Influence of nursing competence, leadership, team coordination, and resources on flood disaster nursing effectiveness
DOI:
https://doi.org/10.53713/nhsj.v6i1.671Keywords:
disaster nursing management, flood response, leadership, nursing competence, team coordinationAbstract
Flood disasters represent a prevalent global hazard that imposes significant strain on healthcare systems, necessitating robust nursing management to ensure timely and effective service delivery. This study examined the influence of nursing competence, leadership, team coordination, and resource availability on disaster nursing management effectiveness during flood responses. Using a quantitative cross-sectional design, data were collected from 96 nurses with direct flood response experience using a validated, structured questionnaire. Multiple linear regression analysis was employed to assess the individual and simultaneous effects of the independent variables. Results demonstrated that nursing competence, leadership, team coordination, and resource availability all exerted a positive and significant influence on management effectiveness (p < 0.05). Collectively, these variables accounted for 55.6% of the variance in effectiveness, with team coordination and leadership as the strongest predictors. These findings underscore that optimal disaster nursing management relies on an integrated approach combining individual competency with strong leadership structures, cohesive teamwork, and adequate logistical support. Consequently, disaster preparedness strategies should prioritize leadership development and coordinated team protocols alongside clinical training to enhance resilience in flood-prone regions.
References
Abbas, R., & Miller, T. (2025). Exploring communication inefficiencies in disaster response: Perspectives of emergency managers and health professionals. International Journal of Disaster Risk Reduction, 120, 105393. https://doi.org/10.1016/j.ijdrr.2025.105393
Akkaya, G., Akkuş, Y., Parlak, A. G., & Karacan, Y. (2025). Determination of the relationship between competencies in disaster nursing management and perceived stress: The intermediary role of resilience. International Emergency Nursing, 78, 101530. https://doi.org/10.1016/j.ienj.2024.101530
Al Thobaity, A. (2024). Overcoming challenges in nursing disaster preparedness and response: an umbrella review. BMC Nursing, 23(1), 562. https://doi.org/10.1186/s12912-024-02226-y
Alanazi, M. A., & Shaban, M. (2025). Challenges and Strategies in Maintaining Continuity of Care for Chronic Disease Patients by Emergency Nurses During Disasters. International Nursing Review, 72(2), e70029. https://doi.org/10.1111/inr.70029
Ali, H. M., Ranse, J., Roiko, A., & Desha, C. (2024). Developing a healthcare transformational leadership competency framework for disaster resilience and risk management. International Journal of Disaster Risk Reduction, 113, 104898. https://doi.org/10.1016/j.ijdrr.2024.104898
Alibašić, H. (2025). Advancing Disaster Resilience: The Ethical Dimensions of Adaptability and Adaptive Leadership in Public Service Organizations. Public Integrity, 27(3), 209–221. https://doi.org/10.1080/10999922.2024.2388285
Almughamisi, A., Alshehri, A., Alandijani, M., Alqarni, S., Alshehri, F., Alshehri, K., ... & Alshammary, F. (2025). Multidisciplinary Team Group Effort in Healthcare; The Role of Emergency, Clinical, and Administrative Professionals in Improving Outcomes and Hospital Performance. Saudi Journal of Medical and Pharmaceutical Sciences. https://doi.org/10.36348/sjmps.2025.v11i10.002
Alrowili, M. R., Almoajel, A. M., Alneam, F. M., & Alhazmi, R. A. (2024). Disaster Preparedness in Saudi Arabia’s Primary Healthcare Workers for Human Well-Being and Sustainability. Sustainability, 17(14), 6562. https://doi.org/10.3390/su17146562
Chukwuma, S.C. (2025). Invariance of extreme hydrologic events and climate change in the risk reduction on environment and health. Greenfort International Journal of Applied Medical Science, 3(2), 92-102. https://doi.org/10.62046/gijams.2025.v03i02.011
Cvetković, V. M., Tanasić, J., Renner, R., Rokvić, V., & Beriša, H. (2023). Comprehensive Risk Analysis of Emergency Medical Response Systems in Serbian Healthcare: Assessing Systemic Vulnerabilities in Disaster Preparedness and Response. Healthcare, 12(19), 1962. https://doi.org/10.3390/healthcare12191962
Farokhzadian, J., Mangolian Shahrbabaki, P., Farahmandnia, H., Taskiran Eskici, G., & Soltani Goki, F. (2024). Nurses’ challenges for disaster response: a qualitative study. BMC Emergency Medicine, 24(1), 1. https://doi.org/10.1186/s12873-023-00921-8
Gastaldi, S., & Horlait, M. (2022). Health care organizations’ interoperability during multi-organizational disaster management: a scoping review. Prehospital and Disaster Medicine, 37(3), 401-408. https://doi.org/10.1017/S1049023X22000516
Kalanlar, B. (2025). The Roles of Nursing Schools in Disaster Management Within the Scope of Advanced Disaster Nursing: A Scoping Review. International Journal of Nursing Practice, 31(6), e70072. https://doi.org/10.1111/ijn.70072
Khirfan, R., AlHasan, N., Atiyeh, H., Khalifeh, A. H., Holmes, S., & Kotb, H. (2025). Optimizing Resources Management in Crises: Strategies, Challenges, Benefits and Conceptual Framework Development. Research Journal of Pharmacy and Technology, 18(5), 2249-2255. https://doi.org/10.52711/0974-360X.2025.00322
Khorram-Manesh, A., & Mani, Z. (2025). Navigating the chaos: a scoping review of gaps in disaster nursing and a roadmap for the future. BMC Nursing, 24(1), 1396. https://doi.org/10.1186/s12912-025-04088-4
Kimin, A., Nurachmah, E., Lestari, F., & Gayatri, D. (2022). Factors Affecting Nurses’ Ability to Provide Effective Care in a Disaster Response: A Review. Journal of Public Health Research. https://doi.org/10.4081/jphr.2021.2732
Kruger, K., Brysiewicz, P., Lori, J., & Bell, S. A. (2025). The role of the nursing workforce in health system resilience during disasters: A scoping review of empirical studies. International Journal of Nursing Studies Advances, 9, 100361. https://doi.org/10.1016/j.ijnsa.2025.100361
Lin, C. H., Tzeng, W. C., Chiang, L. C., Lu, M. C., Lee, M. S., & Chiang, S. L. (2023). Effectiveness of a Structured Disaster Management Training Program on Nurses’ Disaster Readiness for Response to Emergencies and Disasters: A Randomized Controlled Trial. Journal of Nursing Management, 2024(1), 5551894. https://doi.org/10.1155/2024/5551894
Mukuve, P., & Nuuyoma, V. (2023). Critical Care Nursing in a Resource-Constrained Setting: A Qualitative Study of Critical Care Nurses’ Experiences Caring for Patients on Mechanical Ventilation. SAGE Open Nursing. https://doi.org/10.1177/23779608231205691
Olsén, M., Oskarsson, P., Hallberg, N., Granåsen, M., & Nordström, J. (2023). Exploring collaborative crisis management: A model of essential capabilities. Safety Science, 162, 106092. https://doi.org/10.1016/j.ssci.2023.106092
Petanidis, S., Chandramouli, K., Floros, G., Nifakos, S., Kolomvatsos, K., Tsekeridou, S., Magalini, S., Gui, D., & Kosmidis, C. (2024). Optimizing Emergency Response in Hospitals: A Systematic Review of Surge Capacity Planning and Crisis Resource Management. Healthcare, 13(21), 2819. https://doi.org/10.3390/healthcare13212819
Pradhan, N. A., Najmi, R., & Fatmi, Z. (2022). District health systems capacity to maintain healthcare service delivery in Pakistan during floods: A qualitative study. International Journal of Disaster Risk Reduction, 78, 103092. https://doi.org/10.1016/j.ijdrr.2022.103092
Rattanakanlaya, K., Sukonthasarn, A., Wangsrikhun, S., & Chanprasit, C. (2022). Improving flood disaster preparedness of hospitals in Central Thailand: Hospital personnel perspectives. Journal of Clinical Nursing, 31(7-8), 1073-1081. https://doi.org/10.1111/jocn.15971
Seyedin, H., Moslehi, S., & Narimani, S. (2025). Empowering emergency nurses in crisis response – A quality improvement framework for enhanced preparedness and decision-making. International Emergency Nursing, 83, 101711. https://doi.org/10.1016/j.ienj.2025.101711
Shah, A. A., Ullah, W., Khan, N. A., Khan, A., Alotaibi, B. A., Alam, E., & Ullah, A. (2025). Health and livelihood impacts of flood hazards on internally displaced persons in Pakistan. International Journal of Disaster Risk Reduction, 119, 105295. https://doi.org/10.1016/j.ijdrr.2025.105295
Sott, M. K., & Bender, M. S. (2025). The Role of Adaptive Leadership in Times of Crisis: A Systematic Review and Conceptual Framework. Merits, 5(1), 2. https://doi.org/10.3390/merits5010002
Spencer, M., & Howard, P. K. (2025). Addressing the Environmental Impact of Emergency Department Waste: Challenges and Strategies for Sustainable Nursing Leadership Practices. Journal of Emergency Nursing, 51(4), 548-552. https://doi.org/10.1016/j.jen.2025.03.006
Topal, S., Özhanlı, Y., Çaka, S. Y., & Gürbüz, Y. (2024). Professional competences of emergency department nurses working in the earthquake region on triage management in children and the difficulties experienced by nurses in the decision-making process: A qualitative study. International Journal of Disaster Risk Reduction, 113, 104844. https://doi.org/10.1016/j.ijdrr.2024.104844
Tussing, T. E., Chesnick, H., & Jackson, A. (2022). Disaster Preparedness: Keeping Nursing Staff and Students at the Ready. Nursing Clinics of North America, 57(4), 599-611. https://doi.org/10.1016/j.cnur.2022.06.008
Wang, W., Li, H., & Huang, M. (2023). A literature review on the impact of disasters on healthcare systems, the role of nursing in disaster management, and strategies for cancer care delivery in disaster-affected populations. Frontiers in Oncology, 13, 1178092. https://doi.org/10.3389/fonc.2023.1178092
Zhang, D., Zhang, L. Y., Zhang, K., Zhang, H., Zhang, H. F., & Zhao, K. (2024). Disaster literacy in disaster emergency response: a national qualitative study among nurses. BMC Nursing, 23(1), 267. https://doi.org/10.1186/s12912-024-01911-2









