مهدیه نژادشفیعی

Uncertainty and sudden occurrence of disasters require special attention and nurses, as the largest human resource, have a critical role in maintaining and promoting the health. The use of telenursing care during disaster is an applicable way to provide care. The aim of this was to prioritizing telenursing care in disasters from the view of nurses.

This descriptive-analytical study was part of a larger mixed methods on prioritizing telenursing care in disasters from the view of nurses. Samples were selected using census. The data were analyzed using SPSS software.

The prioritizing extracted care included:(1) Management of trauma, (2) Technical skills, (3) Care and decision-making in stressful situations (triage), (4) Management of patients with special needs, (5) Life-saving intervention, and (6) Psychological and emotional supports.

According to the shortage of specialized nurses in disastrous areas, a telenursing program will provide a new window and provide help to victims of disasters.

In the last 2 decades millions of people all over the world have lost their lives or encountered severe disabilities due to accidents and disasters. In this regard, telemedicine is one of the most recent advances in information technology andcommunication, a change that be useful in providing quality healthcare for people, especially in times of crisis, when optimum use of time is very important. Therefore, this study was performed with the aim of assessing telemedicine technology in accidents in teaching hospitals of Kerman. The present study was a cross-sectional one performed in 2018. The participants consisted of the chairmen, emergency medicine physicians, and information technology staff of selected teaching hospitals in Kerman and census method was used for their inclusion. The tool used for data gathering was a questionnaire designed by the researcher, validity and reliability of which was approved. SPSS version 21 was used for data analysis. The results of the presentstudy showed that the studied centers had proper infrastructures for providing telemedicine services in accidents. All the chairmen of the centers supported this program but in the planned strategic program no plans were made regarding telemedicine. From the viewpoint of most participants in this study, the obstacles to execution of telemedicine such as insufficient technical staff, repayment and insurance problems were only of trivial importance. Applying telemedicine in management of disasters plays a vital role in preserving and saving patients’ lives. Based on the findings of the present study, the importance of healthcare centers becoming equipped with technical infrastructure of telemedicine in accidents and familiarized with methods of carrying out and providing these services is emphasized.

Nurses are one of the frontline workers after disasters, particularly after radiologic incidents. Despite their importance, little is known about the nurse’s competencies in facing these events. This mini-review was aimed to determine competency of nurses in radiologic incidents. This mini-review was conducted using scientific electronic databases and library resources such as Scopus, PubMed, Magiran, SID, IranMedex using the keywords competency, nurses, and radiologic incidents to identify published papers from 1990 to 2017. Total of 991 papers were identified, of which 14 of them were considered relevant and were included in this study. Studies have shown that nurses' competencies in radiation incidents has variation. The most important of these competencies are on factors including the use of protective equipment and measures for the removal of pollution, triage, management of vulnerable groups, care of trauma, and psychological support. Nurses have varying abilities in different factors in disasters. Therefore, it is necessary to implement care and treatment plans to equip nurses with useful knowledge regarding radiation accidents

Annually, accidents lead to mortality and morbidity in millions of people. Disaster preparedness and relief efforts after the accidents can minimize the risk of adverse effects. The aim of this study was to review the dimensions of first aid and transport for the injured people in accidents and natural disasters.
This was a descriptive review. Studies were identified by searching in literature and electronic resources and database from 2000 to 2015, with keywords disaster and events, casualties, patient, relief and transport, dimensions.
The transport process in the events has various aspects. The most important of those were type of accident, accident location, severity and extent of the accident, the condition of victims, the number of victims, specialist human resources for treatment, medical equipment, facilities and delivery vehicles, the transport team, security of transportation, and finally transport management, triage, planning, coordination and cooperation between the parts.
Generally, for goals such as saving the lives of victims, immediate access to specialized diagnosis and treatment, reduction of side-effects and risk for transport, and favorable response to organizational and national needs, it is necessary to consider all aspects of the transport in details.

Nuclear accidents in any shape or anywhere require presence of trained individuals and medical teams on the site of accident. Considering the important role of nurses in efficient management of these disasters, they should possess special qualifications in different areas. This study was done with the aim of assessing the knowledge of nurses working at a military hospital in the face of nuclear accidents.
This Cross-sectional descriptive study was carried out in 2015 in a military hospital. The study population consisted of nursing staff of the hospital, which were included using consecutive sampling. The tool used for this study was a questionnaire consisting of 2 parts. The first part was about the demographic data of the participants and the second part had 14 questions for evaluating the knowledge of the participants on facing nuclear accidents. Gathered data were analyzed using SPSS version 17 and descriptive statistics methods such as t-test and ANOVA.
In this study, 136 of the nursing staff with the mean age of 32.99 ± 4.56 years participated (76.5% female). 83.8% had a Bachelor’s degree and their mean work experience was 8.03 ± 3.86 years, while 76.5% of them had no history of presence or service in any accident or disaster. Only 5.8% of the participants had sufficient knowledge of consequences of a nuclear accident and 80.3% of them had not participated in any training courses regarding nuclear victims. Knowledge of the nurses was evaluated as poor (m = 25) and results showed that there is no significant correlation between work experience (p = 0.330) and type of ward (p = 0.718) with the knowledge of nurses on encountering nuclear accidents.
Knowledge of nurses in facing nuclear accidents was poor and hospitals need to design disaster management programs and review its details with the staff in the form of trainings and maneuvers. In addition, decision-makers of educational programs for nursing students should include the topics related to nuclear disaster management and prepare the graduates for facing these accidents.

Natural and man-made disasters was considered as permanent threat for all communities, especially Iran. In disasters, health centers need trained and specialized staff which provide health services and treatment with knowledge and skills. Nurses have been in the forefront of medical care throughout the wellness and illness continuum, which should be involved in all aspects of disaster care. This research aimed to develop the curriculum of the care in disasters for baccalaureate degree of nursing.
This is a descriptive and survey study which was done with overview of the documents, articles and surveys of experts by using delphi technique in 2015. 17 professors were selected purposeful. Topics related to curriculum of Care in disaster were extracted and adjusted, then nurses learning priorities in the field of disaster by using a questionnaire survey in three stages were available to experts and the experts group of educational topics were final selected.
According to a survey conducted, Curriculum of disaster Care in Bachelor of Nursing in 17 subjects, which have 75% of consensus was selected as required learning content in the form of 3 course included 5/1 theoretical unit, 5/0 practical course and 1 training unit.
Education and empowerment of nurses for optimally responsiveness to the needs of disaster victims is emphasized with the current revision of the curriculum and the needed content of 3 courses.