Nursing Students’ Views Guiding Evacuee Placement in “HUG”, a Game about Evacuation Shelter Management

International Journal of Nursing and Health Science
© 2025 by SSRG - IJNHS Journal
Volume 11 Issue 1
Year of Publication : 2025
Authors : Yuka Hirai, Katsutoshi Watanabe
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How to Cite?

Yuka Hirai, Katsutoshi Watanabe, "Nursing Students’ Views Guiding Evacuee Placement in “HUG”, a Game about Evacuation Shelter Management," SSRG International Journal of Nursing and Health Science, vol. 11,  no. 1, pp. 8-15, 2025. Crossref, https://doi.org/10.14445/24547484/IJNHS-V11I1P102

Abstract:

Objectives: Students in the nursing department of one Japanese university take Disaster Nursing in their fourth year of study. In this course, through a disaster-preparedness game about evacuation shelter management called “HUG”, they learn about the conditions of shelters and victims in times of disaster and how to place essential supporters appropriately and handle the type of incidents that can happen at such shelters. This study aimed to clarify the perspectives and attitudes guiding students’ decisions about evacuee placement as they played this game. Methods: In May 2019, after playing HUG in the classroom, 78 fourth-year nursing students engaged in a group discussion in response to the prompt, “What perspectives did you consider as you were placing evacuees?” Afterwards, they were asked to write an open-ended report. These reports were subjected to content analysis. Results: Seven categories were identified via content analysis: disability due to illness or age; convenience for people living there; separating some evacuees out of a desire not to disturb others, unwittingly resulting in segregation; convenience in terms of operational aspects; privacy concerns; avoiding separation from familiar presences; and respect for nonsmokers when designating smoking areas. Discussion: These results reveal a need for nursing students to take broader perspectives, without prejudicial attitudes, when caring for disaster victims’ health and to cultivate greater sensitivity to evacuees’ emotions.

Keywords:

Disaster nursing, Disaster-preparedness, Game, Evacuation shelter management, Nursing student.

References:

[1] Central Disaster Management Council Japan Cabinet Office, The Basic Disaster Prevention Plan (BDPP) Website, 2023. [Online]. Available: https://www.bousai.go.jp/taisaku/keikaku/pdf/kihon_basicplan.pdf Management
[2] Disaster Prevention Basic Plan, Japan Cabinet Office, 2024. [Online]. Available: http://www.bousai.go.jp/taisaku/keikaku/kihon.html
[3] Shelter Game (HUG), 2024. [Online]. Available: https://www.pref.shizuoka.jp/bosaikinkyu/sonae/earthquake/bosaicenter/1003638/1043919/1030041.html
[4] Sphere Project, Sphere Association, The Sphere Handbook Humanitarian Charter and Minimum Standards in Humanitarian Response, Sphere Association, pp. 1-418, 2018.
[Publisher Link]
[5] Sakiko Kanbara et al., “Information and Response Shortfall in Shelters after the Earthquake in Kumamoto,” Health Emergency and Disaster Nursing, vol. 4, no. 1, pp. 74-79, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[6] Daisuke Sueta et al., “Clinical Features of Disaster-Related Deaths After the Kumamoto Earthquake 2016 - Comparison with the Great East Japan Earthquake 2011,” Circulation Reports, vol. 1, no. 11, pp. 531-533, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[7] Carl H. Schultz et al., “Development of National Standardized All-Hazard Disaster Core Competencies for Acute Care Physicians, Nurses, and EMS Professionals,” Annals of Emergency Medicine, An International Journal, vol. 59, no. 3, pp. 196-208, 2012.
[CrossRef] [Google Scholar] [Publisher Link]
[8] Manal Al Harthi et al., “Challenges for Nurses in Disaster Management: A Scoping Review,” Risk Management and Healthcare Policy, vol. 13, pp. 2627-2634, 2020.
[Google Scholar] [Publisher Link]
[9] Japan Cabinet Office, Director General for Disaster Management, Latest Disaster Prevention Basic Plan Website, 2023. [Online]. Available: https://www.bousai.go.jp/taisaku/keikaku/pdf/kihon_newold.pdf
[10] Jamie Ranse et al., “What are the Research Needs for the Field of Disaster Nursing? An International Delphi Study,” Prehospital and Disaster Medicine, vol. 29, no. 5, pp. 448-454, 2014.
[CrossRef] [Google Scholar] [Publisher Link]