Southern Vancouver Island, situated on Canada’s West Coast, is exposed to many natural and human-made threats due to its physical geography and demography. Perceptions of these disaster risks and of seismic hazard, in particular, were surveyed through locally-administered questionnaires conducted with 105 members of the general public and 13 emergency managers living and working on southern Vancouver Island, specifically in the Cowichan Valley Regional District (CVRD) and the Capital Regional District (CRD). Perhaps the greatest risk to the region, and that, which is perceived by both the general public and practitioners as the greatest risk, is low frequency, high consequence earthquake events. The region is exposed to earthquakes from many sources, but has not experienced a damaging quake in several decades, begging questions as to whether residents consider earthquake a prominent threat and whether they have an accurate appreciation for the earthquake hazard (likelihood) in the region. While researchers have scientifically quantified the earthquake hazard in the region for over 50 years, only in the past 10 years has this hazard information been presented in a format that is comprehensible by the general public. In order for individuals and communities to make informed decisions, this information must ultimately reach the public and be interpretable and actionable. This research describes and analyzes disaster risk and seismic hazard perception on Southern Vancouver Island, and identifies whether there are gaps in communication between the scientists who create the knowledge, the emergency managers who disseminate the information, and the general public who ultimately needs to act on the information to increase their resilience. Results reveal that earthquakes are perceived as the highest disaster risk among both the general public and emergency managers on southern Vancouver Island, and that a large majority of participants know that their community is at risk from an earthquake. In addition, while emergency managers consider mostly natural threats to be significant risks, the general public more commonly identify human-made intentional threats as significant risks. The study also found that gender and location influence how individuals prefer to receive hazard information. In addition, household income and time spent living on Vancouver Island are key variables for how likely members of the general public are to be prepared. Findings suggest that while both emergency managers and the general public overestimate the earthquake hazard on southern Vancouver Island, on average emergency managers perceive the earthquake hazard to be greater than the general public does. Interestingly, general public respondents in the CVRD perceive seismic hazard to be higher than respondents in the CRD, while the calculated hazard is actually higher in the CRD. In addition, emergency managers underestimate residents’ perceptions of earthquake hazard. In other words, they feel that the public underestimates the hazard when actually both emergency managers and the general public overestimate it. These misperceptions have implications for future seismic hazard and disaster risk communication. Prior to this study, disaster risk perception has not been explored in detail in this region, and while limitations to this research are outlined, the study provides a useful descriptive analysis and baseline information for emergency managers and academic researchers to build upon. The findings of this research have specific relevance for emergency managers to inform their public education and outreach efforts around preparation, response and resilience to disasters on southern Vancouver Island. / Graduate / 2018-09-08

This qualitative research focused on the emergency preparedness (EP) rule implementation in rural hospitals in the Pacific Northwest. A new law has been implemented that requires hospitals to comply with Medicaid and Medicare law. Learning about the implementation and preparedness process could help rural regions in the Pacific Northwest better prepare for emergencies and comply with the law. The purpose of the study was to gain increased understanding of how the new EP rule of 2016 impacts rural hospitals' preparedness in the Pacific Northwest. The theoretical framework was complexity theory. This study focused on the lived experience of emergency managers who have been working on the implementation of the new EP rule in rural hospitals in the Pacific Northwest. Using a phenomenological approach, 8 in-depth phone and face - to - face interviews were conducted. Selection criteria included working as emergency preparedness managers in rural hospitals in the Pacific Northwest. The verbatim transcripts of interviews were analyzed by first cycle analysis, used concept and descriptive coding to find common themes. The findings of the study included that small rural hospitals working on EP need more support and help that include financial needs, resources, staff preparedness improved communication and more exercises local communities including every individual living in the community are also responsible for their own preparedness. This inquiry could help understand the effects of the new EP rule for rural hospitals; it could identify gaps in research that could support rural hospitals and surrounding communities; it could affect positive social change by applying the research evidence to additional health care settings.

This dissertation used an organizational structure framework to examine the current status of hazard mitigation from the perspective of emergency managers from four organizational structure categories. This study addressed three primary research questions: (1) What is the role of the local emergency management office in hazard mitigation and what is the function of other stakeholders as perceived by local emergency managers? (2) What are the challenges to achieving hazard mitigation objectives and what are the strategies used to overcome them? and (3) How do local emergency managers define hazard mitigation success? Thirty North Central Texas emergency managers were recruited for participation in this study, and data was collected through telephone interviews and an internet survey. A mixed methodology was used to triangulate qualitative and quantitative findings. Qualitative analyses consisted of inductive grounded theory, and quantitative data analyses consisted of independent samples t-test analyses, correlation analyses, and Chi-square analyses. Findings indicate that emergency managers from the different emergency management office categories have six self-identified roles in hazard mitigation planning and strategy implementation; have a similar reported level of involvement in different hazard mitigation-related activities; and perceive stakeholders as having four key functions in hazard mitigation planning and strategy implementation. Second, participants describe five obstacles that are categorized as internal organizational challenges and two obstacles that are categorized as outside organizational challenges. The Disinterested Stakeholders Challenge is rated as a more significant obstacle by participants from the Non-Fire emergency management office category. Emergency managers describe the use of four strategies for overcoming hazard mitigation challenges, and the ability to master these strategies has implications for achieving hazard mitigation success. Third, emergency managers define a tangible and intangible category of hazard mitigation success, and each category is comprised of distinct indicators. Lastly, the organizational characteristics of emergency management offices had significant relationships with their reported level of involvement in select hazard mitigation activities; the rating assigned to select hazard mitigation challenges; and the rating assigned to select hazard mitigation success measures. For integrated emergency management offices, their parent agency is found to be an asset for achieving hazard mitigation objectives.