School of Nursing and Dental Hygiene, University of Hawai'i at Mānoa, Honolulu, HI.
Hawaii J Health Soc Welf. 2020 Aug 1;79(8):249-255.
The world's population is rapidly urbanizing. Today, the majority of people live in cities and many live in high-rise buildings. High-rise buildings pose many challenges with regards to occupant safety, including fire prevention and evacuation safety. The purpose of this study was to describe factors that influence fire safety behaviors among residents of high-rise buildings and the strategies that population health nurses can use to support health education for people living in high-rise environments. An exploratory, descriptive qualitative research design with purposive sampling was used. Twelve residents from 8 high-rise buildings in Honolulu, Hawai'i participated in this study. In-depth semi-structured interviews were conducted and recorded, followed by thematic analysis of the interview transcripts. Five key themes emerged from the study: (1) attitudes towards fire safety, (2) building fire safety culture, (3) perceived ability to prepare for fires, (4) intentions to prepare, and (5) occupant fire preparedness behaviors. Gaps in knowledge regarding high-rise building fire safety were identified that contributed to residents' risk and vulnerability. Fire safety is of relevance to all nurses who work with populations. Population health nursing practice addresses the health, safety, and emergency preparedness needs of clients and communities. More research should be done to improve understanding of fire safety behaviors among high-rise residents to help population health nurses and other professionals mitigate the risk of fire in residential high-rise buildings and keep individuals and families safe during actual emergencies.
世界人口正在迅速城市化。如今，大多数人生活在城市中，许多人生活在高层建筑中。高层建筑在居民安全方面带来了许多挑战，包括火灾预防和疏散安全。本研究旨在描述影响高层建筑居民消防安全行为的因素，以及人口健康护士可以用来支持生活在高层环境中的人们健康教育的策略。本研究采用了探索性、描述性的定性研究设计和目的抽样。来自夏威夷檀香山 8 栋高层建筑的 12 名居民参加了这项研究。进行了深入的半结构化访谈并进行了记录，然后对访谈记录进行了主题分析。研究中出现了五个关键主题：（1）对消防安全的态度，（2）建筑消防安全文化，（3）对火灾准备能力的感知，（4）准备的意图，以及（5）居民的火灾准备行为。确定了对高层建筑消防安全的认识差距，这些差距导致了居民的风险和脆弱性。消防安全与所有为人群服务的护士都有关。人口健康护理实践满足了客户和社区的健康、安全和应急准备需求。应该进行更多的研究，以增进对高层建筑居民消防安全行为的理解，帮助人口健康护士和其他专业人员减轻住宅高层建筑火灾的风险，并在实际紧急情况下保护个人和家庭的安全。
