Lane Sandi J, McGrady Elizabeth
a Department of Nutrition and Health Care Management , Boone , NC , USA.
J Gerontol Soc Work. 2018 Oct;61(7):751-774. doi: 10.1080/01634372.2017.1416720. Epub 2017 Dec 26.
Resilience approaches have been successfully applied in crisis management, disaster response, and high reliability organizations and have the potential to enhance existing systems of nursing home disaster preparedness. This study's purpose was to determine how the Center for Medicare and Medicaid Services (CMS) "Emergency Preparedness Checklist Recommended Tool for Effective Health Care Facility Planning" contributes to organizational resilience by identifying the benchmark resilience items addressed by the CMS Emergency Preparedness Checklist and items not addressed by the CMS Emergency Preparedness Checklist, and to recommend tools and processes to improve resilience for nursing homes. The CMS Emergency Preparedness Checklist items were compared to the Resilience Benchmark Tool items; similar items were considered matches. Resilience Benchmark Tool items with no CMS Emergency Preparedness Checklist item matches were considered breaches in nursing home resilience. The findings suggest that the CMS Emergency Preparedness Checklist can be used to measure some aspects of resilience, however, there were many resilience factors not addressed. For nursing homes to prepare and respond to crisis situations, organizations need to embrace a culture that promotes individual resilience-related competencies that when aggregated enable the organization to improve its resiliency. Social workers have the skills and experience to facilitate this change.
适应力方法已成功应用于危机管理、灾难应对和高可靠性组织，并有可能增强现有的养老院灾难准备系统。本研究的目的是通过识别医疗保险和医疗补助服务中心（CMS）“有效医疗保健设施规划的应急准备清单推荐工具”所涉及的基准适应力项目以及CMS应急准备清单未涉及的项目，来确定该清单如何促进组织适应力，并推荐提高养老院适应力的工具和流程。将CMS应急准备清单项目与适应力基准工具项目进行比较；相似的项目被视为匹配项。没有CMS应急准备清单项目匹配的适应力基准工具项目被视为养老院适应力方面的漏洞。研究结果表明，CMS应急准备清单可用于衡量适应力的某些方面，然而，有许多适应力因素未被涉及。为使养老院做好应对危机情况的准备，各组织需要营造一种促进个人适应力相关能力的文化，这些能力汇总起来可使组织提高其适应力。社会工作者具备促成这种变革的技能和经验。
