Although recent disasters are grim reminders of the importance of disaster/terrorism preparedness, human elements such as perceptions and concerns present barriers to professional readiness. This study used phenomenology to illuminate unsuspected links between concerns and disaster preparedness by health professionals in a southern state of the USA. 

This study followed up a larger study of health professionals (physicians, pharmacists, nurse practitioners and registered nurses.) Ten focus groups of health professionals responded to a semi-structured questionnaire approved by a panel of experts. The phenomenology method described by Reinharz and Carpenter and Schubert was used: 1) members were invited by letter providing an explanation of the research and the semi-structured questions to be asked within the focus group; 2) member responses were taped and transcribed, while keeping individual names anonymous; 3) immediate post group perceptions of the moderator and group observer were recorded and transcribed; 4) major categories were defined; 5) major themes and central issues were further identified and refined; 6) key respondents were contacted to verify findings; 7) results were included into the final report. 

Numerous barriers related to concerns for safety and professional competences were identified. For example, safety of self and family was an overwhelming issue related to the decision to participate as a responder.  Implications of this study suggest that human issues related to disaster preparedness should be addressed in community planning and education.  Potential solutions will be explored. 

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See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)