NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

Disaster Recovery Plan (DRP)

Hello, I am _________! Welcome to my presentation on a detailed process for devising an effective plan for disaster recovery. 

In order to ensure the responsibility and efficiency of a healthcare facility, the organization needs to be well-prepared for any unforeseen circumstances, and disasters are one of these circumstances. In this presentation (NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)), I will discuss the factors that need consideration in preparing for and managing a disaster for a healthcare facility to be effective. The content of this presentation is as follows. 

  1. Introduction to Disaster Recovery Planning 
  2. Social, Cultural, and Economic determinants influencing the disaster management practices in the community
  3. Proposing DRPs using the MAP-IT Framework put forth by Healthy People 2020
  4. Disaster Management Plan in alleviating barriers to health disparities
  5. Governmental policies and disaster recovery practices
  6. Strategies to improve disaster management concerning communication and collaboration

Significance and Need for Disaster Recovery Plan (DRP)

To begin with, let us discuss what a Disaster Recovery Plan is and why it is needed. It is a known fact that natural calamities are unpredicted and unavoidable simultaneously and can substantially impact cohorts and communities with their aftereffects. Recovery from these disasters, such as floods, hurricanes, and earthquakes, is a significant concern of the community and requires collective efforts to plan an emergency response to the unforeseen hazards caused naturally to the population.

A disaster recovery plan (DRP) is necessary to ensure a streamlined response to an emergency or disaster. DRPs are essential to generate and provide solutions regarding the problems caused based upon assessing the nature of the catastrophe (Kusumastuti et al., 2021). In order to reflect more on the significance and the factors affecting the efficiency of a DRP, my discussions will encompass train-derailing incidents that put a burden on Valley City Regional Hospital management.

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NURS FPX 4060 Assessment 2 Community Resources

Scenario 

In this assessment, a man-led disaster recently posed an emergency care situation for the Valley City Regional Hospital. The incident characterized the derailing of a train. Since the train was an oil-tanker vehicle, the derailment ended in fire and explosion, which caused the loss of six lives. The catastrophic event not only posed emergency harm to the region but also caused long-term adverse effects to the survivors, property, leveling near the railroads, and contamination of waterbodies with the oil leakage. However, the hospital administration needed more resources and planning to respond promptly to this disaster. The admitted patients were reported to be exposed to despaired and low-quality measures of care during the hazard. 

Social, Cultural, and Economic Determinants of Safety in Disaster Management 

Surviving in an environment is different for every individual inhabiting a community. Demographic attributes of individuals such as peer groups and family ties, income level, external environment, educational background, and place of living are primary factors that define the extent and orientations of facilitation by care-providing teams in case of a disaster. The patients’ identities affected by disasters and external environmental factors such as cultural, social, and economic concerns influence the quality of care delivered to the patients. 

Cultural Competency in Disaster Recovery Planning

Sensitivity to culture is considered a significant factor in delivering patient-centered care as it involves the patients’ directions of attitudes, responsivity, and sentiments associated with their racial or ethnic backgrounds (Young & Guo, 2020). Considering the road accident case with multiple severe injuries and harm to the community inhabitants, cultural sensitivity was witnessed. The language barrier is a fundamental aspect of individuals’ cultural values, and one elderly French woman injured in the accident was taken to the hospital. The staff of Valley City Regional Hospital, being non-proficient in multilingual dealings, needed help comprehending the patient’s communication about how she felt after the injury. Therefore, the cultural barrier affects the implementation of DRP. 

Social Concerns in Disaster Recovery Planning 

One of the major social concerns of communities across the globe is ensuring social justice and fair dealings for patients in the context of healthcare and facilitation. It is evaluated from the politically and racially differential practices embedded in the history of American civilization that inequality prevails and also affects the measures of medical facilitation and healthcare.

Social justice is hence the primary expectation of the individuals inhabiting a community marked by an equal degree of caregiving for all patients after a disaster (Qiang, 2019). Valley City Regional Hospital was incompetent in dealing with a Latino patient according to the principles of health equity. At the same time, he was merely given primary aid. Therefore, there is a need to remove social concerns to make the implementation of DRP effective. 

Economic Limitations in Disaster Recovery Planning 

The economy is a substantial demographic concern in providing effective care to patients affected by a catastrophic event. The financial status and affordability factor of the community inhabitants should be prioritized in devising a disaster recovery plan. This is as lack of resources and finances to avail the medical aids and services tends to be a disaster in itself as it leads to significant loss of lives or disabilities among the patients affected by natural disasters.

This poses a responsibility upon the healthcare facilities to adhere to practices of medical coverage and affordable treatments for the homeless, lower-income, and financially unstable individuals (Botzen et al., 2019). The rationale is to promote maximum protection and safety of community members. However, Valley City Regional Hospital failed to provide emergency medical facilitation to some individuals injured after the road accident as they belonged to lower income and could not afford the treatments. Therefore, the economic barrier must be removed to make the DRP effective. 

Interrelationship of the Factors

Analysis revealed that the social, economic, and cultural factors are all interrelated concerning equitable disaster recovery. The lack of financial resources will lead to social barriers, i.e., poverty. The social factor of racism is common in minorities, which enhances cultural barriers (Benfer et al., 2021). Therefore, all the barriers are interconnected. If one increases, it will also raise another one. 

Need for proposing a Disaster Recovery Plan applying the MAP-IT. 

At Valley City Regional Hospital, the protocols of caregiving and facilitation were found inadequate hence a prompt DRP was needed as per assessments of the train derailing and fire incident. The DRP is to be proposed to address the ambiguities of disaster management practices of a healthcare facility. MAP-IT is a recognized approach proposed by Healthy People 2030 that effectively plans and evaluates healthcare interventions to ensure quality care, particularly in recovering from the adversity of natural disasters.

The approach effectively devises an organized, time-oriented plan for disaster recovery through the five necessary steps of mobilization, assessment, planning, implementation, and tracking (Office of Disease Prevention and Health Promotion, 2019). The procedure to devise a DRP according to the MAP-IT framework is as follows; 

Step 1: Mobilize; The first step is to mobilize the volunteers in the community willing to contribute to the cause of well-being and form a coalition of health professionals responsible for handling the train-derailing catastrophe and working for the healthcare of affected patients.

Step 2: Assess; The second step is to examine the available community resources and determine the community’s needs to be addressed according to the available resources. This step is to be done by the healthcare professionals to ensure the community’s socioeconomic, cultural, and personal needs are prioritized by the DRP to be implemented. 

Step 3: Plan; The third step is devising a plan of action to manage disasters. It includes distributing the available resources to address the assessed needs of the community inhabitants and allocating deadlines and milestones to the plan for productive completion. 

Step 4: Implement; This step refers to the execution of the devised plan of DRP formulation and practicing the appropriate strategies to address the assessed needs of the patients. 

Step 5: Tracking; This step is a monitoring phase to performance in terms of implementing the DRP to ensure a resilient community before, during, and after a disastrous outbreak (Community Tool Box, 2019).

Strategies for Reduced Health Disparities

As reviewed, one of the fundamental determinants of the effectiveness of a DRP executed by a healthcare facility ought to be ensuring social justice and equal opportunity of accessing high-quality facilitation to all patients in the post-disaster phase. The interrelationship of the assessed determinants of safety in a DRP tends to suggest ways to ensure healthcare equity for the affected patients. It is to be endorsed that a healthcare facility’s ethical capability is ensured by how it handles an emergency and provides well-coordinated care measures to the patients (Sabatello et al., 2020).

Social Justice and Cultural Sensitivity

Social justice and cultural sensitivity are fundamental to giving patients equal access to care. Since the team of registered nurses is at the frontline in interacting with the patients and providing them with primary care, the equitability of the DRP depends upon their performance (McFarland & MacDonald, 2019). 

The following strategies assure the effectiveness of a DRP by removing the barriers of health disparities;

  1. Establishing effective communication; To ensure equity and equality in the treatments and care provided to the patients after natural or man-led disasters, the nurses should establish compassionate and 
  2. Recovery objectives; Cultural competency will ensure an apt knowledge of the community’s preferences and expectations about caregiving, cultural orientations concerning the occurrence of disasters, and the available community resources (Monteil et al., 2020).

Impact of Governmental Policies on Disaster Recovery Plan

Government and administrative institutions’ roles are significant in devising legitimate municipal, national, and local disaster management. Policies devised by the government help healthcare organizations to cope with disastrous situations. Various community organizations work in the region to manage emergencies. 

Federal Emergency Management Agency

The Federal Emergency Management Agency (FEMA) is the US’s most active and significant organization. It has a national framework for emergency response that has effectively recovered from emergency cases in the US in coordination with 28 forces deployed at different tribal locations (FEMA, 2021). Being the central organization in the US working on the agenda of managing emergencies or disasters, it ensures adherence to specific laws and legislations to depict credibility, administrative approval, and obligatory implementation of its DRPs (Rando, 2021). The policies are as follows.

The Stafford Act of 1988

The legislative is the primary law administering the working of the DRPs and disaster relief initiatives of community organizations like FEMA. Under the law, financial and resource-based aid is provided to State, non-profit sectors, and local governments to relieve calamities after catastrophes (Perls, 2020). 

The Disaster Recovery Reforms Act of 2018 (DRRA)

The policy works on the post-disaster agenda about restoring social resilience and reconciliation for the communities (Kushma, 2021).

The Emergency Medical Treatment & Labor Act of 1986 (EMTALA) 

This policy encompasses the availability of emergency caregiving and treatment services to the community based on equity, affordability, and medical coverage (Brown & Brown, 2019).

Healthy People 2030 Plan

The agenda revolves around the rule of preparedness for unforeseen calamities and natural disasters. It follows the objectives of collective efforts to educate, prepare, and rework for mitigating disaster-related factors (Santana et al., 2021). 

Strategies to Overcome Communication and Interprofessional Collaboration Barriers in DRPs

The prompt coordination and alignment of the interdisciplinary caregiving team are critical for the effectiveness of the outcomes of the Disaster Recovery Plan. To streamline communication and interprofessional collaboration among the members of the caregiving team following are some strategies; 

  1. Integrating Team-Work

To effectively contribute to combating the adverse effects incurring Valley City, the hospital should ensure the organized hierarchy of its disaster management team. It should be done by assigning them roles and responsibilities concerning emergency management and dealing with the patients affected by disasters. Team-building exercises, training sessions, and milestones should be encouraged to ensure coordinated and collaborative working at interprofessional levels for productive outcomes in emergency recovery (Glauberman et al., 2020). 

  1. Auxiliary Aids and Tools for Cultural Competence 

Different tools should be utilized to ensure cultural competence and assessment of the community individuals. For instance, cultural training should be planned and organized for the disaster management personnel to educate them about understanding the community preferences, faiths, and beliefs (Kaihlanen et al., 2019). Furthermore, translation devices and interpreting gadgets can be used to overcome language barriers, allowing an equitable and managed caregiving process for patients after disasters.

  1. Establishing Effective Communication through SBAR 

Nurses and other members of emergency recovery must pursue communication effectively to avoid any challenges of mistrust, discrimination, and infectiveness. SBAR (Situation of Patients, Background of incident, Assessment of condition, and Recommendation for improvement) is the best strategy to improve communication among team members (Sukesih & Faridah, 2020). Open dialogues, nonverbal cues, and transparency in discussions between caregivers can help improve collaboration and communication (Safapour et al., 2021). 

Conclusion – NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

Considering the adversity the catastrophes are likely to cause, individuals in the community are prone to physical, economic, environmental, and humanitarian losses. It is crucial to achieve the goal of eliminating health disparities while managing a catastrophe. Integrating patients’ cultural and socio-economic values ought to be an adjoint step toward reconciled and resilient care measures for disaster-affected patients. Designing an immediate disaster recovery plan involves an overview of the determinants of safety, approach to planning, and administrative interventions.

References

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Benfer, E. A., Vlahov, D., Long, M. Y., Walker-Wells, E., Pottenger, J. L., Gonsalves, G., & Keene, D. E. (2021). Eviction, health inequity, and the spread of covid-19: Housing policy as a primary pandemic mitigation strategy. Journal of Urban Health, 98(1), 1–12. https://doi.org/10.1007/s11524-020-00502-1 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Botzen, W. J. W., Deschenes, O., & Sanders, M. (2019). The economic impacts of natural disasters: a review of models and empirical studies. Review of Environmental Economics and Policy, 13(2), 167–188. https://doi.org/10.1093/reep/rez004 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Brown, H. L., & Brown, T. B. (2019). EMTALA: The evolution of emergency care in the United States. Journal of Emergency Nursing, 45(4), 411–414. https://doi.org/10.1016/j.jen.2019.02.002 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Community Tool Box. (2019). Chapter 2. Other models for promoting community health and development | Section 14. MAP-IT: A model for implementing healthy people 2020 | Main section. Ctb.ku.edu. https://ctb.ku.edu/en/table-of-contents/overview/models-for-community-health-and-development/map-it/main 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): de Vasconcelos, P. F., de Freitas, C. H. A., Jorge, M. S. B., de Carvalho, R. E. F., de Sousa Freire, V. E. C., de Araújo, M. F. M., de Aguiar, M. I. F., de Oliveira, G. Y. M., Bezerra dos Anjos, S. J. S., & Oliveira, A. C. S. (2019). Safety attributes in primary care: understanding the needs of patients, health professionals, and managers. Public Health, 171, 31–40. https://doi.org/10.1016/j.puhe.2019.03.021 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): FEMA. (2021, October 15). National response framework. Fema.gov. https://www.fema.gov/emergency-managers/national-preparedness/frameworks/response 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Glauberman, G. H. R., Wong, L. C. K., Bray, M. L., & Katz, A. R. (2020). Disaster aftermath interprofessional simulation: promoting nursing students’ preparedness for interprofessional teamwork. Journal of Nursing Education, 59(6), 353–356. https://doi.org/10.3928/01484834-20200520-11 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Kaihlanen, A.-M., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: Qualitative study of nurses’ perceptions about cultural competence training. BMC Nursing, 18(1), 1–9. https://doi.org/10.1186/s12912-019-0363-x 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Krauss, K. W., Whelan, K. R. T., Kennedy, J. P., Friess, D. A., Rogers, C. S., Stewart, H. A., Grimes, K. W., Trench, C. A., Ogurcak, D. E., Toline, C. A., Ball, L. C., & From, A. S. (2023). Framework for facilitating mangrove recovery after hurricanes on Caribbean islands. Restoration Ecology. https://doi.org/10.1111/rec.13885 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Kushma, J. (2021). Recovery from disasters. Oxford Research Encyclopedia of Politics. https://doi.org/10.1093/acrefore/9780190228637.013.1651 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Kusumastuti, R. D., Arviansyah, A., Nurmala, N., & Wibowo, S. S. (2021). Knowledge management and natural disaster preparedness: A systematic literature review and a case study of East Lombok, Indonesia. International Journal of Disaster Risk Reduction, 58, 102223. https://doi.org/10.1016/j.ijdrr.2021.102223 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): McFarland, A., & MacDonald, E. (2019). Role of the nurse in identifying and addressing health inequalities. Nursing Standard, 34(4), 37–42. https://doi.org/10.7748/ns.2019.e11341 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Monteil, C., Simmons, P., & Hicks, A. (2020). Post-disaster recovery and sociocultural change: Rethinking social capital development for the new social fabric. International Journal of Disaster Risk Reduction, 42, 101356. https://doi.org/10.1016/j.ijdrr.2019.101356 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Office of Disease Prevention and Health Promotion. (2019). Program planning | Healthy people 2020. Wayback.archive-It.org. https://wayback.archive-it.org/5774/20220413180008/https://www.healthypeople.gov/2020/tools-and-resources/Program-Planning 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Perls, H. (2020). US disaster displacement in the era of climate change: Discrimination & consultation under the Stafford Act. Harv. Envtl. L. Rev., 44, 511. https://heinonline.org/hol-cgi-bin/get_pdf.cgi?handle=hein.journals/helr44§ion=16 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Qiang, Y. (2019). Disparities of population exposed to flood hazards in the United States. Journal of Environmental Management, 232, 295–304. https://doi.org/10.1016/j.jenvman.2018.11.039 

Rando, P. G. (2021). Mitigating the discretion disaster: how changes in the law can help FEMA effectuate its critical mission. U. Cin. L. Rev., 90, 1265. https://heinonline.org/hol-cgi-bin/get_pdf.cgi?handle=hein.journals/ucinlr90&section=42 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Sabatello, M., Burke, T. B., McDonald, K. E., & Appelbaum, P. S. (2020). Disability, ethics, and health care in the COVID-19 pandemic. American Journal of Public Health, 110(10), 1–5. https://doi.org/10.2105/ajph.2020.305837 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Safapour, E., Kermanshachi, S., & Pamidimukkala, A. (2021). Post-disaster recovery in urban and rural communities: Challenges and strategies. International Journal of Disaster Risk Reduction, 64, 102535. https://doi.org/10.1016/j.ijdrr.2021.102535 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Santana, S., Brach, C., Harris, L., Ochiai, E., Blakey, C., Bevington, F., Kleinman, D., & Pronk, N. (2021). Updating health literacy for healthy people 2030: defining its importance for a new decade in public health. Journal of Public Health Management and Practice: JPHMP, 27(6). https://doi.org/10.1097/PHH.0000000000001324 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Sukesih, & Faridah, U. (2020). SBAR (Situation, Background, Assessment, Recommendation) Communication on attitude and nursing behavior in improving patient safety. Repository. https://repository.unar.ac.id/jspui/handle/123456789/3692 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP): Young, S., & Guo, K. L. (2020). Cultural diversity training. The Health Care Manager, 39(2), 100–108. https://doi.org/10.1097/hcm.0000000000000294 

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