Authors
Manabu Takiguchi, Takumi Yamaguchi, Honami Matsuo, Keiko Oishi, Yuko Matsunari
Published in
Disaster medicine and public health preparedness. Volume 20. Pages e157. Sep 24, 2026. Epub Sep 24, 2026.
Abstract
To describe nursing workforce arrangements, training exposure, educational needs, and support needs for nuclear emergency medical care among Nuclear Emergency Core Hospitals (NECHs) in Japan.
This facility-level cross-sectional survey targeted all 51 NECHs. Questionnaire items were developed and reviewed for content validity through internal consensus by 3 study-team nurses or public health nurses; no pilot testing or recruitment reminders were conducted. Facility proportions included exact Clopper-Pearson 95% confidence intervals, and free-text responses underwent qualitative content analysis.
Twenty-two facilities responded (43.1%; exact 95% CI, 29.3-57.8%). Emergency departments (19/22, 86.4%) and DMAT membership (20/22, 90.9%) were common, while certified nurse specialists in radiation nursing were reported by 5 facilities (22.7%). Radiation basics and PPE donning/doffing practice were each selected by 21 facilities (95.5%). Free-text responses yielded 43 meaning units across 5 categories emphasizing recurrent training, workforce maintenance, organizational and financial support, and clearer staffing standards.
Among responding NECHs, nuclear emergency nursing preparedness relied heavily on emergency/disaster nursing infrastructure, while radiation-specific advanced nursing expertise was reported less frequently. Sustainable preparedness may benefit from recurrent practical training, broader access to radiation nursing expertise, organizational support, and policy-level staffing discussion.
PMID:
42779293
Bibliographic data and abstract were imported from PubMed on 24 Sep 2026.
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