Advanced practice registered nurse, disaster, disaster management, education, nurse practitioner, Texas, training



  1. Fil, Samantha L. DNP, MSN, APRN, ACNP-BC (Adjunct Faculty)


Background and purpose: Disaster management experts around the world agree that nurses play a vital role in disaster preparation, response, and recovery. The Joint Commission on Accreditation of Health care Organizations requires biannual disaster drills for accredited facilities, and there are numerous training resources and educational materials on disaster management topics. Multiple federal and state laws govern health care provider activities during a disaster. However, there is a lack of guidance and evidence surrounding the specific roles and responsibilities of advanced practice registered nurses (APRNs) in a disaster setting. This project assesses APRNs knowledge of disaster management roles and responsibilities and the training for these roles.


Methods: Using a cross-sectional survey research design, a 68-item survey was distributed via e-mail and social media to members of Texas APRN professional organizations. A convenience sample of those responding and meeting inclusion criteria (Texas-licensed APRN) was analyzed using SPSS to perform descriptive and nonparametric statistics.


Results: Thirty-one percent of responding APRNs considered themselves prepared for the management of disasters. A majority of statements (29/47, 61.7%) evaluating APRN knowledge and skills were significantly different (p < .05) across three training and experience categories: post-APRN program education, workplace/community drills or exercises, and planning or disaster response.


Implications for practice: More clearly defined roles and readily available training and resources will improve APRNs preparation for disaster situations. Recurrent training and professional experience increase knowledge and confidence related to advanced practice disaster management competencies.