Interrelationships among the above-mentioned barriers

All the determinants and barriers defined above are interrelated because first of all, they all can negatively impact the efforts regarding health, safety, and disaster recovery. Secondly, when there are social barriers such as socioeconomic disparities and illiteracy, they lead to economic barriers. Lack of financial resources and access to healthcare services. Moreover, the cultural barriers due to language barriers are also formed because of the lack of economic facilities in healthcare institutions. If nurses are given training and technology to meet these needs, there would be fewer economic and cultural barriers to providing health services and effective disaster recovery initiatives. Hence, these determinants are one way or the other related to each other and cause problems in health, safety, and disaster recovery efforts.

Proposed Disaster Recovery Plan

To provide effective health and safety services to Vila Health Community, the following is the proposed DRP.

MAP-IT Approach

For disaster recovery plans MAP-IT is the effective approach. The steps involved in this approach concerning DRP are as follows: Mobilize: Look for the people, institutions, Nongovernment and government organizations, etc for coalition and involve them in healthcare efforts. They can help remove economic barriers such as lack of resources. Funding and financial help from such can be obtained for disaster recovery actions. Assess: Assess the possible healthcare requirements in case of emergency such as the need for beds, nurses, ventilators, etc. This can be accessed according to the population of the Vila community. Planning: Proper planning must be made by the nursing and healthcare staff for a disastrous situation. Such as the triage labeling system in which they can communicate with each other to provide required help and healthcare services to the people more affected as per the hierarchy. A communication and collaboration strategy will be necessarily planned. implement: Implementation of the DRP is the most important part. In this, supervision would be required to ensure that all the DRP measures are effectively applied.

NURS FPX 4060 Assessment 3 Attempt 1 Disaster Recovery Plan

Track: Tracking the outcomes and consequences is the last part of the MAP-IT approach in which the record will be kept for the people who recovered, need further help, defects in the recovery plan, etc. The track of post-disaster management will be kept properly.

Lessen Health Disparities Due To Proposed Plan

Health Disparities are the most important reason that people get more affected and the worst impacts are observed after any emergency or disaster situation. In the given plan health disparities are aimed to be lessened and they will also be effective for community health in the following ways;
  • The training and development programs will be initiated for the awareness of people in the community to guide them and provide them care coordination about first aid. This will help people to deal with minor health issues and provide first aid in the situation of emergencies.
  • Training of nurses will also be done in the future to reduce communication gaps and cultural barriers.
  • The use of technology will be introduced in hospitals by getting better economic facilities. This will help nurses communicate with immigrants and physically disabled people using the technology.
  • Digital networks and communication will be introduced among nursing staff which will help them to work with a plan in emergencies without burdening anyone.
So, these are how social, economic, and cultural barriers will be reduced and it will result in lessening Health Disparities.

Social Justice and Cultural Sensitivity

To ensure health equity, cultural sensitivity and social justice are very necessary to be observed. Cultural sensitivity means that there should be an acceptance that there are different languages, values, behavior, norms, etc existing in the world. And in case of emergency people belonging to different cultures can be admitted for healthcare requirements (American Occupational Therapy Association, 2020). Nursing staff and community must be trained to provide healthcare facilities and help to such people and this practice leads to cultural sensitivity and health equity. Secondly, social justice refers to human rights, diversity, easeful access to resources, and equity. When these factors are considered in the DRP that means equal health opportunities and facilities will be provided to everyone irrespective of any economic or social barrier.

Impacts of Health And Governmental Policies On Recovery Efforts 

Health and governmental policies positively impact the DRP and efforts because they always provide some benefits, aid, or guidelines for disaster recovery. Following are some of these; Healthy People 2030:  This health policy aims at making efforts for making the community initiate proactive measures to deal with an emergency. Some important policies in this regard are;

NURS FPX 4060 Assessment 3 Attempt 1 Disaster Recovery Plan

  1. Increase the proportion of adults who have an emergency plan for disasters — PREP‑D04
  2. Increase the proportion of people who donate blood — BDBS‑D01 (Galderisi, 2022).
Emergency Assistance Act: This is a government policy that plays an important role in providing health services to the people in the first place of emergency. Emergency aid is provided under this policy which is very helpful and essential for effective DRP (Mashi, 2019). Americans with Disabilities Act (ADA): ADA is an important government policy that provides the regulations to protect and provide healthcare services to disabled people during an emergency (Iezzoni, 2022). The Disaster Mitigation Act: Under this policy, aid and emergency disaster management services are provided to the people.

Implications of these Policies

  • Better healthcare services can be provided during an emergency
  • Disable and handicapped people can get equal aid
  • Social and economic disparities can be reduced
  • Cultural sensitivity can be achieved
  • Social equity can be achieved  (Iezzoni, 2022).
  • Training and resources can be provided to nurses and the community to get pre-active for any emergency etc.

Evidence-Based Strategies To Overcome Communication Barriers

Communication and interprofessional collaboration is the key to performing effective teamwork and getting positive outcomes. There can be a situation during any emergency or disaster that recovery plans or policies fail to provide a proper remedy. But communication and interprofessional collaboration in this situation can play an effective role and provide positive outcomes. So, the following are some evidence-based strategies that can help to enhance the interprofessional collaboration and communication between healthcare workers which can result in better patient care and safety; Triage: Healthcare workers should work on making a triage, it can help to provide more effective healthcare services in a short time in case of any disaster. Triage can be formed by dividing the duty into three phases. First of all the nurses will make a hierarchy of patients in which minor injuries will be checked by nurses. Secondly, the serious injuries patient will be referred to doctors. Thirdly, fatal injuries and most serious patients requiring surgeries and Intensive care will be referred to the emergency ward and Intensive care unit (ICU).

Disaster Recovery Plan NURS FPX 4060 Assessment 3 Disaster Recovery Plan

Modern healthcare technology: Telehealth and digital technology can be used to enhance communication between nurses (Kichloo, 2020). Using any mobile application or any other technology a digital connection can be developed between the whole healthcare staff. In case of emergency, they can communicate easily and duty division, reports, patients hierarchy, etc can be maintained through this connection. Strategic communication between healthcare teams can also increase interprofessional collaboration. The workload can be maintained through this connection.

Implications of these strategies: 

  • Improved interprofessional collaboration and communication
  • Better healthcare services
  • Incorporation of telehealth and digital technology in healthcare institutions
  • Training and development of nurses to develop triage and work in a team
  • Teamwork and effective team building
  • Positive impacts on patients and proper healthcare management
  • Improved and instant healthcare services available to people in emergency etc.
Hence, are the implications of evidence-based strategies that can help to enhance communication and collaboration between healthcare workers.

Conclusion

To summarize, a disaster recovery plan is a set of rules and instructions which is used to immediately respond during any emergency or disaster situation. Economic, social, and cultural barriers can be negatively effective on DRP. In a better DRP, social equity and cultural sensitivity are ensured to lessen the health disparities. Healthcare and government policies explained above are the positive factors to provide better healthcare services to the community in case of any disaster. Communication and interprofessional collaboration is the most important factor for the proper management of healthcare services.

References

American Occupational Therapy Association. (2020). Educator’s guide for addressing cultural awareness, humility, and dexterity in occupational therapy curricula. The American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association, 74(Supplement_3), 7413420003p1-7413420003p19. https://doi.org/10.5014/ajot.2020.74s3005 Finucane, M. L., Acosta, J., Wicker, A., & Whipkey, K. (2020). Short-term solutions to a long-term challenge: Rethinking disaster recovery planning to reduce vulnerabilities and inequities. International Journal of Environmental Research and Public Health, 17(2), 482. https://doi.org/10.3390/ijerph17020482 Galderisi, A., Menoni, S., Setti, G., & Tognon, A. (2022). Disaster recovery reform and resilience. In disaster risk reduction for resilience (pp. 25–54). Springer International Publishinghttps://doi.org/10.1007/978-3-030-99063-3_2 Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala, R. C., Kanugula, A. K., Solanki, S., & Chugh, S. (2020). Telemedicine, the current COVID-19 pandemic, and the future: a narrative review and perspectives moving forward in the USA. Family Medicine and Community Health, 8(3), e000530. https://doi.org/10.1136/fmch-2020-000530 Kaye, A. D., Okeagu, C. N., Pham, A. D., Silva, R. A., Hurley, J. J., Arron, B. L., Sarfraz, N., Lee, H. N., Ghali, G. E., Gamble, J. W., Liu, H., Urman, R. D., & Cornett, E. M. (2021). Economic impact of COVID-19 pandemic on healthcare facilities and systems: International perspectives. Best Practice & Research. Clinical Anaesthesiology, 35(3), 293–306. https://doi.org/10.1016/j.bpa.2020.11.009 Iezzoni, L. I., Rao, S. R., Ressalam, J., Bolcic-Jankovic, D., Agaronnik, N. D., Lagu, T., Pendo, E., & Campbell, E. G. (2022). US physicians’ knowledge about the Americans with Disabilities Act and accommodation of patients with disability: Study examines what physicians know about the Americans With Disabilities Act and what is done to accommodate patients with a disability. Health Affairs (Project Hope), 41(1), 96–104. https://doi.org/10.1377/hlthaff.2021.01136