Challenges and Strategies of Implementing Nurses’ Professional Identity in Disaster Management in Indonesia: A Literature Review

Ati Surya Mediawati; Rachmat Susanto

doi:10.58905/jse.v6i1.596

Authors

Ati Surya Mediawati Faculty Of Nursing, Padjadjaran University, Sumedang, Indonesia
Rachmat Susanto Stikes Serulingmas Cilacap, Cilacap Indonesia

DOI:

https://doi.org/10.58905/jse.v6i1.596

Keywords:

Disaster Management, Indonesia, Nurses, Nursing Education, policy, Professional Identity, Simulation Training

Abstract

Indonesia’s status as one of the world’s most disaster-prone countries presents unique demands on nurses, whose roles extend beyond clinical care to include leadership, coordination, and rapid decision-making during emergencies. However, the implementation of nurses’ professional identity in disaster management remains underexplored and faces considerable challenges within the Indonesian context. This literature review aims to identify the key challenges and explore context-specific strategies for strengthening the professional identity of nurses involved in disaster management in Indonesia. A systematic literature review was conducted using five databases PubMed, Scopus, ProQuest, Google Scholar, and Garuda guided by PRISMA protocols. Inclusion criteria focused on studies from 2013 to 2023 addressing professional identity in nursing within disaster contexts. Twenty eligible articles were appraised using the CASP checklist and AMSTAR 2 tool. Thematic analysis was applied to synthesize findings. Five major thematic challenges were identified: (1) lack of disaster-focused education and training, (2) role conflict between personal and professional obligations, (3) limited organizational and logistical resources, (4) cultural barriers including gender norms and community perceptions, and (5) unclear or insufficient policies regarding nurses' roles in emergencies. Promising strategies include simulation-based curricula, psychosocial support systems, participatory policy development, interprofessional collaboration, and culturally sensitive educational interventions. Strengthening nurses’ professional identity in Indonesia’s disaster management requires an integrated, multisectoral approach involving education reform, policy innovation, resource provision, and sociocultural adaptation. These efforts are essential for empowering nurses to perform confidently, ethically, and effectively in high-risk settings

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