Integrated Disaster Nursing Response for Public Healthcare Settings in Pakistan: A Sequential Mixed Method Approach Study Protocol

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Abstract Background Natural disasters such as floods, hurricanes, earthquakes, etc. are unforeseen circumstances that overwhelm and affect millions of people. Pakistan is one of the countries which is highly susceptible to getting affected by floods every year. Among the various cities of Pakistan Sanghar and Dadu are the low-lying areas making them vulnerable to being greatly affected by natural disasters. These calamities can cause large human and infrastructure losses, putting the healthcare system's ability to respond effectively at risk. The capacity of healthcare providers to cope with crisis circumstances and offer crucial medical aid is critical to saving lives and minimizing the long-term effects of catastrophic events on human life. Methods The study will employ a sequential mixed-method design approach with an embedded experimental component where quantitative and qualitative data are collected and analyzed in two distinct phases respectively. In Phase 1, a Quasi-experimental design will be utilized, consisting of pre-tests and post-tests. The study will be conducted on 310 healthcare providers (155 per district). A nursing post-disaster response capacity-building intervention will be integrated between the pre and post-tests. Phase 2 will involve a qualitative approach, where focus group interviews will be conducted from both areas. These will be analyzed through inductive thematic analysis. Discussion This project is anticipated to provide an intervention program to improve healthcare practitioners' disaster response capacities, as well as their ability to deal successfully with catastrophe victims. The role of nurses in disaster response is critical, making this study significant. The findings are expected to have a significant impact on nursing education and practice, particularly in terms of adding disaster nursing response into the nursing curriculum.

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