Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Centre for Disability Research and Policy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Disabil Rehabil. 2020 Nov;42(22):3256-3264. doi: 10.1080/09638288.2019.1583781. Epub 2019 Mar 23.
Community-based service providers are optimally positioned to contribute to the inclusion of people with disability and chronic health conditions in community-level disaster risk reduction. However, little is known about how to enable emergency preparedness within existing community health care, disability, and rehabilitation service delivery. This study synthesised findings from a scoping review of the literature on how community-based service providers can enable emergency preparedness for clients in the community. Emphasis was placed on the practice scope of service providers undertaking this emerging role, the knowledge, skills and attitudes required to enable preparedness in others, and the current tools and training available to support service providers. Six electronic databases, hand and cited searches were undertaken to identify studies for inclusion. In total, 24 publications were included. Providers have competencies in conducting functional assessments that make them well-suited to enabling emergency preparedness with clients. Findings revealed seven provider responsibilities associated with this role and eight tools and training resources to support providers. Whilst community-based service providers are willing and optimally placed to enact these roles, they require additional support to do so in a manner that espouses values of inclusion and enablement.Implications for RehabilitationA wide range of community-based service providers are willing to leverage their role to enable emergency preparedness with clients in the community.Research is needed to understand how to optimise the expertise of diverse health care, disability and rehabilitation providers in facilitating emergency preparedness with clients.Strengths-based tools are needed to increase client self-sufficiency in preparing for and responding to emergencies.Enablement processes should guide the development of emergency preparedness as a critically important and emerging role for community-based service providers.Disability and rehabilitation professionals can use this scoping review to self-assess their capacity and develop opportunities to embed emergency preparedness into routine practice with clients.
社区服务提供商最适合为残疾人和慢性病患者融入社区层面的减少灾害风险做出贡献。然而，对于如何在现有的社区卫生保健、残疾和康复服务提供中实现应急准备，知之甚少。本研究综合了一项关于社区服务提供商如何为社区中的客户实现应急准备的文献范围审查的结果。重点放在服务提供商承担这一新兴角色的实践范围、使他人做好准备所需的知识、技能和态度，以及当前支持服务提供商的工具和培训。进行了六项电子数据库、手工和引用搜索，以确定纳入的研究。总共纳入了 24 篇出版物。服务提供商在进行功能评估方面具有能力，使他们非常适合与客户一起进行应急准备。研究结果揭示了与这一角色相关的七个提供者责任和八个工具和培训资源，以支持提供者。尽管社区服务提供商愿意并处于最佳位置来履行这些角色，但他们需要额外的支持，以便以包容和授权的价值观来履行这些角色。
康复的意义
广泛的社区服务提供商愿意利用他们的角色，为社区中的客户进行应急准备。
需要研究如何优化各种医疗保健、残疾和康复服务提供者在为客户提供应急准备方面的专业知识。
需要基于优势的工具来提高客户在为紧急情况做准备和应对紧急情况方面的自给自足能力。
赋权过程应指导应急准备的发展，这是社区服务提供商的一个至关重要和新兴的角色。
残疾和康复专业人员可以使用这项范围审查来自我评估他们的能力，并为将应急准备纳入与客户的常规实践中创造机会。
