Original ArticlesNurse Leaders' Knowledge and Confidence Managing Disasters in the Acute Care SettingCariaso-Sugay, John DNP, RN, NEA-BC; Hultgren, Marianne DNP, RN, CNE; Browder, Beth A. MHSA, BSN, NE-BC; Chen, Jyu-Lin PhD, RN, CNS, FAANAuthor Information John Muir Health, Walnut Creek, California (Dr Cariaso-Sugay and Ms Browder); and Department of Family Health Care Nursing, University of California, San Francisco (Dr Chen) and Doctor of Nursing Practice Program (Drs Hultgren and Chen). Correspondence: John Cariaso-Sugay, DNP, RN, NEA-BC, Acute Care Services, John Muir Health, 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 ([email protected]). There are no conflicts of interest to declare. Nursing Administration Quarterly: April/June 2021 - Volume 45 - Issue 2 - p 142-151 doi: 10.1097/NAQ.0000000000000468 Buy Metrics Abstract Whether natural or human-induced, disasters are a global issue that impact health care systems' operations, especially in the acute care setting. The current COVID-19 pandemic is a recent illustration of how health care systems and providers, especially nurses, respond to a rapidly evolving crisis. Nurse leaders in the acute care setting are pivotal in responding to the multifactorial challenges caused by a disaster. A quality improvement project was developed to increase nurse leaders' knowledge and confidence in disaster management during the COVID-19 pandemic at 2 Magnet-designated acute care hospitals within the John Muir Health system in Northern California. A total of 50 nurse leaders initially participated in this project, with 33 participants completing the postintervention survey. Results indicated significant improvement in perceived knowledge and confidence in disaster management after the intervention. Qualitative responses from project participants highlighted the need to annualize educational opportunities to sustain knowledge and consistently review emergency management operations plans. This quality improvement project provided an approach to educating nurse leaders in disaster management to promote resilience, support of employees, and optimal patient outcomes during disasters. © 2021 Wolters Kluwer Health, Inc. All rights reserved.