Knowledge, Attitudes, and Practices of Nurses Regarding Disaster Management and Emergency Preparedness at Tertiary Care Hospital Swat, KPK.

Abstract

Introduction: Natural and artificial disasters pose significant challenges to healthcare systems worldwide, necessitating effective disaster management and emergency preparedness. As frontline healthcare providers, nurses play a critical role in disaster response, making their knowledge, attitudes, and practices (KAP) essential for effective crisis management. Aim: This study aimed to assess the KAP of nurses regarding disaster management and emergency preparedness at a tertiary care hospital in Swat, Khyber Pakhtunkhwa (KPK), Pakistan. Methodology: A cross-sectional study was conducted involving 132 nurses selected through convenience sampling. Data were collected using a structured questionnaire divided into three sections: knowledge, attitudes, and practices. Descriptive statistics and Chi-Square tests were employed for data analysis using SPSS version 27. Results: Most participants were female (69.7%) and aged 20-30 years (49.2%). Most nurses had less than five years of experience (37.9%). Knowledge levels were moderate (53.0%), with 34.1% demonstrating high knowledge and 12.9% low knowledge. Attitudes were predominantly positive (64.4%), while practices were rated as good (45.5%), fair (41.7%), and poor (12.9%). A significant correlation was found between years of experience and preparedness levels, with more experienced nurses showing higher preparedness. Knowledge and practices were also strongly associated (χ²=12.45, p=0.002). Conclusion: The study highlights the need for enhanced training and institutional support to improve nurses' disaster preparedness, particularly for less experienced staff. While knowledge and attitudes are generally positive, practical application remains inadequate. Regular training, simulations, and mentorship programs are recommended to strengthen disaster management capabilities among nurses.