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. 2024 Apr;25(4):617-622.
doi: 10.1016/j.jamda.2023.02.004. Epub 2023 Mar 14.

Improving Nursing Home Disaster Readiness Through Implementation Science

Affiliations

Improving Nursing Home Disaster Readiness Through Implementation Science

Sue Anne Bell et al. J Am Med Dir Assoc. 2024 Apr.

Abstract

As large-scale disasters continue to become increasingly common worldwide, nursing homes, whose residents are more vulnerable to disaster-related health and psychosocial shocks, and their staff, are carrying progressively more responsibility for health care readiness practices. Implementation science is a research discipline that seeks to improve uptake of evidence-based practices, such as health care readiness planning, and thus has potential to improve nursing home care delivery during and after disasters. We describe the limited field of existing evidence-based strategies in the peer-reviewed literature that seek to advance health care readiness in the nursing home setting and illustrate how implementation science can better support health care readiness planning for nursing homes. We rest on 3 main themes: (1) implementation science frameworks can strengthen nursing home staff engagement around health care readiness; (2) implementation science can support tailoring of emergency preparedness plans to individual nursing homes' unique needs; and (3) implementation science can advance the integration of nursing homes into local, state, and federal health care readiness planning initiatives. Finally, research is urgently needed to both generate and disseminate implementation strategies that increase uptake of evidence-based health care readiness practices in the nursing home setting.

Keywords: Implementation science; disaster; health care readiness; nursing home.

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Conflict of interest statement

Conflicts of Interest:

JD reported receiving personal fees from the Annals of Emergency Medicine (American College of Emergency Physicians).

Figures

Figure.
Figure.
Benefits of Using an Implementation Science-Informed Approach to Improving Nursing Home Healthcare Readiness

References

    1. National Academies of Sciences, Engineering, and Medicine. Evidence-Based Practice for Public Health Emergency Preparedness and Response. The National Academies Press; 2020. 10.17226/25650 - DOI - PubMed
    1. Centre for Research on the Epidemiology of Disasters, UN Office for Disaster Risk Reduction. Human Cost of Disasters: An Overview of the Last 20 Years 2000–2019.; 2020. https://www.undrr.org/publication/human-cost-disasters-overview-last-20-...
    1. World Meteorological Organization. WMO Atlas of Mortality and Economic Losses from Weather, Climate and Water Extremes (1970–2019). United Nations; 2021. https://library.wmo.int/index.php?lvl=notice_display&id=21930#.YikFCWlOlCW
    1. Willoughby M, Kipsaina C, Ferrah N, et al. Mortality in Nursing Homes Following Emergency Evacuation: A Systematic Review. J Am Med Dir Assoc. 2017;18(8):664–670. doi:10.1016/j.jamda.2017.02.005 - DOI - PubMed
    1. Dosa DM, Skarha J, Peterson LJ, et al. Association Between Exposure to Hurricane Irma and Mortality and Hospitalization in Florida Nursing Home Residents. JAMA Netw Open. 2020;3(10):e2019460. doi:10.1001/jamanetworkopen.2020.19460 - DOI - PMC - PubMed