A Haven of Last Resort: The Consequences of Evacuating Florida Nursing Home Residents to Nonclinical Buildings

Christensen, Janelle J.; Brown, Lisa M.; Hyer, Kathryn

doi:10.1016/j.gerinurse.2012.03.014

Cited by 11 publications

(20 citation statements)

References 14 publications

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“…Numerous reports written by federal, state, academic and professional associations described the successes, challenges, and lessons learned by affected communities in general and nursing homes specifically (Dosa et al 2008(Dosa et al , 2012Christensen et al 2012;Federal Emergency Management Association 2014;Hyer et al 2009;Laditka et al 2008;Smith and McCarty 2014). In contrast to a growing literature on disasters and nursing homes, comparatively little is known about the experiences of assisted living facility staff in responding to hurricane threat.…”

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confidence: 99%

Experiences of Assisted Living Facility Staff in Evacuating and Sheltering Residents During Hurricanes

et al. 2015

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The study examined Florida assisted living facility staff perspectives of disaster preparedness, response, and recovery after the 2004 and 2005 hurricanes. A descriptive study using qualitative and quantitative approaches. One hundred seventy Florida assisted living facility staff who worked in areas under hurricane threat and provided care to residents during a hurricane. A questionnaire that was mailed or administered to staff attending a regional planning conference with quantitative and qualitative items. Of the 143 facilities that were affected by a hurricane, 77 % reported that they sheltered residents in place, while 23 % indicated that they evacuated for one or more of the hurricanes. Almost one-third of facilities lost telephone service and almost half lost electrical power during one or more of the hurricanes. Key topics noted by both evacuating facilities and those that sheltered in place were 1) decision-making, 2) planning, support, and supplies, 3) communication, and 4) electricity. Unique to assisted living facilities is the role of residents' family in assuming responsibility for evacuation and shelter during hurricanes. Facility staff at both evacuating and sheltering facilities indicated that the decision to evacuate or to shelter in place was difficult and the electrical power was critical to resident well-being. Assisted living facilities should develop disaster preparedness plans in conjunction with local and state emergency offices. Adequate disaster preparedness has implications for residents' safety as well as assisted living facility staff during disasters.

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Experiences of Assisted Living Facility Staff in Evacuating and Sheltering Residents During Hurricanes

et al. 2015

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“…Most studies focused on the effect on the facility, patients, and staff as a whole, and administrators were identified as their key respondents. Two identified specific interviews with DoNs (Christensen et al, 2012;Laditka et al, 2009) and two studies interviewed or included data from ED nurses (Battles, 2007;Manley et al, 2006). This made it difficult to clearly identify the unique roles, competencies, and demands of nurses involved in a disaster.…”

Section: Functional Capability and Adaptive Demands On Nurses Often Hmentioning

confidence: 99%

Exploring the Demands on Nurses Working in Health Care Facilities During a Large-Scale Natural Disaster

2016

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Creative Commons CC-BY: This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Article BackgroundNo country is truly exempt from a disaster. History has already provided examples of what can happen to a community in the event of a large-scale natural disaster. Factors such as population growth and urban development are increasing the risk faced by populations worldwide. Climate change will increase the incidence, duration, and severity of hazards of meteorological origin. The risk of disaster and thus the human consequences is increasing. When disaster strikes, health care organizations, and particularly their nursing and medical staff, are a critical element in any disaster response. They provide an essential service to any community, and hospitals and emergency departments (EDs) are often the first place of call for people affected by any type of emergency. The nursing workforce makes up a large part of any health care facility and organization, and is expected to be able to adapt and function competently. In addition, nurses may have to adapt at a moment's notice to events that occur with little or no warning, and they may be called upon to function effectively in challenging circumstances for periods of weeks or months and in contexts where their own community has been affected. The nature, extent, and speed of recovery in areas impacted by adverse events such as natural disasters is thus influenced by the adaptive capacity and resilience of nurses and the health care organizations they represent.The aim of the integrative review was to provide an evidence-based approach and re-conceptualization of ideas and recommendations for natural disaster preparation, preparedness, and competencies for nurses using an ecological 655587S GOXXX10.1177/2158244016655587SAGE OpenScrymgeour et al. AbstractNurses are pivotal to an effective societal response to a range of critical events, including disasters. This presents nurses with many significant and complex challenges that require them to function effectively under highly challenging and stressful circumstances and often for prolonged periods of time. The exponential growth in the number of disasters means that knowledge of disaster preparedness and how this knowledge can be implemented to facilitate the development of resilient and adaptive nurses and health care organizations represents an important adjunct to nurse education, policy development, and research considerations. Although this topic has and continues to attract attention in the literature, a lack of systematic understanding of the contingencies makes it difficult to clearly differentiate what is known and what gaps remain in this literature. Providing a sound footing for future research c...

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“…10,14,15,18,20,46 Communication and lack of access to information, issues surrounding development and implementation of disaster shelters, and participation of the elderly in disaster planning were among the most often mentioned logistical issues. 10,14,15,18,20,46 Communication and lack of access to information, issues surrounding development and implementation of disaster shelters, and participation of the elderly in disaster planning were among the most often mentioned logistical issues.…”

Section: Logisticsmentioning

confidence: 99%

“…This lowfrequency, high-impact, resource-intensive disease process was mentioned with unexpected frequency. 4,20,21,34,41,44 All of this comes at a cost, and who pays for the services, supplies, personnel, and resources is not inconsequential. zzzz In addition to chronic disease management, the literature identified a need for policies and education regarding geriatricspecific triage, medication principles, and physiology in a resource constrained environment.…”

Section: Biophysical Aspects Of Carementioning

confidence: 99%

Multi-disciplinary Care for the Elderly in Disasters: An Integrative Review

Johnson

Ling

McBee

2014

Prehosp. Disaster med.

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Policies and guidance regarding evacuating versus sheltering in place are lacking. Tenets of elderly-focused disaster planning/preparation and clarification of legal and ethical standards of care and liability issues are needed. Functional capacity, capabilities, or impairments, rather than age, should be considered in disaster preparation. Older adults should be included in disaster planning as population-specific experts. Implications for Practice A multifaceted approach to population-specific disaster planning and curriculum development should include consideration of the biophysical and psychosocial aspects of care, ethical and legal issues, logistics, and resources.

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A Haven of Last Resort: The Consequences of Evacuating Florida Nursing Home Residents to Nonclinical Buildings

Cited by 11 publications

References 14 publications

Experiences of Assisted Living Facility Staff in Evacuating and Sheltering Residents During Hurricanes

Experiences of Assisted Living Facility Staff in Evacuating and Sheltering Residents During Hurricanes

Exploring the Demands on Nurses Working in Health Care Facilities During a Large-Scale Natural Disaster

Multi-disciplinary Care for the Elderly in Disasters: An Integrative Review

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