https://doi.org/10.4081/hls.2024.13070
An integrative literature review on clinical decision-making of novice nurses for disaster management in the Emergency Room
Published: 9 September 2024
Abstract Views: 37
PDF: 10
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Novice nurses play a workflow part in responsibility among an overwhelming of patient. This emphasizes the need for nurses to have comprehensive decision-making skills, especially in disaster management. However, in practice, clinical decision-making remains a challenging issue for novice nurses working in the Emergency Room (ER). This review was conducted to synthesize the strategy that novice nurses need to do in clinical decision-making in the ER during a disaster.
This review used an integrative literature review approach to identify (n=16) relevant scientific articles. Six online databases (ScienceDirect, Proquest, Sage Journals, PubMed, Willey Library, and EBSCO) were utilized to identify articles published between 2013 and 2023. The gathered articles were selected using the PRISMA method by removing duplicate articles and those that did not align with the review's objectives. The PRISMA flowchart was used to illustrate the evidence search process. Out of a total of 2,264 identified articles, sixteen articles are relevant for review.
The review revealed that clinical decision-making requires careful consideration in several aspects which focused on determining the priorities of triage, assessment, diagnostic skills, and communication skills in teamwork during a disaster in the ER. This review provides evidence that the accuracy of clinical decision-making is a major influence on patient outcomes during disaster management.
In conclusion, comprehensive training and more education for novice nurses about disaster precision nursing in the future are needed to reduce errors in decision-making.
World Risk Report 2023. Bündnis Entwicklung Hilft, Ruhr University Bochum – Institute for International Law of Peace and Conflict 2023. https://weltrisikobericht.de/en.
Al Harthi M, Al Thobaity A, Al Ahmari W, Almalki M. Challenges for Nurses in Disaster Management: A Scoping Review. Risk Management and Healthcare Policy. 2020;13:2627–2634.
Wang W, Li H, Huang M. A literature review on the impact of disasters on healthcare systems, the role of nursing in disaster management, and strategies for cancer care delivery in disaster-affected populations. Frontiers in Oncology. 2023;13:1178092.
DOI: https://doi.org/10.3389/fonc.2023.1178092
Al Harthi M, Al Thobaity A, Almalki, M, Al Ahmari W. Improving Disaster Readiness and the Response of Nurses in Saudi Arabia. Risk Management and Healthcare Policy. 2021;14:4537–4544.
DOI: https://doi.org/10.2147/RMHP.S325074
Goniewicz K, Goniewicz, M, Burkle FM, Khorram-Manesh A. Cohort research analysis of disaster experience, preparedness, and competency-based training among nurses. PLOS ONE. 2021;16(1): e0244488.
DOI: https://doi.org/10.1371/journal.pone.0244488
Choi W.-S, Hyun SY, Oh H. Perceived Disaster Preparedness and Willingness to Respond among Emergency Nurses in South Korea: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2022;19(18):11812.
Ghavami V, Saghi F, Asghari A, Shabanikiya H. Predictors of nurses’ reporting for work at the time of epidemics and natural disasters; solutions for hospital surge capacity. J. Nurs. Sch. 2021;54:470–476.
DOI: https://doi.org/10.1111/jnu.12746
Yaghmaei S, Raiesdana N, Nobahar M. Novice nurses’ experiences from teamwork in the emergency department: A qualitative content analysis. International Emergency Nursing. 2022;61:101116.
DOI: https://doi.org/10.1016/j.ienj.2021.101116
Fernández-Basanta S, Espremáns-Cidón C, Movilla-Fernández M-J. Novice nurses’ transition to the clinical setting in the COVID‐19 pandemic: A phenomenological hermeneutic study. Collegian. 2022;29(5):654–662.
DOI: https://doi.org/10.1016/j.colegn.2022.04.001
Geekiyanage D, Fernando T, Keraminiyage K. Assessing the state of the art in community engagement for participatory decision-making in disaster risk-sensitive urban development. International Journal of Disaster Risk Reduction. 2020;51:101847.
DOI: https://doi.org/10.1016/j.ijdrr.2020.101847
Perpiñá-Galvañ J, Juliá-Sanchis R, Olmos-Castelló É, Mollá-Pérez S, Sanjuan-Quiles, Á. European Educational Programmes in Health Emergency and Disaster Management: An Integrative Review. International Journal of Environmental Research and Public Health 2021;18(21):11455.
DOI: https://doi.org/10.3390/ijerph182111455
Kapucu N, Garayev V. Collaborative Decision-Making in Emergency and Disaster Management. International Journal of Public Administration. 2011;34(6):366–375.
DOI: https://doi.org/10.1080/01900692.2011.561477
Xu Q, Li D, Dong Y, Wu Y, Cao H, Zhang F, Xia Y, Chen J, Wang X. The Relationship Between Personality Traits and Clinical Decision-Making, Anxiety and Stress Among Intern Nursing Students During COVID-19: A Cross-Sectional Study. Psychology Research and Behavior Management. 2022;16:57–69.
DOI: https://doi.org/10.2147/PRBM.S387682
Al Harthi M, Al Thobaity A, Al Ahmari W, Almalki M. Challenges for Nurses in Disaster Management: A Scoping Review. Risk Management and Healthcare Policy. 2020;13:2627–2634.
Abdulmohdi N, Mcvicar A. Investigating the clinical decision‐making of nursing students using high‐fidelity simulation, observation and think aloud: A mixed methods research study. Journal of Advanced Nursing. 2023;79(2):811–824.
DOI: https://doi.org/10.1111/jan.15507
Ncube A, Chimenya GN. Hospital disaster emergency preparedness: a study of Onandjokwe Lutheran Hospital, Northern Namibia. Afr Saf Promot. 2016;14(2):1–17
Qie Z, Rong L. A scenario modelling method for regional cascading disaster risk to support emergency decision making. International Journal of Disaster Risk Reduction. 2022;77:103102.
DOI: https://doi.org/10.1016/j.ijdrr.2022.103102
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71.
DOI: https://doi.org/10.1136/bmj.n71
Holmström IK, Kaminsky E, Lindberg, Y, Spangler D, Winblad U. Registered Nurses’ experiences of using a clinical decision support system for triage of emergency calls: A qualitative interview study. Journal of Advanced Nursing. 2020;76(11):3104–3112.
DOI: https://doi.org/10.1111/jan.14542
Murphy JP, Rådestad M, Kurland L, Jirwe M, Djalali A, Rüter A. Emergency department registered nurses’ disaster medicine competencies. An exploratory study utilizing a modified Delphi technique. International Emergency Nursing. 2019;43:84–91.
DOI: https://doi.org/10.1016/j.ienj.2018.11.003
Feng Y, Cui S. A review of emergency response in disasters: Present and future perspectives. Natural Hazards. 2021;105(1):1109–1138.
DOI: https://doi.org/10.1007/s11069-020-04297-x
Heydari M, Lai K, K, Fan Y, Li X. A Review of Emergency and Disaster Management in the Process of Healthcare Operation Management for Improving Hospital Surgical Intake Capacity. Mathematics. 2022;10(15); 2784.
DOI: https://doi.org/10.3390/math10152784
Labrague LJ, Hammad K, Gloe DS, McEnroe-Petitte DM, Fronda DC, Obeidat AA, Leocadio MC, Cayaban AR, Mirafuentes EC. Disaster Preparedness among nurse: A systematic review of literature. International Nursing Review. 2018;65(1):41-53.
Tilahun L, Desu B, Zeleke M, Dagnaw K, Andualem A. Emergency and Disaster Handling Preparedness Among Front Line Health Service Providing Nurses and Associated Factors at Emergency Department, at Amhara Regional State Referral Hospitals, Ethiopia. Open Access Emergency Medicine. 2022;13:221–232.
DOI: https://doi.org/10.2147/OAEM.S310932
Canatan H. An Investigation On The Concept Of Triage In The Event Of Disasters And Emergences: Definition, Ethical Decision-Making. Journal of International Health Sciences and Management. 2020; 6(12):74–82.
DOI: https://doi.org/10.48121/jihsam.786685
Paganini M, Borrelli F, Cattani J, Ragazzoni L, Djalali A, Carenzo L, et al. Assessment of disaster preparedness among emergency departments in Italian hospitals: a cautious warning for disaster risk reduction and management capacity. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2016 Aug 15;24(1):101.
DOI: https://doi.org/10.1186/s13049-016-0292-6
Amberson T, Wells C, Gossman S. Increasing Disaster Preparedness in Emergency Nurses: A Quality Improvement Initiative. Journal of Emergency Nursing. 2020;46(5):654-665.e21.
DOI: https://doi.org/10.1016/j.jen.2020.05.001
Azizpour I, Mehri S, Soola AH. Disaster preparedness knowledge and its relationship with triage decision-making among hospital and pre-hospital emergency nurses Ardabil, Iran. BMC Health Services Research. 2022;22(1):934.
DOI: https://doi.org/10.1186/s12913-022-08311-9
Yang J, Kim KH. Effect of the Strategic Thinking, Problem Solving Skills, and Grit on the Disaster Triage Ability of Emergency Room Nurses. International Journal of Environmental Research and Public Health. 2020;19(2):987.
DOI: https://doi.org/10.3390/ijerph19020987
Al Harthi M, Al Thobaity A, Al Ahmari W, Almalki M. Challenges for Nurses in Disaster Management: A Scoping Review. Risk Management and Healthcare Policy. 2020; 13:2627–2634.
Khorram-Manesh A, Nordling J, Carlström E, Goniewicz K, Faccincani R, Burkle FM. A translational triage research development tool: Standardizing prehospital triage decision-making systems in mass casualty incidents. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2021;29(1):119.
DOI: https://doi.org/10.1186/s13049-021-00932-z
Jiang G.-J, Chen H.-X, Sun H.-H, Yazdi M, Nedjati A, Adesina KA. An improved multi-criteria emergency decision-making method in environmental disasters. Soft Computing. 2021;25(15):10351–10379.
Ghanbari V, Ardalan A, Zareiyan A, Nejati A, Hanfling D, Bagheri A, Rostamnia L. Fair prioritization of casualties in disaster triage: A qualitative study. BMC Emergency Medicine. 2021;21(1):119.
DOI: https://doi.org/10.1186/s12873-021-00515-2
Winarti W, Gracya N. Exploring Nurses’ Perceptions of Disaster Preparedness Competencies. Nurse Media Journal of Nursing 2023;13(2):236–245.
DOI: https://doi.org/10.14710/nmjn.v13i2.51936
Alharbi NS, Youssef DHA, Felemban DEM, Alqarni SS, Alharbi NM, Alsayed AAO, et al. Saudi Emergency Nurses Preparedness For Biological Disaster Management At The Governmental Hospitals. J’ Positive School Psychology. 2022 Sep 29;6(9):1218–35.
Labrague LJ, Hammad K, Gloe DS, McEnroe-Petitte DM, Fronda DC, Obeidat AA, Leocadio MC, Cayaban AR Mirafuentes EC. Disaster Preparedness among nurse: A systematic review of literature. International Nursing Review. 2018;65(1):41-53.
DOI: https://doi.org/10.1111/inr.12369
Ayenew T, Tassew SF, Workneh BS. Level of emergency and disaster preparedness of public hospitals in Northwest Ethiopia: A cross-sectional study. African Journal of Emergency Medicine. 2022;12(3):246–251.
Aliakbari F, Pirani T, Heidari M, Kheiri S. Effect of operational exercises on nurses' competence in dealing with disaster. J Educ Health Promot. 2022 Feb 26;11:54.
DOI: https://doi.org/10.4103/jehp.jehp_429_21
Ayenew T, Tassew SF, Workneh BS. Level of emergency and disaster preparedness of public hospitals in Northwest Ethiopia: A cross-sectional study. African Journal of Emergency Medicine. 2022;12(3):246–251.
DOI: https://doi.org/10.1016/j.afjem.2022.05.007
Considine J, Botti M, Thomas S. Do Knowledge and Experience Have Specific Roles in Triage Decision‐making? Academic Emergency Medicine. 2007;14(8):722–726.
DOI: https://doi.org/10.1197/j.aem.2007.04.015
Jiang GJ, Chen HX, Sun HH, Yazdi M, Nedjati A, Adesina KA. An improved multi-criteria emergency decision-making method in environmental disasters. Soft Computing. 2021;25(15):10351–10379.
DOI: https://doi.org/10.1007/s00500-021-05826-x
Al Harthi M, Al Thobaity A, Al Ahmari W, Almalki M. Challenges for Nurses in Disaster Management: A Scoping Review. Risk Management and Healthcare Policy. 2020;13:2627–2634
DOI: https://doi.org/10.2147/RMHP.S279513
Seyedin H, Abbasi Dolatabadi Z, Rajabifard F. Emergency Nurses’ Requirements for Disaster Preparedness. Trauma Monthly. 2015;20(4).
DOI: https://doi.org/10.5812/traumamon.29033
Ortiz-Barrios M, Gul M, López-Meza, P, Yucesan M, Navarro-Jiménez E. Evaluation of hospital disaster preparedness by a multi-criteria decision making approach: The case of Turkish hospitals. International Journal of Disaster Risk Reduction. 2020;49:101748.
DOI: https://doi.org/10.1016/j.ijdrr.2020.101748
Brewer CA, Hutton A, Hammad KS, Geale SK. A feasibility study on disaster preparedness in regional and rural emergency departments in New South Wales: Nurses self- assessment of knowledge, skills and preparation for disaster management. Australasian Emergency Care. 2020;23(1):29–36.
DOI: https://doi.org/10.1016/j.auec.2019.12.005
Chegini Z, Arab‐Zozani M, Kakemam E, Lotfi M, Nobakht A, Aziz Karkan H. Disaster preparedness and core competencies among emergency nurses: A cross‐sectional study. Nursing Open. 2022 9(2):1294–1302.
DOI: https://doi.org/10.1002/nop2.1172
Brinjee D, Al Thobaity A, Almalki M, Alahmari W. Identify the Disaster Nursing Training and Education Needs for Nurses in Taif City, Saudi Arabia. Risk Management and Healthcare Policy. 2021;14:2301–2310.
DOI: https://doi.org/10.2147/RMHP.S312940
Hasan MdK, Younos TB, Farid ZI. Nurses’ knowledge, skills and preparedness for disaster management of a Megapolis: Implications for nursing disaster education. Nurse Education Today. 2021;107:105122.
DOI: https://doi.org/10.1016/j.nedt.2021.105122
Rizqillah AF, Suna J. Indonesian emergency nurses’ preparedness to respond to disaster: A descriptive survey. Australasian Emergency Care. 2018;21(2):64–68.
DOI: https://doi.org/10.1016/j.auec.2018.04.001
Alzahrani F, Yiannis K. Emergency nurse disaster preparedness during mass gatherings: A cross-sectional survey of emergency nurses’ perceptions in hospitals in Mecca, Saudi Arabia. BMJ Open. 2017;7(4):e013563.
DOI: https://doi.org/10.1136/bmjopen-2016-013563
Choi WS, Hyun, SY, Oh H. Perceived Disaster Preparedness and Willingness to Respond among Emergency Nurses in South Korea: A Cross-Sectional Study. International Journal of Environmental Research and Public Health 2022;19(18):11812.
DOI: https://doi.org/10.3390/ijerph191811812
Fithriyyah YN, Alda AK, Haryani H. Trends and ethical issues in nursing during disasters: A systematic review. Nursing Ethics. 2023:096973302311556.
DOI: https://doi.org/10.1177/09697330231155602
How to Cite
Sari, R. A., Lestari, R., & Hayati, Y. S. (2024). An integrative literature review on clinical decision-making of novice nurses for disaster management in the Emergency Room. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13070
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.