If ever there was a time to open a discussion about the need for global disaster training in nursing, that time is now.
As the epidemic of Ebola virus infections continues, organizations and individuals around the world are calling for the assistance of health care workers, including nurses. The USAID (United States Agency for International Development) website has information on who is needed and how to volunteer. The most urgent need is for those with training and experience in disaster response, but programs for advanced practice nurses in disaster preparedness and response are few and far between. We believe that needs to change.
Hiroko Minami (DNSc ’82, UC San Francisco School of Nursing), president of the University of Kochi, has been a leading proponent of disaster nursing, having initiated it as a specialty in her school’s PhD program. The vision for that program emerged after the 1995 Kobe earthquake and became especially resonant after the 2011 Tōhoku earthquake and tsunami, which led to the Fukushima Daiichi nuclear disaster and radiation exposure.
UCSF, Kochi and other nursing programs in the so-called Pacific Ring of Fire – home to many earthquakes and volcanic eruptions – have completed memoranda of understanding aimed at promoting programs for education and research in disaster nursing. A few schools in the United States have even developed certificate programs, although a number of those are limited to online education.
Now, however, the response to the Ebola virus epidemic has made clear that other than programs that emerged in direct response to the HIV pandemic, few prepare clinical specialists in infectious disease and population infection control. We believe we can build on existing programs to quickly create full-fledged disaster nursing curricula that include didactics, simulation and experience in epidemiology, and emergency preparedness and response for a wide range of possible events.
Doing so will fill a critical need, as natural and man-made disasters – be they hurricanes, tornadoes, earthquakes, floods, fires, chemical spills, radiation events or terrorist attacks – occur with disturbing frequency. One need only look at this map, which is updated regularly, to understand the urgency.
A key to surviving disaster is to prepare for it. That’s why now is the time to create a cadre of expert nurses who can not only help communities around the world prepare for and respond to population events, but also pursue and promote the much-needed education and research.