日本访问护士站的业务连续性计划:一项全国性的横断面研究

IF 4.5 1区 地球科学 Q1 GEOSCIENCES, MULTIDISCIPLINARY
Jun Sato , Chie Ishida , Aya Iguchi , Taro Kanno , Taichi Sato , Shiho Nishida , Takayuki Kanesaka , Risa Okada , Kanako Kawaguchi , Ryo Horiike
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引用次数: 0

摘要

确保灾害期间家庭保健服务的连续性是日本等灾害易发国家面临的一项重大挑战。探访护士站(VNSs)为居家人士提供基本护理,但许多人仍未做好应对紧急情况的准备。本研究调查了日本vns在2023年3月至4月期间的业务连续性计划(BCP)状况,并确定了与其实施相关的因素。我们采用分层随机抽样的横断面调查方法,通过邮寄和在线问卷收集数据。分析包括描述性统计、加权估计、分类与回归树(CART)分析和逻辑回归。只有31.6%的vns实施了BCP,而62.8%的vns计划在2024年3月底之前实施BCP。CART分析发现,较小的组织规模和较低的风险认知是缺乏BCP的关键预测因素:具体而言,较少的客户,较少的全职等效(FTE)护士,以及缺乏应对自然灾害(NHIDs)的经验。Logistic回归证实,FTE护士较少与BCP缺勤显著相关(OR = 0.87, 95% CI 0.78 ~ 0.97; p = 0.02)。为了促进普遍实施,需要有针对性地支持小规模志愿服务提供者,并加强对风险的认识。灵活、可扩展的工具和区域合作可能有助于加强bcp的采用和实施,特别是通过定期审查、培训和模拟演习。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Business continuity planning in visiting nurse stations in Japan: A nationwide cross-sectional study
Ensuring continuity of home-based healthcare services during disasters is a critical challenge in disaster-prone countries such as Japan. Visiting Nurse Stations (VNSs) provide essential care to homebound individuals, yet many remain unprepared for emergencies. This study examined the status of Business Continuity Planning (BCP) among VNSs in Japan during March–April 2023 and identified factors associated with its implementation. We conducted a cross-sectional survey using stratified random sampling, collecting data via postal and online questionnaires. Analyses included descriptive statistics, weighted estimates, Classification and Regression Tree (CART) analysis, and logistic regression. Only 31.6 % of VNSs had implemented a BCP, while 62.8 % planned to implement one by the end of March 2024. CART analysis identified smaller organizational scale and lower risk perception as key predictors of BCP absence: specifically, fewer clients, fewer full-time equivalent (FTE) nurses, and lack of experience with natural hazard-induced disasters (NHIDs). Logistic regression confirmed that fewer FTE nurses were significantly associated with BCP absence (OR = 0.87, 95 % CI 0.78–0.97; p = 0.02). To promote universal implementation, targeted support is needed for small-scale VNSs and for enhancing risk perception. Flexible, scalable tools and regional collaboration may help strengthen both the adoption and operationalization of BCP—particularly through regular reviews, training, and simulation exercises.
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来源期刊
International journal of disaster risk reduction
International journal of disaster risk reduction GEOSCIENCES, MULTIDISCIPLINARYMETEOROLOGY-METEOROLOGY & ATMOSPHERIC SCIENCES
CiteScore
8.70
自引率
18.00%
发文量
688
审稿时长
79 days
期刊介绍: The International Journal of Disaster Risk Reduction (IJDRR) is the journal for researchers, policymakers and practitioners across diverse disciplines: earth sciences and their implications; environmental sciences; engineering; urban studies; geography; and the social sciences. IJDRR publishes fundamental and applied research, critical reviews, policy papers and case studies with a particular focus on multi-disciplinary research that aims to reduce the impact of natural, technological, social and intentional disasters. IJDRR stimulates exchange of ideas and knowledge transfer on disaster research, mitigation, adaptation, prevention and risk reduction at all geographical scales: local, national and international. Key topics:- -multifaceted disaster and cascading disasters -the development of disaster risk reduction strategies and techniques -discussion and development of effective warning and educational systems for risk management at all levels -disasters associated with climate change -vulnerability analysis and vulnerability trends -emerging risks -resilience against disasters. The journal particularly encourages papers that approach risk from a multi-disciplinary perspective.
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