Lavin Roberta, Goodwin Veenema Tener, Calvert Wilma J, Grigsby Sheila R, Cobbina Jennifer
College of Nursing, University of Missouri-St Louis (Drs Lavin and Calvert and Ms Grigsby); Department of Community and Public Health, Johns Hopkins University School of Nursing, Baltimore, Maryland (Dr Goodwin Veenema); Center for Refugee and Disaster Response, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland (Dr Goodwin Veenema); and School of Criminal Justice, Michigan State University, East Lansing (Dr Cobbina).
Nurs Adm Q. 2017 Apr/Jun;41(2):164-169. doi: 10.1097/NAQ.0000000000000223.
Inequalities in society, culture, and finance have resulted in civil unrest, rioting, and intentional violence throughout our history. Nowhere is this currently more apparent than in the cities of Ferguson and Baltimore. It is not the civil unrest itself, but the resulting rioting and intentional violence that can create a disaster situation. This increases the care burden of health care providers during times when the governmental structure may be overwhelmed or functioning in a less than optimal manner. Beginning with the death of Michael Brown, civil unrest over the last 2 years has necessitated a closer examination of the role nurse leaders play in preparing their staff and facilities for potential results of this civil unrest. The similarities between the results of rioting and violence and natural disaster are obvious, but the differences are significant. Without adequate preparation, providers may not offer the appropriate response. Attention to the 10 "musts" for preparedness for civil unrest will facilitate a planning process and provide for a better response and recovery when communities face these issues.
社会、文化和金融方面的不平等在我们的历史上引发了内乱、骚乱和蓄意暴力。目前，这一点在弗格森和巴尔的摩等城市最为明显。造成灾难局面的并非内乱本身，而是随之而来的骚乱和蓄意暴力。在政府结构可能不堪重负或运作不太理想的时候，这增加了医疗保健提供者的护理负担。自迈克尔·布朗去世以来，过去两年的内乱使得有必要更深入地审视护士领导者在让其员工和机构为内乱可能产生的后果做准备方面所发挥的作用。骚乱和暴力的后果与自然灾害之间的相似之处显而易见，但差异也很显著。如果没有充分准备，医疗保健提供者可能无法做出适当反应。关注应对内乱的10项“必须做的事”将有助于规划过程，并在社区面临这些问题时提供更好的应对和恢复措施。
