Improving Hurricane Preparedness Among Galveston County Older Adults: Description of a Successful Community-Based Quality Improvement Model.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Gerontology and Geriatric Medicine Pub Date : 2024-09-21 eCollection Date: 2024-01-01 DOI:10.1177/23337214241278550
Jennifer Young, Jessica den Herder, Tammie Michael, Diana P Bernardez, Zachary Carson, Mukaila Raji, Yong Fang Kuo
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Abstract

Older adults are at high risk of experiencing injury, exacerbations of their chronic conditions, and death when evacuations are ordered because of hurricanes or natural disasters. The Homebound seniors residing in Galveston County are at a particularly high risk of morbidity and mortality during evacuations for hurricanes. This paper described the impact of a quality improvement intervention designed and implemented by nurse practitioners during the 2022 and 2023 hurricane season. The education program aimed at increasing the hurricane preparedness of the home-bound patients. Of these patients, 190 returned pre and post surveys. Interventions showed a 43% increase in patients having an evacuation plan in the event of a hurricane, 633% increase in STEAR registration, 16% increase in patients having access to emergency supplies, and 34% increase in patients having an emergency contact list with up-to-date medication list. All improvements on hurricane preparedness items were significant (p < .0001) except for the need for assistance in case of an evacuation. Our findings suggest a need for continuous hurricane preparedness education in the community to ensure safe evacuation, improve hurricane preparation, and increase the number of seniors who registered with the State of Texas Emergency Assistance Registry.

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提高加尔维斯顿县老年人的飓风防范能力:描述一个成功的社区质量改进模式。
在因飓风或自然灾害而下令撤离时,老年人极有可能受伤、慢性病加重或死亡。居住在加尔维斯顿县的居家老年人在飓风疏散期间发病和死亡的风险尤其高。本文介绍了执业护士在 2022 年和 2023 年飓风季节设计并实施的质量改进干预措施的影响。该教育计划旨在提高居家病人对飓风的防范能力。这些患者中有 190 人返回了前后调查问卷。干预结果显示,制定了飓风来临时撤离计划的患者增加了 43%,STEAR 登记增加了 633%,能够获得应急物资的患者增加了 16%,拥有紧急联系人名单和最新药物清单的患者增加了 34%。所有飓风准备项目的改进都非常显著(p
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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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