Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Culture of Safety and Preparedness: Benefits of Applying a Daily Mitigation Mindset in the Hospital Setting

Version 1 : Received: 22 January 2024 / Approved: 23 January 2024 / Online: 23 January 2024 (12:12:23 CET)

A peer-reviewed article of this Preprint also exists.

Griffin, A.R.; Dobalian, A.; Langan, J.C.; Shipman, S.J. Culture of Safety and Preparedness: Benefits of Applying a Daily Mitigation Mindset in the Hospital Setting. Int. J. Environ. Res. Public Health 2024, 21, 221. Griffin, A.R.; Dobalian, A.; Langan, J.C.; Shipman, S.J. Culture of Safety and Preparedness: Benefits of Applying a Daily Mitigation Mindset in the Hospital Setting. Int. J. Environ. Res. Public Health 2024, 21, 221.

Abstract

Aim: Utilizing the subjective experience of nurse executives who have supervised nurses during a major disaster in a hospital setting, this study aims to describe the subjective experience of nurse executives (NE) who have supervised nurses’ response to major disaster. This paper will focus on strategies to support nursing response to disaster, specifically to strengthen resiliency and the ability to maintain function despite the shock of disaster, including those caused by climate changes. Methods: Semi-structured interviews were conducted with 11 hospital-based nurse executives who supervised nurses during some of the worst natural and human-made disasters in different regions of the United States. A phenomenological approach was used to analyze and describe emerging themes from qualitative data. Results: Three Nurse Executives demonstrated theme saturation for mitigation steps to augment traditional disaster readiness activities: 1.) Assessment of Human Infrastructure: Daily Skills Needed During Disaster Response, 2.) Identification and Study of Failure Points & Metrics, 3.) Strengthening Human Infrastructure: Rectifying Deficiencies), and 4.) Monitoring Metrics & Making Corrections During Conventional Periods. Conclusion: Mitigation steps may improve outcomes in hospital function during conventional times; therefore, may improve resiliency and the ability to maintain functions during major disasters, including climate change.

Keywords

risk evaluation and mitigation; nursing; natural disasters; climate; disaster nursing; disaster management

Subject

Public Health and Healthcare, Nursing

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