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Capella 4060 Assessment 3

Capella 4060 Assessment 3

Capella 4060 Assessment 3 Disaster Recovery Plan

Student Name

Capella University

NURS-FPX 4060 Practicing in the Community to Improve Population Health

Prof. Name

Date

Disaster Recovery Plan

The following assessment presents a comprehensive disaster recovery plan aimed at lessening health disparities and improving access to community services in the aftermath of a disaster. This plan is developed for the Valley city considering the unique needs and challenges faced by its diverse population. By applying the MAP-IT framework and incorporating evidence-based strategies, this plan seeks to address the determinants of health, overcome communication barriers, promote interprofessional collaboration, and align with relevant health and governmental policies.

The goal is to ensure the equitable distribution of resources, support the well-being of community members, and achieve the Healthy People 2020 goals and 2030 objectives. Through collaborative efforts, proactive planning, and the implementation of targeted interventions, this disaster recovery plan aims to enhance the resilience and recovery of the Valley city.

Determinants of Health and Barriers Impacting Safety, Health, and Disaster Recovery Efforts

When evaluating a train derailment situation, there are distinct cultural, social, and economic aspects that shape health outcomes and pose challenges inhibiting safety, health, and disaster recovery efforts in the community. These factors are explained individually below, highlighting their interdependencies and combined influences.

Cultural Factors

For Valley city, the cultural diversity is a notable factor that could impact the efficacy of disaster recovery efforts. Some community members may primarily speak languages other than English, which can pose challenges in disseminating critical information about safety measures, evacuation plans, and healthcare access. Additionally, certain cultural norms and beliefs might affect how different groups perceive and respond to the disaster. For example, some cultures may place a significant emphasis on community support and collaboration in times of crisis, while others might prioritize individual efforts and resilience. Addressing these cultural nuances requires clear multilingual communication, respect for cultural norms, and inclusion of diverse community voices in the disaster recovery planning process (Ekezie et al., 2022).

Social Factors and Social Support Networks

The Valley city is socially diverse, with varying degrees of vulnerability among its members. Older adults, individuals with disabilities, and non-English speaking individuals may face additional difficulties in accessing information and resources. They may also be more prone to isolation and have a higher risk of mental health problems due to the disaster. Strategies to address these social barriers might include targeted outreach programs, buddy systems to ensure that vulnerable individuals are not left alone, and mental health resources such as counseling and support groups (Boenigk et al., 2021).

Economic Factors

The socioeconomic status of Valley city members varies widely. Lower-income individuals or families may struggle to afford necessary resources for evacuation and recovery, such as transportation, temporary housing, or healthcare services. Efforts to address these economic disparities could include sliding-scale fees for services, targeted financial assistance or grant programs, and partnerships with non-profit organizations or government programs that can provide additional resources (Rouhanizadeh & Kermanshachi, 2019).

Environmental Conditions

The train derailment in Valley city has caused water supply contamination, which presents an immediate health risk. Other environmental hazards may include air pollution due to smoke or chemical releases, physical dangers from the wreckage, or long-term health risks from exposure to toxic substances. Responding to these conditions would require a coordinated effort from environmental and health agencies. Strategies might include providing alternative water sources, cleaning up the disaster area, monitoring air and water quality, and providing health screenings or treatments for individuals exposed to hazardous materials (Rouhanizadeh & Kermanshachi, 2019).

Determinants of Health (Healthy People 2030)

In addition to these immediate factors, the disaster recovery plan for Valley city must also consider longer-term health determinants as defined by Healthy People 2030. This might include efforts to improve access to healthcare services, reduce health disparities, and promote healthy behaviors and mental well-being. Strategies could range from mobile health clinics to community health education programs, to mental health resources and social support networks (Kleinman et al., 2021).

The determinants of health and barriers in a community are not standalone entities. Understanding these interrelationships is fundamental to developing an effective disaster recovery plan as it allows us to see the community as an interconnected system rather than a collection of individual elements. In the context of Valley city, specific determinants of health identified from the Valley City facts may include factors such as socioeconomic status, access to healthcare facilities, environmental conditions, social support networks, and health behaviors. For example, the socioeconomic status of individuals can influence their access to resources and their ability to afford necessary healthcare services.

Environmental conditions, such as contaminated water or air pollution, can directly impact the health of community members. The availability of social support networks plays a critical role in promoting resilience and aiding in the recovery process. Lastly, health behaviors, such as engaging in healthy practices and seeking timely medical care, can significantly impact overall health outcomes. These factors play a crucial role in shaping the overall health and well-being of the community. By addressing them in the disaster recovery plan, we can effectively mitigate the long-term impacts of the disaster and promote a healthier and more resilient Valley city. Let’s explore these factors:

Cultural and Social Factors Interrelationship

Cultural factors often interplay with social factors in shaping the response to a disaster. For instance, cultural norms and values can shape social networks and determine how community members collaborate and support each other during a disaster. For example, in a community where cultural norms value collective action and mutual aid, social networks may be stronger and more effective in providing support during recovery efforts (Rouhanizadeh & Kermanshachi, 2019).

Social and Economic Factors Interrelationship

Social factors are often closely intertwined with economic factors. For instance, individuals from lower socioeconomic backgrounds may be more socially isolated due to limited resources or stigmatization. This could hinder their access to information, resources, and social support networks during the disaster recovery period. Conversely, individuals with stronger social networks may have more access to resources and information, making it easier for them to navigate the recovery process (Rouhanizadeh & Kermanshachi, 2019).

Economic and Environmental Factors Interrelationship

The interplay between economic and environmental factors is also important. Individuals with lower economic resources may have fewer options to cope with environmental disasters. For example, they may be unable to afford temporary housing if their homes are contaminated due to a train derailment. They may also face difficulties in accessing clean water and healthcare services, exacerbating health risks associated with the environmental disaster networks (Kleinman et al., 2021).

Environmental Factors and Health Determinants Interrelationship

Lastly, environmental conditions directly influence health determinants as outlined by Healthy People 2030. For instance, a contaminated water supply could lead to a range of health issues, from immediate problems like dehydration and illness, to long-term issues like chronic diseases. This makes restoring and maintaining a clean environment a crucial step in promoting overall community health and well-being networks (Kleinman et al., 2021).

MAP-IT Framework Application

In addressing disaster recovery, it is crucial to adopt a systematic approach that ensures the well-being of all community members, especially those most vulnerable to health disparities. Applying the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework in a community context can provide a comprehensive and inclusive strategy for managing recovery efforts post-disaster. Importantly, principles of social justice and cultural sensitivity should be integrated at each step of this framework to ensure health equity.

Social justice involves promoting fair and equitable distribution of resources and opportunities, addressing systemic inequalities, and advocating for the rights and well-being of marginalized populations. In the context of disaster recovery, this principle calls for a focus on providing equal access to healthcare services, ensuring that vulnerable individuals and communities receive the support they need. It also requires addressing the underlying social determinants of health that contribute to health disparities, such as poverty, discrimination, and limited access to education and employment opportunities (Rouhanizadeh & Kermanshachi, 2019).

Cultural sensitivity emphasizes the recognition and respect for diverse cultural beliefs, practices, and values. In disaster recovery, it means understanding and valuing the cultural diversity within the community and tailoring recovery strategies to meet the specific needs and preferences of different cultural groups. This includes considering language barriers, cultural norms, and traditional healing practices to ensure that recovery efforts are culturally appropriate and inclusive (Deshields et al., 2021).

Mobilize Collaborative Partners

Partnering with diverse community stakeholders ensures that different perspectives and expertise are brought together for holistic recovery planning. It’s important to have representation from various cultural groups in the community to ensure that strategies implemented uphold principles of social justice and cultural sensitivity. This approach helps foster community trust, ensures cultural appropriateness of interventions, and addresses potential biases that could inadvertently marginalize certain groups (Mudassir, 2020). Collaboration with community organizations, local government agencies, healthcare providers, faith-based groups, and cultural community leaders can provide valuable insights and resources for effective disaster planning and implementation. By involving these stakeholders in the proposed disaster plan for Valley City, their expertise can contribute to the development of culturally sensitive strategies and ensure that the unique needs and perspectives of diverse cultural groups are considered.

Assess Community Needs

To effectively address the recovery needs of the Valley City community, a comprehensive assessment of community needs will be conducted. This assessment will utilize the demographic data and specifics related to the train derailment disaster to identify the physical, emotional, cultural, and financial needs of the entire community. It will take into account the diverse population of Valley City and ensure the equitable allocation of services to meet the unique needs of each group. Special attention will be given to vulnerable populations, such as the elderly with complex health conditions, physically disabled individuals who use lip-reading or American Sign Language, the homeless, and undocumented migrant workers with limited English proficiency.

The assessment will also consider the triage classification to provide a rationale for prioritizing medical care for those who may have been injured during the train derailment. It will incorporate evidence-based guidelines and expert opinions to ensure an effective and fair allocation of resources based on the severity of injuries and immediate medical needs. Furthermore, the assessment will include a comprehensive plan for contact tracing, specifically targeting homeless individuals, disabled community members, displaced residents, migrant workers, and individuals with hearing impairment or English as a second language. This proactive approach will help identify potential transmission chains and provide necessary support and resources to the identified individuals during severe tornado events (Mudassir, 2020).

Plan to Lessen Health Disparities and Improve Access to Services

The plan should be designed with the aim of achieving health equity, which means that everyone in the community has a fair and just opportunity to be as healthy as possible. This involves recognizing and addressing the unique barriers faced by different groups, such as language barriers for non-English speakers or mobility challenges for the elderly or disabled. Special initiatives should be taken to ensure these groups receive equitable access to services and resources (Deshields et al., 2021).

In developing a specific plan for the Valley City, targeted strategies will be implemented to address the identified health disparities and access barriers. This may involve establishing language support services for non-English speakers, implementing transportation options for individuals with limited mobility, and creating inclusive spaces and facilities that accommodate the needs of diverse community members. By prioritizing these specific interventions, the plan will actively work towards reducing health disparities and ensuring equitable access to healthcare services and community resources for all residents of Valley City.

Implement a Plan to Reach Healthy People 2020 Goals and 2030 Objectives

The implementation of the recovery plan should align with the principles of social justice and cultural sensitivity to ensure health equity. This means strategies should be inclusive, fair, and respectful of cultural differences. For example, communication strategies should be tailored to different languages and literacy levels, and healthcare services should be responsive to culturally-specific health beliefs and practices (Kleinman et al., 2021).

Track and Trace-Map Community Progress

Tracking community progress should involve regular equity audits to ensure that the benefits of recovery efforts are being shared equitably across all community groups. It’s also important to keep a culturally sensitive lens when conducting tracing, respecting privacy norms and ensuring that no stigmatization or discrimination arises from these efforts (Ekezie et al., 2022)

Overall, principles of social justice and cultural sensitivity are not just add-ons but integral elements throughout the MAP-IT process. They guide every step, from mobilizing partners and assessing community needs, to planning and implementing interventions, and tracking progress. Integrating these principles ensures that the Valley city community’s disaster recovery efforts are inclusive, equitable, and effective in meeting the unique needs of all community members.

Health and Governmental Policy Impact on Disaster Recovery Efforts

Disaster recovery in any community is greatly influenced by local and national health and governmental policies. These policies not only dictate the resources and support available during recovery but also impact long-term health outcomes of the affected population. By understanding the nuances of these policies, we can tailor our disaster recovery plan for Valley city, ensuring it is not only effective but also equitable.

Medicaid Expansion under the Affordable Care Act (ACA)

The ACA’s Medicaid expansion provides health coverage to many low-income adults, enabling them to access crucial health services during the recovery period following a disaster. In the context of the Valley city, which includes low-income individuals, this policy means that more community members can avail themselves of needed medical assistance in the aftermath of a disaster. This coverage extends not only to physical injuries but also to essential mental health services, thereby addressing an often overlooked aspect of disaster recovery (Moriya & Chakravarty, 2023).

Mental Health Parity and Addiction Equity Act (MHPAEA)

Disasters invariably lead to an uptick in mental health issues among affected populations. The MHPAEA ensures that insurance plans provide equal coverage for mental health and substance use disorders as they do for physical health issues. Given the increased risk of conditions like PTSD, depression, and anxiety following a disaster, this policy holds significance for the Valley city by ensuring mental health support is readily accessible and financially feasible for community members during the recovery phase (Miller, 2022).

Robert T. Stafford Disaster Relief and Emergency Assistance Act

This act authorizes federal assistance in disaster-stricken areas, including funding for rebuilding infrastructure and providing financial assistance programs for affected individuals. For the Valley city, this act can be vital to secure the necessary financial resources to rebuild the community’s physical infrastructure, such as homes and public facilities, but also to help individuals and families cope with the financial strain induced by the disaster (Davlasheridze & Miao, 2021).

National Response Framework (NRF) and National Incident Management Assistance Team (IMAT)

These governmental guides underline the roles and responsibilities at all governmental levels during a disaster, ensuring a coordinated response and recovery effort. For the Valley city, these frameworks contribute to an organized, unified disaster response, promoting timely, effective relief and recovery actions. These coordinated efforts can reduce confusion and inefficiency, ensuring resources are properly allocated and needs are effectively met (Edwards et al., 2021).

Title VI of the Civil Rights Act

This act prohibits discrimination based on race, color, or national origin in federally funded programs or activities. The relevance of this policy to the Valley city cannot be overstated. Given the community’s diversity, it is essential that recovery efforts are equitable and inclusive. By adhering to this policy, we ensure resources and aid are available to all community members regardless of their race, language proficiency, or socioeconomic status (Yearby, 2020).

Each of these policies has a crucial role in shaping the community’s recovery from a disaster. By understanding their relevance and implications, we can create a disaster recovery plan that is not only effective but also ensures equity and inclusivity, catering to the diverse needs of theValley city.

Strategies for Communication and Interprofessional Collaboration in Disaster Recovery Efforts

Addressing communication barriers and enhancing interprofessional collaboration is critical to the effectiveness of disaster recovery efforts in the Valley city. Here are some strategies that align with this criterion:

Overcoming Communication Barriers:

Implementing a Community-Based Participatory Approach: Engaging community members in designing and implementing communication strategies can ensure that the messaging is culturally and linguistically appropriate, thus reducing potential barriers. A study by Blau et al. (2020) demonstrated that when communities were involved in the communication process, their understanding and utilization of the provided information improved.

Use of Technology: Technology such as mobile apps, social media platforms, and community radio can play a crucial role in information dissemination during disaster recovery. The significance of technology in disaster communication was highlighted by Brahmbhatt et al. (2021), where they found that technology-enhanced communication improved the reach of vital information during disaster recovery.

Enhancing Interprofessional Collaboration:

Multi-agency Drills and Simulations: Regular drills involving different professional groups can enhance understanding of roles, responsibilities, and work processes, thus improving collaboration. A study by Brahmbhatt et al. (2021) demonstrated that multi-agency drills improved interprofessional collaboration in disaster response and recovery scenarios.

Establishing a Common Disaster Language: A study by Blau et al. (2020)  suggested the establishment of a common disaster language across professionals for effective communication and collaboration. The common language ensures everyone understands the terms, roles, and strategies being discussed, leading to improved disaster recovery efforts.

The implications of these strategies are far-reaching. Overcoming communication barriers ensures that important disaster recovery information reaches all community members, thereby increasing the effectiveness of recovery efforts. Enhanced interprofessional collaboration allows for better resource allocation, efficient implementation of recovery strategies, and a more coordinated and effective response to disasters (Kleinman et al., 2021).

However, these strategies do not come without potential challenges. The community-based participatory approach may require considerable time and resources. Technological solutions depend on infrastructure and digital literacy levels within the community. Regular multi-agency drills can be resource-intensive and need commitment from all parties involved. The establishment of a common disaster language necessitates rigorous training for all professionals involved. Nevertheless, the long-term benefits of these strategies, as evidenced by recent studies, justify the resources invested in their implementation (Ekezie et al., 2022).

Conclusion

In conclusion, this assessment has provided a comprehensive disaster recovery plan for the Valley city, focusing on reducing health disparities and improving access to community services after a disaster. By addressing the determinants of health, applying the MAP-IT framework, and considering relevant health and governmental policies, this plan aims to promote equity, enhance communication, foster interprofessional collaboration, and ultimately contribute to the well-being and resilience of the community.

By tracking progress and adapting to changing circumstances, the Valley city can continually improve its disaster preparedness and recovery efforts, serving as a model for other local communities and facilities within the Valley city system.

References

Blau, I., Shamir-Inbal, T., & Avdiel, O. (2020). How does the pedagogical design of a technology-enhanced collaborative academic course promote digital literacies, self-regulation, and perceived learning of students? The Internet and Higher Education, 45, 100722. https://doi.org/10.1016/j.iheduc.2019.100722 

Boenigk, S., Kreimer, A. A., Becker, A., Alkire, L., Fisk, R. P., & Kabadayi, S. (2021). Transformative service initiatives: Enabling access and overcoming barriers for people experiencing vulnerability. Journal of Service Research, 24(4), 542–562. https://doi.org/10.1177/10946705211013386 

Brahmbhatt, D. H., Ross, H. J., & Moayedi, Y. (2021). Digital technology application for improved responses to health care challenges: lessons learned from COVID-19. Canadian Journal of Cardiology. https://doi.org/10.1016/j.cjca.2021.11.014 

Davlasheridze, M., & Miao, Q. (2021). Does post-disaster aid promote community resilience? Evidence from federal disaster programs. Natural Hazards. https://doi.org/10.1007/s11069-021-04826-2 

Deshields, T. L., Wells‐Di Gregorio, S., Flowers, S. R., Irwin, K. E., Nipp, R., Padgett, L., & Zebrack, B. (2021). Addressing distress management challenges: Recommendations from the consensus panel of the American Psychosocial Oncology Society and the Association of Oncology Social Work. CA: A Cancer Journal for Clinicians, 71(5). https://doi.org/10.3322/caac.21672 

Edwards, C. S., Thornton, L. J., & Pounds, K. “KP”. (2021). NSF response case study: Hazardous materials release at intercontinental terminal company, deer park, texas. International Oil Spill Conference Proceedings, 2021(1). https://doi.org/10.7901/2169-3358-2021.1.689421 

Ekezie, W., Maxwell, A., Byron, M., Czyznikowska, B., Osman, I., Moylan, K., Gong, S., & Pareek, M. (2022). Health communication and inequalities in primary care access during the COVID-19 Pandemic among ethnic minorities in the United Kingdom: Lived experiences and recommendations. International Journal of Environmental Research and Public Health, 19(22), 15166. https://doi.org/10.3390/ijerph192215166 

Capella 4060 Assessment 3

Blau, I., Shamir-Inbal, T., & Avdiel, O. (2020). How does the pedagogical design of a technology-enhanced collaborative academic course promote digital literacies, self-regulation, and perceived learning of students? The Internet and Higher Education, 45, 100722. https://doi.org/10.1016/j.iheduc.2019.100722 

Kleinman, D. V., Pronk, N., Gómez, C. A., Wrenn Gordon, G. L., Ochiai, E., Blakey, C., Johnson, A., & Brewer, K. H. (2021). addressing health equity and social determinants of health through healthy people 2030. Journal of Public Health Management and Practice, Publish Ahead of Print(6). https://doi.org/10.1097/phh.0000000000001297 

Miller, S. (2022). Employers are poised to expand mental health coverage in 2023: Challenges include men’s reluctance to seek care, racial barriers, parity compliance. Archive.hshsl.umaryland.edu. https://archive.hshsl.umaryland.edu/handle/10713/19695 

Moriya, A. S., & Chakravarty, S. (2023). Racial and ethnic disparities in preventable hospitalizations and ed visits five years after ACA Medicaid Expansions. Health Affairs, 42(1), 26–34. https://doi.org/10.1377/hlthaff.2022.00460 

Mudassir, G. (2020). Social-based physical reconstruction planning in case of natural disaster: A Machine learning approach. Research Challenges in Information Science, 604–612. https://doi.org/10.1007/978-3-030-50316-1_44 

Rouhanizadeh, B., & Kermanshachi, S. (2019). Investigating the relationships of socioeconomic factors delaying post-disaster reconstruction. Computing in Civil Engineering 2019. https://doi.org/10.1061/9780784482445.005 

Yearby, R. (2020). Structural racism and health disparities: reconfiguring the social determinants of health framework to include the root cause. The Journal of Law, Medicine & Ethics, 48(3), 518–526. https://doi.org/10.1177/1073110520958876 

Capella 4060 Assessment 3