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

• 批准号: 7536966
• 负责人: SUSAN S HARRINGTON
• 金额: $ 46.73万
• 依托单位: HARRINGTON SOFTWARE ASSOCIATES
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-04-01 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7536966
• 关键词: Access to Information; Address; Administrator; Advisory Committees; Affect; Age; Agreement; American; Appendix; Area; Assisted Living Facilities; Attitude; Awareness; Back; CD-ROM; California; Care given by nurses; Caring; Cessation of life; Chairperson; Characteristics; Chronic; Communities; Computer software; Computers; Condition; Control Groups; Controlled Environment; Decision Making; Development; Development Plans; Disaster Planning; Disasters; Discipline; Doctor of Philosophy; Educational Curriculum; Elderly; Elements; Emergency Medicine; Emergency Situation; Evaluation; Event; Experimental Designs; Face; Failure; Family member; Film; Fire - disasters; Focus Groups; Food; Frail Elderly; Friends; Gerontology; Glass; Goals; Grant; Health; Health Knowledge, Attitudes, Practice; Hospitals; Housing; Human Resources; Hurricane; Incidence; Independent Living; Industry; Injury; Institutes; Instruction; Internet; Knowledge; Learning; Length; Licensing; Life; Location; Long-Term Care; Manuals; Maryland; Medical Records; Medicine; Methodist Church; Mission; Multimedia; Nursing Homes; Nursing Services; Online Systems; Operative Surgical Procedures; Participant; Personal Satisfaction; Pharmaceutical Preparations; Phase; Policies; Population; Positioning Attribute; Principal Investigator; Printing; Procedures; Process; Provider; Public Health; Publishing; Purpose; Randomized; Range; Rate; Readiness; Reporting; Research; Research Personnel; Resolution; Retirement; Risk; Risk Management; Robin bird; Role; Role playing therapy; Safety; Score; Seasons; Sensory; Services; Shelter facility; Site; Skilled Nursing Facilities; Small Business Funding Mechanisms; Small Business Innovation Research Grant; Specialist; Suggestion; Target Populations; Test Result; Testing; Texas; Text; Training; Training Programs; United States Dept. of Health and Human Services; Universities; Update; Veterans; Virginia; Walkers; Washington; Water; Work; Writing; animation; base; caregiver education; cognitive function; design; experience; gulf coast; hazard; improved; innovation; instrument; interest; member; multidisciplinary; programs; response; size; skills; sound; tool; user-friendly

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 emergency 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 state and federal requirements for emergency planning, there is growing evidence that suggests long-term care facilities are ill-prepared for a disaster. 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 emergency preparedness curriculum. The computer-based training materials developed from this curriculum will provide long-term care owners, administrators, and facility emergency planning teams with the knowledge, skills, and tools they need to develop, implement, and practice an emergency operations plan. During Phase I, researchers convened a multidisciplinary advisory group of experts to discuss the challenges long-term care facilities face when developing and implementing an emergency plan and responding to an actual disaster event. The advisory group developed a detailed emergency preparedness curriculum. Researchers evaluated the curriculum in a pilot test with 43 owners, operators, and facility disaster coordinators from assisted living facilities and skilled nursing facilities. Posttest results suggest that the curriculum as presented improved the participants' knowledge, attitudes, and intended practices related to emergency preparedness. The average improvement from pre to posttest was 31.71%, which was significant at the .0005 level. Participant evaluation of each module on six criteria (clarity, usefulness, importance, interest, comprehensiveness, and length) suggests a strong approval of the curriculum. During Phase II, the curriculum will be the basis for the development of an interactive, computer-based training program. Modules will combine text, graphics, animation, sound, and high-resolution video to create a fully-interactive media-rich, learner-controlled environment. The program will be evaluated in a national field test with small, medium, and large long-term care facilities, using a randomized pretest/posttest experimental design with a control group. The field test will also include an evaluation of participants' emergency operations plans prior to the training and one month after the training. 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, staff, and family members. PUBLIC HEALTH RELEVANCE: Frail older adults represent one of the highest risk populations in disaster events. Characteristics of older adults in long-term care create unique emergency 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 emergency preparedness curriculum.

描述（由申请人提供）：脆弱的老年人是灾难事件中风险最高的人群之一。老年人在长期护理中的特征，包括身体移动性受损，认知功能降低，感觉意识降低以及慢性健康状况，带来了独特的紧急计划挑战。设施应何时撤离？居民将在哪里庇护？它们将如何运输？这些都是长期护理机构所有者和运营商面临的困难问题。尽管州和联邦对紧急计划的要求，但越来越多的证据表明，长期护理机构为灾难做好了准备。拟议研究的目的是减少长期护理中老年人与灾难有关的死亡和伤害的风险。该目标将通过开发和评估全面的紧急准备课程来实现。该课程开发的基于计算机的培训材料将为长期护理人员，管理人员和设施紧急计划团队提供他们开发，实施和实践紧急操作计划所需的知识，技能和工具。在第一阶段，研究人员召集了一个多学科咨询专家小组，讨论在制定和实施紧急计划并响应实际灾难事件时，长期护理设施面临的挑战。咨询小组开发了详细的应急准备课程。研究人员在辅助生活设施和熟练的护理设施的43个所有者，运营商和设施灾难协调员的试点测试中评估了课程。测试后的结果表明，提供的课程提高了参与者的知识，态度和与应急准备有关的预期实践。从预测试到后的平均改善为31.71％，在.0005水平上显着。参与者在六个标准（清晰，有用性，重要性，利益，全面性和长度）上对每个模块进行评估表明了课程的批准。在第二阶段期间，课程将是开发基于计算机的培训计划的基础。模块将结合文本，图形，动画，声音和高分辨率视频，以创建一个完全相互交互的媒体，学习者控制的环境。该计划将在国家实地测试中使用小型，中和大型长期护理设施进行评估，并使用对照组进行随机测试/后测试实验设计。现场测试还将在培训之前和培训后一个月内对参与者的紧急操作计划进行评估。这项拟议的项目支持美国国家衰老的使命“改善美国人的健康和福祉”。考虑到与灾害有关的死亡和伤害的风险，这项研究对居民，设施所有者，员工和家庭成员至关重要。公共卫生相关性：脆弱的老年人是灾难事件中最高风险人群之一。长期护理中老年人的特征为员工带来了独特的紧急计划挑战。该项目将寻求通过开发和分发全面且经过验证的应急准备课程来减少与灾害有关的死亡和伤害的发生率。