University of Hawaii at Manoa School of Nursing, Honolulu, Hawaii, USA.
University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
J Community Health Nurs. 2024 Jul-Sep;41(3):189-202. doi: 10.1080/07370016.2024.2309375. Epub 2024 Feb 9.
This study sought an improved understanding of household emergency preparedness (EP) among Native Hawaiian, Pacific Islander, and Filipino (Indigenous Pacific People [IPP]) parents in Hawaii.
We conducted an exploratory qualitative descriptive study with 60-minute interviews occurring from October 2022 through March 2023. A semi-structured interview guide exploring participant household EP was employed.
Prospective participants were females who identified as IPP, caregivers of a 0-12-year-old child, spoke English, and received health services at a federally qualified health center clinic. Two researchers conducted qualitative content analysis on interview transcripts. Initial coding of transcripts identified broad categories or themes. The process was reviewed continuously to verify data and coding procedures. Three investigators independently verified final themes and subthemes.
Participants (N=25) were female, between 30-49 years of age (68%), had received some college education (60%), and were fully employed (68%). Major themes included: 1) Perceptions of family EP and current behaviors, 2) Barriers and challenges to family EP, and 3) Perspectives on strategies to improve family EP. Subthemes included risk perception for emergencies; family EP practices; health protection and pandemic preparedness; lack of knowledge and experience; social, cultural and economic barriers; and clinic-based, technology-driven, and community-based interventions.
Factors impeding access to healthcare services also impede family EP among IPP groups and their ability to mitigate the impact of future public health emergencies.
Targeted, innovative interventions, including ones led by health clinics and those that utilize technology, are needed to overcome common barriers faced and to facilitate the uptake of household EP behaviors among IPP families.
本研究旨在深入了解夏威夷的夏威夷原住民、太平洋岛民和菲律宾人（太平洋岛民[IPP]）父母的家庭应急准备（EP）情况。
我们进行了一项探索性的定性描述研究，采访时间为 2022 年 10 月至 2023 年 3 月，共 60 分钟。采用半结构式访谈指南探讨参与者家庭 EP。
潜在参与者为女性，自我认同为 IPP，是 0-12 岁儿童的照顾者，会说英语，并在联邦合格健康中心诊所接受医疗服务。两名研究人员对访谈记录进行了定性内容分析。对记录的初始编码确定了广泛的类别或主题。该过程不断进行审查，以验证数据和编码程序。三位研究人员独立验证了最终的主题和子主题。
参与者（N=25）为女性，年龄在 30-49 岁之间（68%），接受过一些大学教育（60%），并全职工作（68%）。主要主题包括：1）对家庭 EP 的看法和当前行为，2）家庭 EP 的障碍和挑战，3）改善家庭 EP 的策略观点。子主题包括对紧急情况的风险感知；家庭 EP 实践；健康保护和大流行病准备；缺乏知识和经验；社会、文化和经济障碍；以及基于诊所、技术驱动和社区的干预措施。
阻碍获得医疗服务的因素也阻碍了 IPP 群体的家庭 EP 及其减轻未来公共卫生紧急情况影响的能力。
需要有针对性的创新干预措施，包括由健康诊所牵头和利用技术的干预措施，以克服共同面临的障碍，并促进 IPP 家庭采取家庭 EP 行为。
