• Yan Li, Sue Turale, Teresa E Stone, and Marcia Petrini.
• HOPE School of Nursing, Wuhan University, Wuhan, Hubei Province, China; Faculty of Nursing, Jiujiang University, Jiujiang, Jiangxi Province, China. Electronic address: cherryleeleo@163.com.
• Nurse Educ Today. 2015 Sep 1; 35 (9): e43-9.

BackgroundWhile Asia has the dubious distinction of being the world's most natural disaster-prone area, disaster nursing education and training are sparse in many Asian countries, especially China where this study took place.ObjectiveTo explore the earthquake disaster experiences of Chinese nurses and develop a substantive theory of earthquake disaster nursing that will help inform future development of disaster nursing education.DesignA qualitative study employing grounded theory, informed by symbolic interactionism.Participants And SettingFifteen Chinese registered nurses from five hospitals in Jiangxi Province who undertook relief efforts after the 2008 Wenchuan Earthquake.MethodsData were collected in 2012-2013 in digitally-recorded, semi-structured, in-depth interviews and reflective field notes, and analyzed using Glaser's grounded theory method.ResultsParticipants were unprepared educationally and psychologically for their disaster work. Supporting the emergent theory of "working in that terrible environment", was the core category of "turning into a strong nurse", a process of three stages: "going to the disaster"; "immersing in the disaster"; and "trying to let disaster experiences fade away". The participants found themselves thrust in "terrible" scenes of destruction, experienced personal dangers and ethical dilemmas, and tried the best they could to help survivors, communities and themselves, with limited resources and confronting professional work.ConclusionsOur rich findings confirm those of other studies in China and elsewhere, that attention must be paid to disaster education and training for nurses, as well as the mental health of nurses who work in disaster areas. Emergent theory helps to inform nurse educators, researchers, leaders and policy makers in China, and elsewhere in developing strategies to better prepare nurses for future disasters, and assist communities to prepare for and recover after earthquake disasters.Copyright © 2015 Elsevier Ltd. All rights reserved.

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