Readiness Of NursesIn Crisis Situations

Everyone grows to a certain point in their lives wherein they would need a supporting hand to hold on to. There would be times that even best people would need a friend, a companion, or someone they could look for help. This period would need to be the lowest points in their lives, and they are called disasters.

Disaster comes anytime. It chooses virtually no time, no place, and people involved. It could sometimes be caused by varying reasons. Whether it be due to the natural phenomenon, the weather, but the majority of the time, our activities and negligence are accounted for the disastrous situations that we encounter in our lives. These situations usually come unannounced bringing on more grief and sorrow whenever something damaging had happened that wiped out the lives of many. Whenever these situations come, emergency nurses are always the main one accountable in responding and giving help those affected. They are the ones who are called upon during these types of situations. They come without hesitation because it is an integral part of their full pledged obligation- - to help those in need, and assist in saving lives.

Emergency medical is the field these nurses chose to pursue. This field of medical is one of the very most unpopular but is considered very essential part of medical. Saving lives starts here. Rescuing people from the disaster they have got been through requires immediate response from the rescuers since emergency situations are life-threatening and could require immediate interventions to help lessen the aggravation of the issues caused.

Emergency medical may be categorized into several types. First is the medical emergency where pathological conditions are included. These are the kinds of disaster where medical assistance, usually hospital treatment, must be given immediately. Second is the natural disaster including tornado, flashfloods, hurricane, and mud slides. They are the ones that require recovery from government firms for supportive interventions. Third, and the final crisis situation is the property- disaster (e. g fire).

Property disaster such as flame are considered by almost all of the agencies to be the least main concern since it gets the lowest risk in working with it. But needless to say, every single emergency is still a crisis and must be went to immediately to conserve lives.

In this analysis, emergency medical during devastating situations should be presented and elaborated detail by detail, to prove that emergency conditions must be attended accordingly, regardless of the severity or complexity of every situation.


According to Debbie et. al (2006), Ages ago, nursing practice was unlike today - organized and incredibly professional. However in observation, nurses have long been around even before Florence Nightingale came into the spotlight. In fact, nurses have existed because the time humans looked after others. The knowledge and experience might not exactly be as broad as today but people have been nursing others in need knowingly or otherwise in times of devastation. Simple things such as showing food and supplying shelter to the homeless are ways showing that people "care and attention. "

During wars, nurses have been fighting alongside troops with injured comrades participating to each and every one of them. In those days, Florence Nightingale surfaced like a superhero assembling 38 volunteer nurses to care for wounded soldiers during the Crimean War. With the help, death rate has reduced, so did instances of infection. And many of those put in place protocols became visible health care models down the road. Reed (2010)

Many of the advancements in Injuries and Disaster services were first pioneered in England and Germany. The United States (US) also started to promote the importance of A&E services, especially following the Second World Warfare. Dating back to the 1960s, it was became aware that the role of A&E nurses was noticeably not the same as that of other nurses. The need of providing these nurses with more specialized training had been understood. As nurse training upgraded noticeably through the 1970s, the development of branch medical was formed. In the US, EDNA - the Crisis Department Nurses Connection - was founded by a group of nurses to help the medical world discover their specialist needs. In 1985, the group transformed its name to ENA - Emergency Nurses Relationship. In 1972, the British Royal College of Nursing separated accident medical and emergency medical groupings. . In 1990, these two separate groups mixed under the name "Accident & Emergency Nursing Association", enabling the group to determine a professional specialist to standardize training opportunities in disaster nursing care and attention. Later, trends within the nursing profession resulted in the jobs and tasks of emergency medical being regarded as a particular branch of nursing, which is dependant on an considerable and specific set of skills and knowledge. Selimen et. al(2009)

One of the key success stories of emergency nursing and another major celebration milestone should be the introduction of emergency medical groups. Since the early seventies many countries have developed national organizations, spreading the term and professionalism and reliability of crisis nurses. Giving an answer to emergencies is far more than focusing on how to recognize the signs or symptoms of traumatic injury or contact with unsafe chemicals. Effective response takes a disciplined team in which each participating person practices clear lines of communication and performs according to plainly assigned role directions.


Self-Care Deficit Theory (Dorothea Orem)

Sources: Medical Theorist and Their Work 5th edition

Research Paradigm

Efficiency to render care




- Amount of emergency nursing experience

-Level of training

-Level of confidence

-Level of Anxiety


Emergency Nurse

Self-Care Demands

-Insufficient airway, food and water -illness, damage, pathological conditon

Emergency/Life Threatening Conditions

Self-Care Agency



This study seeks to determine the readiness of nurses to act in response in crisis situations.

Specifically, the study searched for for the answers for the following questions:

What will be the factors affecting readiness of nurses in giving an answer to disaster situations?

What are the several hindrances that cause hold off in giving an answer to crisis situations?

Do the nurses adhere to the standard nursing procedures and principles when responding during crisis situations?

Up to what extent is the nurses' readiness when responding to disaster situations?

What is the level of nurses' training level when it comes to responding in emergency situations?

How will it really affect their replies during disaster situations?


Based from the condition of the study, the research hypothesis is created and you will be tested at the amount of significance of 0. 05.

Nurses aren't ready enough to respond in crisis situations.


The study aims to gain the people who are involved in the nursing field and those who will have the ability to read this research.

For the nursing homes, they can offer proper analysis to the amount of preparedness of the gear, personnel and management in response to emergency situation. Confidence of quality health care given to patients is assured safe. This degree of preparedness gives the community the info on how reliable our Filipino nurses are when risk emerges

For the academe, they can present suggestions and information in education for possible activities that can increase the performance and competitiveness of college student nurses in scientific adjustments. Programs and seminars can be provided to enhance knowledge and features of the nursing students in conditions of crisis situation and can give their students an idea on what these disaster nurses experience during those times.

For crisis nurses, they could learn how effective their training programs are in real risk and through this analysis nurses can enhance their own strategies in saving lives and making priorities especially in their professional medical practice. This gives them more info that would increase degree of their competence that can be assured and can be mirrored through their own performance during crisis.

For the patients, they can assure their safe practices in the hands of the emergency nurse. Competence and competitiveness of an emergency nurse can set up trust and assistance of the individual.

For the majority of the pupil nurses who want on the emergency field, they can have a clear understanding on what emergency practice in real situation is. Performances of emergency nurses can be reflected in this analysis that might help the students visualize and let them learn in advance the real configurations they can apply in future situations.

For the near future researches, they can be provided baseline data. It can also be use for evaluation of results in the foreseeable future and to find out if there is any improvement about the readiness of disaster nurses in responding disaster situation.


The study focuses on the readiness of nurses when giving an answer to crisis situation. The range of the analysis will only be on the field of disaster nursing. The study will focus on the next factors: the hindrances that causes delay in responding to emergency situations, the conformity of nurses to the standard nursing methods during disaster situations, the level of training and competence of the nurses when responding and finally the extent of readiness of the nurses. The analysis will cover crisis medical situations such as disasters, vehicular accidents, fire mishaps and such. The analysis will be conducted only within the vicinity of Metro Manila area. The analysis won't cover emergency medical in hospital founded configurations. The respondents will be limited by graduate nurses specializing in the field of disaster nursing, volunteer nurses, participants of the Fireplace Disaster Paramedic Assistance Group or FEPAG, and also customers of the MDC Health Crisis Medical Services Association or HEMSA.


Academe - a location in which instructions is directed at students and where learning happens.

American Red Cross - an international group that cares for the wounded, sick, and homeless in wartime, in line with the terms of the Geneva Convention of 1864, and now also during and following natural disasters.

Competence - their state or quality to be sufficiently or well experienced.

Disaster - an occurrence causing widespread destruction and stress; a catastrophe.

Disaster response - a period of the devastation management cycle. Its preceding cycles aim to reduce the dependence on a tragedy response, or to avoid it altogether.

Duty - a bit of work that is assigned: assignment, task, job, job.

Emergency nurses - nurses who focus on rapid examination and treatment when every second counts, particularly during the initial period of acute health problems and stress.

Emergency nursing - a field of medical which deals with human responses to any injury or sudden health issues that requires immediate intervention to prevent imminent severe destruction or death

FEPAG - Flame Emergency Paramedic Assistance Group is a non-stock, non-profit civic organization which is designed to provide recovery and emergency pre-hospital health care during open fire emergencies, vehicular incidents, medical emergencies, disasters and other calamities. It also aims to promote public protection thru activities and assignments geared towards disaster preparedness, mitigation and safeness practices, and other related open public service programs.

HEMSA - Health Disaster Medical Services Relationship is an organization in Manila Doctors University which aims to promote wellness and protection for the city by providing important programs of education and training, recognition, avoidance, preparedness and response to any situation pertaining to Disaster Medical Services (EMS) and pre-hospital emergencies.

Hindrance - something that interferes with or delays action or improvement. These are obstacles to proper intervention

Military medical - a field of nursing which targets caring the nation's service users and households either state area or abroad.

Nursing - a health-care vocation providing physical and mental care to the sick and disabled and promoting health in all individuals through activities including research, health education, and patient appointment.

Rescue - an act which identifies operations that usually involve the keeping of life, or protection of damage.

Triage - a process for sorting damaged people into teams predicated on their dependence on or likely benefit from immediate medical treatment. Triage is employed in hospital crisis rooms, on battlefields, and at disaster sites when limited medical resources must be allocated.

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