Preparing Long-Term Care Facilities for Natural and Man-Made Disasters

为自然灾害和人为灾害准备长期护理设施

基本信息

批准号：
7218520
负责人：
SUSAN S HARRINGTON
金额：
$ 10万
依托单位：
HARRINGTON SOFTWARE ASSOCIATES
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-04-01 至 2008-03-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7218520
关键词：
Access to Information Accident and Emergency department Address Administrator Age American Area Assisted Living Facilities Attitude Awareness Beds Biological Books CD-ROM Care given by nurses Caregivers Caring Centers for Disease Control and Prevention (U.S.)Cessation of life Characteristics Chronic Communities Computer software Computers Condition Continuing Education Control Groups Controlled Environment County Critical Care Development Development Plans Disaster Planning Disasters Discipline Discipline of Nursing Doctor of Philosophy Earthquakes Educational Curriculum Elderly Emergency Medicine Emergency Situation Employee Strikes Evaluation Event Exercise Experimental Designs Face Family member Film Fire - disasters Floods Focus Groups Follow-Up Studies Frail Elderly Friends Fright Geriatrics Gerontology Glass Goals Grant Growth Health Health Knowledge, Attitudes, Practice Health Systems Agencies Healthcare Heat Waves Hospitals Housing Human Resources Hurricane Incidence Industry Injury Institutes Instruction Internet Iodine-131 Human Serum Albumin Joint Commission on Accreditation of Healthcare Organizations Learning Left Licensing Life Location Long-Term Care Long-Term Effects Manuals Marketing Maryland Measures Medicine Methodist Church Mission Multimedia Natural Disasters Nuclear Reactor Accidents Nurses Nursing Homes Nursing Services Oklahoma Online Systems Operative Surgical Procedures Participant Personal Satisfaction Phase Physician Executives Policies Population Positioning Attribute Price Principal Investigator Procedures Process Property Provider Publishing Purpose Quality of life Randomized Readiness Recruitment Activity Research Research Personnel Resolution Resources Retirement Risk Risk Management Robin bird Role Role playing therapy Safety Sales Seasons Security Sensory Services Sexuality Shelter facility Silver Skilled Nursing Facilities Small Business Funding Mechanisms Small Business Innovation Research Grant Specialist Surveys Target Populations Test Result Testing Texas Text Tornadoes Training Training Programs United States Universities Update Veterans Virginia Walkers Washington Water Work Writing animation base caregiver education cognitive function commercial application commercialization day design ergonomics experience improved injury prevention innovation member multidisciplinary pandemic disease professor programs response sound

项目摘要

DESCRIPTION (provided by applicant): Frail older adults represent one of the highest risk populations in disaster events. Characteristics of older adults in long-term care, including impaired physical mobility, reduced cognitive functioning, diminished sensory awareness, and chronic health conditions, create unique disaster planning challenges. When should a facility evacuate? Where will residents take shelter? How will they be transported? These are all difficult questions that long-term care facility owners and operators face. Despite JCAHO, state and federal requirements for disaster planning, there is growing evidence that suggests long-term care facilities are ill-prepared for a disaster. In addition, despite the need for training, a comprehensive, validated disaster planning program is not currently available to assist long-term care facilities with the development, implementation, and evaluation of a disaster plan. The purpose of the proposed research is to reduce the risk of disaster-related deaths and injuries to older adults in long-term care. This goal will be accomplished through the development and evaluation of a comprehensive disaster preparedness curriculum. The audience for this program will include owners, operators, and disaster coordinators of large and small long-term care facilities who care for older adults, including skilled nursing facilities and assisted living facilities. During Phase I, researchers will convene a multidisciplinary focus group of experts to discuss the challenges long-term care facilities face when developing and implementing a disaster plan and responding to an actual disaster event, including lessons learned from previous disasters. The advisory group will develop a detailed disaster preparedness curriculum. Researchers will convene a focus group of owners, operators, and facility disaster coordinators to evaluate the curriculum. During Phase II, the curriculum will be the basis for the development of an interactive, computer-based training program. The program will be evaluated in a national field test. Modules will combine text, graphics, animation, sound, and high-resolution video to create a fully-interactive media-rich, learner-controlled environment. The program will provide branching to allow learners to access information related to specific types of disasters. It will include interactive checklists that allow learners to enter information about their facilities to generate a customized disaster plan. A tutorial format will guide learners step-by-step through the plan development so that critical information is not overlooked. The program will also generate customized lesson plans that administrators can use for staff in-service disaster training and role-play activities. This proposed project supports the National Institute on Aging's mission "to improve the health and well- being of older Americans." Considering the risk of disaster-related death and injury, the research is critically important to residents, facility owners, and staff. Frail older adults represent one of the highest risk populations in disaster events. Characteristics of older adults in long-term care create unique disaster planning challenges for staff. This project will seek to reduce the incidence of disaster-related deaths and injuries through the development and distribution of a comprehensive and validated disaster preparedness curriculum.

描述（由申请人提供）：体弱的老年人是灾害事件中风险最高的人群之一。长期护理中的老年人的特征，包括身体活动能力受损、认知功能下降、感官意识减弱和慢性健康状况，给灾难规划带来了独特的挑战。设施应何时疏散？居民将去哪里避难？它们将如何运输？这些都是长期护理机构所有者和经营者面临的难题。尽管 JCAHO、州和联邦对灾难规划提出了要求，但越来越多的证据表明，长期护理机构对灾难的准备不足。此外，尽管需要培训，但目前还没有全面、经过验证的灾难规划计划来协助长期护理机构制定、实施和评估灾难计划。拟议研究的目的是降低长期护理中的老年人因灾害而死亡和受伤的风险。这一目标将通过开发和评估综合备灾课程来实现。该计划的受众将包括照顾老年人的大型和小型长期护理设施的所有者、经营者和灾难协调员，包括熟练的护理设施和辅助生活设施。在第一阶段，研究人员将召集一个多学科专家焦点小组，讨论长期护理机构在制定和实施灾害计划以及应对实际灾害事件时面临的挑战，包括从以往灾害中吸取的教训。咨询小组将制定详细的备灾课程。研究人员将召集一个由业主、运营商和设施灾难协调员组成的焦点小组来评估课程。在第二阶段，课程将成为开发交互式、基于计算机的培训计划的基础。该计划将在国家现场测试中进行评估。模块将结合文本、图形、动画、声音和高分辨率视频，创建一个完全交互式、丰富的媒体、学习者控制的环境。该计划将提供分支，使学习者能够访问与特定类型灾难相关的信息。它将包括交互式清单，允许学习者输入有关其设施的信息以生成定制的灾难计划。教程格式将指导学习者逐步完成计划制定，这样就不会忽视关键信息。该计划还将生成定制的课程计划，管理员可以将其用于员工在职灾难培训和角色扮演活动。该拟议项目支持国家老龄化研究所“改善美国老年人的健康和福祉”的使命。考虑到与灾害相关的死亡和受伤风险，这项研究对于居民、设施所有者和工作人员至关重要。体弱的老年人是灾害事件中风险最高的人群之一。长期护理中老年人的特点给工作人员带来了独特的灾难规划挑战。该项目将寻求通过开发和分发全面且经过验证的备灾课程来减少与灾害有关的死亡和伤害的发生率。