{"title":"Exploring the dynamics of social roles in hospital evacuation: Factors, roles and behaviors","authors":"","doi":"10.1016/j.ijdrr.2024.104893","DOIUrl":null,"url":null,"abstract":"<div><div>As a critical city facility of our society, it is important for hospitals to be resilient against emergencies for a health imperative and economic buoyancy. Understanding the evacuation behaviors of hospital roles and the corresponding influencing factors is essential for the accurate execution of emergency response plans and well-being. Therefore, this study aims to explore the dynamics of social roles in hospital evacuation by understanding the mediation effects of role evolution factors (i.e., responsibility, competence, and expectation of evacuation roles). Questionnaires on hospital roles, role evolution factors, and evacuation behaviors were designed and distributed, with a total of 324 responses from various hospital occupants. The common method variance analysis, internal consistency test, item analysis, and exploratory factor analysis consistently indicated good reliability and validity of the questionnaire. Chain mediation models of three prominent evacuation roles, namely leader, emergency responder, and follower were developed, with the three role evolution factors as mediating variables, evacuation behavior as the dependent variable, and hospital role as the independent variable. Findings indicated significant path effects of hospital roles and role evolutionary factors on leadership, emergency responding, and following behaviors. One-way ANOVA on egocentric behavior and hesitant behavior of hospital roles revealed that patients have a higher propensity for negative behaviors compared with hospital staff. In light of the findings, the subtle relationship between hospital roles, role evolution factors, and evacuation behaviors was revealed. Role-specific leadership training, role-based emergency response management, role-related following behavior guidance, and negative behavior reduction measures were proposed for improving hospital safety.</div></div>","PeriodicalId":13915,"journal":{"name":"International journal of disaster risk reduction","volume":null,"pages":null},"PeriodicalIF":4.2000,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of disaster risk reduction","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212420924006551","RegionNum":1,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GEOSCIENCES, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
As a critical city facility of our society, it is important for hospitals to be resilient against emergencies for a health imperative and economic buoyancy. Understanding the evacuation behaviors of hospital roles and the corresponding influencing factors is essential for the accurate execution of emergency response plans and well-being. Therefore, this study aims to explore the dynamics of social roles in hospital evacuation by understanding the mediation effects of role evolution factors (i.e., responsibility, competence, and expectation of evacuation roles). Questionnaires on hospital roles, role evolution factors, and evacuation behaviors were designed and distributed, with a total of 324 responses from various hospital occupants. The common method variance analysis, internal consistency test, item analysis, and exploratory factor analysis consistently indicated good reliability and validity of the questionnaire. Chain mediation models of three prominent evacuation roles, namely leader, emergency responder, and follower were developed, with the three role evolution factors as mediating variables, evacuation behavior as the dependent variable, and hospital role as the independent variable. Findings indicated significant path effects of hospital roles and role evolutionary factors on leadership, emergency responding, and following behaviors. One-way ANOVA on egocentric behavior and hesitant behavior of hospital roles revealed that patients have a higher propensity for negative behaviors compared with hospital staff. In light of the findings, the subtle relationship between hospital roles, role evolution factors, and evacuation behaviors was revealed. Role-specific leadership training, role-based emergency response management, role-related following behavior guidance, and negative behavior reduction measures were proposed for improving hospital safety.
期刊介绍:
The International Journal of Disaster Risk Reduction (IJDRR) is the journal for researchers, policymakers and practitioners across diverse disciplines: earth sciences and their implications; environmental sciences; engineering; urban studies; geography; and the social sciences. IJDRR publishes fundamental and applied research, critical reviews, policy papers and case studies with a particular focus on multi-disciplinary research that aims to reduce the impact of natural, technological, social and intentional disasters. IJDRR stimulates exchange of ideas and knowledge transfer on disaster research, mitigation, adaptation, prevention and risk reduction at all geographical scales: local, national and international.
Key topics:-
-multifaceted disaster and cascading disasters
-the development of disaster risk reduction strategies and techniques
-discussion and development of effective warning and educational systems for risk management at all levels
-disasters associated with climate change
-vulnerability analysis and vulnerability trends
-emerging risks
-resilience against disasters.
The journal particularly encourages papers that approach risk from a multi-disciplinary perspective.