Resilience and Challenges among Staff of Gulf Coast Nursing Homes Sheltering Frail Evacuees following Hurricane Katrina, 2005: Implications for Planning and Training
Resilience and Challenges among Staff of Gulf Coast Nursing Homes Sheltering Frail Evacuees following Hurricane Katrina, 2005: Implications for Planning and Training
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DOI：
10.1017/s1049023x00006543
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发表时间：
2009-02-01
影响因子：
2.2
通讯作者：
Richter, Jane V. E.
中科院分区：
文献类型：
--
作者：
Laditka, Sarah B.;Laditka, James N.;Richter, Jane V. E.
目的：本研究的目的是：（1）探讨工作人员在照顾受庇护的、虚弱的、卡特里娜飓风撤离人员方面的经验和反应;（2）确定如何加强对可能在灾害期间和灾害后照顾虚弱的老年人口的工作人员的规划和培训。在密西西比的四家疗养院，对38名工作人员进行了个人、面对面、半结构化的访谈，2005年11月，卡特里娜飓风过后9周，24人是直接护理人员，包括认证护理助理、持牌护士、饮食助理和社会工作者; 14人是支持人员，包括维修和业务经理。在每个疗养院接受采访的人数平均为9.5（范围6-15）。使用讨论指南，并侧重于他们的经验照顾养老院撤离，工作人员被要求描述：（1）经验;（2）问题;（3）有什么帮助;（4）学到了什么。数据处理采用扎根理论和专题分析。直接护理人员的反应不同的重点，从支持人员在几个领域，这些群体的反应进行了单独和一起分析。三名研究人员确定了反复出现的主题;两个有组织的主题conceptures.Results：工作人员强调提供情感保证疏散人员以及身体护理。许多人形容照顾撤离人员是“一种祝福”，说这段经历帮助他们与居民、撤离人员和其他工作人员建立了联系。然而，照顾撤离人员是困难的，因为工作人员在艰苦的撤离后极度焦虑，身体状况很差。面临的挑战包括与撤离人员的家人沟通，防止脱水，缺乏个人卫生用品，工作人员疲惫不堪，以及居民，撤离人员和工作人员的情感需求。团队合作，社区的帮助，并有一个组织良好的灾难计划，额外的供应，和可靠的工作人员帮助人员科普situation.Conclusions：工作人员的养老院，庇护卡特里娜飓风撤离人员表现出在灾难的后果恢复力。许多人把居民的福祉放在第一位。结果强调了规划、团队合作以及充足的供应和人员配备的重要性。对长期护理人员的培训应强调在灾害期间和灾害后为居民和疏散人员提供情感支持和身体护理。护士、社会工作者和其他负责促进养老院居民情感健康的工作人员应该做好应对灾难的准备。
Purpose: The purpose of this study was to: (1) explore experiences and responses of staff in caring for sheltered, frail, Hurricane Katrina evacuees; and (2) identify how planning and training can be enhanced for staff who may care for frail older populations during and after disasters.Methods: Individual, in-person, semi-structured interviews were conducted with 38 staff members in four nursing homes in Mississippi, sheltering 109 evacuees in November 2005, nine weeks after Hurricane Katrina. Twenty-four were direct care staff, including certified nursing assistants, licensed nurses, dietary aides, and social workers; 14 were support staff, including maintenance and business managers. The number interviewed in each nursing home averaged 9.5 (range 6-15). Using a discussion guide and focusing on their experiences caring for nursing home evacuees, staff were asked to describe: (1) experiences; (2) problems; (3) what helped; and (4) what was learned. Data were processed using grounded theory and thematic analysis. Responses of direct care staff differed in emphasis from those of support staff in several areas; responses from these groups were analyzed separately and together. Three of the researchers identified recurring themes; two organized themes conceptually.Results: Staff emphasized providing emotional reassurance to evacuees as well as physical care. Many described caring for evacuees as "a blessing," saying the experience helped them bond with residents, evacuees, and other staff. However, caring for evacuees was difficult because staff members were extremely anxious and in poor physical condition after an arduous evacuation. Challenges included communicating with evacuees'families, preventing dehydration, lack of personal hygiene supplies, staff exhaustion, and emotional needs of residents, evacuees, and staff. Teamwork, community help, and having a well-organized disaster plan, extra supplies, and dependable staff helped personnel cope with the situation.Conclusions: Staff of nursing homes that sheltered Katrina evacuees demonstrated resilience in the disaster's aftermath. Many placed the well-being of residents as their first priority. Results underscore the importance of planning, teamwork, and adequate supplies and staffing. Training for long-term care staff should emphasize providing emotional support as well as physical care for residents and evacuees during and following disasters. Nurses, social workers, and other staff members responsible for promoting emotional well-being for nursing home residents should be prepared to respond to disasters.