Nursing in the aftermath of disaster: orphanage relief work in Romania

Disaster relief workers experience psychological and physical needs as a direct consequence of their disaster involvement. While this impact has been acknowledged, relatively little is known about the nature of the psychosocial demands generated by prolonged exposure. Developing both comprehensive preparatory and support programmes for relief workers will require that the nature of these demands, their impact on personnel, and their implications for disaster management are documented. Describes the experiences of a group of nurses who provided relief care in Romanian orphanages in the aftermath of the 1989 revolution in that country. Suggests that prolonged disaster exposure creates specific personal demands and operational problems. Problems were described in relation to operational practices and national issues(e.g. political and cultural factors). Describes the implications of these factors for relief worker wellbeing and relief operation effectiveness, together with suggestions for managing these demands.