대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지
DOI QR코드

DOI QR Code

코로나19 대응 간호사가 인식하는 협력적 재난 거버넌스

Collaborative Disaster Governance Recognized by Nurses during a Pandemic

  • 임다해 (경희대학교 간호과학대학) ;
  • 신현숙 (경희대학교 간호과학대학) ;
  • 전혜진 (경희대학교 간호과학대학) ;
  • 김지은 (경희대학교 간호과학대학) ;
  • 전효진 (경희대학교 간호과학대학) ;
  • 오희 (경희대학교 간호과학대학) ;
  • 손순영 (계명대학교 간호대학) ;
  • 심가가 (상명대학교 융합기술대학 간호학과) ;
  • 김경미 (충북대학교 의과대학 간호학과)
  • Rim, Dahae (College of Nursing Science, Kyung Hee University) ;
  • Shin, Hyunsook (College of Nursing Science, Kyung Hee University) ;
  • Jeon, Hyejin (College of Nursing Science, Kyung Hee University) ;
  • Kim, Jieun (College of Nursing Science, Kyung Hee University) ;
  • Chun, Hyojin (College of Nursing Science, Kyung Hee University) ;
  • Oh, Hee (College of Nursing Science, Kyung Hee University) ;
  • Shon, Soonyoung (College of Nursing, Keimyung University) ;
  • Shim, Kaka (Department of Nursing, College of Convergence Technology, Sang Myung University) ;
  • Kim, Kyung Mi (Department of Nursing Science, College of Medicine, Chungbuk National University)
  • 투고 : 2021.08.05
  • 심사 : 2021.10.22
  • 발행 : 2021.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: We aimed to identify collaborative disaster governance through the demand and supply analysis of resources recognized by nurses during the COVID-19 pandemic. Methods: We used a descriptive study design with an online survey technique for data collection. The survey questions were developed based on focus group interviews with nurses responding to COVID-19 and expert validity testing. A 42-question online survey focusing on disaster governance was sent to nurses working in COVID-19 designated hospitals, public health offices, and schools. A total of 630 nurses participated in the survey. Demand and supply analysis was used to identify the specific components of disaster governance during a pandemic situation and analyze priority areas in disaster governance, as reported by nurses. Results: Demand and supply analysis showed that supplies procurement, cooperation, education, and environment factors clustered in the high demand and supply quadrant while labor condition, advocacy, emotional support, and workload adjustment factors clustered in the high demand but low supply quadrant, indicating a strong need in those areas of disaster governance among nurses. The nurses practicing at the public health offices and schools showed major components of disaster governance plotted in the second quadrant, indicating weak collaborative disaster governance. Conclusion: These findings show that there is an unbalanced distribution among nurses, resulting in major challenges in collaborative disaster governance during COVID-19. In the future and current pandemic, collaborative disaster governance, through improved distribution, will be useful for helping nurses to access more required resources and achieve effective pandemic response.

키워드

과제정보

This work was supported under the framework of international cooperation program managed by the National Research Foundation of Korea (No. 2020K2A9A1A0109334611).

참고문헌

  1. World Health Organization (WHO). WHO coronavirus (COVID-19) dashboard [Internet]. Geneva: WHO; 2021 [cited 2021 Oct 18]. Available from: https://covid19.who.int/.
  2. Nimako K, Kruk ME. Seizing the moment to rethink health systems. The Lancet. Global Health. Forthcoming 2021 Sep 7.
  3. Sumner A, Hoy C, Ortiz-Juarez E. Estimates of the impact of COVID-19 on global poverty. Helsinki: The United Nations University World Institute for Development Economics Research; 2020 Apr. Report No.: WIDER Working Paper 2020/43.
  4. National Disaster and Sefety Portal. Social disaster [Internet]. Sejong: Ministry of the Interior and Safety; 2021 [cited 2021 Jul 30]. Available from: http://eng.safekorea.go.kr/safeguide/selectSafeguidelist.do?searchLrgeclCd=COMM_01_02#.
  5. Kim Y, Jang D, Lee S, Kim S. A critical review of disaster management resource problems based on past disaster events. Journal of the Korean Society of Hazard Mitigation. 2019;19(4):89-102. https://doi.org/10.9798/KOSHAM.2019.19.4.89
  6. US Department of Homeland Security (DHS). National response framework [Internet]. Washington, DC: US Department of Homeland Security; c2019 [cited 2021 Jul 30]. Available from: https://www.fema.gov/media-library/assets/documents/32230.
  7. Organisation for Economic Co-operation and Development (OECD). The territorial impact of COVID-19: Managing the crisis across levels of government. Paris: OECD; 2020. p. 1-94.
  8. Bae Y, Joo YM, Won SY. Decentralization and collaborative disaster governance: Evidence from South Korea. Habitat International. 2016;52:50-56. https://doi.org/10.1016/j.habitatint.2015.08.027
  9. Skidmore M, Toya H. Natural disaster impacts and fiscal decentralization. Land Economics. 2013;89(1):101-117. https://doi.org/10.3368/le.89.1.101
  10. Baker D, Refsgaard K. Institutional development and scale matching in disaster response management. Ecological Economics. 2007;63(2-3):331-343. https://doi.org/10.1016/j.ecolecon.2007.01.007
  11. Lai AY. Organizational collaborative capacity in fighting pandemic crises: A literature review from the public management perspective. Asia Pacific Journal of Public Health. 2012;24(1):7-20. https://doi.org/10.1177/1010539511429592
  12. Halcomb E, Williams A, Ashley C, McInnes S, Stephen C, Calma K, et al. The support needs of Australian primary health care nurses during the COVID-19 pandemic. Journal of Nursing Management. 2020;28(7):1553-1560. https://doi.org/10.1111/jonm.13108
  13. Go DY, Park J. A comparative study of infectious disease government in Korea: What we can learn from the 2003 SARS and the 2015 MERS outbreak. The Korean Association for Policy Studies. 2018;27(1):243-280.
  14. Freitas CM, Silva IVM, Cidade NC. COVID-19 as a global disaster: Challenges to risk governance and social vulnerability in Brazil. Ambiente & Sociedade. 2020. doi: 10.1590/1809-4422asoc20200115vu2020L3ID.
  15. Chigurupati R, Panchal N, Henry AM, Batal H, Sethi A, D'innocenzo R, et al. Considerations for oral and maxillofacial surgeons in COVID-19 era: Can we sustain the solutions to keep our patients and healthcare personnel safe? Journal of Oral and Maxillofacial Surgery. 2020;78(8):1241-1256. https://doi.org/10.1016/j.joms.2020.05.027
  16. Newman M. Covid-19: Doctors' leaders warn that staff could quit and may die over lack of protective equipment. BMJ. 2020;368:m1257. https://doi.org/10.1136/bmj.m1257
  17. Garzotto F, Ceresola E, Panagiotakopoulou S, Spina G, Menotto F, Benozzi M, et al. COVID-19: Ensuring our medical equipment can meet the challenge. Expert Review of Medical Devices. 2020;17(6):483-489. https://doi.org/10.1080/17434440.2020.1772757
  18. Nowell L, Dhingra S, Andrews K, Jackson J. A grounded theory of clinical nurses' process of coping during COVID-19. Journal of Clinical Nursing. Forthcoming 2021 May 6.
  19. Lee RLT, West S, Tang ACY, Cheng HY, Chong CYY, Chien WT, et al. A qualitative exploration of the experiences of school nurses during COVID-19 pandemic as the frontline primary health care professionals. Nursing Outlook. 2021;69(3):399-408. https://doi.org/10.1016/j.outlook.2020.12.003
  20. Norful AA, Rosenfeld A, Schroeder K, Travers JL, Aliyu S. Primary drivers and psychological manifestations of stress in frontline healthcare workforce during the initial COVID-19 outbreak in the United States. General Hospital Psychiatry. 2021;69:20-26. https://doi.org/10.1016/j.genhosppsych.2021.01.001
  21. Lam SKK, Kwong EWY, Hung MSY, Pang SMC, Chiang VCL. Nurses' preparedness for infectious disease outbreaks: A literature review and narrative synthesis of qualitative evidence. Journal of Clinical Nursing. 2018;27(7-8): e1244-e1255. https://doi.org/10.1111/jocn.14210
  22. Heo YM, Lee M, Jang SJ. Intentions of frontline nurses regarding COVID-19 patient care: A cross-sectional study in Korea. Journal of Nursing Management. 2021;29(6):1880-1888. https://doi.org/10.1111/jonm.13333
  23. Kim K. Uncertainties of international standards in the Mers CoV outbreak in Korea - multiplicity of uncertainties. Eco. 2016;20(1):317-351.
  24. Cavallo A, Ireland V. Preparing for complex interdependent risks: A System of Systems approach to building disaster resilience. International Journal of Disaster Risk Reduction. 2014;9:181-193. https://doi.org/10.1016/j.ijdrr.2014.05.001
  25. Davidson P. Now is the time for new nursing scholarship: A post COVID-19 reset. Paper presented at: 32nd International Nursing Research Congress 2021 of Sigma Theta Tau International; 2021 Jul 21-23; Virtual Conference in USA.
  26. 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. https://doi.org/10.2147/RMHP.S279513
  27. Schwerdtle NP, Connell CJ, Lee S, Plummer V, Russo PL, Endacott R, et al. Nurse expertise: A critical resource in the COVID-19 pandemic response. Annals of Global Health. 2020;86(1):49. https://doi.org/10.5334/aogh.2898
  28. In J. Considerations when calculating the sample size for an inequality test. Korean Journal of Anesthesiology. 2016;69(4):327-331. https://doi.org/10.4097/kjae.2016.69.4.327
  29. Bacchetti P, Wolf LE, Segal MR, McCulloch CE. Ethics and sample size. American Journal of Epidemiology. 2005;161(2):105-110. https://doi.org/10.1093/aje/kwi014
  30. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24(2):105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  31. Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-385. https://doi.org/10.1097/00006199-198611000-00017
  32. Polit DF, Beck CT. The content validity index: Are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health. 2006;29(5):489-497. https://doi.org/10.1002/nur.20147
  33. Gonzalez-Gil MT, Gonzalez-Blazquez C, Parro-Moreno AI, Pedraz-Marcos A, Palmar-Santos A, Otero-Garcia L, et al. Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Intensive and Critical Care Nursing. 2021;62:102966. https://doi.org/10.1016/j.iccn.2020.102966
  34. Devereaux A. Pandemic influenza: An evolutionary concept analysis. Journal of Advanced Nursing. 2015;71(8):1787-1796. https://doi.org/10.1111/jan.12654
  35. Stamps DC, Foley SM, Gales J, Lovetro C, Alley R, Opett K, et al. Nurse leaders advocate for nurses across a health care system: COVID-19. Nurse Leader. 2021;19(2):159-164. https://doi.org/10.1016/j.mnl.2020.07.011
  36. Lim KM, Kim JA. School health teachers' experience of coping with the COVID-19 pandemic. Journal of the Korean Society of School Health. 2021;34(1):76-86. https://doi.org/10.15434/kssh.2021.34.1.76
  37. Brooks F, Kendall S, Bunn F, Bindler R, Bruya M. The school nurse as navigator of the school health journey: Developing the theory and evidence for policy. Primary Health Care Research & Development. 2007;8(3):226-234. https://doi.org/10.1017/S1463423607000278
  38. Dewey C, Hingle S, Goelz E, Linzer M. Supporting clinicians during the COVID-19 pandemic. Annals of Internal Medicine. 2020;172(11):752-753. https://doi.org/10.7326/M20-1033
  39. Frias CE, Cuzco C, Martin CF, Perez-Ortega S, Trivino Lopez JA, Lombrana M. Resilience and emotional support in health care professionals during the COVID-19 pandemic. Journal of Psychosocial Nursing and Mental Health Services. 2020;58(6):5-6. https://doi.org/10.3928/02793695-20200506-02
  40. Collings DG, McMackin J, Nyberg AJ, Wright PM. Strategic human resource management and COVID-19: Emerging challenges and research opportunities. Journal of Management Studies. Forthcoming 2021 Mar 18.
  41. Teter W. Fostering problem driven collaboration in a development context: The ASEAN study of health workforce governance. Asia Pacific Journal of Public Administration. 2020;42(2):89-110. https://doi.org/10.1080/23276665.2020.1753222