TY  - JOUR
PY  - 2021//
TI  - "Expecting the unexpected:" nurses' response and preparedness of terrorism-related disaster events in Quetta City, Pakistan
JO  - Frontiers in public health
A1  - Khilji, Fazal Ur Rehman
A1  - Raziq, Abdul
A1  - Shoaib, Maryam
A1  - Baloch, Nosheen Sikander
A1  - Raza, Shanaz
A1  - Iqbal, Zaffar
A1  - Ishaq, Rabia
A1  - Haider, Sajjad
A1  - Iqbal, Qaiser
A1  - Ahmad, Nafees
A1  - Saleem, Fahad
SP  - 695143
EP  - 695143
VL  - 9
IS  - 
N2  - BACKGROUND: In addition to the psychiatric and societal misery, terrorism places an exceptional burden while delivering healthcare services. Accordingly, a responsive and well-prepared healthcare system ensures effective management of terrorism-related events. Within this context, with a strong historic grounding in addressing situations of societal crisis nurses are well-placed in contributing to the global arena of humanitarian policy and social research. Therefore, assessing their response and preparedness is vital in effective management of a terrorism-related disaster. For that very reason, we aimed to evaluate nurses' preparedness and response toward terrorism-related disaster events in Quetta city, Pakistan. <br><br>METHODS: A qualitative design was adopted to explore nurses' response and preparedness of terrorism-related disaster events. By using a semi-structured interview guide through the phenomenology-based approach, in-depth, face-to-face interviews were conducted. Nurses practicing at the Trauma Center of Sandeman Provincial Hospital (SPH), Quetta, were approached for the study. All interviews were audio-taped, transcribed verbatim, and were then analyzed for thematic contents by the standard content analysis framework. <br><br>RESULTS: Fifteen nurses were interviewed and thematic content analysis revealed five themes. All nurses have experienced, responded to, and managed terrorism-related disaster events. They were prepared both professionally and psychologically in dealing with a terrorism-related disaster. Among limitations, space and workforce were highlighted by almost all the respondents. Lack of disaster-related curricula, absence of a protocol, recurrence of the disaster, and hostile behavior of victim's attendants during an emergency were highlighted as a key barrier toward terrorism-related disaster management. <br><br>CONCLUSION: The skills and expertise needed to address a terrorism-related disaster are well-understood by the nurses but are lacking for various reasons. In addition to the review and adaption of the nursing curriculum specifically for terrorism-related disaster management, collaboration and dialogue between various stakeholders is required to efficiently manage terrorism-related disaster events.<p />  <p>Language: en</p>
LA  - en
SN  - 2296-2565
UR  - http://dx.doi.org/10.3389/fpubh.2021.695143
ID  - ref1
ER  -