Self-Efficacy in Disaster Preparedness: Insights from Nurses in Emergency and Intensive Care Units

Aric Vranada; Ferri Anggriawan; Tsae-Jyy Wang

doi:10.26714/mki.7.3.2024.186-192

Self-Efficacy in Disaster Preparedness: Insights from Nurses in Emergency and Intensive Care Units

Aric Vranada^(1*), Ferri Anggriawan⁽²⁾, Tsae-Jyy Wang⁽³⁾

(1) [Scopus-ID: 57553506300], Universitas Muhammadiyah Semarang
(2) RSUD Kota Yogyakarta
(3) National Taipei University of Nursing and Health Scieneces
(*) Corresponding Author

Abstract

Self-efficacy is a critical factor influencing nurses' performance in disaster scenarios, particularly in high-pressure environments like Emergency Departments (ED) and Intensive Care Units (ICU). This study aimed to evaluate the self-efficacy of nurses in disaster preparedness and identify its key predictors, including demographic characteristics, training experience, and professional factors. A cross-sectional survey was conducted among 185 nurses working in the ED and ICU of three hospitals in Yogyakarta, Indonesia. Data were collected from January to February 2024 using a structured questionnaire that included the Disaster Response Self-Efficacy Scale (DRSES). Descriptive statistics summarized demographic data and self-efficacy scores. Inferential analyses, including t-tests, ANOVA, and multiple regression, were performed to explore relationships between self-efficacy and potential predictors, with statistical significance set at p < 0.05. Disaster training experience emerged as the strongest predictor of self-efficacy (β = 0.65, p < 0.001), with nurses who underwent regular training demonstrating significantly higher confidence. Years of experience (β = 0.48, p = 0.01) and age (β = 0.25, p = 0.04) were also positively associated with self-efficacy. However, gender, education level, and marital status showed weak and non-significant correlations (r = 0.12–0.18, p > 0.05). Correlation analysis reinforced the importance of disaster training (r = 0.65, p < 0.001) and professional experience (r = 0.48, p = 0.01) in shaping self-efficacy. The findings underscore the importance of regular disaster training and leveraging professional experience to enhance self-efficacy among ED and ICU nurses. Policymakers and hospital administrators should prioritize targeted training programs to build a resilient nursing workforce capable of responding effectively to disasters

Keywords

Disaster preparedness; self-efficacy; emergency nurses; Disaster training

Full Text:

PDF

References

Khairina I, Nelwati, Maisa EA. Self Efficacy and Nurses’ Disaster Competency in Disaster Preparedness Management. Malaysian Journal of Medicine and Health Sciences 2023;19:310–4. https://doi.org/10.47836/MJMHS.19.3.40.

Wang Y, Liu Y, Yu M, Wang H, Peng C, Zhang P, et al. Disaster Preparedness Among Nurses in China: A Cross-Sectional Study. J Nurs Res 2023;31:E255. https://doi.org/10.1097/JNR.0000000000000537.

Labrague LJ, Kamanyire JK, Achora S, Wesonga R, Malik A, Al Shaqsi S. Predictors of disaster response self-efficacy among nurses in Oman. International Journal of Disaster Risk Reduction 2021;61. https://doi.org/10.1016/J.IJDRR.2021.102300.

Jonson CO, Pettersson J, Rybing J, Nilsson H, Prytz E. Short simulation exercises to improve emergency department nurses’ self-efficacy for initial disaster management: Controlled before and after study. Nurse Educ Today 2017;55:20–5. https://doi.org/10.1016/J.NEDT.2017.04.020.

Emaliyawati E, Ibrahim K, Trisyani Y, Mirwanti R, Ilhami FM, Arifin H. Determinants of Nurse Preparedness in Disaster Management: A Cross-Sectional Study Among the Community Health Nurses in Coastal Areas. Open Access Emerg Med 2021;13:373–9. https://doi.org/10.2147/OAEM.S323168.

Zhang J, Yang L, Cao X, Ren Y, Han X, Zang S, et al. Assessment of disaster preparedness and related impact factors among emergency nurses in tertiary hospitals: descriptive cross-sectional study from Henan Province of China. Front Public Health 2023;11. https://doi.org/10.3389/FPUBH.2023.1093959/PDF.

Ediz Ç, Yanik D. Disaster preparedness perception, pyschological resiliences and empathy levels of nurses after 2023 Great Turkiye earthquake: Are nurses prepared for disasters: A risk management study. Public Health Nurs 2024;41:164–74. https://doi.org/10.1111/PHN.13267.

Songwathana P, Timalsina R. Disaster preparedness among nurses of developing countries: An integrative review. Int Emerg Nurs 2021;55. https://doi.org/10.1016/J.IENJ.2020.100955.

Amberson T, Wells C, Gossman S. Increasing Disaster Preparedness in Emergency Nurses: A Quality Improvement Initiative. J Emerg Nurs 2020;46 5:654–66521. https://doi.org/10.1016/J.JEN.2020.05.001.

Yunanto RA, Rondhianto, Setioputro B, Haristiani R. The Self-Efficacy and Disaster Preparedness of Coastal Nurse in Jember. Jurnal Kesehatan Dr Soebandi 2023;11:113–9. https://doi.org/10.36858/JKDS.V11I2.442.

Li HY, Bi RX, Zhong QL. The development and psychometric testing of a Disaster Response Self-Efficacy Scale among undergraduate nursing students. Nurse Educ Today 2017;59:16–20. https://doi.org/10.1016/J.NEDT.2017.07.009.

Kim SH. A Psychometric Validation of the Korean Version of Disaster Response Self-Efficacy Scale for Nursing Students. Int J Environ Res Public Health 2023;20. https://doi.org/10.3390/IJERPH20042804.

Murphy JP, Kurland L, Rådestad M, Magnusson S, Ringqvist T, Rüter A. Emergency department registered nurses overestimate their disaster competency: A cross-sectional study. Int Emerg Nurs 2021;58. https://doi.org/10.1016/J.IENJ.2021.101019.

Koçak HS, Kaplan Serin E. Are Nurses Ready for a Disaster in Turkey? A Hospital Case. Disaster Med Public Health Prep 2023;17. https://doi.org/10.1017/DMP.2023.100.

Suaida D, Suaida DH, Handayani D, Suryanto S. Factors That Affect the Disaster Preparedness of Emergency Nurses in Public Health Center. Jurnal Aisyah : Jurnal Ilmu Kesehatan 2022;7:231–6. https://doi.org/10.30604/jika.v7i1.905.

Al-Hunaishi W, Hoe VCW, Chinna K. Factors associated with healthcare workers willingness to participate in disasters: a cross-sectional study in Sana’a, Yemen. BMJ Open 2019;9:e030547. https://doi.org/10.1136/BMJOPEN-2019-030547.

Ahmadi AZ, Ghavami V, Shabanikiya H. Nurses’ Preparedness for Disasters in a Crisis-Stricken Country: A Case Study in Afghanistan, in 2020. Health in Emergencies & Disasters Quarterly 2021;7:49–56. https://doi.org/10.32598/HDQ.7.1.259.4.

Choi WS, Hyun SY, Oh H. Perceived Disaster Preparedness and Willingness to Respond among Emergency Nurses in South Korea: A Cross-Sectional Study. Int J Environ Res Public Health 2022;19. https://doi.org/10.3390/IJERPH191811812.

Sanjaya W. The Effect of Self-Efficacy, Caring and Organizational Commitment on Disaster Preparedness of Nurses. KnE Life Sciences 2022;2:113–21. https://doi.org/10.18502/KLS.V7I2.10294.

Kim SH. A Psychometric Validation of the Korean Version of Disaster Response Self-Efficacy Scale for Nursing Students. Int J Environ Res Public Health 2023;20. https://doi.org/10.3390/IJERPH20042804.