Tuesday, September 15, 2020

15 Educational Search Engines College Students Should Know About

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Friday, September 11, 2020

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Thursday, September 10, 2020

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Monday, September 7, 2020

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Friday, September 4, 2020

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Wednesday, September 2, 2020

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Friday, August 28, 2020

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Wednesday, August 26, 2020

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Wednesday, August 12, 2020

The Compare and Contrast Essay Samples College Ethical Life Cover Up

<h1>The Compare and Contrast Essay Samples College Ethical Life Cover Up </h1> <h2> Compare and Contrast Essay Samples College Ethical Life Explained </h2> <p>For example, you may consider likenesses or contrasts on the off chance that we are buying another MP3 player or picking a spot to contemplate English. Despite the fact that you're simply starting to form articles, you shouldn't battle endeavoring to deliver something to talk about. There's a slight line among appreciating and celebrating various societies and affronting them, which is the motivation behind why the possibility of social appointment is amazingly difficult to characterize. For instance an individual may pick a point like, life in the shoes of a werewolf. </p> <h2> The Secret to Compare and Contrast Essay Samples College Ethical Life </h2> <p>You have the chance to choose any accessible writer and allot your request to her or him. You just need to arrange a sup erb paper from specialists with the best scholarly degrees in various fields. At the point when it very well may be less difficult to compose on a notable theme, with a tad of exploration and association, an author can make an article on various branches of knowledge whether doled out. </p> <p>You need to start by building a rundown of particular highlights or realities connected to your two subjects. In the event that you can't create a theme, we propose that you put in a request for a total redid correlation and differentiating postulation paper from our specialists by tapping on hand now at a reasonable cost. When you build up the examination things you needs to do some proper exploration so as to have adequate subtleties on both to be in a situation to do a reasonable correlation. To gather such information, a point by point principle research is vital. </p> <p>It's conceivable to repeat your proposition proclamation and point out some of the contentions utilized over the entire paper that backs it up. Remember, you can get to a postulation articulation just if you chip away at your blueprint early. There are some basic intentions for take to make an incredible postulation articulation. Presently the theory explanation can be made, and the specific subtleties can form into the sections. </p> <h2> Whispered Compare and Contrast Essay Samples College Ethical Life Secrets </h2> <p>When you make an exposition on moral themes, portray the issue from different perspectives, indicating either side of precisely the same issue. On the off chance that you're despite everything having issues making an assurance, at that point you generally have the alternative to demand help from our expert exposition journalists who can assist you with getting the best theme. You need to explore your point to choose three cases. Philosophical points might be questionable since numerous things have more than 1 clarification for it, hence it is difficult to make sense of reality. </p> <p>The wellbeing advantages of veggie lover and vegetarian slims down are likewise rather comparable. A point-by-point rundown can assist you with looking after parity. A ton of different themes in each and every field can be altered to y our particular conditions. A few themes could have an association with the law for example, capital punishment or fetus removal sanctioning. </p> <p>As an undergrad, you should offer yourself the chance to encounter all thoroughly analyze paper thoughts. On the other side, the time of your exposition may ride on your instructor's necessities. Understudies who exceed expectations recorded as a hard copy about such complex theme could have a chance to be selected into some of the absolute best Art colleges to think of their capacities and ability. A fabulous instructor needs to have the significant order over the point matter her or she educates. </p> <p>Both urban areas share an exorbitant cost of livingboth as to lodging and shopping. Both have an expansive cluster of costly, exquisite eateries alongside a comparable number of worldwide and popular stores. Both little and enormous colleges can furnish understudies with the chances to arrive at instructive targets. </p> <h2>The Fight Against Compare and Contrast Essay Samples College Ethical Life </h2> <p>In most of the conditions, you should search for things to think about that have a few contrasts however likenesses as well. You'll find differentiating attributes and comparative qualities in every individual set. In the event that that is the situation, make certain to are assessing each side decently. There is a scope of fascinating investigate paper themes you may choose from you can depict laws you need to make, to give a few alterations to previously existing laws, or to recommend to drop a law you don't care for explicit elements. </p> <p>By the end of the day, it is all up to you in the event that you select to value the specialty of article composing or not. You're not confined to anything, and you may choose any thoroughly analyze composing points you're energetic about. At the point when you finish your examination notes you can start composing with certainty that you have the entirety of the pieces you need to make a decent exposition. You may talk about a sentiment of taste and the book of your preferred writer. </p> <h2> Using Compare and Contrast Essay Samples College Ethical Life </h2> <p>So far as the investigate paper thoughts or subjects are included, you're find loads of them a some of them will be straightforward, others are going to call for top to bottom examination. Before you start, it is indispensable to pick themes that you genuinely know well. There are bunches of others enticing look into article themes with respect to training in the event that you are prepared to expound on doing it. Fortunate for you, there are numerous points you could focus on when composing and it's all your duty to make sense of the exact theme that you wish to expand on. </p>

Sunday, August 2, 2020

Planning For Grade 10 Term 3 Accounting Papers

<h1>Planning For Grade 10 Term 3 Accounting Papers</h1><p>School papers and post test tests can be an unpleasant and frenzied time, yet with appropriate arranging you can make it somewhat simpler. By ensuring that you are decidedly ready for the test or papers that you will be taking, you will feel progressively certain about yourself, you won't get as anxious and apprehension will back off. Some significant things to recollect while planning for a research paper or test is that you ought to be taught, centered and not excessively excited. Your brain will be progressively engaged when you have made all the arrangements for the term paper.</p><p></p><p>One of the main things that you should do is cause notes on better places in your school so you to can rapidly allude to them during the test. You may likewise need to gather a scratch pad to record all the significant data that you have to carry with you. In your journal, you will need to recor d all the significant things that you have to remember for your research project. As a component of your readiness, you should investigate whether you have any pre-essential courses that are recorded as pre-necessities for the course that you will be taking. For instance, on the off chance that you are taking a confirmation or more significant level course, at that point you should be very much able to take the tests or papers that will require a recognition or more elevated level of qualification.</p><p></p><p>You may likewise consider trying out any certificate courses that are being offered at the time that you are going to take the test or papers. You may likewise find that because of this you have a favorable position over understudies who have not concentrated a specific confirmation courses.</p><p></p><p>If you are not very stressed over taking any tests or papers that won't expect you to meet the prerequisite for your degree, a t that point you might need to begin getting ready by investigating different testing offices that are accessible on the web. You may have a smart thought of what tests you should take and the sorts of inquiries that will be posed during your test. With this data you will be more ready to get ready for your test and will abstain from getting nervous.</p><p></p><p>The next thing that you should do is to ensure that you study your research project altogether. At the point when you concentrate for the test or papers, remember to twofold check the spelling and language structure of the paper and whatever other data that are contained in the paper. It is significant that you are steady when you experience the substance and terms of the paper.</p><p></p><p>When it comes to reading for your test or papers, remember to have a fabulous time. An incredible method to do this is to ridicule the research project that you will be taking. Ask differe nt understudies in your group or colleagues to do likewise. Along these lines you will have the option to make the most of your test or papers and will have a decent attitude before you really step through the examination or paper.</p><p></p><p>Always recall that you are going to take a test or paper so as to get your confirmation or degree. You should attempt to make your test or papers as sensible as possible.</p>

Sunday, July 19, 2020

AOA Paper Example PDFs - Using AOA Paper Examples for Teaching

<h1>AOA Paper Example PDFs - Using AOA Paper Examples for Teaching</h1><p>An AOA paper model PDF is an incredible apparatus to utilize when showing your AOA understudies how to compose. What's more, a PDF is a well known organization since it is anything but difficult to print and download. Here are a few hints for utilizing an AOA paper model PDF for teaching.</p><p></p><p>First, be certain that you will really have the option to fit the entirety of the material into your group time. On the off chance that you can, at that point print your exercise plan out and remember it for your exercise. Notwithstanding, in the event that you don't have the opportunity to print your exercise plan, or you have an excessive amount of material, you can generally request that your understudies bring their own duplicates of the exercise plan. This will permit you to keep the material inside the restrictions of your group time.</p><p></p>< p>Second, compose the end to the exercise and sum up the exercises that they finished. Next, incorporate a chapter by chapter guide, just as the file of the entirety of the pages that you are going to use in your exercise plan. Ensure that you incorporate a page number for each lesson.</p><p></p><p>Third, place the AOA model in your exercise. Thusly, when your understudies go to the start of the exercise, they will see the entirety of the material that you have shrouded in your exercise plan. On the off chance that you would prefer not to place the AOA model into the center of your exercise, you can decide to put it toward the finish of your exercise plan.</p><p></p><p>Fourth, adhere to your exercise plan. Regardless of whether you have put the AOA model in your exercise, don't transform it. Actually, don't add anything to the exercise. Doing so will make more disarray and your understudies won't recollect what you have been discuss ing in the lesson.</p><p></p><p>Fifth, ensure that you incorporate your exercise plan in your prospectus. On the off chance that you do exclude it, your understudies won't recognize what is coming straightaway. You can remember the AOA model for your prospectus by remembering it for your exercise plan.</p><p></p><p>Finally, ensure that you utilize a top notch sound and video recording for your exercise. It will permit your understudies to completely acknowledge what you are training them and will permit them to rehearse the material that you have covered.</p>

Thursday, July 9, 2020

Improving Your IELTS Essay Writing - How to Improve Your Answer

<h1>Improving Your IELTS Essay Writing - How to Improve Your Answer</h1><p>There are numerous approaches to improve the article you compose for IELTS; maybe the simplest and most basic path is to peruse the composition of different understudies. Perusing their composing can enable you to see where they are making mistakes, which you could likewise be making in your own article. The significant thing is to examine the models, and practice the correct style and structure.</p><p></p><p>You will be unable to compose your whole book without any preparation, and this is the reason you ought to consistently have a reference book that you can allude to. For example, in the event that you needed to enhance your exposition about the 'eight groups' in Chinese, you can go on the web and discover books, or look at the library. Numerous educators additionally have their own books that they offer out to their understudies with the goal that they can compreh end the structure of the book better.</p><p></p><p>When it comes to reference books, there are two sorts. There are books that are printed, and afterward there are books that are electronic. The printed books are typically sold at stores, or libraries. They come in soft cover, hardcover, and even e-books.</p><p></p><p>Electronic books are normally sold on Amazon or other computerized book shops. These books don't cost a lot, however they for the most part cost around a dollar or two. In any case, you can likewise discover them in book shops, as well.</p><p></p><p>The primary concern to recall is that when you are considering is to rehearse what you realize. Perusing and examining is a certain something, yet it likewise necessitates that you compose and submit it as fast as could be expected under the circumstances. You should remember that composing a paper will require some investment, and you will likewise nee d to do it consistently, and you can't generally do this each day.</p><p></p><p>The best activity is to set up a book. This is the place you can begin by posting the eight groups in Chinese, or possibly the structure of the book. At that point you can set aside some effort to research and study the real composition and language structure. Thusly, when you present your work, you can have it checked immediately.</p><p></p><p>Another tip that will help is to rehearse the book when you return home from school or before resting. You need to rehearse the parts and ensure that you see every single word.</p><p></p><p>By chipping away at the reference book and rehearsing the book before submitting it, you will be progressively arranged when you go to the test. Great luck!</p>

Friday, June 26, 2020

The Most Ignored Solution for Entrance Essay Topics

<h1>The Most Ignored Solution for Entrance Essay Topics </h1> <p>Take note your exposition may not stream as easily so be decidedly ready to bring some change words or expressions. You likewise need to peruse the paper to be certain you have a decent beginning, center and end to your exposition. So you have to make your paper extremely simple and easy to peruse. Consequently, it's fundamental that you create an article that is straightforward, intriguing, and well organized.</p> <p>The stream of your article should be smooth and intelligent. Guarantee the tone of your exposition doesn't go astray from the genuine subject anytime. Every reaction will be restricted to 200-250 words.</p> <p>The term limit on the article will remain at 650. When you get your layout, you can begin composing your exposition. It's basic that you consider the article an incorporated entire, considerably less an agenda of inquiries that you should reply. Besides, supplemental papers will be included as they're released.</p> <p>It is difficult to figure out where to apply to, and anyway great your evaluations are, you wonder in case you will get in the school you wish to join in. The Admission article works as a reflection of the individual you are and has a basic impact in Christian College Applications. The confirmations exposition is every now and again the least surely knew bit of the doctoral level college application yet it's urgent to your affirmations achievement. </p> <h2>Top Choices of Entrance Essay Topics </h2> <p>A graduate school affirmation article is a kind of work you can't do very well without some starter experience, and most of i ndividuals don't get a decent arrangement of opportunities to work on doing it in their profession. So get all the training you can! You should pick something to study, and most schools should comprehend what you like to realize in your extra time. At the point when a workmanship school gives the choice of presenting an individual explanation, it may be enticing for renounce the opportunity. </p> <p>Graduate school exposition composing is only one of the most huge undertakings you will probably act in your life, for it will decide most of your up and coming profession. Undergrads' exposition proficient composing is a troublesome activity. There are a few different ways to prepare for the doctoral level college exposition composing. Composing a staggering doctoral level college exposition is in all probability substantially more direct than you may might suspect. </p> <p>You might need to fuse an additional article on the off chance that you think the school a pplication structures don't offer adequate opportunity to pass on significant data with respect to yourself or your achievements. All that the understudies need to do is to set the request utilizing the buy page and pay a little charge for the paper reworking administrations and unwind or accomplish something different as our specialists changes the exposition as they would like to think. At the point when numerous schools urge imagination with respect to creating your very own announcement, it is important to join best composing practices to ensure a piece that is easy to peruse, exhaustive, and locks in. In case you're applying to different workmanship schools, it may be enticing to utilize exactly the same application or private exposition. </p> <p>1 significant thought is to build up a remarkable presentation, and an astounding shutting. Obviously you need to have an application exposition to sparkle and, as an outcome, take your application to an alternate level. While applying for school, one of the most fundamental components of the application technique is the exposition question. In this manner, it's no issue for us to form an extraordinary doctoral level college article which will assist you with passing the application practice. </p> <h2>Hearsay, Deception and Entrance Essay Topics </h2> <p>So, one must be very cautious about picking the correct theme and expounding on it well. Know you don't have to have settled the issue, and a couple of the best expositions will investigate issues which should be comprehended later on. There are numerous means which you can follow to ensure that your paper prompts are replied in the absolute best manner conceivable. Application papers about difficulti es uncover how you react to trouble to people who are fairly inspired by how you'll deal with the ensuing four years by yourself.</p> <p>The confirmation process shouldn't be unnerving, however, with a smidgen of readiness, you can put yourself up for progress! After the understudy is still in college, he's continually scanning for business that provisions individuals with cash and an extraordinary compensation. Before you compose your affirmations article you must have a cognizance of your goals and the manner by which your encounters to date set you up for seeking after your points. Because of how the doctoral level college exposition is a confused work and the most testing segment of the application strategy, school confirmations give the direction and guidelines to its candidates. </p>

Tuesday, June 16, 2020

The End of Topic Ideas for a Cause and Effect Essay

<h1> The End of Topic Ideas for a Cause and Effect Essay</h1> <p>Obviously, it isn't the explanation. When there are absolutely loads of wellbeing related reasons for a sleeping disorder, you could likewise examine how pressures at school, at work or in your public activity may make you shed rest. Clearly, the point you pick for circumstances and logical results paper will be the core value in the entire work. For example, an understudy should answer a brief requiring them disclose exactly what befalls a child's wellbeing that starts smoking cigarettes. </p> <h2> The Fundamentals of Topic Ideas for a Cause and Effect Essay Revealed </h2> <p>Topics for circumstances and logical results exposition could be variable, yet the paper assumes that the writer ought to do a lot of investigations and find the base of the issue under survey, the components for it and the resultant results. The gathering of gifted article scholars is constantly arranged to help you with that in no second! Subsequently, your exposition must be fascinating and connecting enough in the occasion you have to tempt your perusers. Circumstances and logical results expositions tend to be among the most entrancing compositions at the scholastic level. </p> <p>It's obligatory to devote a solitary passage to illuminate the essentialness of a causal-impact interface. It is basic for the creator to interface the segment of causes to the following bit of impacts. </p> <p>You will require a further developed subject which will be a prompt impression of your level of studies. You may need to do some concentrating to begin investigating the issue and comprehend the subject you've been doled out. On the off chance that the venture is very significant and significant, at that point you'll require an inside and out perception of the theme. </p> <p>If you're looking for motivation for your subject, you may find thoughts from the following rundown. The key to progress while composing such article is building up a perfectly clear diagram. It is indispensable that you don't cover thoughts. Perhaps you are needing a simple subject which won't see you commit the entirety of your time doing research with next to no achievement. </p> <p>Topic choice is basic to compose the most reasonable paper. You possibly need to put the watchwords if there's a specific theme you need to find out about and pick circumstances and logical results exposition for the kind of article. </p> <p>When you might want to make an astounding circumstances and logical results article for school, obtaining a connecting with theme you should realize you could have some good times as well! Before you begin taking a shot at circumstances and logical results article plot the absolute first thing you need to do is to settle on a triumphant theme. You have to have a completely clear thought of what you're probably going to expound on. Each segment of the work needs to respond to the specific inquiry. </p> <h2> Getting the Best Topic Ideas for a Cause and Effect Essay </h2> <p>Don't be reluctant to address our Essay Writing Service and talented paper authors will happily help you with your task. This sort of task is somewhat not quite the same as numerous other school errands and has various necessities, which may essentially confound the strategy. Modest and superb assistance is given in time and that is the motivation behind why Students Assignment Help is mainstream with understudies of the planet.</p> <p>You can do exactly the same as it's reasonable and easy to reach. Circumstances and logical results is among the most run of the mill sorts of expositions. You may consistently compose an extraordinary circumstances and logical results article on the various fields of music. Circumstances and logical results papers are a breeze to compose, simply remain centered and endeavor to have effect through your words and through utilizing proof. </p> <h2> The Lost Secret of Topic Ideas for a Cause and Effect Essay </h2> <p>Don't overlook that every one of the sources should be significant and dependable. Take as much time as is needed to mindfully inspect our circumstances and logical results subjects list till you find a brief that you're eager to expound on. There are a ton of districts to investigate while attempting to discover reasonable motivation an d impact themes. Each theme was alloted by the specialists and that is the motivation behind why simple to discover the assets online for examine. </p> <h2>Get the Scoop on Topic Ideas for a Cause and Effect Essay Before You're Too Late </h2> <p>The end segment of presentation section should fuse a proposition explanation. Ensure that you do the critical amount of research about the point you will pick in order to create and form a noteworthy exposition that will follow the explanation and feature the impact of your favored occasion or subject. Your theme should be founded on rationale and you should make a legitimate association between the occasions. It is basic to recall that if picking a theme on history and world occasions, you should verify that there's sufficient subtleties on it. </p> <p>The investigation is focused on both the causes and the effects of the occasion. What different effects have the uprisings had. No big surprise you'll dis cover some drifting circumstances and logical results articles in the zone of the scholarly community. A reason impact paper regarding the matter of deforestation could focus on the purposes for the devastation and the impact it has. </p> <h2> The Topic Ideas for a Cause and Effect Essay Game </h2> <p>Sometimes it is hard to recognize whether there is a significant circumstances and logical results relationship once it comes to choosinggood circumstances and logical results paper subjects. The sorts of reasons and impacts may be unique. Possibly you can make 1 impact or a few results. You might be furious or disappointed, yet there may be long haul impacts as well, remembering a potential increment for blood pressure.</p> <p>In most of cases, the data you as of now have won't be adequate to make a nitty gritty, dazzling paper, that is the reason you'll be approached to perform research to gain as much extra data as you can. These days clinical tre atment strategies become progressively more forward-thinking and the information is at the specific time increasingly accessible to people. Again, in view of the substance you have to give, the article should be sorted out to suit your data proficiently and flawlessly. Besides, the exposition ought to contain a clarification why it occurred and what is brought about by the crash. </p> <p>The point is to set down diagram in a casing that is basic and easy to understand. The circumstances and logical results article plot is probably going to serve you as a guide for the rest of the paper. A circumstances and logical results article is practically identical in structure to most of different papers, as it requires a presentation, a body, and an end. A circumstances and logical results article is a kind of paper that gives an intensive depiction of some random issue. </p>

Wednesday, June 3, 2020

How to Succeed With SAT Essay Writing Test Samples

<h1>How to Succeed With SAT Essay Writing Test Samples</h1><p>There are various kinds of SAT exposition composing test tests accessible to the understudies, so it is best that you come to think about these. On the off chance that you are certain that you need to come out with the best exposition of the year, at that point you should remember about the significance of these examples. Here is a short portrayal of the two methodologies that can assist you with composing the essay.</p><p></p><p>First of all, in the event that you need to come out with the best article of the year, at that point it won't be exceptionally simple for you to be effective on the off chance that you are curious about the various kinds of tests that are accessible. There are a few models accessible on the web that can assist you with coming out with the best exposition of the year. Before you set up the example, you need to come to think about the nature of the composin g tests accessible. You should make an investigation of the models gave to you and decide if they are dependable. In the event that you come to think about these examples through the site of the training test, at that point you can presumably get the most ideal outcome in your essays.</p><p></p><p>Some of the models gave by the site of the training test are expositions composed by individuals who were composing for the vocation and school placement test. In the event that you are doing your own composing tests for the expositions, at that point you should make an investigation of the guidelines and guidelines for the paper composing test. As you experience these examples, you should likewise come to think about the additional principles and regulations.</p><p></p><p>The most ideal approach to find out about the standards and guidelines of the SAT exposition composing test is to get a glance at the model gave on the training test. Be th at as it may, on the off chance that you can't come to think about the principles and guidelines of the SAT composing test, at that point you can likewise peruse the segments cautiously through the test manual. You should likewise come to think about the training guinea pig matter.</p><p></p><p>The models gave on the SAT article composing test are typically done by understudies of various schools and colleges. You can get models by perusing the test records or you can become more acquainted with about the themes by the articles distributed by magazines. There are various methods that can assist you with coming out with the best exposition of the year. In the event that you think about the procedures that are given by the journalists, at that point you will have an away from on what sort of article you ought to do.</p><p></p><p>One of the methodologies that you can use to get the best outcome is to make an investigation of the various k inds of models accessible. For this, you can get a glance at the models that are given by various foundations and universities. There are a few scholars who are composing on themes that can assist you with coming out with the best paper of the year. On the off chance that you have a similar thought on how you can come out with the best article of the year, at that point you can likewise get some counsel from the training test tests. In the event that you can come to think about the subjects of the examples, at that point you can get the most ideal result.</p><p></p><p>You can come out with the best exposition of the year on the off chance that you utilize the procedures that are given by the SAT article composing test. As you become more acquainted with increasingly about the methods, at that point you can come out with the most ideal result.</p>

Thursday, May 28, 2020

Nurses Competencies in Disaster Nursing Implications for Curriculum Development and Public Health - Free Essay Example

Abstract: The purpose of this study was to explore Hong Kong nurses perceptions of competencies required for disaster nursing. Focus group interviews and written inquiry were adopted to solicit nurses perceived required competencies for disaster care. A total of 15 nurses were interviewed and 30 nurses completed the written inquiry on their perceived competencies related to disaster nursing. The International Council for Nurses (ICN) framework of disaster nursing competencies, consisting of four themes and ten domains, was used to tabulate the perceived competencies for disaster nursing reported by nurses. The most mentioned required competencies were related to disaster response; with the ethical and legal competencies for disaster nursing were mostly neglected by nurses in Hong Kong. With the complexity nature of disasters, special competencies are required if nurses are to deal with adverse happenings in their serving community. Nurses perceived disaster nursing competencies reported by nurses were grossly inadequate, demonstrating the needs to develop a comprehensive curriculum for public health. The establishment of a set of tailor-made disaster nursing core competencies for the community they served is the first step in preparing nurses to deal with disastrous situations for the health of the public. Keywords: competencies; disaster nursing; disaster nursing curriculum OPEN ACCESS 1. Introduction With disasters occurring more frequently threatening people around the world, the need to prepare nurses for disaster has never been greater [1]. Nurses should be equipped with the necessary knowledge and abilities to work in a disaster and to meet the needs of the respective serving community. However, more than 80% of nurses who volunteered to serve for a disaster event had no previous experience in disaster response [2]. It was recommended by the World Health Organization (WHO) that all nations, no matter how frequent (or infrequent) the happenings, should prepare healthcare workers for a disaster. Nevertheless, most nurses were inadequately prepared for disaster [3]. It is only through education and training can nurses can be equipped with the competencies required during disasters. As the largest manpower group in the healthcare team, nurses play an important role in disaster care. Nurses roles are not only in the emergency phase of a disaster, to rescue life and safeguard the health of the disaster sufferers, but in fact, nurses have special roles in disaster preparedness and aftermath long- term recovery [4]. By providing leadership and guidance in different phases of a disaster, nurses can safeguard the health of the general public and reduce death tolls [5]. Nurses need to be competent in order to deal with disastrous situations. Competency refers to the actual performance of a person in a specific role, in a given situation [6]. It is defined as a combination of the knowledge, skills, abilities and behavior needed to carry out a job or special task [7]. Although there are many sets of competencies being developed to prepare healthcare workers to respond to disaster, they have been found inconsistent and imprecise. Disaster nursing core competencies specific to general nurses were limited or not verified. Further effort has to be made and directed toward the development of an accepted and ad apted framework of competency for universal disaster nursing education [4]. The awareness of disaster preparedness and competencies among Hong Kong nurses is generally weak [8,9]. With limited research, training and education in the field of disaster nursing in Hong Kong, it is important to understand nurses perceived competencies in disaster care prior to curriculum development. A better understanding of nurses perceived competencies and their learning needs for disaster nursing is the first and essential step if nurse educators and health care administrators are to launch a disaster nursing course/continuing education program that meet the needs of nurses. This study adopted the framework of disaster nursing and key competencies delineated by International Council for Nurses and World Health Organization [10] as the standards to scrutiny Hong Kong nurses level of competencies for disaster nursing. The ICN Framework of Disaster Nursing Competencies With an urge to develop a set of core competencies for disaster nursing education, the ICN launched a framework of disaster nursing competencies in 2009 for general nurses. It aims to work as a common set of competencies in disaster nursing for the global nursing workforce and to provide clarification of nurses role in disasters [10]. The framework of nursing competencies should be applicable globally and the content can be modified to be culturally specific for different regions and places. It is also emphasized that in-country interpretation of the framework and regular review of the competencies is important to ensure relevancy to the community served. The ICN framework of disaster nursing competencies was built on the ICN framework of competencies for general nurse, which has been widely used as a guideline of nurses competencies at an international level. The ICN disaster nursing competencies framework was developed according to the competencies i n the areas of public health, mental health, healthcare workers, emergency managers, nursing and disaster nursing. The framework also based on the two sets of widely-used disaster competencies for general nurses, the Nursing Emergency Preparedness Education Coalition [11] for mass casualty incidents and the Centre of Excellence, University of Hyogo (Kobe, Japan) [12] Disaster Competencies [10]. The ICN framework of disaster nursing competencies consists of four areas in the continuum of disaster management that corresponds to the four stages of disaster: the prevention, preparedness, response, and recovery stages. The four areas include ten domains, consists of a total of 130 items, in which nurses play numerous and multiple vital roles in disaster care and management [10]. 2. Study Methods The aim of this study was to identify nurses perceived competencies for disaster. The study was divided into two parts: focus group interviews and a written inquiry. The focus group interviews were to explore the competencies and knowledge of disaster nursing readily reported by the nurses with minimal guided questions or information. They were, given an explanation of what entails a disaster at the beginning of the interview sessions. The written inquiry was then followed, which consisted of a table specifying the four stages of disaster according to the ICN disaster framework as prompt, and nurses were asked to write down what they considered were the nursing competencies required for each of the four stages of disaster. 2.1. Participants/Sample Selection The study focuses on nurses working in the medical/surgical, critical care and community health settings. These three groups of nurses were selected for their representativeness of the major nursing workforce during disaster. Medical and surgical nurses constitute the largest group in the nursing workforce; their competencies represent the competencies of general nursing for disaster care. The critical care nurses work in high-dependency units including the intensive care unit and the emergency department; they are the first to response and help victims in disasters. The community health nurses work closely with the general public, and are most likely to understand the needs of the community they served. The perceived disaster nursing competencies of these three groups of nurses could provide a better understanding of the overall competencies level of Hong Kong nurses. Nurse leaders from specialty associations, with extensive experience in their respectiv e clinical specialty, were recruited for group interviews. There were four to six nurse leaders from the three specialties in each of the interview groups. Convenience sampling was used for the written inquiry. The participants were referred by senior nursing staff in hospitals or clinical settings. A total of thirty participants, ten from each specialty, were invited to complete the written open-ended inquiry. 2.2. Group Interviews Group interviews were conducted separately among nurses in the three specialities. They were asked to state the competencies they considered to be necessary to handle disasters in their specialty area. Simple explanation on the definition of disaster was given. The interviews were tape-recorded and transcribed within one week after the interview. The interviewer repeated and summarized the participants stated competencies to get an immediate indication of their agreement that the summary was a true and comprehensive list of their responses [13]. To ensure accuracy, these initial sets of compiled competencies were checked by two nurses, who verified the tabulated competencies separately to ensure exactness [14]. A table is used to summarize the nurses perceived disaster competencies, which were tabulated according to the specialty areas and according to the domains of the ICN framework of disaster nursing competencies. 2.3. Written Inquiry Written inquiry was conducted to further substantiate the findings of the group interviews. Written forms of data collection have the advantage of putting the participants under less pressure and giving them time to ponder upon what are being asked. A table listing the four main disaster stages and ten domains of disaster nursing competencies according to the ICN disaster nursing competencies framework [10] was given to the nurses in the three specialty groups (general medical/surgical, critical care and community health) to further substantiate information collected from the group interviews. The questionnaire was distributed and collected by the researchers in person. 2.4. Data Analysis and Establishing Trustworthiness Tabulation of the group interview responses was done in a systematic, sequential, verifiable way separately by the two researchers for the confirmability of the data. The interviews were audio-recorded and also preserved for repeat auditing. The transcription and tabulation of the data was done within one week of the interviews. The content (stated competencies) was categorized according to the four areas and ten domains of the ICN framework of disaster nursing. The tabulation were discussed and verified by the two researchers for rigor of the study [14]. For the written inquiry, the written responses of the specific competencies were directly categorized and tabulated under the four stages and 10 domains of the ICN framework of disaster nursing. The findings of the three interview groups and three written inquiry groups were merged in one table for ease of comparison. 2.5. Ethical Considerations Ethical approval was obtained from the institute where the researchers work, and the conduct of the study was according to the stipulated regulation of the institute. The nurse participants were given an explanation of the aims of this study, and assured that participation was voluntary. All studies were completed in anonymity so that their personal identity could not be identified. Participants who willing to join the group interviews and being recorded, or complete the written inquiry were considered giving an implied consent to the study. The audio-recordings, notes and interview transcripts were anonymous, and contained only information on the nurses specialties and work experience. 3. Results 3.1. The Participants A total of 45 nurses participated in the study, the majority of them were female (82%). Group interviews of 4–6 nurse leaders from the three specialties were conducted separately to explore nurses perceived competencies in disaster management. All were experienced nurses with 3 to 23 years of experience, averaging of 17.2, 13.8, and 15.3 years of experience in the medical/surgical, critical and community specialty respectively (Table 1). A total of 30 participants, 10 from each specialty, were invited in the written inquiry study. They had 3 to 28 years of working experience in their specialty, with an average of 16.4, 14.7, and 10.7 years of experience in the medical/surgical, critical, and community specialty. Hong Kong Nurses Perceived Competencies for Disaster Hong Kong nurses perceived disaster competencies solicited from group interviews and written inquiry were tabulated under the four main areas (stages of disaster) of the ICN framework of disaster nursing competencies. The findings are discussed below according to the four stages of disasters (Table 2). 3.2. Prevention and Mitigation Competencies From the group interviews, there was consensus of nurses from all three specialties considered: risk assessment and management, provision of appropriate protective materials, development and planning of organizational guidelines or protocol for disaster management, and planning for specific incident management as required disaster nursing competencies. However, only the critical care and community health nurses regarded adhering to infection control principles and the need for contingency plans for disasters as important competencies in disaster prevention. 1.Risk Reduction, Disease From the written inquiry, nurses of the three specialties identified that the risk assessment and management and adherent to infection control principles as important in disaster prevention. Only the community healthcare nurses considered vaccination and epidemiology as required competencies in disaster prevention. Whereas, the medical/surgical nurses expressed their concern on the plan of manpower deployment, the critical care nurses concern about occupational health and safety, and the community nurses highlighted the significant of public health policy in disaster prevention planning. 3.3. Preparedness Competencies In the interviews, the knowledge of legal and ethical aspects of disaster care was not addressed by any of the nurses. While all nurses across the three specialties were well aware of the importance of developing good communication skills and that debriefing and incident reporting was necessary. Education and preparedness for disaster related to drills, audits or talks, and the knowledge and skills in different disaster situation were reported by nurses in all three specialties as required competencies. The findings from written inquiry were somewhat different. All nurses recognized that professional obligation and code of conduct are the required competencies in disaster care. The medical/surgical nurses considered legal liability and professional code of conducts should be reinforced in disaster care. Critical care nurses acknowledged human dignity and absence of discrimination in disaster care, while the community nurses opined that there is need for a complaint system and knowledge of legal practice. Nurses from all three specialties considered the need for communication skills and reporting systems and recommended the use of various tools for communication and information sharing. Only the medical/surgical nurses were able to point out the importance of updating information about new diseases, training in information technology and communication skills, skills in psychological intervention, and understanding the nature of disaster as essential competencies. 3.4. Response Competencies The interviews revealed that nurses from all three specialties regarded that allocation and distribution of resources during a disaster needed to be addressed, and they were concerned about psychological care and crisis intervention in a disaster. Both medical/surgical and community nurses regarded it necessary to have knowledge of prioritizing care. Critical care nurses suggested the use of reminder cards for management of specific disasters, in order to enable efficient triage and prioritize care. Only the community nurses aware of the fact that the establishment of escape routes and personal safety as disaster preparedness for the community. They also acknowledged that there is a need to care of vulnerable groups as a neglected population with special needs. From the written inquiry, the medical/surgical nurses addressed the need to establish logistic for care of victims, perform holistic care, and help desk for enquires. The critical care and commu nity nurses stressed the need for multidisciplinary approach to care. Community health nurses emphasis the need for psychological care, including introduce coping skills and knowledge on disaster care, and post-traumatic stress disorder care. 3.5. Recovery and Rehabilitation Competencies The findings of the interviews showed that only medical/surgical nurses talked about the important to have a plan for evaluation and planning in management during and after a disaster. The findings of the written inquiry revealed that nurses in all three groups addressed the competencies of post- disaster care. Medical/surgical nurses identified the need to learn restoration of normal services. Critical care nurses noted the significance of multidisciplinary approach in the recovery stages of a disaster and the knowledge of psychological care for victims. The community nurses emphasis the collaboration between community and family for post-disaster recovery, systematic long-term care for disaster recovery, and district support in resources allocation, as well as evaluating and planning for future disaster management. 4. Discussion There is a global need for all healthcare workers to be prepared and be competent in disaster care. Previous studies have found that most nurses were not adequately prepared [8,9]. The findings of the study indicated that nurses were not aware of their roles in preparing the community or the vulnerable population for disaster. In order to be prepared and be competent for disaster, all nurses should be equipped with knowledge and skills for disaster care through continue education and training. Disaster nursing has not yet been established as a core topic/subject to be included in nursing programs in Hong Kong, though it is a global demand for the inclusion of this component of disaster care in our education program. The findings of this study provide a clearer picture of the inadequate preparations of nurses for disaster, in that it provides nurse educators and/or health care administrators a guide to delineate a tailor-made education program for nurses. The results of this study showed that Hong Kong nurses have some understanding of the needed competencies in prevention, preparation, response, and recovery phases of disaster care. In fact, the ICN has suggested in its disaster nursing framework that more attention is needed related to planning and preparation, as well as the understanding of the whole disaster management process. It is reflected that although there were quite a number of studies have focused on disaster response, there are also some studies conducted in Hong Kong on the disaster preparedness of families with young children [15] and elderly people [16] in Hong Kong. For post-disaster care, a study was also conducted that explore the experience of China nurses after the Sichuan earthquake rescue [17]. In the stage of prevention and mitigation phase of disaster care, the most neglected competencies were the preparation of health staff and the public in preventing disaster, regular review of protocol, and quality and safety guideline. In the preparedness phase, the less mentioned competencies were practice according to professional standard, updating information about new diseases, training in information technology and communication skill, skills in psychological intervention, and understanding of the nature of disaster. During the response phase, the competencies related to forming critical incident support team, familiar with different resources, support network, and referral for victims and families, and the ability to identify vulnerable populations, post-traumatic stress care, and care of special population with special needs, were not attended to. In the recovery phase, the competencies of evaluation and planning of management after a disaster, restoration of normal service, collaboration between community and family for post-disaster recovery, systematic long-term care for disaster recovery require more attention. If health w orkers are to prepare for disasters, all these competencies needed to be included in the all nursing curriculum and continuing nursing program. None of the nurses in this study mentioned their own preparation and that of their families for disaster. A study in Hong Kong have found that the nurses preparedness of their families affect their willingness to report to work during disaster [8].

Tuesday, May 26, 2020

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