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社区风险评估的认知和实施面临的挑战。

Perceptions of community risk assessment and challenges to implementation.

机构信息

University of Louisville, School of Nursing, 555 South Floyd Street, Louisville, KY 40202, USA.

Richmond Fire Department, City of Richmond, 239 West Main Street, Richmond, KY 40475, USA.

出版信息

Burns. 2023 Dec;49(8):1866-1878. doi: 10.1016/j.burns.2023.06.008. Epub 2023 Jun 16.

Abstract

Quick, easy access to data-driven community risk assessment principles and to related community risk reduction activities can encourage fire departments to learn about, conduct, and complete district risk reduction practices. With the ultimate goal of creating web-based community risk assessment and community risk reduction resources, we first evaluated fire department needs. Over an eight-month period, a quantitative online survey was administered to officers from 45 unique fire departments in 44 Kentucky counties, with follow-up qualitative telephone interviews administered to 11 fire officials. Mixed-methods, sequential analysis of the data clarified the "what," "who," and "how" of risk analysis/reduction activities, noted what specific reduction activities departments used to prepare for and mitigate risk, and named specific facilitators and barriers to risk assessment and reduction. Respondents described data use for community risk assessment and for planning community risk reduction activities; how a lack of time, personnel, and funding impacts community risk assessment and community risk reduction activities; and how to involve both firefighters and the community in the process. Innovative solutions such as a website containing resources on how to assess community risk information along with resources such as community risk assessment/ reduction education, program planning, and tools, can assist departments to use community risk assessment data in the development of community risk reduction activities.

摘要

快速、便捷地获取基于数据的社区风险评估原则和相关社区风险降低活动的信息,可以鼓励消防部门了解、开展和完成地区风险降低实践。我们的最终目标是创建基于网络的社区风险评估和社区风险降低资源,因此首先评估了消防部门的需求。在八个月的时间里,我们向肯塔基州 44 个县的 45 个不同消防部门的官员发放了在线定量调查,对 11 名消防官员进行了后续的定性电话访谈。通过混合方法、对数据的顺序分析,明确了风险分析/降低活动的“是什么”“谁来做”“怎么做”,指出了部门用于准备和减轻风险的具体降低活动,并列举了风险评估和降低的具体促进因素和障碍。受访者描述了社区风险评估和规划社区风险降低活动中数据的使用方式;缺乏时间、人员和资金如何影响社区风险评估和社区风险降低活动;以及如何让消防员和社区都参与到这个过程中。创新的解决方案,如包含如何评估社区风险信息的网站,以及社区风险评估/降低教育、计划编制和工具等资源,可以帮助部门在制定社区风险降低活动时使用社区风险评估数据。

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