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Disaster Nursing Preparedness and Response Competency: A Comparative Study of Nurses Instantly Deployed and Not Deployed in the 2023 Kahramanmaraş Earthquakes in Turkey

Published online by Cambridge University Press:  17 June 2025

Fadime Ulupınar Open the ORCID record for Fadime Ulupınar [Opens in a new window] ,
Yasemin Erden ,
Muhammed Duraklı  and
Yusuf Alper Şahiner
Fadime Ulupınar*
Affiliation:
https://ror.org/038pb1155 Erzurum Technical University , Faculty of Health Sciences, Department of Nursing, Erzurum, Turkey
Yasemin Erden
Affiliation:
https://ror.org/038pb1155 Erzurum Technical University , Faculty of Health Sciences, Department of Nursing, Erzurum, Turkey
Muhammed Duraklı
Affiliation:
https://ror.org/038pb1155 Erzurum Technical University , Faculty of Health Sciences, Department of Nursing, Erzurum, Turkey
Yusuf Alper Şahiner
Affiliation:
https://ror.org/038pb1155 Erzurum Technical University , Faculty of Health Sciences, Department of Nursing, Erzurum, Turkey
*
Corresponding author: Fadime Ulupınar; Email: fadime.ulupinar@erzurum.edu.tr
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Abstract

Objectives

In Turkey, a region prone to seismic activity, the 2023 Kahramanmaraş earthquakes exemplified the critical need for effective disaster nursing competencies, highlighting the challenges health care professionals face in large-scale emergencies. This study aims to evaluate disaster nursing competencies, particularly in the context of the 2023 Kahramanmaraş earthquakes.

Methods

This study involved a total of 352 nurses, 73 of whom played an active role in the earthquake response. Employing the Turkish version of the Disaster Nursing Preparedness – Response Competency (DNPRC) Scale, this study compared the competencies of nurses based on their demographic and professional characteristics, and whether they were actively involved in the earthquake response.

Results

Nurses who received disaster training, especially those with combined theoretical and practical training, and those who participated in drills, scored significantly higher on the DNPRC Scale. Intriguingly, nurses actively involved in the earthquake response scored lower, indicating a discrepancy between perceived and actual competencies.

Conclusions

The study highlights the complexity of disaster nursing competencies and the gap between self-assessed competency and real-world challenges. It underscores the need for re-evaluating current training programs and implementing more scenario-based approaches to adequately prepare nurses for the realities of disaster response.

Keywords

disaster nursingKahramanmaraş earthquakedisaster preparedness
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 19 , 2025 , e155
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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References

Reed, AE, Rohrbeck, CA, Wirtz, PW, et al. Perceived threat of disaster, efficacy, and psychological distress among individuals with a physical disability: a longitudinal model. Disaster Med Public Health Prep. 2023;17:e559.10.1017/dmp.2023.214CrossRefGoogle ScholarPubMed
Imdat, T, Tastan, S. Disaster preparedness of nursing students in northern Cyprus: descriptive cross-sectional study. Disaster Med Public Health Prep. 2023;17:e536.10.1017/dmp.2023.199CrossRefGoogle ScholarPubMed
Naik, R, Maxwell, N, Jones, T, et al. Public health emergency preparedness: qualitative analysis of after-action reports. Disaster Med Public Health Prep. 2023;17:e523.10.1017/dmp.2023.201CrossRefGoogle ScholarPubMed
Küçük, U, Sari, C, Demirbağ, BC. Nurse perceptions of knowledge and preparedness for disasters. Disaster Med Public Health Prep. 2023;17:e519.10.1017/dmp.2023.161CrossRefGoogle ScholarPubMed
Sohrabizadeh, S, Shojaei, F, Möckel, L, et al. Economic evaluation approaches in the field of disaster health management. Disaster Med Public Health Prep. 2023;17:e442.10.1017/dmp.2023.102CrossRefGoogle ScholarPubMed
Ryan, B, Kako, M, Şimşek, P, et al. Strategies for strengthening the resilience of public health systems for pandemics, disasters, and other emergencies. Disaster Med Public Health Prep. 2023;17:e479.10.1017/dmp.2023.136CrossRefGoogle ScholarPubMed
Milburn, AB, McNeill, CC, Clay, L, et al. Health-care and supportive services in general population disaster shelters. Disaster Med Public Health Prep. 2023;17:e457.10.1017/dmp.2023.114CrossRefGoogle ScholarPubMed
Loke, AY, Guo, C, Molassiotis, A. Development of disaster nursing education and training programs in the past 20 years (2000–2019): a systematic review. Nurse Educ Today. 2021;99:104809.10.1016/j.nedt.2021.104809CrossRefGoogle ScholarPubMed
Presidency of the Republic of Türkiye, Strategy and Budget Directorate. 2023 Kahramanmaraş and Hatay Earthquakes Report. 2023. Retrieved February 12, 2025, from https://www.sbb.gov.tr/wp-content/uploads/2023/03/2023-Kahramanmaras-ve-Hatay-Depremleri-Raporu.pdfGoogle Scholar
Kahraman, S. A Comprehensive Health Economic Analysis of the 2023 Turkey Earthquake. Disaster Med Public Health Prep. 2023;17:e503.10.1017/dmp.2023.160CrossRefGoogle ScholarPubMed
Koçak, HS, Serin, EK. Are nurses ready for a disaster in Turkey? A hospital case. Disaster Med Public Health Prep. 2023;17:e436.10.1017/dmp.2023.100CrossRefGoogle Scholar
Bodur, G, Kaya, H. The future of Turkish nursing 2050: perceptions of nurses and nurse educators. Int Nurs Rev. 2017;64(4):511–519.CrossRefGoogle ScholarPubMed
Altuntaş, S, Korkmaz, AÇ, Efe, N, et al. Problems experienced by nurses working in the region affected by Kahramanmaraş earthquakes in Turkey and their recommendations for risk reduction: a descriptive and cross-sectional study. Int J Disaster Risk Reduct. 2023;99:104115.10.1016/j.ijdrr.2023.104115CrossRefGoogle Scholar
Harmanci Seren, AK, Dikeç, G. The earthquakes in Turkey and their effects on nursing and community health. Int Nurs Rev. 2023;70(3):262–265.10.1111/inr.12851CrossRefGoogle ScholarPubMed
Altuntaş, S, Çiçek Korkmaz, A, Efe, N, et al. Problems experienced by nurses serving in the region affected by Kahramanmaraş earth quake in Turkey and nurses’ risk reduction recommendations. SSRN. 2023. https://doi.org/10.2139/ssrn.4484912CrossRefGoogle Scholar
Ahn, O-H, Jang, E-H, Kim, S-H. Development of the disaster nursing preparedness· response competency (DNPRC) scale in terms of convergence. J Korea Converg Soc. 2017;8(7):101–111.Google Scholar
Fadime Ulupınar, BA, and Aslan, Manar. Turkish Adaptation of the Disaster Nursing Preparedness and Response Competency Scale and Examination of Some Factors Related to Nurses’ Perception of Disaster Preparedness in Turkey by Meta-Analysis Method. Doctoral thesis. Erzurum Technical University; 2023. https://tez.yok.gov.tr/UlusalTezMerkeziGoogle Scholar
Varghese, A, George, G, Kondaguli, SV, et al. Decline in the mental health of nurses across the globe during COVID-19: a systematic review and meta-analysis. J Glob Health. 2021;11:05009.10.7189/jogh.11.05009CrossRefGoogle ScholarPubMed
Turner, SB. Resilience of nurses in the face of disaster. Disaster Med Public Health Prep. 2015;9(6):601–604.10.1017/dmp.2015.70CrossRefGoogle ScholarPubMed
Çuhadar, D, Bahar, A, Bağlama, SS, et al. Pshychological resilience and percieved stress level in nurses: experience of nurses in Turkey. Disaster Med Public Health Prep. 2023;17:e324.CrossRefGoogle ScholarPubMed
Sehlikoğlu, Ş, Yilmaz Karaman, IG, Yastıbaş Kaçar, C, et al. Earthquake and mental health of healthcare workers: a systematic review. Klinik Psikiyatri Dergisi: J Clin Psychiatry. 2023;26(4):309–318.Google Scholar
Aytaç, S, Ovayolu, Ö, Serçe, S. The level of trauma and hopelessness of survivor nursing students of the February 6, 2023, Kahramanmaraş Earthquakes: the case of Türkiye. Disaster Med Public Health Prep. 2025;19:e4.10.1017/dmp.2024.345CrossRefGoogle ScholarPubMed
Şermet Kaya, Ş, Erdoğan, EG. Disaster management competence, disaster preparedness belief, and disaster preparedness relationship: nurses after the 2023 Turkey earthquake. Int Nurs Rev. 2025;72(1):e13020.10.1111/inr.13020CrossRefGoogle ScholarPubMed
Arıcı, F, Bozkaya, H, Cengiz, E, et al. Education in disaster situations: the impact of the kahramanmaraş earthquake on teachers’ experiences. Sakarya Univ J Educ. 2023;13(4[Special Issue-Disaster Education and Education in Disaster Regions]):650–684.10.19126/suje.1375691CrossRefGoogle Scholar
Ergezen, FD, Akcan, A, Kol, E. Nursing students’ expectations, satisfaction, and perceptions regarding clinical learning environment: a cross-sectional, profile study from Turkey. Nurse Educ Pract. 2022;61:103333.CrossRefGoogle Scholar
Geng, C, Luo, Y, Pei, X, et al. Simulation in disaster nursing education: a scoping review. Nurs Educ Today. 2021;107:105119.CrossRefGoogle ScholarPubMed
Hasan, MK, Younos, TB, Farid, ZI. Nurses’ knowledge, skills and preparedness for disaster management of a Megapolis: implications for nursing disaster education. Nurs Educ Today. 2021;107:105122.10.1016/j.nedt.2021.105122CrossRefGoogle ScholarPubMed
Ma D, Shi, Y, Zhang, G, et al. Does theme game-based teaching promote better learning about disaster nursing than scenario simulation: a randomized controlled trial. Nurs Educ Today. 2021;103:104923.Google Scholar
Digregorio, H, Graber, JS, Saylor, J, et al. Assessment of interprofessional collaboration before and after a simulated disaster drill experience. Nurs Educ Today. 2019;79:194–197.10.1016/j.nedt.2019.05.023CrossRefGoogle ScholarPubMed
Tussing, TE, Chesnick, H, Jackson, A. Disaster Preparedness: Keeping Nursing Staff and Students at the Ready. Nursing Clinics. 2022;57(4):599–611.Google ScholarPubMed
Al Harthi, M, Al Thobaity, A, Al Ahmari, W, et al. Challenges for nurses in disaster management: a scoping review. Risk Manag Healthc Policy. 2020:2627–2634.10.2147/RMHP.S279513CrossRefGoogle ScholarPubMed
Moradi, K, Abdi, A, Valiee, S, et al. Nurses’ experience of providing ethical care following an earthquake: a phenomenological study. Nurs Ethics. 2020;27(4):911–923.10.1177/0969733020907952CrossRefGoogle ScholarPubMed
Veenema, TG. Disaster Nursing and Emergency Preparedness. Springer Publishing Company; 2018.CrossRefGoogle Scholar
Grochtdreis, T, de Jong, N, Harenberg, N, et al. Nurses’ roles, knowledge and experience in national disaster pre-paredness and emergency response: a literature review. South East Eur J Public Health. 2017;7.Google Scholar
Bahadori, M, Khankeh, HR, Zaboli, R, et al. Coordination in disaster: a narrative review. Int J Med Rev. 2015;2(2):273–281.Google Scholar
Benevolenza, MA, DeRigne, L. The impact of climate change and natural disasters on vulnerable populations: a systematic review of literature. J Hum Behav Soc Environ. 2019;29(2):266–281.10.1080/10911359.2018.1527739CrossRefGoogle Scholar
Al Khalaileh, MA, Bond, E, Alasad, JA. Jordanian nurses’ perceptions of their preparedness for disaster management. Int Emerg Nurs. 2012;20(1):14–23.10.1016/j.ienj.2011.01.001CrossRefGoogle ScholarPubMed
Brown, GD, McMullan, C, Largey, A, et al. An assessment of nurses’ perceived and actual household emergency preparedness. PloS ONE. 2024;19(4):e0300536.10.1371/journal.pone.0300536CrossRefGoogle ScholarPubMed