Comptencies, Scope of Practice in Disasters Aust.

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NUR 5210 – DISASTER AND EMERGENCY NURSING MANAGEMENT

ASSESSMENT TASK 3:

COMPETENCIES, SCOPE OF PRACTICE IN DISASTERS

Contents Page
Cover Page……………………………………………………………………………………………………………………………1 Contents Page………………………………………………………………………………………………………………………2 Introduction………………………………………………………………………………………………………………………….3 Competencies...…………………………………………………………………………………………………………………4-6 Expanded Scope of Practice………………………………………………………………………………………………6-7 Ethical Practice…………………………………………………………………………………………………………….....7-9 Ability to Respond……………………………………………………………………………………………………………9-11 Conclusion………………………………………………………………………………………………………………………….12 References…………………………………………………………………………………………………………………….13-14

Introduction
Details of task: The need for core competencies in disaster nursing is overwhelming. Review the literature and discuss the competing issues of competencies, expanded scope of practice, ethical practice and the ability to respond.

The following assignment will focus on the overwhelming need for core competencies in disaster nursing. It will give emphasis to four main proficiencies those being nursing competencies, expanded scope of practice, ethical practice and the ability to respond in disasters.

The emphasis of this assignment will commence with the issue of nursing competencies within a disaster region and will define what a nursing competency actually is. It will also describe some nursing competencies that have been set in order to ensure that an international nursing workforce is ready, willing and able to respond in the case of a disaster.

Following on from the issue of nursing competencies is that of a nurses extended scope of practice when working in a disaster hit local. It illustrates how the nursing role not only develops into a managerial role but also how there is a necessity for further education and training specific to that of disaster management in order to ensure there is a readily available workforce to respond to a disaster situation.

The next nursing competency to be brought to the forefront is that of ethical practice which demonstrates how there is a code of practice that nurses follow and outlines that if nurses are having to practice in a disaster region they may be confronted with both challenging and ethical decision that need to be made. It will also establish the numerous elements that a nurse will be face with when choosing to practice ethically in the face of adversity along with the legal and accountability issues that these nurses are to endeavour.

The final competency to be brought into focus is that of the ability to respond to a disaster. This sub-topic will concentrate on the disaster management continuum at take a glimpse at prevention, mitigation, preparedness, response and recovery phases of the continuum.

Competencies
The International Council of Nurses (ICN) (2006) has worked tirelessly for more than 100 years to bring nurses and nursing to the forefront of the healthcare profession worldwide and has ensured that quality nursing care and education has been implemented and maintained on an international level. The ICN also illustrate how the skills that nurses possess can not only assist in developing disaster preparedness programs but also when responding to an actual disaster. Birnbaum (2002) describes that until recent times, core competencies for nurses working in disaster zones were unheard of but with the dramatic increase of disasters occurring, the situation is predicted to continually worsen in the years to follow it is important now more than ever before to formulate and implement competencies which nurses must abide by in disasters. Some factors that are said to contribute to the ever increasing disasters are climate change, increased building in disaster prone areas, unplanned urban growth, natural barrier loss, lack of warning systems and also the lack of system’s ability to move populations from disaster to safe areas....
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