Zhi Qi, Merrill Jacqueline A, Gershon Robyn R
1Phillip R. Lee Institute for Health Policy Studies,School of Medicine,University of California,San Francisco,San Francisco,CaliforniaUSA.
2School of Nursing and Department of Biomedical Informatics,Columbia University,New York,New YorkUSA.
Prehosp Disaster Med. 2017 Dec;32(6):596-603. doi: 10.1017/S1049023X17006665. Epub 2017 Jul 4.
Introduction Members of faith-based organizations (FBOs) are in a unique position to provide support and services to their local communities during disasters. Because of their close community ties and well-established trust, they can play an especially critical role in helping communities heal in the aftermath of a mass-fatality incident (MFI). Faith-based organizations are considered an important disaster resource and partner under the National Response Plan (NRP) and National Response Framework; however, their level of preparedness and response capabilities with respect to MFIs has never been evaluated. The purpose of this study was threefold: (1) to develop appropriate measures of preparedness for this sector; (2) to assess MFI preparedness among United States FBOs; and (3) to identify key factors associated with MFI preparedness. Problem New metrics for MFI preparedness, comprised of three domains (organizational capabilities, operational capabilities, and resource sharing partnerships), were developed and tested in a national convenience sample of FBO members.
Data were collected using an online anonymous survey that was distributed through two major, national faith-based associations and social media during a 6-week period in 2014. Descriptive, bivariate, and correlational analyses were conducted.
One hundred twenty-four respondents completed the online survey. More than one-half of the FBOs had responded to MFIs in the previous five years. Only 20% of respondents thought that roughly three-quarters of FBO clergy would be able to respond to MFIs, with or without hazardous contamination. A higher proportion (45%) thought that most FBO clergy would be willing to respond, but only 37% thought they would be willing if hazardous contamination was involved. Almost all respondents reported that their FBO was capable of providing emotional care and grief counseling in response to MFIs. Resource sharing partnerships were typically in place with other voluntary organizations (73%) and less likely with local death care sector organizations (27%) or Departments of Health (DOHs; 32%).
The study suggests improvements are needed in terms of staff training in general, and specifically, drills with planning partners are needed. Greater cooperation and inclusion of FBOs in national planning and training will likely benefit overall MFI preparedness in the US. Zhi Q , Merrill JA , Gershon RR . Mass-fatality incident preparedness among faith-based organizations. Prehosp Disaster Med. 2017;32(6):596-603.
引言 基于信仰的组织（FBO）成员在灾难期间处于为当地社区提供支持和服务的独特位置。由于他们与社区的紧密联系和已建立的信任，他们在帮助社区在大规模死亡事件（MFI）后恢复方面可以发挥特别关键的作用。基于信仰的组织被视为《国家响应计划》（NRP）和《国家响应框架》下的重要灾难资源和合作伙伴；然而，他们在应对MFI方面的准备水平和响应能力从未得到评估。本研究的目的有三个：（1）为该部门制定适当的准备措施；（2）评估美国FBO在MFI方面的准备情况；（3）确定与MFI准备相关的关键因素。问题 针对MFI准备情况制定了由三个领域（组织能力、运营能力和资源共享伙伴关系）组成的新指标，并在FBO成员的全国便利样本中进行了测试。
在2014年为期6周的时间内，通过两个主要的全国性基于信仰的协会和社交媒体分发在线匿名调查问卷来收集数据。进行了描述性、双变量和相关性分析。
124名受访者完成在线调查。超过一半的FBO在过去五年中对MFI做出了响应。只有20%的受访者认为大约四分之三的FBO神职人员能够应对MFI，无论是否存在有害污染。更高比例（45%）的人认为大多数FBO神职人员愿意响应，但只有37%的人认为如果涉及有害污染他们会愿意响应。几乎所有受访者都报告说他们的FBO有能力在应对MFI时提供情感关怀和悲伤辅导。资源共享伙伴关系通常与其他志愿组织建立（73%），与当地死亡护理部门组织（占27%）或卫生部（DOH；占32%）建立的可能性较小。
该研究表明，总体而言，人员培训方面需要改进，具体而言，需要与规划伙伴进行演练。在国家规划和培训中加强FBO的合作与参与可能会使美国在MFI准备方面整体受益。Zhi Q、Merrill JA、Gershon RR。基于信仰的组织在大规模死亡事件中的准备情况。《院前灾难医学》。2017；32（6）：596 - 603。
