Measures of emergency preparedness contributing to nursing home resilience
Measures of emergency preparedness contributing to nursing home resilience
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DOI：
10.1080/01634372.2017.1416720
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发表时间：
2018-01-01
影响因子：
3.2
通讯作者：
McGrady, Elizabeth
中科院分区：
文献类型：
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作者：
Lane, Sandi J.;McGrady, Elizabeth
复原力方法已成功应用于危机管理，灾害响应和高可靠性组织，并有可能加强现有的养老院备灾系统。本研究的目的是确定医疗保险和医疗补助服务中心（CMS）“应急准备清单推荐的有效医疗保健设施规划工具”如何通过确定CMS应急准备清单所解决的基准弹性项目和CMS应急准备清单未解决的项目来促进组织弹性，并推荐工具和流程，以提高养老院的弹性。CMS应急准备清单项目与复原力基准工具项目进行了比较;相似的项目被视为匹配。没有CMS应急准备检查表项目匹配的弹性基准工具项目被认为是违反养老院弹性。研究结果表明，CMS应急准备清单可以用来衡量一些方面的弹性，但是，有许多弹性因素没有解决。对于养老院准备和应对危机情况，组织需要接受一种文化，促进个人的服从相关的能力，当聚合使组织能够提高其弹性。社会工作者拥有促进这种变化的技能和经验。
Resilience approaches have been successfully applied in crisis management, disaster response, and high reliability organizations and have the potential to enhance existing systems of nursing home disaster preparedness. This study's purpose was to determine how the Center for Medicare and Medicaid Services (CMS) "Emergency Preparedness Checklist Recommended Tool for Effective Health Care Facility Planning" contributes to organizational resilience by identifying the benchmark resilience items addressed by the CMS Emergency Preparedness Checklist and items not addressed by the CMS Emergency Preparedness Checklist, and to recommend tools and processes to improve resilience for nursing homes. The CMS Emergency Preparedness Checklist items were compared to the Resilience Benchmark Tool items; similar items were considered matches. Resilience Benchmark Tool items with no CMS Emergency Preparedness Checklist item matches were considered breaches in nursing home resilience. The findings suggest that the CMS Emergency Preparedness Checklist can be used to measure some aspects of resilience, however, there were many resilience factors not addressed. For nursing homes to prepare and respond to crisis situations, organizations need to embrace a culture that promotes individual resilience-related competencies that when aggregated enable the organization to improve its resiliency. Social workers have the skills and experience to facilitate this change.