Cancer nursing preparedness for natural disasters: A cross-sectional survey of the members of the Japanese Society of Cancer Nursing

癌症护理人员应对自然灾害的准备情况:日本癌症护理学会成员的横断面调查

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Abstract

OBJECTIVE: This study aimed to assess the level of preparedness for natural disasters among clinical practitioners who are members of the Japanese Society of Cancer Nursing and identify essential key elements of oncology nursing associated with disaster preparedness. METHODS: A cross-sectional, web-based survey was conducted via email invitation targeting full members of the Japanese Society of Cancer Nursing between November 22, 2024, and January 10, 2025. Forced-entry multiple linear regression analysis was performed with disaster preparedness as the dependent variable. RESULTS: Of the 5303 members invited, 149 were included in the analysis. Sufficient preparedness was observed in areas such as awareness of potential disruptions to cancer treatment and nursing care during disasters. Conversely, communication strategies during disasters, stockpiling of essential supplies, and knowledge of governmental support systems were identified as areas of insufficient preparedness. Overall disaster preparedness was significantly influenced by the level of institutional disaster preparedness. Significant regression models were developed for 8 of the 17 preparedness items, with institutional disaster preparedness emerging as the strongest predictor for all 8 items. Additionally, the large-scale earthquakes and the possibility of future earthquakes were also predictive factors. CONCLUSIONS: Oncology nurses recognized the risk of interruptions to treatment and nursing care during disasters; however, their knowledge of disaster preparedness and available support systems was insufficient. Their level of preparedness was associated with their institution's disaster preparedness, prior experience with large-scale earthquakes, and exposure to potential disasters such as earthquakes. To ensure effective preparation for future disasters, oncology nurses must enhance their understanding of disaster risks and strengthen organizational preparedness.

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