East Carolina University, USA.
The University of Texas at Tyler, USA.
Nurs Ethics. 2020 Feb;27(1):184-193. doi: 10.1177/0969733019843621. Epub 2019 May 14.
Since 2010, the United States has experienced 228 disasters, affecting over 86 million people. Because of population shifts, the growing number of people living with chronic conditions or disabilities, and the growing number of older citizens living independently, access and service gaps often exist for those without money or other transferable resources. There is a lack of evidence regarding individual community members' capacity to prepare for emergencies.
The purpose of this study is to highlight participant experiences in becoming better prepared for emergencies and provide insight from a social justice perspective.
This is a descriptive qualitative study, staying very close to the data as an end product rather than a beginning for interpretation.
A total of 13 low-income, uninsured, or under-insured attendees at a medical outreach clinic were interviewed.
Institutional Review Board approval was obtained from the University of Texas at Tyler.
Four themes emerged from the interview data: (a) evaluation of the emergency-preparedness education, (b) making emergency plans, (c) challenges in preparing for emergencies, and (d) facilitators of emergency preparedness.
Identifying the potential challenges to individual emergency preparedness among vulnerable populations is the first step in overcoming them. The capacity to comply with such measures, especially the ability of those with limited incomes and other vulnerable populations, must be considered.
Synchronized, well-ordered assistance will close gaps in recovery and enhance efficiency in pre- and post-event aid. Theoretically, doing so will promote engaged and resilient members of society who are better able to withstand adverse events. The importance of the relationship between individual preparedness levels and the resiliency of nations supports the social justice imperative to address the needs of vulnerable populations in the mitigation and planning phase of the emergency management cycle.
自 2010 年以来,美国经历了 228 次灾害,影响了超过 8600 万人。由于人口转移、慢性病或残疾患者人数的增加以及独立生活的老年公民人数的增加,那些没有资金或其他可转让资源的人往往存在获得服务和服务差距。关于个人社区成员应对紧急情况的能力,缺乏证据。
本研究的目的是强调参与者在为紧急情况做好准备方面的经验,并从社会公正的角度提供见解。
这是一项描述性的定性研究,非常接近数据作为最终产品,而不是解释的开始。
共有 13 名低收入、没有保险或保险不足的医疗外展诊所的患者接受了采访。
得克萨斯大学泰勒分校获得了机构审查委员会的批准。
访谈数据中出现了四个主题:(a)对备灾教育的评估,(b)制定应急计划,(c)应急准备面临的挑战,以及(d)应急准备的促进因素。
确定弱势人群个体应急准备的潜在挑战是克服这些挑战的第一步。必须考虑到遵守这些措施的能力,特别是那些收入有限和其他弱势群体的能力。
协调有序的援助将缩小恢复差距,提高灾前和灾后援助的效率。从理论上讲,这样做将促进社会中积极参与和有弹性的成员,使他们更有能力承受不利事件。个人准备水平与国家弹性之间的关系的重要性支持了解决紧急情况管理周期缓解和规划阶段弱势群体需求的社会公正必要性。