NURS FPX 6618 Assessment 3 Disaster Plan with Guidelines for Implementation

Assessment 3: Disaster Plan with Guidelines for Implementation

Name

Capella University

NURS-FPX6618: Leadership in Care Coordination

Instructor Name

July, 2024

Slide 2:

Disaster Plan with Guidelines for Implementation

Hi Everyone! I’m _____. Today’s presentation is dedicated to assessing the needs and accessibility of healthcare services for Mexican immigrants in disaster management. It includes the definition of care coordination aspects, such as the staff and material requirements, and the application of ethical and cultural principles. In the context of the above competencies, the present assessment focuses on disaster care and the preparation of a care coordination team to execute the plan to provide equal and efficient disaster care with consideration of the vulnerability of this population.

Slide 3: 

Care Coordination Needs

To evaluate the care coordination concerns for Mexican immigrants in case of a disaster, it is crucial to outline specific threats and the resources that need to be mobilized to respond to the disaster effectively. Such factors as language barriers, poor access to health facilities, and the fear of deportation are factors that commonly prevail in this community and are worse during disasters (Brener et al., 2024). Much can be reasonably and rationally deduced concerning the effects of a disrupted community by looking into previous disasters and their effects on similar communities. For example, records indicate that during the Katrina hurricane disaster, poor groups such as immigrant families received little or no immediate assistance and health care. These delays led to the increased morbidity and mortality of the patients. This underscores the urgent need for more planning and specific measures to prevent these consequences before the disaster.

Brener et al. (2024) study shows that proper care coordination entails using communication plans and culturally appropriate caregivers and organizations. Another study by Sawadogo et al. (2023) highlighted the importance of engaging the local leadership and utilizing the assets to build resilience. Including these evidence-based practices in the tool kit of disaster preparedness will enable the targeted Mexican immigrants to have the right care as and when the above unfortunate incidents occur, hence minimizing the impact on this vulnerable group.

Slide 4: 

Key Elements of a Disaster Preparedness Toolkit

Essential components that must be embedded when defining the details of a disaster preparedness tool kit when Nurses want to provide the best possible care coordination are that the problems and challenges of Mexican immigrants must be understood. Thus, the nature of having prior communication channels that can help overcome the language barrier is an essential condition for the existence of the tool kit (Albertson et al., 2022). This was then succeeded by the culturally appropriate care givers who respect the cultures of the given societies, and frequent communication and working with the heads and other organizations in the community to gain their trust. This demonstrates the communication skills in evaluating the possible disaster that will impact the community and active collaboration in patient care for a culturally diverse populace. These components are vital in dismissing the efficiency of emergencies and for a sound, well-coordinated reaction.

Slide 5: 

Personnel and Material Resources for Emergency Care 

Establishing who is within the organization and what materials will be necessary in the emergency to provide structured Mexican immigrants’ care requires analyzing contingencies, necessary, and possible challenges. Such personnel include:

  • Interpreters.
  • Culturally competent healthcare providers.
  • Trained community health workers

Material resources include mobile health units, emergency medical kits, translators/interpreters due to deportation, and lawyers (Chartoff et al., 2023). Some of them are the number of trained personnel and the community’s preparedness as much as it is willing to engage the emergency services. Some uncertainties stem from the varying effects and characteristics of the calamity and the disparity in the community’s participation. With the help of many pieces of information, logical and valid conclusions in this plan can improve the likelihood of finding and catering to this group of vulnerable members in an emergency.

Slide 6: 

Best Practices for Ethical, Culturally Competent Care 

Respect, equity, and sensitivity to the Mexican immigrant population would be used in describing the standards and the best method practice in delivering ethical, culturally competent care planning that is compromised by difficult circumstances. It involves compliance with CLAS rules and requirements regarding communication and understanding of patients’ cultural backgrounds, initiating training of healthcare workers on cultural competency, and engaging the community leaders in implementing disaster management plans (Duan et al., 2022). Other principles include respecting the client’s privacy and seeking legal measures to ensure the client is not deported. 

By integrating the identified challenges, standards, and best practices, reasonable conclusions can be provided that patient care must be based on an inclusive, non-discriminatory attitude and community involvement. This approach boosts confidence and collaboration in addition to promoting ethical delivery of care and cultural and linguistic appropriateness required by the population during a disaster, improving health outcomes.

Slide 7: 

Interprofessional Relationships in Disaster Care Coordination

When analyzing such simple and interconnected elements of functioning in forms of the care that is needed in disasters, it is crucial to consider some essential aspects relating to what kind of interaction is needed for the full and proper response between different agencies and professions that constitute this process. Such agencies are the local health department, EMS, the social sector, and FEMA (Shukla et al., 2024). Without a doubt, every one of them has its pertinent function. The resource mobilization is performed where the local health departments are the ones that are currently spearheading most of the public health interventions. The EMS offers medical treatment either at the scene or reaches the scene first before any other car or person does (Jin et al., 2023). The community-based organizations offer physical and other kinds of support in society, and the final part is the federal source as the provider of facilities and funds for the rest of the activities (Gandra & Coopersmith, 2024).

Another component is the IPR between health care providers, social workers, and legal consultants involved in a combined assessment and management of the client’s need due to its multifaceted nature (Mint Star, 2023). They offer assurance that care is being received by other persons and people of a special culture or from a particular social background. It is also imperative to describe these roles and how they relate to the framework of care coordination and system dynamics in optimizing resource deployment in offering the necessary services per people’s needs.

Slide 8: 

Regulatory Requirements Governing Disaster Relief 

Specifying relevant county, state, or international statutes, codes, rules, or regulations that might set the rules for relief for the Mexican immigrants’ disaster care means learning and obeying the rules and regulations governing emergency response that apply to the community. In the local arena, regulations could comprise statewide emergency health laws that define aspects of the supply and delivery of commodities in a disaster (Persson et al., 2022). 

Nationally, healthcare policy enacted the Emergency Medical Treatment and Labor Act (EMTALA) that requires any Mexican immigrant or any person seeking care to receive emergency care irrespective of ability to pay (Lessinnes et al., 2023). Globally, professional bodies such as the WHO provide guidelines for the formation of disaster response and the coordination of their similar counterparts (Ma et al., 2023). These regulations are important for care coordination because they make response efforts legal, moral, and acceptable for every person. The awareness of these criteria reduces gaps and increases the competency in distributing sources to guarantee vulnerable populations such as Mexican immigrants appropriate attention during disastrous events.

Slide 9: 

Training and Preparing a Care Coordination Team

Integrating disaster preparedness tools develops methods for preparing a care coordination team to use the tool kits for the disaster preparedness project (Puryear & Gnugnoli, 2023). It focused on explaining the task, goals, and objectives and the rationale for specific actions of the plan. They include performing frequent shock drill evacuation, frequent exercises in communication integrated procedure, and coordination with local agencies/human service organizations, especially those serving Mexican immigrants. These actions are justified to increase preparedness, achieve speed, and provide fairness. One needs to develop answers to the questions, discussions, or even opposition that some team members or community members might show regarding resourcing, communication, or legal concerns like immigration status (Sawadogo et al., 2023). These issues are anticipated and addressed through education, communication, and active involvement of the public in implementing the disaster preparedness project plan.

Slide 10: 

NURS FPX 6618 Assessment 3 Disaster Plan with Guidelines for Implementation Conclusion 

This plan for disaster preparedness for the Mexican immigrant population considers the key dimensions of culturally appropriate disaster intervention, multiagency collaboration, and compliance with the regulations to provide effective means of enhancing both the efficiency of the disaster response and the level of care. This plan seeks to reduce the impact of disasters on this vulnerable group by ensuring that the care coordination team adequately understands their roles and that issues that may likely complicate the situation are addressed before the disasters occur. The plan improves the readiness of community-based healthcare facilities and optimizes the timely and fair distribution of care to the affected community during emergency events​.

NURS FPX 6618 Assessment 3 Disaster Plan with Guidelines for Implementation References

Albertson, M., Chuang, E., Masta, B., Miake, I., Haley, A., & Pourat, N. (2022). Systematic review of care coordination interventions linking health and social services for high-utilizing patient populations. Population Health Management, 25(1), 73–85. https://doi.org/10.1089/pop.2021.0057

Brener, S., Jiang, S., & Hazenberg, E. (2024). A cyclical model of barriers to healthcare for the Hispanic/Latinx population. Journal of Racial and Ethnic Health Disparities, 11, 1077–1088. https://doi.org/10.1007/s40615-023-01587-5

Chartoff, E., Kropp, M., & Roman, P. (2023). Disaster planning. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470570/

Duan, W., Ullman, K., Majeski, B., Miake, I., Diem, S., & Wilt, J. (2022). Care coordination models and tools—Systematic review and key informant interviews. Journal of General Internal Medicine, 37(6), 1367–1379. https://doi.org/10.1007/s11606-021-07158-w

Gandra, A., & Coopersmith, M. (2024). Disaster management—Preparation and planning for acute care facilities. Current Opinion in Critical Care, 30(3), 195–201. https://doi.org/10.1097/MCC.0000000000001151

Jin, Y., Maimaitiming, M., Li, J., Hoving, D. J., & Yuan, B. (2023). Coordination of care to improve outcomes of emergency medical services. The Cochrane Database of Systematic Reviews, 2023(3), CD015316. https://doi.org/10.1002/14651858.CD015316

Khirekar, J., Badge, A., Bandre, R., & Shahu, S. (2023). Disaster preparedness in hospitals. Cureus, 15(12), e50073. https://doi.org/10.7759/cureus.50073

Lessinnes, S., Köhler, M., & Ewers, M. (2023). Evidence of disaster planning by home care providers: An integrative literature review. International Journal of Environmental Research and Public Health, 20(9), 5658. https://doi.org/10.3390/ijerph20095658

Ma, C., Qirui, C., & Lv, Y. (2023). One community at a time: Promoting community resilience in the face of natural hazards and public health challenges. BMC Public Health, 23, 2510. https://doi.org/10.1186/s12889-023-17458-x

Persson, H., Søndergaard, J., Mogensen, B., Skjøt, H., & Andersen, T. (2022). Healthcare professionals’ experiences and attitudes to care coordination across health sectors: An interview study. BMC Geriatrics, 22(1), 509. https://doi.org/10.1186/s12877-022-03200-6

Puryear, B., & Gnugnoli, M. (2023). Emergency preparedness. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK537042/

Sawadogo, P. M., Sia, D., Onadja, Y., Beogo, I., Sangli, G., Sawadogo, N., Gnambani, A., Bassinga, G., Robins, S., & Nguemeleu, E. (2023). Barriers and facilitators of access to sexual and reproductive health services among migrant, internally displaced, asylum seeking and refugee women: A scoping review. PLOS ONE, 18(9), e0291486. https://doi.org/10.1371/journal.pone.0291486

Shukla, M., Amberson, T., Heagele, T., McNeill, C., Adams, L., Ndayishimiye, K., & Castner, J. (2024). Tailoring household disaster preparedness interventions to reduce health disparities: Nursing implications from machine learning importance features from the 2018-2020 FEMA National Household Survey. International Journal of Environmental Research and Public Health, 21(5), 521. https://doi.org/10.3390/ijerph21050521

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