Midwives, Nurses Crucial for Disaster-Resilient Maternal Care and Preparedness Strategies
Lenny Stia Pusporini 1*, Putri Wulandini S 2, Wulan Novika Ambarsari 3, Nurul Qamarya 4 Loso Judijanto 5, Eny Retna Ambarwati 6, Ade Herman Surya Direja 7, Karwati 3, Tria Nopi Herdiani 7
Journal of Angiotherapy 8(5) 1-10 https://doi.org/10.25163/angiotherapy.859715
Submitted: 01 April 2024 Revised: 20 May 2024 Published: 23 May 2024
Abstract
Background: Disasters demand significant risks to maternal health, with pregnant women being particularly vulnerable. Midwives and nurses are crucial in ensuring the safety and well-being of pregnant women during emergencies. This study explores the impact of disaster resilience strategies implemented by midwives and nurses on mitigating adverse effects on maternal care. Methods: This cross-sectional study involved 66 pregnant women from several Community Health Centers in Bengkulu, West Java, South Sumatera, Banten, and West Nusa Tenggara, Indonesia. Proportional random sampling was used. Data were collected through primary and secondary sources and analyzed using univariate and bivariate methods, including the chi-square test (X2) and contingency coefficient (C). Results: Among the respondents, 53% reported favorable roles of midwives, while 47% reported unfavorable roles. Disaster management was deemed adequate by 69.7% and inadequate by 30.3% of the respondents. A significant relationship was found between the role of midwives and disaster management in pregnant women (p-value = 0.001). Discussion: The findings demonstrated the critical role of midwives and nurses in disaster resilience for maternal care. Effective disaster preparedness and resilience strategies by midwives and nurses significantly reduce the adverse effects of emergencies on pregnant women. Conclusion: The study recommended integrating specialized disaster training for midwives and nurses, enhancing communication infrastructures, and ensuring adequate emergency supplies in healthcare facilities to improve maternal outcomes during disasters. These findings can inform policy and practice, contributing to improved disaster resilience in maternal care.
Keywords: Disaster Resilience, Maternal Care, Midwives, Nurses, Emergency Preparedness, Pregnant Women, Disaster Management.
References
Abdullah, A. S. M., Dalal, K., Halim, A., Rahman, A. F., & Biswas, A. (2019). Effects of Climate Change and Maternal Morality: Perspective From Case Studies in the Rural Area of Bangladesh. In International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph16234594
Abdulmohdi, N. (2023). The Relationships Between Nurses’ Resilience, Burnout, Perceived Organisational Support and Social Support During the Second Wave of the COVID-19 Pandemic: A Quantitative Cross-sectional Survey. In Nursing Open. https://doi.org/10.1002/nop2.2036
Aisa, W. N., Wardhani, P. I., & Hafida, S. H. N. (2024). Relationship of Knowledge to Preparedness Students in Disaster Prone Areas of Merapi Mountain Eruption (Case Study of SMA Negeri 1 Cangkringan). In Iop Conference Series Earth and Environmental Science. https://doi.org/10.1088/1755-1315/1314/1/012069
Al-Ziftawi, N. H., Elamin, F., & Ibrahim, M. I. M. (2020). Assessment of Knowledge, Attitudes, and Readiness to Practice Regarding Disaster Medicine and Preparedness Among University Health Students. In Disaster Medicine and Public Health Preparedness. https://doi.org/10.1017/dmp.2019.157
Alan, H., Eskici, G. T., Sen, H. T., & Bacaksiz, F. E. (2022). Nurses’ Disaster Core Competencies and Resilience During the COVID-19 Pandemic: A Cross-sectional Study From Turkey. In Journal of Nursing Management. https://doi.org/10.1111/jonm.13552
Aros-Vera, F., Chertok, I. R. A., & Melnikov, S. (2021). Emergency and Disaster Response Strategies to Support Mother-Infant Dyads During COVID-19. In International Journal of Disaster Risk Reduction. https://doi.org/10.1016/j.ijdrr.2021.102532
Azizpour, I., Mehri, S., & Soola, A. H. (2022). Disaster Preparedness Knowledge and Its Relationship With Triage Decision-Making Among Hospital and Pre-Hospital Emergency Nurses - Ardabil, Iran. In BMC Health Services Research. https://doi.org/10.1186/s12913-022-08311-9
Bazyar, J., Pourvakhshoori, N., Safarpour, H., Farrokhi, M., Khankeh, H. R., Daliri, S., Rajabi, E., Delshad, V., & Sayehmiri, K. (2020). Hospital Disaster Preparedness in Iran: A Systematic Review and Meta-Analysis. In Iranian Journal of Public Health. https://doi.org/10.18502/ijph.v49i5.3201
Buyurgan, Ç. S., Bozkurt Babus, S., Yarkaç, A., Köse, A., Usluer, H. O., Ayrik, C., Narci, H., & Orekici Temel, G. (2023). Demographic and Clinical Characteristics of Earthquake Victims Presented to the Emergency Department With and Without Crush Injury Upon the 2023 Kahramanmaras (Turkey) Earthquake. In Prehospital and Disaster Medicine. https://doi.org/10.1017/s1049023x23006416
Çelikmen, M. F., Yilmaz, S., Tatliparmak, A. C., & Colak, F. U. (2023). Drop, Cover, and Hold on Versus Fetal Position in the Triangle of Life to Survive in an Earthquake: A Delphi Study. In Prehospital and Disaster Medicine. https://doi.org/10.1017/s1049023x23000444
Dagne, A. H., & Tebeje, M. D. (2021). Research Utilisation in Clinical Practice: The Experience of Nurses and Midwives Working in Public Hospitals. In Reproductive Health. https://doi.org/10.1186/s12978-021-01095-x
Farokhzadian, J., Sheikhbardsiri, H., Tavan, A., Eskici, G. T., & Goki, F. S. (2023). Improving Nurses’ Competencies in Disaster Risk Management in a Specialized Trauma Hospital in Iran: Outcome of an Online Training Program. https://doi.org/10.21203/rs.3.rs-2549030/v1
Fil, S. L., Champion, J. D., & Christiansen, B. (2020). Perceptions of Disaster Management Knowledge and Skills Among Advanced Practice Registered Nurses. In Journal of the American Association of Nurse Practitioners. https://doi.org/10.1097/jxx.0000000000000382
Filby, A., McConville, F., & Portela, A. (2016). What Prevents Quality Midwifery Care? A Systematic Mapping of Barriers in Low and Middle Income Countries From the Provider Perspective. In Plos One. https://doi.org/10.1371/journal.pone.0153391
Giarratano, G., Barcelona, V., Savage, J., & Harville, E. W. (2019). Mental Health and Worries of Pregnant Women Living Through Disaster Recovery. In Health Care for Women International. https://doi.org/10.1080/07399332.2018.1535600
Hamidazada, M., Cruz, A. M., & Yokomatsu, M. (2019). Vulnerability Factors of Afghan Rural Women to Disasters. In International Journal of Disaster Risk Science. https://doi.org/10.1007/s13753-019-00227-z
Harville, E. W., Xiong, X., & Buekens, P. (2010). Disasters and Perinatal Health: A Systematic Review. In Obstetrical \& Gynecological Survey. https://doi.org/10.1097/ogx.0b013e31820eddbe
Imdat, T., & Tastan, S. (2023). Disaster Preparedness of Nursing Students in Northern Cyprus: Descriptive Cross-Sectional Study. In Disaster Medicine and Public Health Preparedness. https://doi.org/10.1017/dmp.2023.199
Jeong, S., & Lee, O. (2020). Correlations Between Emergency Code Awareness and Disaster Nursing Competencies Among Clinical Nurses: A Cross-sectional Study. In Journal of Nursing Management. https://doi.org/10.1111/jonm.13086
Jia, W. H., Sun, X., Lu, S., Fen, W., Wan, M., Chen, H., & Tan, Y. (2021). Disaster Preparedness and Associated Factors Among Emergency Nurses in Guangdong Province, China: A Descriptive Cross-Sectional Study. In Disaster Medicine and Public Health Preparedness. https://doi.org/10.1017/dmp.2021.327
Joho, A. A., & Abdallah, S. (2024). “We Always Felt Psychologically Unstable”: A Qualitative Study of Midwives’ Experiences in Providing Maternity Care During the <scp>COVID</Scp>-19 Pandemic in Tanzania. In Nursing Open. https://doi.org/10.1002/nop2.2086
Karnjuš, I., Prosen, M., & Licen, S. (2021). Nurses’ Core Disaster-Response Competencies for Combating COVID-19—A Cross-Sectional Study. In Plos One. https://doi.org/10.1371/journal.pone.0252934
Kinanthi, R., Wikan, P., & Anasfisia, V. (2023). Enhancing Students’ Earthquake Disaster Preparedness Through Self Experience, Knowledge, and Self-Efficacy. https://doi.org/10.4108/eai.5-11-2022.2326512
Koçak, H. S., & Serin, E. K. (2023). Are Nurses Ready for a Disaster in Turkey? A Hospital Case. In Disaster Medicine and Public Health Preparedness. https://doi.org/10.1017/dmp.2023.100
Lee, Q. Y., Odoi, A. T., Opare-Addo, H. S., & Dassah, E. T. (2011). Maternal Mortality in Ghana: A Hospital-based Review. In Acta Obstetricia Et Gynecologica Scandinavica. https://doi.org/10.1111/j.1600-0412.2011.01249.x
Leppold, C., Gibbs, L., Block, K., Reifels, L., & Quinn, P. (2022). Public Health Implications of Multiple Disaster Exposures. In The Lancet Public Health. https://doi.org/10.1016/s2468-2667(21)00255-3
Liu, S., & He, C. (2020). Related Factors Associated With Earthquake Inpatient Mortality. In Disaster Medicine and Public Health Preparedness. https://doi.org/10.1017/dmp.2020.125
Lv, Q., Long, M., Wang, X., Shi, J., Wang, P., Guo, X., Song, J., Midgley, A. C., Fan, H., & Hou, S. (2021). The Role of Alpha-1-Acid Glycoprotein in the Diagnosis and Treatment of Crush Syndrome-Induced Acute Kidney Injury. In Shock. https://doi.org/10.1097/shk.0000000000001839
Margarena, C., Pradipta, H. T., Utomo, L. N., Muhammad, S. K., & Manurung, M. A. (2023). Making a Resilient Community: Preparedness of Vulnerable Communities in Disaster Mitigation Based on Disaster Risk Map. In Iop Conference Series Earth and Environmental Science. https://doi.org/10.1088/1755-1315/1264/1/012014
Martono, M., Satino, S., Nursalam, N., Efendi, F., & Bushy, A. (2019). Indonesian Nurses’ Perception of Disaster Management Preparedness. In Chinese Journal of Traumatology. https://doi.org/10.1016/j.cjtee.2018.09.002
Monteblanco, A. D., & Leyser-Whalen, O. (2019). Thinking Outside of the Hospital and Nurse-Midwife Paradigms: A Qualitative Examination of Midwifery in Times of Natural Disasters. In International Journal of Mass Emergencies \& Disasters. https://doi.org/10.1177/028072701903700204
Moradi, S. M., Nekoei-Moghadam, M., & Abbasnejad, A. (2023). Determining the Factors Affecting the Retrofitting of Health-Care Facilities: A Qualitative Study. In Disaster Medicine and Public Health Preparedness. https://doi.org/10.1017/dmp.2023.39
Nove, A., Friberg, I. K., Bernis, L. de, McConville, F., Moran, A. C., Najjemba, M., Hoope-Bender, P. ten, Tracy, S., & Homer, C. (2021). Potential Impact of Midwives in Preventing and Reducing Maternal and Neonatal Mortality and Stillbirths: A Lives Saved Tool Modelling Study. In The Lancet Global Health. https://doi.org/10.1016/s2214-109x(20)30397-1
Østergaard, B., Clausen, A. M., Agerskov, H., Brødsgaard, A., Dieperink, K. B., Funderskov, K. F., Nielsen, D. S., Sorknæs, A. D., Voltelen, B., & Konradsen, H. (2020). Nurses’ Attitudes Regarding the Importance of Families in Nursing Care: A Cross-sectional Study. In Journal of Clinical Nursing. https://doi.org/10.1111/jocn.15196
Papa, J. Del, Vittorini, P., D’Aloisio, F., Medvedec, M., Giuliani, A. R., Mascitelli, A., & Fabiani, L. (2019). Retrospective Analysis of Injuries and Hospitalizations of Patients Following the 2009 Earthquake of L’Aquila City. In International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph16101675
Paton, D. (2019). Disaster Risk Reduction: Psychological Perspectives on Preparedness. In Australian Journal of Psychology. https://doi.org/10.1111/ajpy.12237
Pricilla, R. A., David, K. V, Siva, R., Vimala, T. J. C., Rahman, S., & Angeline, N. (2017). Quality of Antenatal Care Provided by Nurse Midwives in an Urban Health Centre With Regard to Low-Risk Antenatal Mothers. In Indian Journal of Community Medicine. https://doi.org/10.4103/0970-0218.199796
Purba, I. E., Syah, T. D., Ketaren, O., & Tarigan, F. L. (2024). General Hospital Preparedness in Facing Flood Disasters. In Iop Conference Series Earth and Environmental Science. https://doi.org/10.1088/1755-1315/1314/1/012096
Purnamawati, R. N., Afifah, S., & Ariswan, A. (2022). Student Perceptions of Volcanic Eruption Disaster Preparedness in Sleman. In Jurnal Penelitian Pendidikan Ipa. https://doi.org/10.29303/jppipa.v8i4.1267
Purno, N., Biswas, A., Anderson, R. E., & Hoque, D. M. E. (2023). Responding to Humanitarian Crises: Midwifery Care in Bangladesh. In Journal of Midwifery \& Women S Health. https://doi.org/10.1111/jmwh.13524
Rahmawaty, M. A., & Hasan, A. F. (2023). Mapping the Location of Flood Shelters in Demak Regency Using the Spatial Multi Criteria Evaluation Method. In Iop Conference Series Earth and Environmental Science. https://doi.org/10.1088/1755-1315/1264/1/012010
Rebeiz, M.-C., El-Kak, F., Akker, T. van den, Hamadeh, R., & McCall, S. (2023). Maternal Mortality Is Preventable in Lebanon: A Case Series of Maternal Deaths to Identify Lessons Learned Using the “Three Delays” Model. In International Journal of Gynecology \& Obstetrics. https://doi.org/10.1002/ijgo.14770
Reedy, J. C., Zedreck, J. F., Ren, D., Warburton, C. M., & Fennimore, L. (2022). Nurse Leader Preparation for Disasters. In Jona the Journal of Nursing Administration. https://doi.org/10.1097/nna.0000000000001195
Rondhi, M., Khasan, A. F., Mori, Y., & Kondo, T. (2019). Assessing the Role of the Perceived Impact of Climate Change on National Adaptation Policy: The Case of Rice Farming in Indonesia. In Land. https://doi.org/10.3390/land8050081
Rosyida, F., Wahyuningtyas, N., Tanjung, A., & Kodir, A. (2022). Assessing and Preparedness for Earthquake Disaster in Salaf-Khalaf Islamic Boarding School. In Iop Conference Series Earth and Environmental Science. https://doi.org/10.1088/1755-1315/1041/1/012033
Sajow, H. S., Winnington, R., Water, T., & Holroyd, E. (2021). Meeting Maternal and Reproductive Health Needs in a Post-Disaster Setting: A Qualitative Case Study From Indonesia. In Asia Pacific Journal of Public Health. https://doi.org/10.1177/10105395211015575
Silva-Suarez, G., Rabionet, S. E., Zorrilla, C., Perez-Menendez, H., & Rivera-León, S. (2021). Pregnant Women’s Experiences During Hurricane Maria: Impact, Personal Meaning, and Health Care Needs. In International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph18168541
Simeone, R. M., House, L. D., Essen, B. S. von, Kortsmit, K., Virella, W. H., Bernal, M. I. V., Galang, R. R., D’Angelo, D. V, Shapiro-Mendoza, C. K., & Ellington, S. (2023). Pregnant Women’s Experiences During and After Hurricanes Irma and Maria, Pregnancy Risk Assessment Monitoring System, Puerto Rico, 2018. In Public Health Reports. https://doi.org/10.1177/00333549221142571
Sintayehu, Y., Desalew, A., Geda, B., Shiferaw, K., Tiruye, G., Mulatu, T., & Mezmur, H. (2020). \≪p\>Knowledge of Basic Neonatal Resuscitation and Associated Factors Among Midwives and Nurses in Public Health Institutions in Eastern Ethiopia\</P\> In International Journal of General Medicine. https://doi.org/10.2147/ijgm.s255892
Tercan, B., & Sahinöz, S. (2021). Nurses’ Perceived and Actual Preparedness for Disasters. In International Journal of Health Services Research and Policy. https://doi.org/10.33457/ijhsrp.764850
Thoha, A. S., Slamet, B., Harahap, M. M., Sari, T. Y., & Hulu, D. L. N. (2023). Spatial Distribution of Flood Vulnerability in Langkat Regency, North Sumatera Province, Indonesia. In Iop Conference Series Earth and Environmental Science. https://doi.org/10.1088/1755-1315/1188/1/012009
Uncu, F., Evcimen, H., & Günes, D. (2021). Investigation of Perceptions of Public Health Nurses About Preparedness for Disasters. In International Journal of Nursing. https://doi.org/10.15640/ijn.v8n1a4
Wibowo, Y. A., Septiningrum, U. A. D., Dewi, R. P., & Ronggowulan, L. (2024). Disaster Risk Reduction in Elementary Schools in Flood-Prone Areas (Case: Disaster Risk Reduction in Grogol Flood-Prone Areas, Indonesia). In Iop Conference Series Earth and Environmental Science. https://doi.org/10.1088/1755-1315/1314/1/012056
Woyessa, A. H., Teshome, M., Mulatu, B., Abadiga, M., Hiko, N., & Kebede, B. (2020). \≪p\>Disaster Preparedness in Selected Hospitals of Western Ethiopia and Risk Perceptions of Their Authorities\</P\> In Open Access Emergency Medicine. https://doi.org/10.2147/oaem.s260314
Xia, J., Li, Y., Cheng, Y., Li, J., & Tian, S. (2021). Research on Compressive Sensing of Strong Earthquake Signals for Earthquake Early Warning. In Geomatics Natural Hazards and Risk. https://doi.org/10.1080/19475705.2021.1889689
Yildiz, A., Teeuw, R., Dickinson, J. R., & Roberts, J. M. (2020). Children’s Earthquake Preparedness and Risk Perception: A Comparative Study of Two Cities in Turkey, Using a Modified PRISM Approach. In International Journal of Disaster Risk Reduction. https://doi.org/10.1016/j.ijdrr.2020.101666
Yong, Z., Zhuang, L., Liu, Y., Deng, X., & Xu, D. (2020). Differences in the Disaster-Preparedness Behaviors of the General Public and Professionals: Evidence From Sichuan Province, China. In International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph1714525
View Dimensions
View Altmetric
Save
Citation
View
Share