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：
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
项目类别：
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

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 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）：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，给应急计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。尽管州和联邦对应急计划有要求，但越来越多的证据表明，长期护理机构对灾难的准备不足。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全面的应急准备课程来实现。根据本课程开发的基于计算机的培训材料将为长期护理所有者、管理人员和设施应急计划团队提供制定、实施和实践应急行动计划所需的知识、技能和工具。在第一阶段，研究人员召集了一个多学科专家咨询小组，讨论长期护理机构在制定和实施应急计划以及应对实际灾害事件时面临的挑战。咨询小组制定了详细的应急准备课程。研究人员在试点测试中对课程进行了评估，参与者包括来自辅助生活设施和熟练护理机构的 43 名业主、运营商和设施灾难协调员。后测试结果表明，所提供的课程提高了参与者与应急准备相关的知识、态度和预期实践。测试前到测试后的平均改进为 31.71%，在 0.0005 水平上显着。参与者根据六个标准（清晰度、实用性、重要性、兴趣、全面性和长度）对每个模块进行评估，表明对课程的强烈认可。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。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。该计划将在小型、中型和大型长期护理机构的全国现场测试中进行评估，采用随机前测/后测实验设计和对照组。现场测试还将包括对学员在培训前和培训后一个月的应急行动计划进行评估。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。考虑到与灾难相关的死亡和受伤风险，这项研究对于居民、设施所有者、工作人员和家庭成员至关重要。公共卫生相关性：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应急计划挑战。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。