PENGALAMAN PERAWAT SEBAGAI SURVIVOR DAN PEMBERI PERTOLONGAN KESEHATAN SAAT RESPON TANGGAP DARURAT PADA KORBAN BENCANA TSUNAMI TAHUN 2004 DI LHOKNGA DAN LHOONG ACEH BESAR

  • Sapondra Wijaya
  • Sri Andarini
  • Setyoadi -

Abstract

 

Background: Fast response in emergency response phase of a disaster is very important. Fast response will be hard to do if a disaster such as the tsunami in 2004 happen, which makes an isolated area. The inhibition are destruction of communication and transportation networks, lack of logistics and the most fatal is the lack of health workers, especially nurses as the greatest number. Nurses in the disaster area at the time it is not only need a knowledge and skills as a first responder but also the mental readiness. Nurses who are save from the disaster or survivor and decided to become a first responder must have good mental strength.

Objective: To explore the experience of nurses as survivors and as a health giver during emergency response to victims of the Tsunami 2004 in Lhoknga and Lhoong, Aceh Besar.

Methods: Qualitative research with phenomenological intepretif approach. Data were collected through interviews to 5 nurses who met the criteria. Data were analyzed using Braun and Clark thematic analysis.

Results: This study resulted 7 themes, namely the psychological reactions of nurses in acute phase of the emergency response, the heroism of a nurse in acute phase, survive in a critical condition, the sense of responsibility of nurses, the emotional bond of nurses and regions, the psychological reactions of nurses after emergency response phase, and nurses willingness of increasing knowledge and skills in disaster management.

Conclusion: Providing medical aid at the time it was a response from the appear of heroism a nurse. Another reason nurses become first responder is a form of coping in overcoming grief, the next is a form of their responsibilities as nurses and nurse emotional bond with the disaster area. 11 years after the 2004 tsunami disaster, the knowledge and skills of nurses to respond to disasters did not increase significantly.

 

Keywords: nurse experience, a disaster, first responders, emergency response

References

Alligood, M. R., & Tomey, A. M. (2010). Nursing theorists and their work (7th ed). United States of America: Mosby Elsevier
Amelia, N. (2013). Prinsip etika keperawatan. Yogyakarta: D-Medika
Arbon, P., Ranse, J., Shaban, R.Z., Considine, J., Kako, K., Woodman, R. J., Mitchell, B., Bahnisch, L., & Hammad, K. (2013). Exploring staff willingness to attend work during a disaster: A study of nurses employed in four Australian emergency departments. Australasian Emergency Nursing Journal. 16, 103—109
Chapman, K. & Arbon, P. (2008). Are nurses ready? Disaster preparedness in the acute setting. Literature review. Australasian Emergency Nursing Journal. 11, 135—144
Doherty, G. W. (2007). Crisis intervention training for disaster workers; an introduction. Laramie: Rocky Mountain DMH Institute Press
Fitria, A., Deliana, S. M., Hendriyani. (2013). Grief pada remaja akibat kematian orangtua secara mendadak. Developmental and Clinical Psychology. DCP (2)
Gholamzadeh, S., Sharif, F., Rad, F. D. (2011). Source of occupational stress and coping strategies among nurses who are working in admission and emergency departemen in hospital affiliated to shiraz university of medical sciences. Iran Journals Nurs Midwifery. 16 (6): 42-47
Hammad, K. S., Paul Arbon, P., & Gebbie, K. M. (2011). Emergency nurses and disaster response: An exploration of South Australian emergency nurses’ knowledge and perceptions of their roles in disaster response. Australasian Emergency Nursing Journal. 14, 87—94
Hammad, K.S., Arbon, P., Gebbie, K., Hutton, A. (2012). Nursing in the emergency department (ED) during a disaster: a review of the current literature. Australasian Emergency Nursing Journal. 15, 235—244
Hasyim, M., & Prasetyo, J. (2012). Etika keperawatan. Yogyakarta: Penerbit Bangkit
Herman & Hasanbasri, M. (2008). Evaluasi kebijakan penempatan tenaga kesehatandi puskesmas sangat terpencil di kabupaten buton. Jurnal Manajemen Pelayanan Kesehatan, Vol. 11, No. 3. 103-111
Husna, C. (2010). Perceived clinical skill for tsunami care and its related factors among nurses in Banda Aceh Indonesia. Thesis unpublished. Prince of Songkla University Thailand.
Jensen, M. L., Lippert, F., Hesselfeldt, R., Rasmussen, M. B., Mogensen, S. S., Jensen, M. K. (2008). The significance of clinical experience on learning outcome from resuscitacion training: a randomized controlled study. Resuscitation. 80, 238-243.
Johnstone, M.J. & Turale, S.(2011). Nurses’ experiences of ethical preparedness for catastrophic public health emergencies and health care disasters, a systematic review of qualitative evidence.
Kulig, J. C., Edge, D., & Smolenski, S. (2014). Wildfire disasters: Implications for rural nurses. Australasian Emergency Nursing Journal. 17, 126—134
Ludigdo, U. (2012). Nilai-nilai luhur pancasila dalam mencegah terjadinya kecurangan. Universitas Brawijaya Malang
Marhaeni, A.A.I.N. (2007). Pembelajaran inovatif dan asesmen otentik dalam rangka menciptakan pembelajaran yang efektif dan produktif. Universitas Pendidikan Ganesha Singaraja
Moszczynski, A. B., & Haney, C. (2002). Stress and coping of canadian rural nurses caring for trauma patiens who transferred out. Journal of Emergency Nursing. 28 (6): 496-504
Nugroho, A. (2011). Penerapan Sila Ke-3 Dalam Kehidupan Gotong Royong Dan Kekeluargaan Di Desa Pule. Yogyakarta: STMIK Amikom
Seaward, B.L. (2006). Managing stress, principles, and strategies for health and well being. Jones and Barlett Publisher. Canada
Secor-Turner, M & O’Boyle, C. (2006). Nurses and emergency disasters: What is known. American Journals of Infection Controls. Vol 34 No 7
Tippins, E. (2005). How emergency nurses identify and respond to critical ilness. Australian Emergency Nursing Journal 8. 85-120
Van Dijk, W.W., & Zeelenberg. M, (2002). Investigating the appraisal patterns of regret and disappointment. Motivation and Emotion, 26, 321-331.
Watcharong, C., Chukpaiwong, B., & Mahaisavariya, B. (2005). Editorial: orthopaedic trauma following tsunami: experience from Pang Nga, Thailand. Journal of Orthopaedic Surgery, 13(1), 1-2.
Zailani., et al. (2009). Keperawatan bencana. Banda Aceh: Forum Keperawatan Bencana
Abstract viewed = 924 times
PDF downloaded = 1424 times