Examining and Enhancing Public Health Workers' Sense of Efficacy Toward Hurricane

检查和增强公共卫生工作者应对飓风的功效感

• 批准号: 8925228
• 负责人: Daniel Jeremy Barnett
• 金额: $ 0.37万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2015-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8925228
• 关键词: Examining; Enhancing; Public; Health; Workers

DESCRIPTION (provided by applicant): Local public health agencies (LPHAs) are at the heart of the public health emergency preparedness system, and their workers play critical roles in all disaster phases - including recovery. Despite this, LPHA workers' perceptions of efficacy toward disaster recovery challenges remain poorly understood. Of note, a substantial body of research has found perceived efficacy to be determinative of positively adaptive individual and collective behaviors in the face of challenges. It is therefore essential to understand LPHA workers' efficacy perceptions toward disaster recovery public health challenges, to identify relevant deficits in their perceived recovery-phase efficacy, and to develop evidence-based curricular approaches to address these deficits. Our proposed mixed-methods study will accomplish these goals in the context of Hurricane Sandy recovery, from the critical perspectives of LPHA workers whose jurisdictions were impacted by this disaster. Consonant with this goal, our aims are to: 1) Characterize the nature of operational challenges that LPHA workers face in Hurricane Sandy recovery efforts by investigating potential barriers to communicating and receiving needed information in recovery activities; impediments to recovery surveillance efforts, and how these impediments differ by types of surveillance activities; and hurdles to effective integration and coordination of recovery efforts between LPHAs and other organizations across the public health emergency preparedness system; 2) Apply a threat- and efficacy-based model to assess LPHA workers' perceptions and related beliefs toward Hurricane Sandy recovery operational challenges identified in Specific Aim 1, including: whether and how LPHA workers' perceived levels of efficacy toward Hurricane Sandy recovery activities differ by recovery phases per the National Disaster Recovery Framework; the roles, if any, that jurisdictional- and agency-level policies, legal authorities, and personal and household preparedness play in modifying LPHA workers' perceptions of threat and efficacy toward Hurricane Sandy recovery efforts; and whether LPHA workers perceive that their individual participation in Hurricane Sandy recovery activities meaningfully impacts their agencies' success in disaster recovery efforts; and 3) Gauge the effectiveness of a novel curricular intervention for boosting LPHA workers' efficacy perceptions toward the identified recovery challenges and for enhancing their motivation toward ongoing preparedness efforts. The value of this project to the public health emergency preparedness system is both practical and substantial, as it will provide much- needed data-driven insights and novel evidence-based approaches to optimize LPHA recovery and ongoing public health preparedness in the wake of Hurricane Sandy.

描述（由申请人提供）： 当地的公共卫生机构（LPASE）是公共卫生应急系统的核心，其工人在所有灾难阶段（包括康复）中起着关键作用。尽管如此，LPHA工人对灾难恢复挑战的疗效的看法仍然很少理解。值得注意的是，面对挑战时，大量的研究发现，感知的功效是确定的，确定了积极适应性的个体和集体行为。因此，必须了解LPHA工人对灾难恢复公共卫生挑战的有效性，以确定其感知的恢复阶段功效中的相关赤字，并开发基于证据的课程方法来解决这些缺陷。我们拟议的混合方法研究将从飓风桑迪恢复的背景下实现这些目标，从LPHA工人的批判角度，其管辖权受到这场灾难的影响。我们的目标是：1）表征LPHA工人在飓风桑迪恢复工作中面临的运营挑战的性质，通过调查沟通和接收所需的恢复活动所需信息的潜在障碍；恢复监视工作的障碍，以及这些障碍如何因监视活动的类型而差异；以及在公共卫生紧急准备系统中LPHAST与其他组织之间的有效整合和协调恢复工作的障碍； 2）应用基于威胁和功效的模型来评估LPHA工人对特定目标中确定的Sandy Recovery Operational挑战的感知和相关信念，包括：LPHA工人对飓风桑迪恢复活动的感知水平是否与国家灾难恢复框架有所不同；该管辖权和代理机构级别的政策，法律当局以及个人和家庭准备在修改LPHA工人对飓风桑迪恢复工作的威胁和效力的看法中所发挥的作用； LPHA工人是否认为自己参与飓风桑迪恢复活动有意义地影响其机构在灾难恢复工作中的成功； 3）衡量新的课程干预措施的有效性，以提高LPHA工人对确定的恢复挑战的功效和增强他们朝着持续的准备工作的动力增强的有效性。该项目对公共卫生紧急准备系统的价值既实用又实质性，因为它将提供急需的数据驱动的见解和新颖的基于证据的方法，以优化LPHA恢复和持续的公共卫生在飓风桑迪之后。