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Being Both Helpers and Victims: Health Professionals’ Experiences of Working During a Natural Disaster

Published online by Cambridge University Press:  03 January 2017

Karin Hugelius ,
Annsofie Adolfsson ,
Per Örtenwall  and
Mervyn Gifford
Karin Hugelius*
Affiliation:
School of Health Sciences, Örebro University, Örebro, Sweden Karlskoga Hospital, Örebro Region County Council, Karlskoga, Sweden
Annsofie Adolfsson
Affiliation:
School of Health Sciences, Örebro University, Örebro, Sweden
Per Örtenwall
Affiliation:
Sahlgrenska Akademin, Gothenburg University, Gothenburg, Sweden
Mervyn Gifford
Affiliation:
School of Health Sciences, Örebro University, Örebro, Sweden
*
Correspondence: Karin Hugelius, RN, RNA, MSc School of Health Sciences Örebro University Örebro, Sweden E-mail: karin.hugelius@oru.se
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Abstract

Background

In November 2013, the Haiyan typhoon hit parts of the Philippines. The typhoon caused severe damage to the medical facilities and many injuries and deaths. Health professionals have a crucial role in the immediate disaster response system, but knowledge of their experiences of working during and in the immediate aftermath of a natural disaster is limited.

Aim

The aim of this study was to explore health professionals’ experiences of working during and in the immediate aftermath of a natural disaster.

Method

Eight health professionals were interviewed five months after the disaster. The interviews were analyzed using phenomenological hermeneutic methods.

Results

The main theme, being professional and survivor, described both positive and negative emotions and experiences from being both a helper, as part of the responding organization, and a victim, as part of the surviving but severely affected community. Sub-themes described feelings of strength and confidence, feelings of adjustment and acceptance, feelings of satisfaction, feelings of powerless and fear, feelings of guilt and shame, and feelings of loneliness.

Conclusion

Being a health professional during a natural disaster was a multi-faceted, powerful, and ambiguous experience of being part of the response system at the same time as being a survivor of the disaster. Personal values and altruistic motives as well as social aspects and stress-coping strategies to reach a balance between acceptance and control were important elements of the experience. Based on these findings, implications for disaster training and response strategies are suggested.

HugeliusK, AdolfssonA, ÖrtenwallP, GiffordM. Being Both Helpers and Victims: Health Professionals’ Experiences of Working During a Natural Disaster. Prehosp Disaster Med. 2017;32(2):117–123.

Keywords

disaster medicinedisastershealth professionalsphenomenological hermeneutic methodrelief work
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 32 , Issue 2 , April 2017 , pp. 117 - 123
Copyright
© World Association for Disaster and Emergency Medicine 2017 

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Footnotes

Conflicts of interest/funding: The study was financed by contributions from Fortifikationsforeningens Forskningsfond (Foundation of Fortification-Related Research) and Orebro County Council Research Committee (Orebro, Sweden).

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