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The U. S. Department of Homeland Security launched the Ready public service campaign in 2003 to educate and provide the resources for the American people to prepare, respond, and mitigate emergencies and disasters. The web site pr...
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The U. S. Department of Homeland Security launched the Ready public service campaign in 2003 to educate and provide the resources for the American people to prepare, respond, and mitigate emergencies and disasters. The web site provides tools for creating an emergency plan, and ways to stay informed and get involved in community preparedness. The goal of the web site and the campaign is to utilize public involvement to ease and lesson the affects of an emergency or disaster.
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OBJECTIVE: The purpose of this study was to examine the effects of a tornado disaster on the personal preparedness of local residents to determine (1) to what extent the tornado outbreak experience had altered preparedness awarene...
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OBJECTIVE: The purpose of this study was to examine the effects of a tornado disaster on the personal preparedness of local residents to determine (1) to what extent the tornado outbreak experience had altered preparedness awareness, willingness to act, and levels of personal preparedness of residents as measured by possession of a preparedness kit; and (2) what effect this experience had on the variables associated with having a complete disaster preparedness kit.DESIGN: Two random digit-dialed surveys were completed following the Behavioral Risk Factor Surveillance System protocols.The pre-tornado survey was conducted between October and December 2010 and the post-tornado survey was conducted between January and March 2012.RESULTS: After the April 2011 tornado outbreak, 86.08% of the respondents (n = 1364) reported that they had thought more about personal or family preparedness and 59.65% (n = 907) reported that they had taken actions to increase their level of preparedness.Overall, general awareness of preparedness media campaigns increased significantly (almost 24%; P <.0001), as did the percentage of those having a complete disaster preparedness kit (a 66% increase, not quite doubled from 2010 to 2012; P <.0001).CONCLUSIONS: Findings of the study indicate that the disaster had a significant impact on the local residents' (1) awareness of preparedness campaigns, (2) awareness of the need to be prepared, (3) willingness to become better prepared, and (4) possession of a disaster and emergency preparedness kit and its associated items.
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The frequency of natural and manmade disasters along with increasing potential for public health emergencies emphasizes the need for emergency preparedness education. Because nurses are the largest group of health professionals to...
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The frequency of natural and manmade disasters along with increasing potential for public health emergencies emphasizes the need for emergency preparedness education. Because nurses are the largest group of health professionals to meet the needs of those affected by disasters and public health emergencies, schools of nursing need to prepare graduates who are knowledgeable about disaster and public health emergency management. The use of core competencies may be a means to ensure consistent application of best practices in disaster health care. The next step in competency development involves validation through evidence. Through documentation and dissemination of their experiences with emergency preparedness education, schools of nursing can provide supportive evidence to aid in competency development. The purpose of this paper is present a case study of an ongoing and evolving public health nursing education project consistent with disaster health care and emergency preparedness competencies.
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Objective: To assess the level of pandemic preparedness at emergency departments (EDs) around the country and to better understand current barriers to preparedness in the United States represented by health professionals in the Am...
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Objective: To assess the level of pandemic preparedness at emergency departments (EDs) around the country and to better understand current barriers to preparedness in the United States represented by health professionals in the American College of Emergency Physician (ACEP) Disaster Medicine Section (DMS). Methods, design, and setting: A cross-sectional survey of ACEP DMS members was performed. A total of 300 members were surveyed both via e-mail and with paper surveys during the 2009 ACEP Scientific Assembly DMS Meeting. An optional comments section was included for section members’ perspectives on barriers to preparedness. A 15-item pandemic preparedness score was calculated for each respondent based on key preparedness indicators as defined by the authors. Results were analyzed with descriptive statistics, χ2 analysis, Cochran-Armitage trend test, and analysis of variance. Free text comments were coded and subjected to frequency-based analysis. Results: A total of 92 DMS members completed the survey with a response rate of 31 percent. Although 85 percent of those surveyed indicated that their hospital had a plan for pandemic influenza response and other infectious disease threats, only 68 percent indicated that their ED had a plan, and 52 percent indicated that their hospital or ED had conducted disaster preparedness drills. Only 57 percent indicated that there was a plan to augment ED staff in the event of a staffing shortage, and 63 percent indicated that there were adequate supplies of personal protective equipment. While 63 percent of respondents indicated that their ED had a plan for distribution of vaccines and antivirals, only 32 percent of EDs had a plan for allocation of ventilators. A total of 42 percent of respondents felt that their ED was prepared in the event of a pandemic influenza or other disease outbreak, and only 35 percent felt that their hospital was prepared. The average pandemic preparedness score among respondents was 8.30 of a total of 15. Larger EDs were more likely to have a higher preparedness score (p = 0.03) and more likely to have a pandemic preparedness plan (p = 0.037). Some major barriers to preparedness cited by section members included lack of local administration support, challenges in funding, need for dedicated disaster preparedness personnel, staffing shortages, and a lack of communication among disaster response agencies, particularly at the federal level. Conclusions: There appear to be significant gaps in pandemic influenza and other infectious disease outbreak planning among the hospitals where ACEP DMS members work. This may reflect a broader underlying inadequacy of preparedness measures.
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Background: In 2011, Thailand was affected by the one of the worst flood disasters in recent times. Hospitals in Thailand were faced with the challenge of managing the health impacts from this natural disaster. The purpose of this...
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Background: In 2011, Thailand was affected by the one of the worst flood disasters in recent times. Hospitals in Thailand were faced with the challenge of managing the health impacts from this natural disaster. The purpose of this study was to assess flood disaster preparedness among hospitals in the central region of Thailand. Methods: A survey questionnaire was given to twenty-seven key people responsible for hospital disaster preparedness that experienced disruptions to health services (severely, moderately and slightly) during the flood disaster in 2011 in the central region of Thailand. Results: Of the twenty-four participating hospitals, not one had satisfied the standards in all the dimensions of flood disaster preparedness. All respondent hospitals were deficiently prepared with regard to surge capacity, the management of healthcare services and the management of the supporting systems. The availability of supplies and equipment were found to be in place but preparations were found to be inadequate in organizing staff at all participating hospitals. Trained staff members regarding disaster response were reported to be present in all respondent hospitals. Hospitals that experienced slightly disruptions to their health services did not elect to do any exercises to meet the set standards. None of the hospitals that experienced slightly disruptions to their health services performed any evaluation and improvement in terms of disaster preparedness.
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Purpose: This article is a descriptive analysis of rural nurses' perceived readiness to manage disaster situations. Design and Methods: The 58-item Disaster Readiness Questionnaire was used to survey hospital-based nurses from rur...
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Purpose: This article is a descriptive analysis of rural nurses' perceived readiness to manage disaster situations. Design and Methods: The 58-item Disaster Readiness Questionnaire was used to survey hospital-based nurses from rural communities in Texas during the summer of 2011. The data were collected by emailing a link through the various hospital intranet sites, resulting in a sample size of 620 nurses. Results: Findings revealed that most nurses are not confident in their abilities to respond to major disaster events. The nurses who were confident were more likely to have had actual prior experience in disasters or shelters. Self-regulation of behavior (motivation) was a significant predictor of perceived nurse competence to manage disasters only in regard to the nurse's willingness to assume the risk of involvement in a disaster situation. Healthcare climate (job satisfaction) was not a determinant of disaster preparedness. Conclusions: Global increases in natural and human-induced disasters have called attention to the part that health providers play in mitigation and recovery. Since nurses are involved in planning, mitigation, response, and recovery aspects of disasters, they should actively seek opportunities to participate in actual disaster events, mock drills, and further educational opportunities specific to disaster preparedness. Administrators must support and encourage disaster preparedness education of nurses to promote hospital readiness to provide community care delivery in the event of a disaster situation. Clinical Relevance: Nursing comprises the largest healthcare workforce, and yet there is very little research examining nurses' readiness for disaster.
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Disasters have the potential to cause great devastation, such as significant human, material and environmental loss. Due to the increase in disaster frequency and impacts, there has been a shift in focus from disaster recovery and...
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Disasters have the potential to cause great devastation, such as significant human, material and environmental loss. Due to the increase in disaster frequency and impacts, there has been a shift in focus from disaster recovery and response to disaster prevention. Preventative disaster management is essential in reducing and eliminating community disaster risk exposure. This paper conducts a comparative analysis of three past events including the 2011 Queensland floods, the Harrietville Community Emergency Management Plan and the Christchurch and Japan earthquakes. By combining the existing literature, secondary qualitative data analysis, a conceptual model of disaster management has been developed. The findings of this research include; the development of a conceptual model that present new concepts to improve the community resilience capabilities; identification of effective methodologies for developing community resilience; the potential implementation of social media as a preparedness strategy; and discussion on community empowerment and a shared responsibility amongst all agencies.
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The veterinary medical education system faces increasing challenges in educating students in the most current technologies while responding to changing community needs and expectations. Communities expect veterinarians to be invol...
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The veterinary medical education system faces increasing challenges in educating students in the most current technologies while responding to changing community needs and expectations. Communities expect veterinarians to be involved in disaster management at some level. The purpose of this study was to describe the level of disaster preparedness and educational needs of veterinary practitioners in Mississippi. A survey was mailed to 706 practitioners to assess disaster plans, disaster training, andfamiliarity with disaster-related organizations. Forty-three percent of veterinarians had a clinic disaster plan.Veterinary practitioners who had experienced a disaster were more likely to have a personal plan (odds ratio [OR] - 4.55,95% confidence interval [CI] = 2.47-8.37) and a clinic plan (OR = 4.1 1,95% CI = 2.28-7.44) than those who had not.Veterinarians residing in Mississippi Gulf Coast counties were more likely to have a personal plan (OR = 3.62, 95% CI = 1.54—8.72) and a clinic plan (OR = 3.09, 95% CI = 1.35-7.21) than were those residing in other areas. Only I 7% of veterinarians had assistance agreements with other practices, and few veterinarians indicated having disaster education materials available for their clients. Twenty percent ofrespondents indicated having obtained formal disaster training, and more than two-thirds of respondents were interested in receiving disaster training, mostly in the form of online delivery. Results suggest that private veterinary practitioners have thedesire and need to obtain disaster education. Providing opportunities for both veterinarians and veterinary students to obtain education in disaster management will result in better overall community disaster preparedness.
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Future nurses, both entry level and advanced practice, are pivotal to the nation's disaster response.They are critical frontline, acute, primary, and public health workers in the United States and internationally.To respond well, ...
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Future nurses, both entry level and advanced practice, are pivotal to the nation's disaster response.They are critical frontline, acute, primary, and public health workers in the United States and internationally.To respond well, they must be taught how to prepare and intervene appropriately.This preparation is multidimensional and includes not only concrete knowledge but mental, emotional, and ethical preparation for the realities of working and providing care while affected by chaos.Training should be experiential and reflective and expose students to the interprofessional nature of disaster planning and response. New nurses, as they enter practice, as the COVID-19 pandemic has demonstrated, may also take on the role of a frontline disaster responder.The ability to effectively respond and access available resources to care for patients is required. Schools of nursing and nursing faculty increasingly will be required to include disaster preparedness as an integral part of the nursing curriculum. ? 2022 American Association of Critical Care Nurses. All rights reserved.
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