Improving Public Health Nursing Capabilities for Building Not for Profit Organizations' Capacity for Disaster Continuity of Operations Planning: A Pilot Program

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2015-12

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University of Hawaii at Manoa

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Introduction: It is critical during and after any disaster that essential services affecting the health and safety of vulnerable populations continue. To ensure essential services continue, small community not for profit organizations that provide services for vulnerable populations need to have a continuity of operations plan (COOP) in place. Hawaii Public Health Nurses (PHNs) have a role in preparing small community organizations through COOP development ensuring services for the vulnerable continue. Building capacity for COOP in small community not for profit organizations has not occurred. Therefore, this project aimed to improve capabilities of Hawaii Department of Health (HDOH) PHNs to serve as capacity builders for disaster COOP planning and increase the capacity for COOP among small community not for profit organizations. Method: During a 12 week period, a pilot was conducted with 12 HDOH PHNs in four counties. The Johns Hopkins Nursing Evidence Based Practice (JHNEBP) Model (Newhouse, Dearholt, Poe, Pugh, & White, 2007) was used to guide the process of this project. A COOP tool, a training program for PHNs, and a COOP curriculum for PHNs use with small community not for profit organizations were designed during the project. The PHNs’ training program and community COOP curriculum was evaluated using instruments designed by the Doctor of nursing practice (DNP) student. The PHNs’ knowledge, confidence, and competence in implementing the COOP tool and curriculum, and facilitators and barriers were evaluated using Likert scales, open-ended questions and open discussion. Results: Three PHNs implemented COOP with a community organization. Two of three PHNs (66%) reported an increase in competence and confidence in using the COOP tool and curriculum. Two of three community organizations expressed interest in developing a COOP for their organization. Results also showed, PHNs’ experience level was a factor for engaging small community not for profit organizations for COOP development. Discussion: PHNs are an excellent resource in building small community not for profit organizations’ capacity for continuity of operations disaster planning. Based on findings, it is recommended that Hawaii PHNs continue to implement the COOP tool and curriculum with small community not for profit organizations.

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All Hazards Planning, Continuity of Operations Planning

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Theses for the degree of Doctor of Nursing Practice (University of Hawaii at Manoa). Nursing

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