province 6 West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China
7 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
AIMS People with chronic illnesses and disability have to address their own health needs in their normal everyday
life. These health needs may pose specific challenges for them during disaster situations. Through an in-depth
interview of 11 individuals with a stoma in Sichuan, they expressed that they were afraid of leakage which
might lead to peristomal skin complications. Besides, they were concerned about the pouching security during
evacuation as well as privacy space during pouch changes. At present, no suitable device is available in the
market. An enterostomal-friendly vest is therefore designed to address all these needs.
METHODS This newly designed enterostomal-friendly vest includes four important functions: 1. In the standby mode, there
are four pockets in the front. The appliances can be placed in a predetermined pocket (Appliances and
Accessories: adhesive remover, adhesive system, deodorant, hand-rub, mirror, scissors, stoma bags, thin plastic
bag for waste; Barrier: Hydrocol, moldable rings, ostomy paste & powder; Cleansing: cotton wool, small cup,
wet tissues; Drugs. These pockets provide hints for the enterostomates not to forget about things that they need
for pouching change; 2. On the inner side, a belt is designed to provide support for the pouching bag to reduce
the risk of leakage. 3. The vest can further be unfolded to form a private space for peristomal skin care when
no toilet facility is available during a disaster. 4. As the vest is made of water-proof material, it can also be used
as a poncho on rainy days to maintain the integrity of the peristomal skin.
RESULTS
CONCLUSIONS In order to enhance enterostomates to bring their own supportive appliances and accessories to manage their
stomas and to maintain skin integrity during a disaster, a multi-functional enterostomal-friendly vest is designed
to address these needs and concerns.
34
APEDNN Annual Conference 2019 Concurrent Sessions
A274 Role of resilience in the association between demographic characteristics and prolonged grief disorder of
bereaved survivors ten years after Wenchuan earthquake
Qin HU 1 & Maki UMEDA 2 1 College of Nursing Art and Science, University of Hyogo, Japan
2 Research Institute of Nursing Care for People and Community, University of Hyogo, Japan
AIMS This study aims to examine the prevalence of prolonged grief disorder of bereaved survivors ten years after the
Wenchuan earthquake, and to exam the associations among demographics, prolonged grief disorder (PGD) and
resilience.
METHODS A cross-sectional study had conducted in two harder-hit areas of Wenchuan earthquake. Prolonged Grief
Disorder Questionnaire (PG-13) and the Resilience Scale-14 (RS-14) were measured for a total of 213 bereaved
survivors. ANOVA and Pearson regressions were used to assess the associations among demographics, PGD
and resilience. Multivariable linear regression and Bootstrap tested the mediation effect of resilience on the
associations between demographics and PGD.
RESULTS Twenty-two (10.3%) bereaved survivors met the criteria of PGD. Female, lower educated, lower monthly
income, loss of child, house completely damaged had higher score of PGD. The mediating effect of resilience
was statistically significant in the association of the following demographic variables: for monthly income (β=-
1.30) & ethnicity (β=-2.79). Direct effect of monthly income was also significant independent of the mediating
effect: higher income was positively associated with PGD (β=1.53). Resilience also had a significant mediating
effect on the association with the loss of child (β=3.26), while direct effect of loss of child (β=4.89) remained
significant.
CONCLUSIONS This study revealed the bereaved survivors were still grieving ten years post loss after the Wenchuan earthquake.
It highlights the importance of having long-term psychological care for the bereaved survivors in Wenchuan
area, and called for special attention on Han nationality, people with higher income and those who have loss a
child among the bereaved. This research provided valuable information for early observation of PGD in nursing
practice. Further programs on enhancing resilience to reduce PGD, can also be performed based on the findings
of this research.
A322 Psychological experience among users of lower-limb prostheses from the 2008 Wenchuan earthquake
Jiaoji HE 1, Xiuxia LIN 2, Yalin TIAN 1, Yu, AI 3, Xinyue HUANG 4, Sijian LI 5 1 West China Second University Hospital, China.
2 Fujian Provincial Hospital, China. 3 The Third Hospital of Mianyang City of Sichuan Province, China.
4 Sichuan Provincial People’s Hospital, China. 5 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
AIMS To explore psychological experience and coping strategies among users of lower-limb prostheses in the process
of 10 years following 2008 Wenchuan earthquake.
METHODS A qualitative descriptive investigation was conducted between September 2018 and June 2019. Fifty-seven
individuals who were using lower limb prosthetics were invited and 22 were willing to participate. Qualitative
data were collected using semi-structured interview guide. Data were analyzed by using qualitative content
analysis.
RESULTS Five major themes were emergent from the initial stage of the recovery to the present. 1) Fears of an earthquake;
2) Sadness from losing loved ones and their experience of the earthquake or amputation; 3) Worries of the
future and becoming a burden; 4) Body image anxiety and discomfort; and 5) Hurt by the limitation of life.
Among these psychological experience, body image anxiety and discomfort were the toughest part for them to
deal with. Both family / social and government support over time could become a positive motive to help them
enhance confidence to overcome negative feelings such as fears, sadness, worries or anxiety.
CONCLUSIONS These findings highlighted the users’ long-term psychological rehabilitation and social support needs in
adapting to their new lives at home and community settings. Public education on disability and psychosocial
interactions should be part of the overall rehabilitation process for long-term post-disaster recovery. Increased
efforts need to be made to provide resources to give emotional and psychological support to individuals with
amputation follow an earthquake.
35
APEDNN Annual Conference 2019 Poster Presentations
Poster Presentations
36
APEDNN Annual Conference 2019 Poster Presentations
No. Presenter Abstract Title
A262 Stanley KK LAM
[Hong Kong SAR]
Characteristics of an emerging infectious disease situation that influence emergency
nurses’ risk appraisal: A qualitative descriptive study
A264 Xiuxia LIN
[China]
Physical and environmental hurdles for persons with lower limb prosthesis
following the 2008 Wenchuan earthquake
A265 Lifen ZHANG
[China]
Discussion on the mode of disaster nursing care training and management for
emergency response team in general hospital
A273 Maria SY HUNG
[Hong Kong SAR]
Who will show up? Nursing students’ knowledge, perceived ability, and willingness
in responding to disaster
A277 Hiroko OKUDA
[Japan]
Roles and competencies required of Public Health Nurses (PHNs) for collaborative
activities with external supporters during times of disaster in Japan
A279 Yingfang HUO
[China]
The nurses' care coordination competency for mechanically ventilated patients in
emergency and intensive care units in Guangzhou, China
A287 Terry NGIRMANG
[Palau]
The gaps in rural Palau disaster preparedness
A292 Jing LI
[China]
Recovery experiences of nurses in severely damaged regions after the 2008
Wenchuan earthquake
A297 Zhengdong WANG
[China]
Study on the differences of disaster preparedness between nursing managers and
general nurses in China's tertiary hospitals
A317 Xianyan YIN
[China]
Exploring the impact of earthquake experience and physical mobility of stroke
survivors and caregivers on earthquake escape choices
A323 Xin ZHOU
[China]
The development of a hospital - individual and family - community disaster
preparedness education model for the enterostomates
37
APEDNN Annual Conference 2019 Poster Presentations
Poster Presentation
A262 Characteristics of an emerging infectious disease situation that influence emergency nurses’ risk
appraisal: A qualitative descriptive study
Stanley KK LAM 1, Enid WY KWONG 2, Maria SY HUNG 1, Samantha MC PANG 2 & WT CHIEN 3 1 School of Nursing, Tung Wah College, Hong Kong
2 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China 3 The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong
AIMS Emerging infectious diseases are considered as a pressing challenge to global public health. Throughout public health
response to emerging infectious diseases, emergency nurses serve a vital role in minimizing the risk of disease
transmission among patients, staff, visitors, and communities. However, their practices and performances are
oftentimes reported to be inconsistent during different epidemic events, hindering their contributions to public health
preparedness and response. The present study aimed at exploring the characteristics of an emerging infectious disease
situation that are influential to emergency nurses’ risk perceptions.
METHODS The present study used a qualitative descriptive approach. A purposive sampling method was employed to recruit
emergency nurses who worked in public hospitals in Hong Kong. Semi-structured interviews were conducted to 26
emergency nurses to explore their experiences and perceptions of the perceived risk from emerging infectious
diseases. The data were interpreted using a thematic analysis strategy.
RESULTS Five overarching theme regarding characteristics of an emerging infectious disease situation that influence emergency
nurses’ risk appraisal emerged from the data: (1) the novelty of an emerging infectious disease, (2) the severity of an
emerging infectious disease, (3) the proximity to an emerging infectious disease, (4) the complexity of an emerging
infectious disease situation, and (5) the response levels towards an emerging infectious disease situation. The findings
suggest that there is an absence of a consensual categorization system for emerging infectious disease outbreaks,
which has resulted in uncertainty and discrepancies in assessing the risk and seriousness of non-influenza outbreaks.
CONCLUSIONS The findings have delineated the several factors that might contribute to emergency nurses’ attitudes and practices in
the course of an emerging infectious disease event. It is anticipated that the information may help to predict the
attitudes and behaviors of emergency nurses in future impending epidemic events, enhancing emergency nurses’
preparedness towards in such situations.
A264 Physical and environmental hurdles for persons with lower limb prosthesis following the 2008 Wenchuan
earthquake
Xiuxia LIN 1, Yu, AI 2, Xinyue HUANG 3, Yalin TIAN 4, Jiaoji HE 4 & Sijian LI 5 1 Fujian Provincial Hospital, China
2 The Third Hospital of Mianyang City of Sichuan Province, China 3 Sichuan Provincial People’s Hospital, China
4 West China Second University Hospital, China 5 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
AIMS To explore physical and environmental hurdles for individuals with lower limb prosthesis caused by 2008 Wenchuan
earthquake.
METHODS A qualitative descriptive investigation was conducted between September 2018 and June 2019. Fifty-seven
prosthetics were invited from an outpatient department who received regular physical check-up. Of those, twenty-
two were willing to take part in this study. Data were collected using semi-structured interview guide and analyzed
by utilizing qualitative content analysis.
RESULTS There were three major themes identified from the initial stage of the recovery to the present. They were: (1) physical
discomforts when wearing prosthetic especially during the summer (i.e., feeling hot and perspire profusely on stump
site, eczema/rash itching) and the winter (i.e., more pain in rainy/foggy/cold days, cold skin no perception/frostbite);
(2) limitation in outdoor activities (i.e., the road going up and down, rough or irregular, pedestrians slippery or
watery); (3) no special disabled facility at the airport and access in public transportation.
CONCLUSIONS The findings were important for health care professionals, especially nurses to understand barriers and limitations for
persons with prosthesis. It is significant to note that nurses should play an important role in assisting people with
disability to reduce physical discomforts through health education. Policy-makers and community leaders should
modify community environment and public facility so as to decrease hurdles and assist people with disability moving
and travelling around outside safely and smoothly with dignity.
38
APEDNN Annual Conference 2019 Poster Presentations
A265 Discussion on the mode of disaster nursing care training and management for emergency response team
in general hospital
Lifen ZHANG
The Second Affiliated Hospital of Kunming Medical University
AIMS To explore the mode of disaster nursing care training and management for emergency response team in general
hospital and make preparation for responding to the emergency.
METHODS To set up a disaster nursing care emergency response team consisting of 54 registered nurses from all clinical
departments of the hospital and rotated every 3 years. Detailed disaster nursing care training programs were
developed and had been completed 12 times, 3 of which were emergency drills or practical operation, as planned
in the past 3 years. Information was sorted and analyzed after interviewing with the nurses participating in the
programs since the three-year training was end.
RESULTS Three themes were summarized as follows: (1) The necessity of setting up emergency response teams in the
hospital; (2) Improvement in the knowledge of disaster nursing care; (3) Recommendation on increasing the
frequency of practical operations and emergency drills.
CONCLUSIONS Setting up disaster nursing care emergency response teams in the hospital and conducting standardized
management and training will help improve the nurses' ability of disaster nursing care. This model is worth
learning from, but the content and methods of training remain to be improved continuously in the next training.
A273 Who will show up? Nursing students’ knowledge, perceived ability, and willingness in responding to
disaster
Maria SY HUNG, Stanley KK LAM & Meyrick CM CHOW
School of Nursing, Tung Wah College, Hong Kong
AIMS The healthcare professionals’ capacity and obligation to provide services in a disaster are the indispensable
elements in disaster management. Effective disaster training could enhance nursing competence and other
attributes in handling public health emergencies and disasters. The study aimed to evaluate the effectiveness of
disaster education among undergraduate nursing students.
METHODS This study adopted a single group, pre, and post-test research design. Students who were 1) aged 18 or above,
2) studying a disaster and trauma nursing course of undergraduate nursing programs in a large tertiary institution
were recruited. The self-completed questionnaire about knowledge, willingness, and ability in disaster
management with open-ended questions for 3 major concerns that would influence participants’ willingness &
perceived ability was used. The reliability for the measurements is satisfied: Perceived ability pre and post-
course α= 0.89; Willingness pre and post-course α=0.79.
RESULTS Totally 157 students with 82.2% of female and 17.8% of male participated in the study. Most of them aged 21-
23. Paired sample t-tests were used to compare disaster knowledge, willingness, and perceived ability before
and after the training course. Positive significant results were found in disaster knowledge (t(149) = -8.25,
p<.01, d = -0.93) and perceived ability (t(156) = -7.95, p<.01, d = -0.90). In details, the perceived ability has a
significant increase for each item, which effect sizes range from -0.52 to -0.87. However, there is no significant
improvement in willingness. Their major concerns were personal risk perceptions; the nature, location, and
proximity of different disasters; and adequacy of organizational support.
CONCLUSIONS Incorporation of disaster training into the tertiary education curricula and essential components of basic training
for nursing professionals could be a long-term strategy to expand the number and preparation of healthcare
professionals for future disasters. Government or healthcare organizations should provide strategies and
adequate support to allay their concerns.
39
APEDNN Annual Conference 2019 Poster Presentations
A277 Roles and competencies required of public health nurses (PHNs) for collaborative activities with external supporters
during times of disaster in japan
Hiroko OKUDA 1, Misako MIYAZAKI 2, Sanae HARUYAMA 3, Mai ISHIKAWA 4,
Naoko Uemura 5, Yoshiharu Kim 6 & Yasuhiro Kanatani 7 1 National Institute of Public Health, Japan
2 Chiba University Graduate School of Nursing, Japan 3 Jichi Medical University, Japan
4 Gunma University, Japan 5 Tokyo Kasei University, Japan
6 National Center of Neurology and Psychiatry, Japan 7 Tokai University, Japan
AIMS The purpose of this study was to clarify the roles and the competencies required of PHNs for collaborative activities with
external supporters at times of disaster.
METHODS We conducted a Delphi survey of 500 PHNs belonging to 16 municipalities. The questionnaire was based on a literature
review and PHNs with experience in disaster support were interviewed.
RESULTS Responses were obtained from 238 PHNs in Round 1, 175 PHNs in Round 2, and 132 PHNs in Round 3. The following are
considered as very important competencies for PHNs: 1) In the acute phase, “To clarify the need for support and human
resources for the needy; and then you can report to the leader” (90.9%); “To clarify the request to the external supporters,
make a plan concerning the period of the request, the amount of human resources needed, and the contents of the work; and
then you can report to the leader” (87.0%); “In order for external supporters to be able to work effectively, the public health
center and municipalities will prepare a system for acceptance” (86.2% ); 2) In the chronic phase, “To respond to
consultation matters received from external supporters and to use the contents of the report to examine measures” (87.9%);
“Sharing information about and the policies of the disaster response headquarters among supporters” (85.6%); 3) In the
calm phase, “To confirm the contents, method, and necessity of receiving assistance based on damage assumption in all
disaster cycles” (81.5%).
CONCLUSIONS The roles and competencies required of PHNs for effective support with external supporters were recognized in all phases.
A particularly important role was adequate assessment and management in order to assist the judgment of the leader. This
work was supported by MHLW Grant 2018.
A279 The nurses' care coordination competency for mechanically ventilated patients in emergency and
intensive care units in Guangzhou, china
Yingfang HUO 1, Yinji LIANG 1, Chenli LIN 2, Lebing YU 1 & Shuang ZHOU 1 1 School of Nursing, Jinan University, China
2 School of Medicine, Jinan University, China
AIMS Nurses care coordination competency (NCCC) has a significant influence on the rapid and effective rescue in
emergency and intensive care unit. This study was performed to provide a new, valid and reliable evaluation
method for the research study of NCCC in Guangzhou, China.
METHODS Firstly, a Chinese NCCC scale (NCCCS) with 22 items was formed after translation and cultural debugging.
Secondly, 203 nurses of emergency and intensive care unit from four hospitals in Guangzhou were investigated
by methodological research. Finally, the validity of NCCCS in Chinese version was tested by structural validity,
the reliability was tested by Cronbach's alpha coefficient and split coefficient, and the influencing factors were
analyzed.
RESULTS The average score for NCCCS was 3.84 ± 1.03. Construct validity was confirmed by inter-scale correlations
studies which showed that the correlations between items and total scores ranged from 0.457 to 0.740. All items
were preserved because the high Cronbach’ alpha coefficient (0.951 to 0.955). Moreover, gender, full-time or
part-time staff, hierarchical level of nurses and NCCC are closely related.
CONCLUSIONS This result indicates that the Chinese version of NCCCS is suitable for evaluating nurses from emergency and
intensive care unit in China. Based on available evidence, nurse coordination is at a high level in mechanical
ventilation care. In particular, female nurses, full-time nurses, and higher hierarchical-level nurses are more
prominent.
40
APEDNN Annual Conference 2019 Poster Presentations
A287 The gaps in rural Palau disaster preparedness
Terry NGIRMANG
Nursing Program, Palau Community College, Republic of Palau
AIMS Having knowledge of disaster risk management is at the forefront of the struggle to lessen the negative effects
of a disaster on vulnerable populations, and of the utmost importance as it helps people in coping with hazards
and even more so for learners to have a deeper understanding of the various fundamentals of disaster risk
management.
With this in mind, the main objective of this evidence and practice based study is to assess the effectiveness of
Palau’s efforts at inclusion of disaster management principles and practices in and through community
educational outreach programs to outlying states and populations further from the main island of Koror, where
half of the island nation’s 21,000 residents are living. More emphasis was put on assessing the learners’
behavioral changes after they had learned about disaster management in their community, and to what extent
they applied the knowledge in their homes and communities.
METHODS This study centered on five states with learners in the community and community traditional leaders being the
key respondents. The study is carried out using both qualitative and quantitative methodologies with the use of
questionnaires, focus group discussions, and individual interviews.
RESULTS The key findings of the study was that the government of Palau is not doing enough to ensure that the principles
and practices of disaster management were disseminated to the learners and applied within the traditional
community planning and practice. This study found that although the government notice stipulates that schools
and government facilities should do emergency and fire drills, these activities do not carry over to the wider
community as a whole.
CONCLUSIONS Thus, the learners’ behavior and attitude strongly indicated that there are gaps within the system that require
urgent attention to improve the learners’ level of preparedness.
A292 Recovery experiences of nurses in severely damaged regions after the 2008 Wenchuan earthquke
Jing LI 1, Fang WU 2, Hua WEI 3, Lisha HUANG 4 & Yaodan ZHANG 5 1 Vascular and Pediatric Surgery Department, Zhongshan Hospital affiliated to Xiamen University,
Xiamen City of Fujian Province, China 2 Maternity and Children Unit, Chengdu Women and Children Central Hospital, Chengdu, China
3 Pediatric Hematology Department, West China Second University Hospital, Chengdu, China 4 Emergency Department, West China Second University Hospital, Chengdu, China
5 Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, China
AIMS The aim of this study was to investigate the recovery experiences of nurses in severely damaged regions during
ten years after the 2008 Wenchuan earthquake.
METHODS The researchers used qualitative design that included 20 participants who have participated in the 2008
Wenchuan earthquake relief in severely damaged regions. Data were collected using semi-structured interviews
and observation notes, after which a qualitative content analysis was conducted.
RESULTS Four major themes emerged: positive and negative long-term effects on individuals, the changes in family
behavior, reflection on hospital disaster management and the suggestions on disaster-related education and
training.
CONCLUSIONS These findings highlighted the need of improvement in hospital disaster management and training. More
attention should be taken to ensure the investment of disaster preparedness, formulate plans for various disaster
affairs, implement supporting and supervising functions, provide long-term and sustained psychological
counseling to nurses who have been participated in disaster response. Hospital nursing leaders should enrich
the curriculum content, adjust the proportion of theoretical and practical courses, and expand the training
population.
41
APEDNN Annual Conference 2019 Poster Presentations
A297 Study on the differences of disaster preparedness between nursing managers and general nurses in
China's tertiary hospitals
Zhengdong WANG 1, Xiaofeng XU 2, Lan SHI 3 & Mingxuan LI 4 1 Neonatology Department, West China Second University Hospital, Chengdu, China
2 Operating Room, West China Second University Hospital, Chengdu, China 3 Medical Intensive Care Unit, Fujian Provincial Hospital, Fuzhou, China
4 Emergency Department, West China Second University Hospital, Chengdu, China
AIMS To analyze the differences in the experience of nursing managers and general nurses in China's tertiary hospitals.
METHODS A convenient sample and purpose, in the form of network questionnaire was conducted in seven administrative
regions of the country in total of 50 hospitals.
RESULTS 2,657 valid questionnaires were collected, including 394 nursing managers. Nursing managers felt that the
nursing organization's disaster preparedness scored 74.28±12.78 and the nurse scored 73.02±14.50. Care
managers and general nurses for disasters that may affect the degree of attention to the shortage of staff nurses,
medical supplies interruption, without water and other aspects, the difference was significant (P<0.05);
impediments in readiness perceived organizational disaster nursing aspects, senior leaders in the lack of
attention to support care, information about the disaster and precise information, these bring serious
consequences and other disasters, and the difference was significant (P<0.05).
CONCLUSIONS There is a significant difference in the disaster preparedness of hospital care organizations experienced by
nursing managers and general nurses.
A317 Exploring the impact of earthquake experience and physical mobility of stroke survivors and caregivers
on earthquake escape choices
Xianyan YIN 1, Li XIE 2, Shenghua ZHANG 3, Lan WANG 3 & Bin ZENG 4 1 Ya'an Polytechnic College, China
2 Sichuan Provincial People's Hospital, China 3 ChengDu Women's and Children's Central Hospital, China
4 West China Second University Hospital, China
AIMS Exploring the impact of earthquake experience and physical mobility of stroke survivors and caregivers on earthquake
escape choices
METHODS Through a semi-structured interview, 19 survivor families were interviewed to explore the earthquake experience and
stroke experience of stroke families.
RESULTS If stroke survivors and caregivers suffered from the 512 Wenchuan Earthquake once again, instinctive reactions and
physical movement disorders, fear of injury during evacuation and whether someone helped to transfer would affect
the escape choice of stroke families.
CONCLUSIONS After the Wenchuan earthquake, the earthquake response knowledge was disseminated through the internet,
newspapers, lectures, etc., and the earthquake response knowledge of stroke families gradually increased, but the
awareness of disaster preparedness is still insufficient. The government and relevant departments should strengthen
the publicity of disaster preparedness knowledge to enhance individuals and the community's awareness of disaster
preparedness enhances the resilience of stroke families.
42
APEDNN Annual Conference 2019 Poster Presentations
A323 The development of a hospital - individual and family - community disaster preparedness education
model for the enterostomates
Xin ZHOU 1, Shuai ZHANG 2, Li YIN 3, Chunjuan LIU 4 , Xiuhua HUANG 5 & Sunshine CHAN 6 1 Emergency Department, Mianyang Central Hospital, Mianyang, Sichuan, China
2 Pediatric Intensive Care Unit, Nursing Department, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China;
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education 3 Department of Radiotherapy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine,
University of Electronic Science & Technology of China, Chengdu, Sichuan, China; Radiation Oncology Key Laboratory of Sichuan Province 4 West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China
5 Surgical Intensive Care Unit, Chengdu Children and Women Central Hospital, Chengdu, Sichuan, China 6 School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
AIMS Peristomal complication is one of the most common complications after ostomy and are more prominent due to
environmental constraints and lack of ostomy care products during disasters. At present, very little attention is paid
to the disaster preparedness education of the enterostomy population. It is believed that enterostomates, family and
community, as well as the hospital should work together to strengthen their awareness and preparedness behavior,
better cope with the challenges faced in the disaster, and reduce the occurrence of peristomal complications.
METHODS Based on the interview data with eleven enterostomates, five caregivers, five enterostomal therapists and seven
enterologists, a hospital - individual and family - community disaster preparedness education model for the
enterostomates is formulated.
RESULTS Hospital - individual and family - community disaster preparedness education model:
1. Hospital: Provide multi-disciplinary, multi-dimensional, and multi-media stoma-specific and disaster preparedness
education before the patients are discharged to the community. These should include daily stoma care and emergency
measures.
2. Individual and family: Concrete measures should be taken to strengthen personal and family preparedness. They
should be able to select appropriate ostomy products according to their own stoma type, economic conditions, and
personal preferences, as well as to develop personal-family disaster kit to include cleansing products, ostomy
protection products, ostomy bags, accessories, and commonly used drugs. If in doubt, they are encouraged to
communicate with the support groups to strengthen their own capacity.
3. Community: Establish a continuous disaster preparedness education monitoring system. A registry for
enterostomates should be set up. This is to maintain regular follow-up, provide information on ostomy supplies and
ostomy care, a channel for communication and referral with hospitals in case of serious complications. Regular
disaster preparedness training and drills can be conducted for the enterostomy population.
CONCLUSIONS The proposed model provides a systematic and continuous disaster preparedness education for the enterostomal
population extending from the hospital to home and the community. It is envisaged that their disaster preparedness
can be improved and their ability to deal with the challenges they may have in the event of disaster can be
strengthened.
43