Australian civilian hospital nurses' lived experience of theout-of-hospital environment following a disaster: A lived-space perspective

Jamie Ranse

Supervisors: Prof. Paul Arbon, A/Prof. Lynette Cusack and Prof. Ramon Shaban

www.jamieranse.comtwitter.com/jamieranseyoutube.com/jamieranselinkedin.com/in/jamieranse

acknowledgements

• : Annie M Sage Memorial Scholarship

• Supervisors

• Participants

jamieranse

background

• Single events

• Simple descriptive case reports

• Phenomenological perspective lacking

Research question:• What may it be like being an Australian civilian in-hospital nurse working in the

out-of-hospital disaster environment being deployed as part of a health team?

jamieranse

methodology

• Design

• Phenomenology

• Doing phenomenology

• Individual who’ve had experience(s)

• Narrative

• Moments

• Lived experience description

• Epoche-Reduction

jamieranse

findingsM

omen

ts

On the way to the disaster

Prior to starting work

Working the shift in a disaster

End of the shift

Returning home

jamieranse

findingsM

omen

ts

On the way to the disaster

Prior to starting work

Working the shift in a disaster

End of the shift

Returning home

Reflections

Spatiali ty (lived -space )

Corpore ality (li ved-bod y)

Com

mu nality ( lived-re lationsh ips)

Tem

por ality (liv ed-time )

jamieranse

findings

• Spatiality (lived-space)

jamieranse

Zillman, 2016, Australian Broadcasting Corporation (ABC) News Online

findings

• Lived-space as shrinking then opening too-wide

• Intentionality, drawing-in and shrinking

In preparing to go to the disaster I started to read about the country, the culture, religion, and the existing health infrastructure. I tried to get a general overview of the countries socio-economic-health status prior to the disaster occurring.

I asked others who had been to a previous disaster, “what did you take?” … “what do you think it will be like? What do you think we will see?”

jamieranse

findings

• Lived-space as shrinking then opening too-wide

• Intentionality, drawing-in and shrinking

• Drawn-in, looking-out

The temporary health service was established on a local sports field … The final temporary health facility was a combination of a number of individual tents. These tents combined provided a space to provide a variety of health services.

At the end of the shift I would call home. I had access to a communal phone. However, I was restricted in the amount of time I could phone home.

jamieranse

findings

• Lived-space as shrinking then opening too-wide

• Intentionality, drawing-in and shrinking

• Drawn-in, looking-out

• Wide-open, crowded

I walked into the supermarket and there was a large variety of food on the shelves. The options were extensive.

Colleagues, friends and family wanted to hear about my experience. After a while, I needed periods of time alone

jamieranse

findings

• Lived-space as shrinking then opening too-wide

• Disaster health lived-space as occupying, sharing and giving back

• Occupying

During the immediate aftermath of the disaster, normal health clinics were not open to receive patients.

The local pharmacies and general practitioners were closed longer than anticipated. So people could not access their prescription medications via their normal means.

jamieranse

findings

• Lived-space as shrinking then opening too-wide

• Disaster health lived-space as occupying, sharing and giving back

• Occupying

• Sharing

Local health care professionals from the closed health clinics assisted us throughout the deployment. I remember working with a local community health nurses, a maternal child health nurse and some local general practitioners. These health professionals had knowledge of the area and links to community health services.

jamieranse

findings

• Lived-space as shrinking then opening too-wide

• Disaster health lived-space as occupying, sharing and giving back

• Occupying

• Sharing

• Giving back

As the local health services were re-established, we started to handover our services to the local health care professionals as a strategy to withdraw our services from the region.

jamieranse

discussion

• Seems easier to go to a disaster than it does to come home.

• A change to the physical space results in a change to the way the space is lived.

jamieranse

conclusion

• Provides insight into what it may be like being an Australian civilian in-hospital nurse working in the out-of-hospital disaster environment being deployed as part of a health team?

• Insight that can inform practice, policy, education

• A phenomenological perspective raising many questions about an experience

jamieranse

Australian civilian hospital nurses' lived experience of theout-of-hospital environment following a disaster: A lived-space perspective

Jamie Ranse

Supervisors: Prof. Paul Arbon, A/Prof. Lynette Cusack and Prof. Ramon Shaban

www.jamieranse.comtwitter.com/jamieranseyoutube.com/jamieranselinkedin.com/in/jamieranse