In primary prevention,the nurse’s intervention should limit the effects of the occurring disaster. He/she nurse should advocate for effective infrastructures such as buildings,roads,bridges which can withstand the forces of wind,water and tremors experienced in the event (Hassmiller and Stanley, 2012). In secondary prevention the nurse can intervene by providing supportive care which includes determining victims who need shelter, coordinating the activities of shelter workers,keeping record of those admitted and discharged from the shelters and ensuring safety of the shelter residents. In tertiary prevention the nurse can give follow-up psychological care for problems resulting from the disaster.The nurse with a team of psychologists can team up and give counseling to the victims who undergo psychological trauma.
The above interventions can be applied in the recovery phase of the disaster management.This is because it is at this phase that the nurse can assess the impact of the disaster on people and the environment so as to implement the proposed interventions. The recovery phase aims at the recovery of the community and its members from the effects of the disasters and preventing it from recurring (Vogt and Kulbok,2008)
Disaster management nurses are specialized and skilled in responding to disasters and would be valuable participants in facilitating the above interventions while on the other handcritical care nurses provide specialized care to victims who are badly injured hencethese groups of nurses will play a major role in the management of the victims. On occurrence of a disaster, people tend to experience psychological trauma andthey would benefit greatly from Critical Incidence Stress Debriefing (CISD) (Mitchell and Everly, 1996) provided by psychologists.Volunteer groups such asRedcrossparticipates in disaster management by helping in evacuation, giving first aid, providing food, clothing and resettlement of those who are displaced.
REFERENCES
Hassmiller, S. B., & Stanley, S. A. R. (2012). Public health nursing and the disaster management cycle. Public Health Nursing. Missouri, MO: Mosby, 507-531.
Mitchell, J. T., & Everly, G. S. (1996). Critical incident stress debriefing: CISD: an operations manual for the prevention of traumatic stress among emergency service and disaster workers. Ellicott City, MD: Chevron Publishing.
Vogt, V., & Kulbok, P. A. (2008). Care of client in disaster settings community health nursing: Advocacy for population health (Vol. 2, pp. 759-800).