To evacuate or not to evacuate. lessons learned from Louisiana nursing home administrators following Hurricanes Katrina and Rita
To evacuate or not to evacuate. lessons learned from Louisiana nursing home administrators following Hurricanes Katrina and Rita
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DOI：
10.1016/j.jamda.2006.11.004
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发表时间：
2007-03-01
影响因子：
7.6
通讯作者：
Mor, Vincent
中科院分区：
文献类型：
--
作者：
Dosa, David M.;Grossman, Nancy;Mor, Vincent
目的：为了评估路易斯安那州疗养院（NH）行政主管（ADS）被迫做出有关居民撤离卡特里娜飓风和丽塔飓风前的决定，并确定如何应急规划已经改变了这些NHs.Design的“经验教训”：二十个深入的电话采访，然后由焦点小组在新奥尔良进行。2005年8月至9月期间，受影响的国家卫生机构雇用了20名ADS。测量：定性数据来源包括转录的电话和焦点小组访谈。数据进行了分析，使用叙述性总结分析和描述性数据制成表格，使用抽象tool.Results：9的20个NHs撤离前的飓风和11庇护到位。风暴过后又有6名NHS撤离。与疏散过程相关的最常见的感知后果是居民发病率或死亡率（6/15），交通问题（5/15）和人员配备不足（3/15）。在庇护到位的国家卫生机构中，常见的调查结果包括供应短缺（11个中的8个）、设施损坏（11个中的5个）和人员配备问题（11个中的4个）。结论：受访者在访谈和焦点小组会议期间注意到4个一般主题：（1）在飓风期间和之后，ADS感到被州和联邦应急反应机构抛弃，并且仍然认为他们不是优先事项;（2）疏散虚弱的NH居民存在实质性的身体和技术困难;（3）无论疏散决定如何，人员保留仍然是一个关键问题;（4）可以将关键的“经验教训”纳入未来的灾难规划。
Objectives: To evaluate the "lessons learned" by Louisiana Nursing Home (NH) administrative directors (ADS) forced to make decisions relating to resident evacuation before Hurricanes Katrina and Rita and determine how emergency planning has changed in those NHs.Design: Twenty in-depth telephone interviews followed by a focus group conducted in New Orleans.Setting: Louisiana NHs in parishes affected by Hurricanes Katrina and Rita.Participants: Twenty ADS employed by affected NHs during August and September 2005.Measurements: Qualitative data sources consisted of transcribed telephone and focus group interviews. Data were analyzed using narrative summary analysis and descriptive data were tabulated using an abstraction tool.Results: Nine of 20 NHs evacuated before the hurricanes and 11 sheltered in place. Six additional NHs evacuated following the storms. The most common perceived consequences related to the evacuation process were resident morbidity or mortality (6 of 15), transportation issues (5 of 15), and staffing deficiencies (3 of 15). Common findings among the NHs that sheltered in place included supply shortages (8 of 11), facility damage (5 of 11), and staffing issues (4 of 11).Conclusion: Respondents noted 4 general themes during the interviews and focus group session: (1) ADS felt abandoned by the state and federal emergency response apparatus during and after the hurricanes, and continue to feel that they are not a priority; (2) there is substantial physical and technical difficulty in evacuating frail NH residents; (3) staff retention remains a critical problem regardless of the evacuation decision; (4) there are key "lessons learned" that can be incorporated into future disaster planning.