title: Undergraduate nursing students' perceptions about disaster preparedness and response in Istanbul, Turkey, and Miyazaki, Japan: a cross-sectional study.
abstract: OBJECTIVE
  Although the awareness of disasters has increased among nurses, the concept of disaster preparedness and response has not been sufficiently explored with undergraduate nursing students. The aim of this study was to assess and compare the perceptions of students regarding disaster preparedness and response that live in different earthquake-prone cities; Istanbul, Turkey and Miyazaki, Japan.
  
  
  METHODS
  A cross-sectional study employing seven questions was conducted in a final group of 1053 nursing students from Istanbul, Turkey, and Miyazaki, Japan.
  
  
  RESULTS
  Most study respondents were female, aged 18-22 years, with a high proportion of second year students in both cities. Istanbul's students had more knowledge about disaster preparedness and response in relation to age and year of university, showing statistically significant differences. Istanbul's highest rated responses to disaster characteristics were on structural elements and injuries/deaths, while Miyazaki's was "unpredictable/sudden/disorganized". Respondents in Istanbul identified earthquakes as the disaster most likely to occur, while respondents in Miyazaki identified typhoon/hurricane. Study participants responded that they could provide caregiver roles during a disaster event rather than triage or managerial roles as disaster responders.
  
  
  CONCLUSIONS
  Disaster characteristics were not described by one third of the students. Of the two-thirds that were described, most were of events that were highly predictable because of their frequencies in the given areas. Universities need to target and then focus on high-risk factors in their areas and have disaster plans for students who can provide triage and managerial nursing roles as disaster responders.
authors.affiliation: Division of Surgical Nursing, University of Istanbul Florence Nightingale Faculty of Nursing, Istanbul, Turkey.
authors.forename: Seher Deniz
authors.initials: SD
authors.lastname: Öztekin
authors.forename: Eric Edwin
authors.initials: EE
authors.lastname: Larson
authors.forename: Serpil
authors.initials: S
authors.lastname: Yüksel
authors.forename: Gülay
authors.initials: G
authors.lastname: Altun Uğraş
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D004189:Disaster Planning; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires; D014421:Turkey; D055815:Young Adult
keywords: disaster; emergency preparedness; nursing students; perception; response