Exploring the dynamics of social roles in hospital evacuation: Factors, roles and behaviors

IF 4.2 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY International journal of disaster risk reduction Pub Date : 2024-10-15 DOI:10.1016/j.ijdrr.2024.104893
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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.
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探索医院疏散中社会角色的动态变化:因素、角色和行为
作为社会的重要城市设施,医院必须具备抵御突发事件的能力,以保证健康和经济发展。了解医院角色的疏散行为及相应的影响因素,对于准确执行应急预案和实现福祉至关重要。因此,本研究旨在通过了解角色演变因素(即疏散角色的责任、能力和期望)的中介效应,探讨医院疏散中社会角色的动态变化。我们设计并发放了有关医院角色、角色演变因素和疏散行为的问卷,共收到来自不同医院人员的 324 份答卷。普通方法方差分析、内部一致性检验、项目分析和探索性因子分析均表明问卷具有良好的信度和效度。以三个角色演变因素为中介变量,以疏散行为为因变量,以医院角色为自变量,建立了领导者、应急响应者和追随者这三种突出疏散角色的链式中介模型。研究结果表明,医院角色和角色进化因素对领导、应急响应和跟随行为有明显的路径效应。对医院角色的自我中心行为和犹豫行为进行单因素方差分析后发现,与医院员工相比,患者有更高的消极行为倾向。研究结果揭示了医院角色、角色演变因素和疏散行为之间的微妙关系。为提高医院安全,提出了针对特定角色的领导力培训、基于角色的应急响应管理、与角色相关的跟随行为指导以及减少消极行为的措施。
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来源期刊
International journal of disaster risk reduction
International journal of disaster risk reduction GEOSCIENCES, MULTIDISCIPLINARYMETEOROLOGY-METEOROLOGY & ATMOSPHERIC SCIENCES
CiteScore
8.70
自引率
18.00%
发文量
688
审稿时长
79 days
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.
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