Healthy, Resilient, and Sustainable Communities After Disasters

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Publisher : National Academies Press
ISBN 13 : 0309316227
Total Pages : 532 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Healthy, Resilient, and Sustainable Communities After Disasters by : Institute of Medicine

Download or read book Healthy, Resilient, and Sustainable Communities After Disasters written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-10 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.

Evidence-Based Practice for Public Health Emergency Preparedness and Response

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Author :
Publisher : National Academies Press
ISBN 13 : 0309670381
Total Pages : 501 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Evidence-Based Practice for Public Health Emergency Preparedness and Response by : National Academies of Sciences, Engineering, and Medicine

Download or read book Evidence-Based Practice for Public Health Emergency Preparedness and Response written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-11-28 with total page 501 pages. Available in PDF, EPUB and Kindle. Book excerpt: When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.

Disaster Preparedness Resources for Community-based Organizations and Specific Populations

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Author :
Publisher :
ISBN 13 :
Total Pages : 40 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Disaster Preparedness Resources for Community-based Organizations and Specific Populations by :

Download or read book Disaster Preparedness Resources for Community-based Organizations and Specific Populations written by and published by . This book was released on 1993 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Guide for All-Hazard Emergency Operations Planning

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Author :
Publisher : DIANE Publishing
ISBN 13 : 078814829X
Total Pages : 277 pages
Book Rating : 4.7/5 (881 download)

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Book Synopsis Guide for All-Hazard Emergency Operations Planning by : Kay C. Goss

Download or read book Guide for All-Hazard Emergency Operations Planning written by Kay C. Goss and published by DIANE Publishing. This book was released on 1998-05 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.

Developing and Maintaining Emergency Operations Plans

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Author :
Publisher :
ISBN 13 :
Total Pages : 75 pages
Book Rating : 4.:/5 (696 download)

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Book Synopsis Developing and Maintaining Emergency Operations Plans by : United States. Federal Emergency Management Agency

Download or read book Developing and Maintaining Emergency Operations Plans written by United States. Federal Emergency Management Agency and published by . This book was released on 2010 with total page 75 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive Preparedness Guide (CPG) 101 provides guidelines on developing emergency operations plans (EOP). It promotes a common understanding of the fundamentals of risk-informed planning and decision making to help planners examine a hazard or threat and produce integrated, coordinated, and synchronized plans. The goal of CPG 101 is to make the planning process routine across all phases of emergency management and for all homeland security mission areas. This Guide helps planners at all levels of government in their efforts to develop and maintain viable all-hazards, all-threats EOPs. Accomplished properly, planning provides a methodical way to engage the whole community in thinking through the life cycle of a potential crisis, determining required capabilities, and establishing a framework for roles and responsibilities. It shapes how a community envisions and shares a desired outcome, selects effective ways to achieve it, and communicates expected results. Each jurisdiction's plans must reflect what that community will do to address its specific risks with the unique resources it has or can obtain.

Thunderstorms, Tornadoes, Lightning, Nature's Most Violent Storms: a Preparedness Guide, Including Tornado Safety Information for Schools

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Author :
Publisher : National Oceanic & Atmospheric Administration
ISBN 13 : 9780160924262
Total Pages : 20 pages
Book Rating : 4.9/5 (242 download)

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Book Synopsis Thunderstorms, Tornadoes, Lightning, Nature's Most Violent Storms: a Preparedness Guide, Including Tornado Safety Information for Schools by : National Weather Service (U.S.)

Download or read book Thunderstorms, Tornadoes, Lightning, Nature's Most Violent Storms: a Preparedness Guide, Including Tornado Safety Information for Schools written by National Weather Service (U.S.) and published by National Oceanic & Atmospheric Administration. This book was released on 2014-07-28 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: This illustrated guide showcases some facts about weather-related events and suggests life-saving actions you can take, if you find yourself in an unexpected situation resulting from a weather-related event. The goal of this booklet is to present you with details on how to recognize severe weather, be aware of your surroundings, and to encourage you to develop a plan to be ready to act when threatening weather approaches. Here is a bird's eye-view of the weather-related events that are covered in this guide with a few short facts about each that are also presented in the guide. Lightning... ¦ Causes an average of 55-60 fatalities and 400 injuries each year ¦ Occurs with all thunderstorms ¦ Costs more than $1 billion in insured losses each year Tornadoes... ¦ Cause an average of 60-65 fatalities and 1,500 injuries each year ¦ Can produce wind speeds in excess of 200 mph ¦ Can be 1 mile wide and stay on the ground over 50 miles Straight-line Winds... ¦ Can exceed 125 mph ¦ Can cause destruction equal to a tornado ¦ Are extremely dangerous to aviation Flash Floods and Floods... ¦ Are the #1 cause of deaths associated with thunderstorms, more than 90 fatalities each year Hail... ¦ Can be larger than a softball (5 inches in diameter) ¦ Causes more than $1 billion in crop and property damage each year Some helpful tips included in this guide include how quickly these weather-events can result to a devastating situation. Therefore, it emphasizes that by having a plan in place prior to the event that is practiced from time to time, will allow response actions to be positive rather than stressful. This resource also provides guidance on the type of items that should be included in an Emergency Supply Kit for use at home, office, school, or place of business. There is also a special section dedicated to schools and working with children during an unexpected weather emergency. This school section also includes proper inspections and maintenance of buildings, and recommends emergency drills to practice the school safety plans with children including handling of disabled personnel and/or children.

Reducing Disaster Losses Through Better Information

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Publisher : National Academies Press
ISBN 13 : 0309173450
Total Pages : 72 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Reducing Disaster Losses Through Better Information by : National Research Council

Download or read book Reducing Disaster Losses Through Better Information written by National Research Council and published by National Academies Press. This book was released on 1999-01-22 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Losses of life and property from natural disasters in the United States-and throughout the world-have been enormous and the potential for substantially greater future losses looms. It is clearly in the public interest to reduce these impacts and to encourage the development of communities that are resilient to disasters. This goal can be achieved through wise and sustained efforts involving mitigation, preparedness, response, and recovery. Implementing such efforts, particularly in the face of limited resources and competing priorities, requires accurate information that is presented in a timely and appropriate manner to facilitate informed decisions. Substantial information already exists that could be used to this end, but there are numerous obstacles to accessing this information, and methods for integrating information from a variety of sources for decision-making are presently inadequate. Implementation of an improved national or international network for making better information available in a more timely manner could substantially improve the situation. As noted in the Preface, a federal transition team is considering the issues and needs associated with implementing a global or national disaster information network as described in the report by the Disaster Information Task Force (1997). This National Research Council report was commissioned by the transition team to provide advice on how a disaster information network could best make information available to improve decision making, with the ultimate goal of reducing losses from natural disasters. The report is intended to provide the basis for a better appreciation of which types of data and information should be generated in an information program and how this information could best be disseminated to decision makers.

Building Community Disaster Resilience Through Private-Public Collaboration

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Author :
Publisher : National Academies Press
ISBN 13 : 0309162637
Total Pages : 142 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Building Community Disaster Resilience Through Private-Public Collaboration by : National Research Council

Download or read book Building Community Disaster Resilience Through Private-Public Collaboration written by National Research Council and published by National Academies Press. This book was released on 2011-03-17 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Natural disasters-including hurricanes, earthquakes, volcanic eruptions, and floods-caused more than 220,000 deaths worldwide in the first half of 2010 and wreaked havoc on homes, buildings, and the environment. To withstand and recover from natural and human-caused disasters, it is essential that citizens and communities work together to anticipate threats, limit their effects, and rapidly restore functionality after a crisis. Increasing evidence indicates that collaboration between the private and public sectors could improve the ability of a community to prepare for, respond to, and recover from disasters. Several previous National Research Council reports have identified specific examples of the private and public sectors working cooperatively to reduce the effects of a disaster by implementing building codes, retrofitting buildings, improving community education, or issuing extreme-weather warnings. State and federal governments have acknowledged the importance of collaboration between private and public organizations to develop planning for disaster preparedness and response. Despite growing ad hoc experience across the country, there is currently no comprehensive framework to guide private-public collaboration focused on disaster preparedness, response, and recovery. Building Community Disaster Resilience through Private-Public Collaboration assesses the current state of private-public sector collaboration dedicated to strengthening community resilience, identifies gaps in knowledge and practice, and recommends research that could be targeted for investment. Specifically, the book finds that local-level private-public collaboration is essential to the development of community resilience. Sustainable and effective resilience-focused private-public collaboration is dependent on several basic principles that increase communication among all sectors of the community, incorporate flexibility into collaborative networks, and encourage regular reassessment of collaborative missions, goals, and practices.

Facing the Unexpected

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Publisher : Joseph Henry Press
ISBN 13 : 0309171970
Total Pages : 321 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Facing the Unexpected by : Ronald W. Perry

Download or read book Facing the Unexpected written by Ronald W. Perry and published by Joseph Henry Press. This book was released on 2001-11-06 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Facing the Unexpected presents the wealth of information derived from disasters around the world over the past 25 years. The authors explore how these findings can improve disaster programs, identify remaining research needs, and discuss disaster within the broader context of sustainable development. How do different people think about disaster? Are we more likely to panic or to respond with altruism? Why are 110 people killed in a Valujet crash considered disaster victims while the 50,000 killed annually in traffic accidents in the U.S. are not? At the crossroads of social, cultural, and economic factors, this book examines these and other compelling questions. The authors review the influences that shape the U.S. governmental system for disaster planning and response, the effectiveness of local emergency agencies, and the level of professionalism in the field. They also compare technological versus natural disaster and examine the impact of technology on disaster programs.

Community Based Disaster Risk Reduction

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Publisher : Emerald Group Publishing
ISBN 13 : 0857248677
Total Pages : 423 pages
Book Rating : 4.8/5 (572 download)

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Book Synopsis Community Based Disaster Risk Reduction by : Rajib Shaw

Download or read book Community Based Disaster Risk Reduction written by Rajib Shaw and published by Emerald Group Publishing. This book was released on 2012-03-06 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deals with the topic of Community Based Disaster Risk Reduction (CBDRR). This book provides an overview of the subject and looks at the role of governments, NGOs, academics and corporate sectors in community based disaster risk reduction. It examines experiences from Asian and African countries.

Are You Ready?

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Publisher :
ISBN 13 :
Total Pages : 116 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Are You Ready? by :

Download or read book Are You Ready? written by and published by . This book was released on 2004 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accompanying CD-ROM contains additional supporting materials, sample electronic slide presentations, and other resources.

Disaster Nursing

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Publisher : Springer Publishing Company
ISBN 13 : 9780826121448
Total Pages : 680 pages
Book Rating : 4.1/5 (214 download)

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Book Synopsis Disaster Nursing by : Tener Goodwin Veenema

Download or read book Disaster Nursing written by Tener Goodwin Veenema and published by Springer Publishing Company. This book was released on 2007-06-18 with total page 680 pages. Available in PDF, EPUB and Kindle. Book excerpt: Read a fascinating interview with editor Tener Goodwin Veenema! Tener Veenema Interview Disaster planning and emergency preparedness have never been more critical to the nurses who serve as our front-line response. Today's pandemic threats of global terrorism, disease, and natural disasters make this comprehensive handbook of best practices a necessity--meeting the need for a nursing workforce that is adequately prepared to respond to any disaster or public health emergency. In addition to a thorough update based on the most recent recommendations, this second edition contains six new chapters: Emergency Health Services (EMS and other first responders) Burn Assessment and Management Explosive & Traumatic Terrorism Caring for High-Risk, High-Vulnerability Patients Emerging Infectious Disease (avian and other flu pandemics) Chemical Decontamination All content reflects the guidelines provided in the Federal Disaster Response Plan and the National Incident Management System (NIMS) and therapeutic recommendations from the national Centers for Disease Control and Prevention. Disaster Nursing will prepare any nurse or EMS team to provide health care under a variety of disaster conditions.

Planning for Community-based Disaster Resilience Worldwide

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Author :
Publisher : Taylor & Francis
ISBN 13 : 1317080149
Total Pages : 493 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Planning for Community-based Disaster Resilience Worldwide by : Adenrele Awotona

Download or read book Planning for Community-based Disaster Resilience Worldwide written by Adenrele Awotona and published by Taylor & Francis. This book was released on 2016-10-14 with total page 493 pages. Available in PDF, EPUB and Kindle. Book excerpt: We are witnessing an ever-increasing level and intensity of disasters from Ecuador to Ethiopia and beyond, devastating millions of ordinary lives and causing long-term misery for vulnerable populations. Bringing together 26 case studies from six continents, this volume provides a unique resource that discusses, in considerable depth, the multifaceted matrix of natural and human-made disasters. It examines their bearing on the loss of human and productive capital; the conduct of national policies and the setting of national development priorities; and on the nature of international aid and bilateral assistance strategies and programs of donor countries. In order to ensure the efficacy and appropriateness of their support for disaster survivors, international agencies, humanitarian and disaster relief organizations, scholars, non-governmental organizations, and members of the global emergency management community need to have insight into best practices and lessons learned from various disasters across national and cultural boundaries. The evidence obtained from the numerous case studies in this volume serves to build a worldwide community that is better informed about the cultural and traditional contexts of such disasters and better enabled to prepare for, respond to, and finally rebuild sustainable communities after disasters in different environments. The main themes of the case studies include: • the need for community planning and emergency management to unite in order to achieve the mutual aim of creating a sustainable disaster-resilient community, coupled with the necessity to enact and implement appropriate laws, policies, and development regulations for disaster risk reduction; • the need to develop a clear set of urban planning and urban design principles for improving the built environment’s capacities for disaster risk management through the integration of disaster risk reduction education into the curricula of colleges and universities; • the need to engage the whole community to build inclusive governance structures as prerequisites for addressing climate change vulnerability and fostering resilience and sustainability. Furthermore, the case studies explore the need to link the existence and value of scientific knowledge accumulated in various countries with decision-making in disaster risk management; and the relevance and transferability from one cultural context to another of the lessons learned in building institutional frameworks for whole community partnerships.

Building Community Resilience to Disasters

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Publisher : Rand Corporation
ISBN 13 : 0833052098
Total Pages : 104 pages
Book Rating : 4.8/5 (33 download)

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Book Synopsis Building Community Resilience to Disasters by : Anita Chandra

Download or read book Building Community Resilience to Disasters written by Anita Chandra and published by Rand Corporation. This book was released on 2011 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Community resilience, or the sustained ability of a community to withstand and recover from adversity has become a key policy issue at federal, state, and local levels, including in the National Health Security Strategy. Because resources are limited in the wake of an emergency, it is increasingly recognized that resilience is critical to a community's ability to reduce long recovery periods after an emergency. This report provides a roadmap for federal, state, and local leaders who are developing plans to enhance community resilience for health security threats and describes options for building community resilience in key areas. Based on findings from a literature review and a series of community and regional focus groups, the authors provide a definition of community resilience in the context of national health security and a set of eight levers and five core components for building resilience. They then describe suggested activities that communities are pursuing and may want to strengthen for community resilience, and they identify challenges to implementation.

Disaster Mitigation

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Author :
Publisher : Humanities Press International
ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.:/5 (321 download)

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Book Synopsis Disaster Mitigation by : Andrew Maskrey

Download or read book Disaster Mitigation written by Andrew Maskrey and published by Humanities Press International. This book was released on 1989 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Future of Nursing 2020-2030

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Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.6/5 (85 download)

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Book Synopsis The Future of Nursing 2020-2030 by : National Academies of Sciences Engineering and Medicine

Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Disaster Nursing and Emergency Preparedness for Chemical, Biological, and Radiological Terrorism and Other Hazards

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826108652
Total Pages : 803 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Disaster Nursing and Emergency Preparedness for Chemical, Biological, and Radiological Terrorism and Other Hazards by : Tener Goodwin Veenema, PhD, MPH, MS, CPNP, FAAN

Download or read book Disaster Nursing and Emergency Preparedness for Chemical, Biological, and Radiological Terrorism and Other Hazards written by Tener Goodwin Veenema, PhD, MPH, MS, CPNP, FAAN and published by Springer Publishing Company. This book was released on 2012-08-24 with total page 803 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new edition of this AJN Book of the Year continues to provide nurses with the most comprehensive, current, and reliable information available so they can develop the skills to efficiently and effectively respond to disasters or public health emergencies. Meticulously researched and reviewed by the worldís foremost experts in preparedness for terrorism, natural disasters, and other unanticipated health emergencies, the text has been revised and updated with significant new content, including 10 new chapters and a digital adjunct teacher's guide with exercises and critical thinking questions. This new edition has strengthened its pediatric focus with updated and expanded chapters on caring for children's physical, mental, and behavioral health following a disaster. New chapters address climate change, global complex human emergencies, caring for patients with HIV/AIDS following a disaster, information technology and disaster response, and hospital and emergency department preparedness. The text provides a vast amount of evidence-based information on disaster planning and response for natural and environmental disasters and those caused by chemical, biological, and radiological elements, as well as disaster recovery. It also addresses leadership, management, and policy issues in disaster nursing and deepens our understanding of the importance of protecting mental health throughout the disaster life cycle. Each chapter is clearly formatted and includes Key Messages and Learning Objectives. Appendices present diagnosis and treatment regimens, creating personal disaster plans, a damage assessment guide, a glossary of terms, and more. Consistent with the Federal Disaster Response Framework, the book promotes competency-based expert nursing care during disasters and positive health outcomes for small and large populations. Key Features: Provides 10 new chapters and new content throughout the text Includes digital teacherís guide with exercises and critical thinking questions Consistent with current U.S. federal guidelines for disaster response Disseminates state-of-the-science, evidence-based information New Chapters: Management of the Pregnant Woman and Newborn During Disasters Management of Patients With HIV/AIDS During Disasters Disaster Nursing in Schools and Other Child Congregate Care Settings Global Complex Human Emergencies Climate Change and the Role of the Nurse in Policy and Practice Human Services Needs Following Disaster Events and Disaster Case Management Hospital and Emergency Department Preparedness National Nurse Preparedness: Achieving Competency-Based Expert Practice Medical Countermeasures Dispensing