NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

Disaster Recovery Plan (DRP)

Significance and Need for Disaster Recovery Plan (DRP)

The need for a comprehensive Disaster Recovery Plan (DRP) has become paramount after a devastating train derailment in Valley City. This presentation addresses the significance and necessity of a DRP focusing on lessening health disparities and improving access to community services. By considering the determinants of health, cultural, social, and economic barriers and incorporating the principles of social justice and cultural sensitivity, the DRP will provide a framework for a coordinated and equitable recovery effort. The DRP will ensure a resilient and inclusive community response to future disasters by implementing evidence-based strategies and stakeholder collaboration.

Scenario 

After the train derailment scenario in Valley City, the hospital’s administrator wanted to notice disaster preparedness and recovery. Valley City experienced a devastating train derailment two years ago, resulting in loss of life, numerous hospitalizations, and the contamination of the city’s water supply. The incident exposed shortcomings in disaster preparedness, with institutions and agencies needing help coordinating effectively. The Valley City Regional Hospital was understaffed, and the city’s outdated disaster plan proved inadequate. Given the city’s recent growth and success, there is a pressing need to revise, expand, and coordinate disaster plans among all city agencies, including Valley City Regional Hospital. Considering the city’s diverse demographics, limited resources, and ongoing financial challenges, the scenario highlights the importance of planning and preparation to ensure the hospital’s readiness for future crises. NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

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

In the train derailment scenario that has impacted the community served by Valley City Regional Hospital, several determinants of health and various cultural, social, and economic barriers have significantly influenced safety, health, and disaster recovery efforts.

Cultural barriers

One of the cultural barriers is the presence of workers with limited English proficiency. This language barrier can hinder effective communication during the disaster response and recovery, making it difficult to disseminate critical information and provide necessary assistance. Additionally, cultural norms and beliefs may impact individuals’ understanding of disaster preparedness and response, affecting their willingness to evacuate or seek medical help (Rossi et al., 2019).

Social barriers

The train derailment has revealed social barriers in coordination and collaboration among agencies and departments involved in the response. The scenario highlighted challenges in communication and establishing a transparent chain of command between the Fire and Police departments, delaying an efficient and coordinated response. Social disparities such as low education, background, employment status, poverty, and racism can also hinder the effective distribution of resources and implementation of disaster recovery plans (Mezzina et al., 2022).

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

Economic barriers 

As mentioned in the scenario, the city’s financial crisis and budget cuts pose economic barriers to disaster recovery efforts. Limited resources, including personnel and funding, can hamper providing adequate healthcare services, hiring additional staff, and acquiring necessary medical supplies and equipment. Economic disparities within the community can further exacerbate health inequalities, as those with limited financial resources may struggle to access and afford healthcare services. It can hinder the implementation of DRP (McMaughan et al., 2020).

Interrelationships among these Factors

The interrelationships among these factors are significant. Cultural factors influence social dynamics, communication patterns, and individuals’ perceptions of disaster preparedness and response. Social barriers, such as poor coordination between agencies and departments, can delay essential services and hinder effective disaster recovery. Economic factors impact the availability and accessibility of resources needed for response and recovery, ultimately influencing the community’s health outcomes. Addressing these interrelationships is crucial for a comprehensive disaster recovery plan. By recognizing and understanding cultural, social, and economic barriers, the program can be tailored to overcome these challenges and promote health equity (Brown et al., 2019).  

Need for Proposing a Disaster Recovery Plan Applying the MAP-IT 

After evaluating the train derailment and fire incident at Valley City Regional Hospital, caregiving, and facilitation protocols were found inadequate, necessitating an immediate DRP. The DRP must be proposed to resolve the ambiguities of a healthcare facility’s disaster management practices. The proposed disaster recovery plan has been developed using the MAP-IT (Mobilize, Assess, Plan, Implement, and Track) framework, which aims to address health disparities and improve access to community services for train derailment victims in Valley City. It aligns with Healthy People 2020 and 2030 objectives to promote overall health and well-being. Using the MAP-IT framework, the following steps are required to develop a DRP (Pronk et al., 2020). 

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

MAP-IT Steps

Mobilize: The first step is to mobilize collaborative partners, including Valley City Regional Hospital, local government agencies, community organizations, and relevant stakeholders. The recovery plan can benefit from a comprehensive and coordinated approach by bringing together these key players (Montesanti et al., 2022).

Assess: A thorough assessment of community needs is essential to identify the specific health disparities and barriers to accessing community services. Demographic data, such as the unique needs of elderly residents, physically disabled individuals, and those with limited English proficiency, will be considered to ensure inclusivity (Ravaghi et al., 2023).

Plan: The healthcare team will develop a new strategy for changing the healthcare organization by following Healthy People 2030 objectives (Hoyer & Dee, 2022).

Implement: The plan will be implemented by allocating resources effectively and efficiently. It will involve collaboration among agencies and departments to provide comprehensive services (Alderwick et al., 2021).

Track: The whole plan will be tracked to evaluate its efficiency and efficacy. Data will be collected and analyzed to assess the plan’s impact on reducing health disparities and improving access to community services. Adjustments and improvements will be made based on the feedback and outcomes obtained (Garzón et al., 2020).

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

Social Justice and Cultural Sensitivity

The principles of social justice and cultural sensitivity are integrated throughout the plan. Social justice ensures that all individuals have equitable access to healthcare services and resources regardless of their background or socioeconomic status. Cultural sensitivity acknowledges and respects the community’s diverse cultural norms, beliefs, and practices, promoting inclusivity and eliminating cultural barriers to healthcare (Brown et al., 2019). Addressing health disparities, enabling access to community services, and considering principles of social justice and cultural sensitivity, the proposed disaster recovery plan aims to ensure health equity for individuals, families, and aggregates in the community affected by the train derailment. It aligns with the overarching goals of Healthy People 2020 and 2030, fostering a comprehensive and inclusive approach to disaster recovery (Brown et al., 2019).

Timeline for Recovery Efforts

In the initial phase, mobilization and assessment will take place, with the disaster recovery task force being activated and an evaluation of the impact on Valley City Regional Hospital and the community conducted within the first two days. Implementation of the project will commence in 8 to 30 days focusing on enhancing communication, collaboration, and equitable allocation of services. The long-term recovery phase, extending beyond the first month, will prioritize the sustained well-being of the community, providing continuous support, fostering resilience, and strengthening preparedness for future disasters (Hoyer & Dee et al., 2022).

Impact of Governmental Policies on Disaster Recovery Plan

Health and governmental policies play a crucial role in shaping disaster recovery efforts, particularly in the context of train derailments and their impact on communities. Several approaches, such as FEMA (Federal Emergency Management Agency), the Robert T. Stafford Disaster Relief and Emergency Assistance Act, and the Disaster Recovery Reform Act (DRRA), have significant implications for developing and implementing the disaster recovery plan. FEMA is an agency of the U.S. Department of Homeland Security and serves as a central authority for coordinating and providing assistance during and after disasters. Financial support, resources, and technical expertise are vital to disaster recovery. Under FEMA, the Public Assistance (PA) program can provide funding for repairing, restoring, and rebuilding critical infrastructure, including healthcare facilities like Valley City Regional Hospital. This support ensures that the hospital can resume operations and provide essential healthcare services to the community (Garrett et al., 2019).

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

The Robert T. Stafford Disaster Relief and Emergency Assistance Act, commonly known as the Stafford Act, is a federal law that establishes the framework for disaster response and recovery. It provides the legal basis for the federal government’s disaster management involvement, including financial assistance and resources to affected communities. The Stafford Act enables Valley City Regional Hospital and other community organizations to access federal funding for their recovery efforts, such as rebuilding damaged infrastructure, offering medical support, and addressing long-term healthcare needs (Garrett, 2019). The Disaster Recovery Reform Act (DRRA) is an amendment to the Stafford Act that aims to enhance the efficiency and effectiveness of disaster recovery operations. It emphasizes the importance of pre-disaster planning, mitigation, and resilience-building to minimize the impact of future disasters (Jones et al., 2023).

These policies have several implications for community members in the disaster recovery plan context. Firstly, they provide a legal framework that enables financial support and resources to be allocated to recover critical infrastructure, including the hospital. This ensures that the community’s healthcare needs are promptly and effectively met. Secondly, the policies emphasize the importance of pre-disaster planning and mitigation. The disaster recovery plan should align with these provisions by incorporating strategies to reduce the community’s vulnerability to future disasters. By acknowledging and adhering to these health and governmental policies, the disaster recovery plan for Valley City Regional Hospital can leverage available resources, funding, and expertise to respond effectively to the train derailment disaster. 

Strategies to Overcome Communication and Interprofessional Collaboration Barriers in DRPs

In order to overcome communication barriers and enhance interprofessional collaboration in disaster recovery efforts, it is essential to implement specific, evidence-based strategies. These strategies should address the unique challenges and needs of the community affected by the train derailment. Here are some evidence-based strategies that can be incorporated into the disaster recovery plan for Valley City Regional Hospital:

  • Develop and distribute multilingual communication resources, including written materials, signage, and interpreter services. This ensures that individuals with limited English proficiency can access vital information and receive appropriate care (Alderwick et al., 2021).
  • Establish community outreach programs to engage and educate community members about disaster preparedness, response, and recovery. Research conducted by the National Institutes of Health (NIH) has shown that community engagement and outreach are crucial in fostering resilience and promoting disaster recovery (Ravaghi et al., 2023).
  • Conduct regular interprofessional training sessions and disaster drills involving healthcare professionals, first responders, and community organizations. These exercises improve coordination, communication, and stakeholder collaboration (Montesanti et al., 2022).
  • Leverage technology, such as telemedicine and mobile applications, to facilitate communication and access to healthcare services. Telemedicine enables remote medical consultations and follow-up care, particularly for individuals who may be displaced or have limited access to in-person healthcare (Fonseca et al., 2021).

NURS FPX 4060 Assessment 3 Disaster Recovery Plan (DRP)

The implications of these strategies for the disaster recovery plan are significant. By addressing communication barriers and enhancing interprofessional collaboration, the plan can ensure critical information reaches all community members, facilitate effective stakeholder coordination, and promote equitable access to healthcare services. These strategies can improve disaster recovery efforts’ efficiency, timeliness, and quality.

Conclusion 

In conclusion, developing a comprehensive Disaster Recovery Plan for the train derailment-affected community is crucial to address health disparities and improve access to community services. By utilizing the MAP-IT framework and incorporating evidence-based strategies, such as assessing community needs, implementing equitable allocation of services, and tracking community progress, the plan aims to promote health equity and ensure a coordinated and efficient recovery effort. Additionally, considering the impact of health and governmental policies, overcoming communication barriers, and enhancing interprofessional collaboration will further strengthen the plan. The community can rebuild and recover resiliently through concerted efforts, fostering a safer and healthier future.

References

 Alderwick, H., Hutchings, A., Briggs, A., & Mays, N. (2021). The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work: A systematic review of reviews. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10630-1 

Brown, A. F., Ma, G. X., Miranda, J., Eng, E., Castille, D., Brockie, T., Jones, P., Airhihenbuwa, C. O., Farhat, T., Zhu, L., & Trinh-Shevrin, C. (2019). Structural interventions to reduce and eliminate health disparities. American Journal of Public Health, 109(S1), S72–S78. https://doi.org/10.2105/ajph.2018.304844 

Fonseca, M. H. D., Kovaleski, F., Picinin, C. T., Pedroso, B., & Rubbo, P. (2021). E-health practices and technologies: A systematic review from 2014 to 2019. Healthcare, 9(9), 1192. https://doi.org/10.3390/healthcare9091192 

Garrett, A. L. (2019). The role of the federal government in supporting domestic disaster preparedness, response, and recovery. Current Treatment Options in Pediatrics, 5(3), 255–266. https://doi.org/10.1007/s40746-019-00162-7 

Garzón, C. G., Richardson, M. J., & Solomon, G. M. (2020). Tracking environmental and health disparities to strengthen resilience before the next crisis. Environmental Justice, 4(3). https://doi.org/10.1089/env.2020.0025 

Hoyer, D., & Dee, E. (2022). Using healthy people as a tool to identify health disparities and advance health equity. Journal of Public Health Management and Practice, 28(5), 562–569. https://doi.org/10.1097/phh.0000000000001601 

Jones, L. N. (2023). Beyond response: Reimagining the legal academy’s role in disaster recovery and preparedness. Cleveland State Law Review, 71(3), 571. https://engagedscholarship.csuohio.edu/clevstlrev/vol71/iss3/5/ 

McMaughan, D. J., Oloruntoba, O., & Smith, M. L. (2020). Socioeconomic status and access to healthcare: Interrelated drivers for healthy aging. Frontiers in Public Health, 8(231). https://doi.org/10.3389/fpubh.2020.00231 

Mezzina, R., Gopikumar, V., Jenkins, J., Saraceno, B., & Sashidharan, S. P. (2022). Social vulnerability and mental health inequalities in the “syndemic”: Call for action. Frontiers in Psychiatry, 13(4). https://doi.org/10.3389/fpsyt.2022.894370 

Montesanti, S., Fitzpatrick, K., Fayant, B., & Pritchard, C. (2022). Identifying priorities, directions, and a vision for Indigenous mental health using a collaborative and consensus-based facilitation approach. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07682-3 

Pronk, N., Kleinman, D. V., Goekler, S. F., Ochiai, E., Blakey, C., & Brewer, K. H. (2020). Promoting health and well-being in Healthy People 2030. Journal of Public Health Management and Practice, Publish Ahead of Print 7(3). https://doi.org/10.1097/phh.0000000000001254 

Ravaghi, H., Guisset, A. L., Elfeky, S., Nasir, N., Khani, S., Ahmadnezhad, E., & Abdi, Z. (2023). A scoping review of community health needs and assets assessment: Concepts, rationale, tools and uses. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-022-08983-3 

Rossi, C., Grenier, S., & Vaillancourt, R. (2019). Literature review: Strategies for addressing language barriers during humanitarian relief operations. Disaster Medicine and Public Health Preparedness, 5(4), 1–9. https://doi.org/10.1017/dmp.2019.90 

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