scholarly journals Disaster Response Among Hospital Nurses Dispatched To Evacuation Centers In And Beyond The Fukushima Prefecture

Author(s):  
Chika Yamamoto ◽  
Katsuko Onoda ◽  
Arifumi Hasegawa ◽  
Tomoyoshi Oikawa ◽  
Masaharu Tsubokura

Abstract Introduction: Living in a shelter affects resident health, increasing mortality risk, making shelter management a crucial part of disaster response.Multiple stakeholders are involved in managing evacuation centers. However, little is known about the support needs of medical personnel within a disaster area. Methods: This study aimed to examine the role of nurses in this disaster response, including evacuation to shelters, and the challenges they faced, given the lack of previous training or experience. Semi-structured interviews were conducted with nurses who were affected by the nuclear power plant accident, and qualitative content analysis was conducted.Results: The challenges of shelter activities included the experience of being rebuffed by residents affected in the same area and the need to manage the conflict between the positions of victims and supporters. In addition, it was shown that by building support among staff and relationships between staff and residents, they were able to continue their difficult shelter activities. Many nurses expressed interest in disaster nursing, as their experiences of supporting people in disasters and evacuation centers provided them with hints for their nursing practice, and they applied the lessons learned from their evacuation center activities to their future disaster response.Discussion: To improve staff management of trauma, suitable training should be provided during “normal” times to strengthen staff relationships; in addition, clinical and community nurses should be afforded opportunities to understand each other’s roles to support disaster response.

2017 ◽  
Vol 12 (sp) ◽  
pp. 669-677 ◽  
Author(s):  
Natt Leelawat ◽  
Anawat Suppasri ◽  
Panon Latcharote ◽  
Fumihiko Imamura ◽  
◽  
...  

In April 2016, the Kumamoto earthquakes in Japan killed 50 people and injured more than 3,000. Because Japan is a primary tourist destination for Thai citizens, due in part to the current visa relaxation policy, many Thai people were visiting Japan when these earthquakes occurred. However, while a variety of public information related to the imminent danger and disaster response was broadcast and published, foreigners sometimes had little access to or understanding of local notices or instructions because of language barriers.This study researches the evacuation process for Thai citizens – including tourists, students, and residents from Thailand – in the disaster-affected areas during the 2016 Kumamoto earthquakes. Through prompt collaboration among the relevant organizations, particularly the Royal Thai Embassy in Tokyo, the evacuation of Thai citizens was successfully completed within a few days. Moreover, some other foreigners were also assisted by the Thai embassy. This paper presents an overview of the evacuation process, including the critical role of information and communication technology (ICT) in disseminating information, transmitting rescue requests, and providing emergency communications. The lessons learned from these efforts can be applied in future natural disasters, especially for foreign organizations working in similar capacities overseas. In addition, this study suggests disaster preparedness and response guidelines for tourists when traveling overseas.


Patient ergonomics focuses on how patients and their social networks engage in health management in home and community settings. To that end, we explored awareness of hypo- and hyperglycemic events from the perspective of adolescents with type 1 diabetes (T1D) and their parents in the context of their social environment. Semi-structured interviews were conducted with 16 participants (8 dyads) and analyzed using qualitative content analysis. Our analysis shows the different ways in which adolescents with T1D and their parents recognize glycemic events. These observations elucidate how the social environment affects this process and how connections influence the management of T1D. Additionally, these insights provided directions for ways in which patient education and information technology could be enhanced.


2008 ◽  
Vol 12 (1) ◽  
pp. 21-36 ◽  
Author(s):  
Rémy Magnier‐Watanabe ◽  
Dai Senoo

PurposeThe use of knowledge in organizations is largely a discretionary behavior that can be encouraged but not demanded. As such, the firm can only attempt to provide the right conditions for employees to endorse the role of knowledge workers. The purpose of this paper is to examine how the organization of the firm affects knowledge management.Design/methodology/approachThis research proposes a new framework showing the prescriptive role of organizational characteristics onto knowledge management (KM) initiatives. Based on this framework, data were generated from nine semi‐structured interviews conducted in the American, British and Japanese offices of a major Japanese pharmaceutical company, using a Boolean approach and qualitative content analysis.FindingsOrganizational characteristics, specifically – structure, membership, relationship, and strategy affect KM, namely – knowledge acquisition, storage, diffusion, and application respectively.Research limitations/implicationsEven though the departments of each local office under study were matched in terms of activity, the size of their own domestic market made comparisons sometimes challenging.Practical implicationsThis research suggests that practitioners can increase the yield of KM when integrated upstream into the elementary business processes rather than when left voluntary.Originality/valueThis paper uncovers a possible link between the firm's organizational characteristics and KM, and the new practical framework can be useful to both scholars and practitioners.


2020 ◽  
Author(s):  
Krzysztof Buczkowski ◽  
Magdalena Dachtera-Frackiewicz ◽  
Dorota Luszkiewicz ◽  
Katarzyna Klucz ◽  
Jolanta Sawicka-Powierza ◽  
...  

Abstract Background: Most smokers attempt to quit smoking, but few are successful. Data regarding the reasons for this relapse and the course of the relapse process may be helpful for determining efficient methods of smoking cessation. This study aimed to identify the causes of and scenarios associated with smoking relapse after effective smoking cessation. Methods: We conducted 20 semi-structured interviews with smokers who had previously unsuccessfully attempted to quit. The data underwent qualitative content analysis. Results: Three major themes were identified: Reasons for smoking relapse; Smoking relapse scenarios; and Perception of the influence of personal environments, including family and physicians, on refraining from smoking after cessation. The first theme comprised the following subthemes: insufficient willpower and self-discipline, contact with smokers, exposure to stressful situations, lack of family support, weight gain, and insufficient improvement in one’s mental and physical well-being. The second theme contained enjoyable social events, professional life, critical events, and encouragement to smoke from family members. The respondents frequently emphasized the large role of interaction with other smokers. Conclusions: The predominant factors underlying smoking relapse include insufficient willpower and self-discipline and exposure to stress. The most frequent relapse scenario concerned experiencing negative or positive emotions when interacting with other smokers.


2017 ◽  
Vol 2 (2) ◽  
pp. 18
Author(s):  
Lian Ruan ◽  
Weiling Liu

With a goal to examine the role of Chinese American librarians in Library and Information Science (LIS) diversity in the 21st century, the authors conducted a study funded by the ALA (American Library Association) Diversity Research Program between 2013 and 2014. This study included a national survey of CALA (Chinese American Librarians Association) members and qualitative semi-structured interviews of ten selected survey participants (both senior and emerging leaders of CALA members). Despite some limitations of the study, the research findings document best practices and lessons learned among Chinese American librarians to inform and improve the diversity initiative, namely by increasing CALA’s leadership training and mentorship opportunities, improving communication and cultural understanding, and developing connections with other people or organizations with diversity agendas. The findings have provided fruitful ideas to CALA in many ways especially its 2020 strategic planning, collaboration with other organizations and Leadership Training initiatives occurring between 2015 and 2017. The findings also suggest strategies for the recruitment and retention of Chinese American librarians to the LIS field. The findings and outcomes also provide much needed evidence to increase the role of Chinese American librarians in the diversity efforts that support 2017 ALA’s Strategic Directions: Equity, Diversity and Inclusion.


Evaluation ◽  
2018 ◽  
Vol 24 (1) ◽  
pp. 6-25 ◽  
Author(s):  
Martijn Felder ◽  
Hester van de Bovenkamp ◽  
Antoinette de Bont

In Dutch healthcare, new market mechanisms have been introduced on an experimental basis in an attempt to contain costs and improve quality. Informed by a constructivist approach, we demonstrate that such experiments are not neutral testing grounds. Drawing from semi-structured interviews and policy texts, we reconstruct an experiment on free pricing in dental care that turned into a critical example of market failure, influencing developments in other sectors. Our analysis, however, shows that (1) different market logics and (2) different experimental logics were reproduced simultaneously during the course of the experiment. We furthermore reveal how (3) evaluation and political life influenced which logics were reproduced and became taken as the lessons learned. We use these insights to discuss the role of evaluation in learning from policy experimentation and close with four questions that evaluators could ask to better understand what is learned from policy experiments, how, and why.


2013 ◽  
Vol 1 (2) ◽  
pp. 94
Author(s):  
Antoinette Phillips ◽  
Julie Nunenmacher ◽  
Bobbie Schnepf ◽  
Carl Phillips ◽  
Sam Cappel

August 2005 and the ensuing months saw a natural disaster, Hurricane Katrina, and a leadership disaster surrounding governmental and institutional response to the storm’s aftermath. An event of such monumental proportions would predictably offer numerous challenges; however, the extent of the weaknesses in preparedness and response revealed by Katrina was nothing short of astounding. Lessons learned from this experience were quickly incorporated into many organizations’ planning, readiness, and response activities. This manuscript discusses salient aspects of less-than-optimal responses to Katrina’s effects and explores changes in and different programs for coordinating subsequent disaster response. Interestingly, many such changes were undertaken by units not directly impacted by or involved in Katrina’s aftermath. The authors propose the term “vicarious leadership learning” to describe this phenomenon. Examples from a variety of organizations are presented, and the benefits of vicarious leadership learning are discussed.


2018 ◽  
Vol 6 (11) ◽  
pp. 2221-2227
Author(s):  
Fereshteh Araghian Mojarad ◽  
Leila Jouybari ◽  
Akram Sanagoo

BACKGROUND: Cancer patients need not only well-planned treatment, but also comprehensive nursing care provided with compassion, competence, and conscience. Nursing presence is an essential part of the care process in all nursing interventions. AIM: This study aimed to identify the barriers to the nursing presence in oncology care units. MATERIALS AND METHODS: A qualitative content analysis study was carried out with the participation of 27 nurses who were chosen by purposive sampling. The data collection instruments were semi-structured interviews and observation. The interviews were recorded and transcribed, and then coded and analysed by the Graneheim and Lundman’s content analysis methodology. The criteria proposed by Guba and Lincoln were used to ensure the validity of the research. RESULTS: From the data analysis, the researchers were able to obtain a primary theme labelled “Rocky road ahead of nursing presence” and two subthemes labelled “Difficult and stressful work environment” and “Dysfunctional rules and regulations” with several subcategories including “exposure to violence”, “shortage of nursing staff”, “inattention to the needs of nurses”, “organizational unfairness”, “excessive paperwork”, and “need for detailed documentation”. CONCLUSION: There are numerous challenges ahead of achieving satisfactory nursing presence and quality care in the oncology care units. The findings highlight the key role of organisational conditions in the nursing presence and the dire need to pay further attention to the motivational factors.


2021 ◽  
Vol 43 (3) ◽  
pp. 464-475
Author(s):  
Catherine Bauer ◽  
Larissa Maria Trösch ◽  
Dilan Aksoy

This qualitative study uses the Job Demands-Resources framework to examine social support and its role in career retention or attrition among Swiss second career teachers (SCTs). In many countries, including Switzerland, great efforts are made to bring professionals from other occupational fields into teaching. As a result, the number of SCTs is growing, as are speculations about their skills, resources, and career persistence. A qualitative content analysis of 23 semi-structured interviews shows that support from colleagues and principals is a crucial job resource for SCTs, but seems to be positively associated with work engagement and career retention only if it is offered in forms that are sensitive to SCTs’ own needs and skills. Implications for SCT training and job induction are discussed.


2020 ◽  
Vol 18 (5) ◽  
pp. 692-703
Author(s):  
Azadeh Fatehpanah ◽  
Katayoun Jahangiri ◽  
Seyed Hesam Seyedin ◽  
Amir Kavousi ◽  
Hossein Malekinezhad

Abstract The indigenous knowledge of our ancestors provides valuable information on how to prevent negative health impacts on water hygiene in the event of drought. The present study aimed to explore the role of indigenous knowledge in maintaining water safety in drought conditions. A qualitative content analysis method using in-depth semi-structured interviews was used to collect and analyze the data. The current research was carried out from April 2017 to June 2018. A purposive sampling method was used to select 15 participants. Trustworthiness was applied with the Lincoln and Guba approach and data were analyzed using Graneheim and Lundman's method. Two categories including drinking water storage and water collection were extracted from the data. Each category includes different strategies to deal with water. Water storage includes water quantity and water quality. Water collection consists of collection methods and rules. Indigenous knowledge is an indispensable component of community disaster resilience. It can be transferred to other communities and employed to empower affected communities. But using the knowledge without scientific considerations cannot guarantee peoples' health throughout the drought periods.


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