TY - JOUR
T1 - Emergency preparedness
T2 - Interviews with senior leadership in Nebraska hospitals
AU - Roy, Shreya
AU - Bekmuratova, Sarbinaz
AU - Medcalf, Sharon
AU - Sayles, Harlan
AU - ElRayes, Wael
AU - Ringel, Jeanne S.
AU - Shope, Ronald J.
N1 - Funding Information:
Source of support: Funding for this research was received from the University of Nebraska Foundation, Healthcare and Public Health Preparedness Fund.
Publisher Copyright:
© 2020 Weston Medical Publishing. All rights reserved.
PY - 2020/9
Y1 - 2020/9
N2 - Objective: The objective of this study was to explore perceptions of senior leadership in hospitals on the motivations, cost, benefits, barriers, and facilitators of investment in emergency preparedness. Study design: This is a qualitative study which used a grounded theory approach to develop a theory of hospital emergency preparedness. Setting and study participants: A purposive sample of hospital leaders (n = 11) in the US state of Nebraska were interviewed. Results: Results showed that the environmental risk associated with the hospital location, the hospital's position in the community, and the preparedness requirements of the Centers for Medicare and Medicaid Services contribute to investment decisions. Rural hospitals face unique challenges in preparing for disasters, for example, lack of trained personnel. Facilitators of disaster preparedness include the availability of federal funds, the commitment of leadership, and an organizational mission aligned toward emergency preparedness. Hospitals invest in hazard vulnerability assessments; partnerships with other organizations in the community; staff trainings and infrastructure. Conclusions: The authors concluded that hospitals in Nebraska are committed toward investing in preparedness activities. The theory of hospital emergency preparedness developed will be used in a subsequent study to develop a decision-support framework for hospital investment in preparedness.
AB - Objective: The objective of this study was to explore perceptions of senior leadership in hospitals on the motivations, cost, benefits, barriers, and facilitators of investment in emergency preparedness. Study design: This is a qualitative study which used a grounded theory approach to develop a theory of hospital emergency preparedness. Setting and study participants: A purposive sample of hospital leaders (n = 11) in the US state of Nebraska were interviewed. Results: Results showed that the environmental risk associated with the hospital location, the hospital's position in the community, and the preparedness requirements of the Centers for Medicare and Medicaid Services contribute to investment decisions. Rural hospitals face unique challenges in preparing for disasters, for example, lack of trained personnel. Facilitators of disaster preparedness include the availability of federal funds, the commitment of leadership, and an organizational mission aligned toward emergency preparedness. Hospitals invest in hazard vulnerability assessments; partnerships with other organizations in the community; staff trainings and infrastructure. Conclusions: The authors concluded that hospitals in Nebraska are committed toward investing in preparedness activities. The theory of hospital emergency preparedness developed will be used in a subsequent study to develop a decision-support framework for hospital investment in preparedness.
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U2 - 10.5055/jem.2020.0488
DO - 10.5055/jem.2020.0488
M3 - Article
C2 - 33174193
AN - SCOPUS:85095880274
VL - 18
SP - 399
EP - 409
JO - Journal of Emergency Management
JF - Journal of Emergency Management
SN - 1543-5865
IS - 5
ER -