Ismail, Siti Aminah
(2020)
Factors associated with knowledge, attitude, practice and perception in flood disaster management among critical care nurses in the east coast hospitals of Malaysia.
Masters thesis, Universiti Sains Malaysia.
Abstract
The east coast hospitals of Malaysia were regularly stricken by flood disaster,
whereby critical care nurses make up the majority of frontline responders in such
disaster. They have their roles especially in triage and evacuation of the critically ill
patient during a disaster. The general objective of this study was to identify the factors
associated with knowledge, attitude, practice, and perception in flood disaster
management among critical care nurses in the east coast hospitals of Malaysia. This
was a quantitative study with a descriptive cross-sectional study design in, which the
data were collected from 250 critical care nurses of the east coast hospitals in Malaysia
by using a questionnaire. Multiple logistic regression analysis was used to determine
the factors associated with knowledge, attitude, practice, and perception in flood
disaster management. A majority of the critical care nurses had adequate knowledge
and practice, with a positive attitude and were well-perceived on flood disaster
management. Among the selected factors studied, the workplace was significantly
associated with knowledge scores (AOR 0.185, 95% CI: 0.049, 0.703, p = 0.013).
Disaster response experience had a significant association with knowledge (AOR
4.048, 95% CI: 1.346, 12.174, p = 0.013) and practice (AOR 2.697, 95% CI: 1.122,
6.479, p = 0.027) but no significant association with attitude and perception. Attended
disaster training/education had significant association with attitude (AOR 4.230, 95%
CI: 1.474, 12.144, p= 0.007) and practice (AOR 4.203, 95% CI: 2.102, 8.402, p =0.000). Level of education and years of service both showed no significant association
with knowledge, attitude, practice, and perception. This study revealed that previous
disaster response experience and disaster training/education as some of the factors that
would ensure adequate knowledge and practice in flood disaster management among
critical care nurses. Therefore, it is recommended for disaster management programme
to be included in continuing education programme and training for critical care nurses
so as to ensure them to be well-prepared and respond competently when flood disasters
happen.
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