Skip to main content

Table 3 Themes and subthemes of RQ 1: Challenges in evacuation centers

From: Disaster response among hospital nurses dispatched to evacuation centers after the Great East Japan Earthquake: a thematic analysis

Themes

Subthemes

Examples of codes

Experiences of not being recognized as an evacuee by residents

Experiences of being hurt by residents’ words

Residents lost their jobs due to the disaster. Because we were working, the residents told us, “I envy you.” We were the outlet for their frustration. (pIV)

It was hard to hear residents say, “We can’t do our jobs because we lost our jobs.” (pI)

I was most shocked when a resident cursed me, saying, “You’re on the government side.” (pVI)

Residents were confronted with stress caused by the disaster, dissatisfaction with the shelters, and a desire to return home. (pII, III, IV, and IX)

Sadness at not being reconized as an evacuee

They just saw me as a public servant and did not see me as a disaster victim. (pI, II, VI, and IX)

Conflicts between multiple positions

Conflicts between roles at home and thoughts as a nurse

During the evacuation, I had conflicts between roles as a mother, a nurse, and a city employee. (pIV)

Conflicts between being a city employee and a nurse

Residents identified us as both a nurse and a city employee. (pI, VI, and IX)

Difficulties in performing tasks which they had never experienced before

Difficulties in working in a field different from clinical practice

My role at the evacuation centers was public health service. I felt tha my knowledge was insufficient because it was different from nursing care in a hospital. (pII, VIII, and IX)

The difficulty in the first experience

I had never been involved in disaster relief before, and this was my first time working in an evacuation center.(pII, IV, V, and VIII)

It was my first time being affected by a major disaster and working in an evacuation center, so I was nervous the whole time. (pVI, and VII)

Difficulties in making decisions when responding to the individual cases

While visiting a temporary housing complex, I found a resident collapsed inside. Since there was no standard of procedures for handling the situation, I was confused whether I should call an ambulance or not. My decision might cause messy conflict in the other evacuees. (pX)

Anxiety in working

Anxiety

We were also anxious about what would happen to us, and it was breaking our hearts. (pIV)

Uncertainty in losing the goal

All I could think about was how I was going to spend my time and deal with it on a daily basis. (pVI)

It was all I could do to spend each day. (pV)