Integrating the Advanced Practice Registered Nurse in Hurricane Disaster Response
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Abstract
Problem: Advanced Practice Registered Nurses can improve health equity and build resilience in vulnerable communities in the hurricane regions along the Gulf Coast, which ranks high on the social vulnerability index and exceeds the 90th percentile in climate vulnerability. A gap exists in the preparedness of the Advanced Practice Registered Nurse to address health disparities. Purpose: The purpose of this quality improvement project was to engage stakeholders regarding disaster readiness to inform policy making. This project serves to benefit the practitioners serving the 15.8 million residents of the Gulf Coast. Methods: The evidenced-based intervention for this project was to apply the Centers for Disease Control and Prevention Policy Process and suggest a policy to support readiness. Implementation consists of conducting environmental scans with stakeholders using the Center for Disease Control Policy Analysis: Key Questions Tool. Data collected were analyzed for themes noting gaps in disaster care and deficiencies in education and training. Policy options were analyzed based on health impact, feasibility, and economic/budgetary concerns. Results: Eight environmental scans were completed over a 10-week period. Thematic analysis identified themes that highlighted the challenges associated with deployment, identified vulnerable populations, and provided recommendations for competency, skills, and education attainment. Themes generated from the analysis served to inform policy decisions. Conclusions: The Center for Disease Control Policy Process is a framework that can be utilized to translate evidence and science into policy. Continued review and modifications of policy should occur to improve readiness, which has great implication for practice. Competency, skill attainment, and education within scope of practice should include specialized education in vulnerable populations and their continuum of care.