Collaborative Research: RUI: Ethics of Care and Compounded Disaster

合作研究：RUI：护理伦理和复合灾难

• 批准号: 2049565
• 负责人: Adriana Garriga-Lopez
• 金额: $ 12.93万
• 依托单位: Kalamazoo College
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-03-01 至 2023-05-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=2049565&HistoricalAwards=false
• 关键词: Collaborative; Research; RUI; Ethics; Care

When a disaster strikes, health care workers spring into response, treat the injured and aid the sick. But what happens when disasters keep happening, one after another? How do health care workers cope with the constant demands of disaster conditions? This project documents how health care workers responded to disaster conditions, cared for patients, and worked to rebuild the health care system following a major natural disaster. The research is important because disasters and health emergencies are becoming more frequent and more severe. Therefore, gathering data on how the health care work force responds emotionally to prolonged crisis conditions can aid in designing more effective responses. The broader impacts of this project include the training underrepresented students in anthropology and broadening participation for students underrepresented in science. Data from the project will be disseminated to improve healthcare delivery in post-disaster conditions. This project is jointly funded by Cultural Anthropology, and the Established Program to Stimulate Competitive Research (EPSCoR) This project examines whether the ethics of healthcare provisioning transform under conditions of "compounded disaster," through an investigation of disaster recovery in Puerto Rico, whose infrastructure was devastated by Hurricane Maria in 2017, and was still operating under conditions of sustained emergency at the onset of the COVID-19 pandemic. The central question of this research is: Did health care workers' experiences during and after Hurricane Maria transform their ethics of care? The ethics of care refers to the practices and self-understanding that guide and motivate those who do the work of caring for others. The investigators hypothesize that health care workers developed a new ethics of care that drew upon pre-existing cultural features, but reflects a new sense of solidarity, greater efficacy, and shared purpose forged in the aftermath of Hurricane Maria. The investigators anticipate that this new ethics of care has evolved or transformed through compounding disasters including earthquake swarms and COVID-19. The research design includes data collection through individual interviews, remote focus groups, and on-site participant observation. The project contributes to the scientific understanding of the underlying cultural processes through which disasters transform communities; whether compounded disasters have a geometric or exponential impact on these communities; and also, if the ethics of care fundamentally change under these circumstances. This project generates theory to explain the underlying cultural processes through which (1) disasters transform communities and (2) care workers forge practices and self-understandings that aid in the process of disaster recovery.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

当灾难发生袭击时，卫生保健工作者涌现出来，治疗受伤并帮助病人。但是，当灾难不断发生时会发生什么？卫生保健工作者如何应对灾难条件的不断需求？该项目记录了卫生保健工作者如何应对灾难状况，照顾患者，并在重大自然灾害后努力重建医疗保健系统。这项研究很重要，因为灾难和健康紧急情况变得越来越频繁，更严重。因此，收集有关卫生保健劳动力如何在情感上应对长期危机条件的数据可以帮助设计更有效的反应。该项目的更广泛影响包括培训人类学中代表性不足的学生以及对科学中代表性不足的学生的参与。该项目的数据将被传播，以改善灾后条件下的医疗保健服务。该项目是由文化人类学共同资助的，刺激竞争研究的既定计划（EPSCOR）该项目研究了在“复杂灾害”条件下，医疗保健提供转型的伦理是否是通过对波多黎各灾难恢复的调查来调查，该调查的基础设施在2017年的飓风玛丽亚遭到了越来越多的状态，并在2017年遭受了越来越多的情况，并在竞争中遇到了9次竞赛，并在竞赛中遇到了不断的情况。这项研究的核心问题是：玛丽亚飓风期间和之后的医疗保健工作者的经历是否改变了他们的护理道德？护理伦理是指该实践和自我理解，并激励那些从事照顾他人工作的人。调查人员假设卫生保健工作者开发了一种新的护理伦理，该伦理学以先前存在的文化特征，但反映了一种新的团结感，更大的效力和共同的目的，在玛丽亚飓风之后就伪造了。调查人员预计，这种新的护理道德伦理通过包括地震群和Covid-19的复杂灾难发展或改变了。研究设计包括通过个人访谈，远程焦点小组和现场参与者观察的数据收集。该项目有助于对灾难改变社区的基本文化过程的科学理解。复合灾难是否对这些社区产生几何或指数影响；而且，如果在这种情况下，护理伦理从根本上改变了。该项目生成了理论来解释（1）灾难改变社区的潜在文化过程，以及（2）护理人员锻造实践和自我理解，这些过程有助于灾难恢复过程。该奖项反映了NSF的法定任务，并认为通过该基金会的知识分子的知识和更广泛的影响，可以通过评估来进行评估。