Disaster Recovery Plan

Survival in the context of a train derailment disaster is reliant on the availability of successful facilities to provide nurses and medical care under stressful situations and to handle the rapid surge of affected individuals. The Emergency nurses are the first responders to a disaster. Current research indicates that this community has moderate levels of disaster preparedness, and training appears to be a useful strategy for raising readiness. A disaster is defined as an unusual situation that prohibits the use of key operations. Designing supports the satisfactory implementation of potential tragedies such as in this case the derailment of a train and the whole course of a lifetime. Planned and operational design provides goals, recognizes predicted service levels and performance standards, creates benchmarks for live competencies, and assists stakeholders in understanding their responsibilities. 

The recovery part might be a critical component of managing disasters. Recovery is defined as the activities performed before, throughout, and then after a train derailment & causing casualty (Amberson et al., 2020). Disaster recovery strategy strives to rebuild and regenerate crisis areas, such as the train accident tragedy due to the derailment of a train within the Villa Health Zone. The condition of disaster and recovery are critical components of good disaster management and community rehabilitation. Discussions with Villa Health Clinic, a nurse manager having 10 years of experience in the emergency department and personal authorities revealed that their adversity action plan needed to be improved.

Impact of Determinants of Health, Cultural, Social, And Economic Barriers 

A multitude of psychological, social, economic, and ecological components that influence overall health are considered health factors. Public policy, socio-cultural environment, medical services, and social interactions are some of the major aspects of health indicators. The relationships between such components affect individual and communal health (Healthy people 2020,2018). Disadvantaged people have social groupings that have a greater hazard ratio or tendency for health implications. 

Social Determinants of Health

Social determinants of health are the factors in the community where individual lives, study, work, worship, and age impact a wide range of health, productivity, and performance outcomes and hazards. The social dimensions of health have a large effect on the healthcare, well-being, and quality of life. It contributes to significant health disparities. Simply encouraging healthy choices will not remove it and other disparities in health. Rather, healthcare institutions and their stakeholders in categories like as education, mobility, and accommodation must try to enhance people’s living situations. Natural disasters have historically impacted economic and social growth by resulting in massive fatalities and injuries.

Economic Determinants of Health

Economic issues are not typically addressed when it comes to health, yet efforts to enhance these aspects can have an even bigger influence on health over time than those generally linked with health improvement, such as health behavior modification initiatives. . A shortage of funds is a major impediment to the recovery process after a natural catastrophe. Economic factors may include a lack of available funds, an inactive government response, or a lengthy application procedure. Economic factors that influence people’s health possibilities an intersectoral strategy, while frequently politically difficult, is required for significant progress toward health fairness. The Millennium Development Goals emphasize the interconnected nature of health and economic development processes, the necessity for collaboration across many sectors to achieve optimal health, and the need of reducing inequality and gender discrimination.

Cultural Determinants of Health

Culture is a fundamental health determinant. People’s health behaviors are influenced by culture. Culture has an indirect and direct impact on health behavior. Culture influences how individuals perceive illness and health, how they eat, and how they care for themselves and others. Understanding culture is critical for healthcare workers in order to properly conduct health communication interventions and communicate in a more culturally competent manner when meeting clients and patients in a world where cultures are increasingly interacting with one another. According to the study, incorporating cultures into sustainability urban growth and disaster recovery processes terms of helping are becoming more accessible, secure, robust, and long-lasting. Focusing on a region’s culture also fosters harmony and reconciliation among various groups of people (Iwelunmor & Airhihenbuwa, 2017).

MAP-IT Framework

The first phase is MAP-IT. This will enable us in developing a recovery strategy. MAP-IT is an acronym that refers for mobilizing cooperative stakeholders, analyzing needs of the community, planning to eliminate health disparities and improve access to healthcare, executing a plan to meet Healthy People 2020 or 2030 objectives, and monitoring communal achievement. To guarantee that individuals are prepared for a railway derailment disaster and casualties, Healthy People 2030 is concentrating on preparedness for a train derailment disaster and casualties. This includes increasing the number of people who donate blood, increasing the number of people who know the emergency plan, and increasing the number of people who are trained in Basic Life Support and can perform Cardiopulmonary resuscitation (CPR) in an urgent situation (“Program planning,” 2020). 

A railway tragedy affected the Villa Healthcare area, and after consulting with Vila Hospital clinical and society officials, flaws in their current disaster strategy have been revealed. The prime aim should be to increase communication with crisis emergency personnel. A new detection and rehabilitation approach should be created in cooperation with hospital staff. Furthermore, the development of community resources, such as treatment for disabled and wounded individuals. State and government officials, and also information on policy decisions, will be collaborators, as the consequences of the disaster will more than likely exceed the community’s resources.

Mobilize Collaborative Partners

The disaster is described as an occurrence is out of the ordinary and restricts accessibility to key operations. Planning enables the control of a possible disaster’s entire natural cycle. Corporate strategy creates targets, determines projected standards of efficiency and ability needs, establishes the benchmark for measuring abilities, and assists stakeholders in understanding their roles. The recovery phase is an essential component of a disaster recovery plan; restoration is defined as the actions that occur prior to, though, and afterwards a catastrophe. Survival rates are associated with the ability of healthcare facilities to provide care under pressure and to handle a quick arrival of a massive number of casualties.

It is based on the employees, resources, facilities, and procedures necessary to handle a huge spike in the number of patients requiring patient care treatment. The disaster recovery plan centers on recovering and rehabilitating populations that have been harmed by disasters, such as the railway derailment disaster that harmed the Villa Health town. Both planning and rehabilitation are critical components of effective community catastrophe management and rehabilitation. It is clear from discussions with Vila Health facility and community members that their disaster response plan needs to be altered.

Plan to Lessen Health Disparities and Improve Access to Community Services

The emergency preparedness strategy focuses on restoring, reforming, and revitalizing catastrophe-affected areas. It would include strengthening the healthcare and medical patient needs under which they operate during a crisis. Medical treatment encourages the use of finite resources to benefit the whole population. In terms of teaching healthcare practitioners on how to shift their work patterns from routine care to an emergency response plan that accounts for the unanticipated spike in healthcare expenditures. This model may force them to make tough economic, societal, and ethical judgements, such as ranking who gets care and who doesn’t, and allocating a limited number of ventilators. It will contain a central management framework (incident command system), a strategy for assigning limited resources, and appropriate implementation of disaster quality care. Despite the ethical limitations placed on healthcare workers, the emergency response system suggests a reduction in health disparities.

It is necessary to assess psychological effects through frequent community-based surveys. Such surveys are effective instruments for health promotion and advocacy on behalf of the local people. This type of survey aids in priority setting and promotes risk-informed decision making. Voices from diverse groups, particularly those at high risk, should be heard in order to account for their unique needs and capacities. It is critical to listen to and learn from residents, and to view all members of the community as assets rather than victims. This is crucial in order to encourage tangible social measures and psychosocial assistance that is customized to their specific requirements. Regardless of the scope of the difficulties encountered in the field, public health must strike a balance between health protection based on hazards and risk factors and health promotion.

Practitioners, and professionals in public health must work with community organizations. This is essential to a fast recovery. Placing residents at the center of all concerns aids in understanding the meaning of a crisis state and contributes to the community’s recovery. Health organizations must use current information to create and implement post-disaster policies and interventions. They must show their own perspectives and skills as part of their recovery efforts.

Implement Plan to Reach Healthy People 2020 Goals and 2030 Objectives

Insufficient affordable healthcare has a significant influence on a person’s healing processes from disasters. Wellness treatment can reduce death due to impairing damage suffered due to natural disasters and is thus an integral part of the community’s medical action plan. A dearth of qualified rescuers, as well as a dearth of medical recordkeeping, information gathering, and specified outcome criteria, are components usually impediments to the successful application of rehabilitation therapy during catastrophes. Because a patient’s functional needs require attention hat immediate housing conditions. A variety of activities are required, including the provision of accessible and appropriate caregivers, accommodation, public transit, and educational and cultural potential.

Track And Trace-Map Community Progress

Measurable activities should be made to reach the goals that have been fulfilled. The meeting will be attended by governmental donors and public activists, including the hospital’s CFO and facilities administrator. These conversations must provide a high-level assessment of the extent and bounds of probable future calamities. The hospital administration administrator would require to work with the CFO and directors to establish rehabilitation and multi-teams to serve impaired persons in the public. This will also need the participation of investors in order to ensure that community finance can support these initiatives. The facility and its administration would implement the changes and a new catastrophe plan over a three-month period.

Health and Governmental Policy Impact on Disaster Recovery Efforts

The Centers for Medicare and Medicaid Services (CMS) offers funding to healthcare organizations to help them manage their operations after and during catastrophes. All healthcare systems must achieve all applicable national and state governmental crisis preparation standards in order to engage in CMS initiatives and obtain CMS support. These standards specify health care institutions to adopt particular safety procedures, protocols, policies, and exercises that meet both federal rules, while also maintaining patient care throughout the lifespan. These funds might be useful in relieving the state’s shortage of resources.

Evidence-based Strategies to Overcome Communication Barriers and Enhance Interprofessional Collaboration

The behavior of responders, including such municipal emergency, law officials, and emergency medical care, is often guided by the laws and procedures set by such agencies. When communicating with emergency responders, Vila Healthcare hospital personnel discovered an issue; miscommunication resulted in inaccurate diagnosis and costly damage. During their crisis intervention plan, all volunteer healthcare personnel must be familiar with the command system. The command and control are critical for ensuring that capabilities and infrastructure are effectively utilized and without redundancy. The World Health Organization Local Agency created the hospital emergency response criteria to enable top management and emergency managers to properly managing to the most likely disaster circumstances.

Conclusion

Developing a new disaster strategy will protect the Villa Health community and will lessen the casualties after an accident such as in this case the train derailment incident. The nurses will have enough staff in case of any emergency to allot them for that incident to collect casualties and other resources. In promoting optimal health, a strong interaction between Villa Health community employees and managers may be established. Successful disaster recovery involves federal resources while addressing healthcare disparities, community needs, and communication challenges. The community benefits from well-organized development and evaluation.

Reference

Amberson, T., Wells, C., & Gossman, S. (2020). Increasing disaster preparedness in emergency nurses: A quality improvement initiative. Journal of Emergency Nursing, 46(5), 654- 665.e21. https://doi.org/10.1016/j.jen.2020.05.001

Healthy people 2020. (2018, October 31). Centers for Disease Control and Prevention. https://www.cdc.gov/dhdsp/hp2020.html

Program planning. (2020). MAP-IT: a guide to using Healthy People 2020 in your community. https://www.healthypeople.gov/2020/tools-and-resources/Program Planning

Iwelunmor, J., & Airhihenbuwa, C. (2017). Culture, a social determinant of health and risk: Considerations for health and risk messaging. Oxford Research Encyclopedia of Communication. https://doi.org/10.1093/acrefore/9780190228613.013.221