It is well documented that in the aftermath of a natural or human caused disaster, certain at-risk and vulnerable populations suffer significantly more than do other population groups. As a result, Congress enacted the Post-Katrina Emergency Management Reform Act (PKEMRA) in part to address deficiencies in providing aid to vulnerable populations, though little is known if the PKEMRA has resulted as it was intended. The purpose of this phenomenological study was to assess the impact of the PKEMRA on addressing emergency preparedness deficits related to at-risk and vulnerable populations. The theoretical framework followed Howard's conceptualization of game and drama theory. The research questions focused on the extent to which the PKEMRA recommendations improved disaster lifecycle outcomes for at-risk and vulnerable groups in Orleans Parish, LA between Hurricanes Katrina in 2005 and Isaac in 2012. Data were collected through semi-structured interviews of 5 emergency managers with knowledge and experience local to Orleans Parish, LA. Interview data were systematically reviewed using inductive coding and categorized for thematic analysis. Key study findings indicated that the improvements made to family location registries, evacuation procedures, and disaster resources for these populations in Orleans Parish were not a result of the PKEMRA, but of the state and local emergency agencies without input from the federal government. This study contributes to social change by promoting greater transparency of federal programs targeting at-risk and vulnerable populations, making direct recommendations to use Orleans Parish as a relevant example to address the needs of these populations. Such a review will serve as an exportable model for similar communities across the country.

Emerging infectious disease has become a paradigmatic way of thinking about disease in recent years. In response to the widely-held view that an emerging pandemic is an imminent, albeit uncertain, event linked to global interconnectedness, pandemic preparedness has been the target of considerable political concern and economic investment. To date, there has been relatively little critical research questioning the broader social and political implications of this seemingly natural undertaking. My research addresses this knowledge gap by exploring pandemic influenza planning as a global approach to the regulation of emerging infectious disease. I investigate how pandemic is framed and the ways in which these framings link to broader political and economic contexts. I undertake a Foucauldian-informed, critical discourse analysis of four key pandemic planning documents produced by the World Health Organization between 1999 and 2009. I ask how infectious disease is constructed in particular ways, and how these constructions can be interpreted in relation to broader global contexts. My findings, which describe a range of discursive strategies in governing pandemic, are four-fold. First, I examine the characterizations of the influenza virus, and their effect of rendering normal and pandemic circumstances as indistinct. I describe how these constructions are implicated in the framing of preparedness as a continuous engagement with the process of emergence. Next, I explore how the delineation and regulation of boundaries simultaneously constitutes bodies and territories as distinct. Third, I describe the discursive construction of a particular kind of global geopolitics which represents vulnerability according to the interconnectedness of states. Finally, the pandemic virus acquires a form of utility that portrays preparedness as having the potential for securing society against a broad range of potential threats. Anticipating the exceptional features of pandemic is to be achieved through the integration of contingency mechanisms into existing systems of preparedness whose objective is continued economic and social functioning. The regulation of circulation central to pandemic preparedness establishes an ongoing engagement in decisions about freedom and constraint in relation to different forms of mobility or circulation. My findings are interpreted in light of their implications for understanding the global regulation of, and intervention into, molecular life.

Thesis (Ph. D.)--Oregon State University, 2010. / Printout. Includes bibliographical references (leaves 72-75). Also available on the World Wide Web.

Recent international and national events such as the SARS outbreak in 2002–2003, the rising incidence of West Nile Virus, and the increasing threat of a pandemic influenza outbreak have brought critical attention to the Canadian public health system and how prepared the system is to respond to various types of contemporary public health threats. The effective coordination of all agencies at metropolitan, regional, provincial, and federal levels is essential to the management of public health emergencies. The level of inter-organizational coordination and preparedness of public health and emergency preparedness organizations throughout Alberta was investigated. An online organizational questionnaire provided a census of organizations involved in public health preparedness, and information on the structure of inter-organizational relations in Alberta and the state of public health preparedness from the perspective of organizational members. The primary goal was to use the information provided by individual agencies to help improve how policymakers and public health and emergency management officials plan and organize for public health threats and emergencies. Major findings are as follows: i) organizational characteristics including organizational training opportunities, size, and jurisdiction are associated with different dimensions of organizational-level preparedness in Alberta, ii) perceived organizational connectivity serves as a proxy measure of formal ties objectively reported by organizations with respect to pandemic influenza preparedness, iii) higher jurisdictional organizations display greater degrees of interconnectedness on average, and iv) organizational connectivity moderates the association of perceived public health preparedness with an organization’s objective level of preparedness, independent of jurisdictional level. The true test of public health preparedness is in how the system responds to an actual crisis. Since public health emergencies are rare, there is an absence of province-wide data in this regard; however, this work has measured organizational-level perceptions of public health preparedness as a proxy for actual preparedness. It is critical that organizations have a written emergency response plan which is tested in practice through exercises or in a real situation to observe jurisdictional and organizational ability to execute an appropriate response and assess communication and resource flow among organizations. / Thesis (Master, Kinesiology & Health Studies) -- Queen's University, 2009-04-17 15:58:33.093

Emerging infectious disease has become a paradigmatic way of thinking about disease in recent years. In response to the widely-held view that an emerging pandemic is an imminent, albeit uncertain, event linked to global interconnectedness, pandemic preparedness has been the target of considerable political concern and economic investment. To date, there has been relatively little critical research questioning the broader social and political implications of this seemingly natural undertaking. My research addresses this knowledge gap by exploring pandemic influenza planning as a global approach to the regulation of emerging infectious disease. I investigate how pandemic is framed and the ways in which these framings link to broader political and economic contexts. I undertake a Foucauldian-informed, critical discourse analysis of four key pandemic planning documents produced by the World Health Organization between 1999 and 2009. I ask how infectious disease is constructed in particular ways, and how these constructions can be interpreted in relation to broader global contexts. My findings, which describe a range of discursive strategies in governing pandemic, are four-fold. First, I examine the characterizations of the influenza virus, and their effect of rendering normal and pandemic circumstances as indistinct. I describe how these constructions are implicated in the framing of preparedness as a continuous engagement with the process of emergence. Next, I explore how the delineation and regulation of boundaries simultaneously constitutes bodies and territories as distinct. Third, I describe the discursive construction of a particular kind of global geopolitics which represents vulnerability according to the interconnectedness of states. Finally, the pandemic virus acquires a form of utility that portrays preparedness as having the potential for securing society against a broad range of potential threats. Anticipating the exceptional features of pandemic is to be achieved through the integration of contingency mechanisms into existing systems of preparedness whose objective is continued economic and social functioning. The regulation of circulation central to pandemic preparedness establishes an ongoing engagement in decisions about freedom and constraint in relation to different forms of mobility or circulation. My findings are interpreted in light of their implications for understanding the global regulation of, and intervention into, molecular life.

国立情報学研究所で電子化したコンテンツを使用している。

Thesis (M.S. in Management)--Naval Postgraduate School, June 1990. / Thesis Advisor(s): Fremgen, James M. "June 1990." Description based on title screen as viewed on October 20, 2009. DTIC Identifier(s): Patrol Aircraft, Naval Aviation, Ocean Surveillance, Resource Management, MPA (Maritime Patrol Aviation), Operational Readiness, Naval Training, VP Aircraft, Theses. Author(s) subject terms: Readiness, Resources, Performance, VP, Training. Includes bibliographical references (p. 105-107). Also available in print.

Magister Curationis - MCur / In South Africa, mental health nursing forms part of the basic (pre-registration) education of Professional Nurses, in order to equip them for employment as general nurses in the comprehensive health services of the country. Mental health nursing is an interpersonal process, in which counselling is aimed at supporting and facilitating healthy lifestyle functioning. At the higher education institution of interest, psychiatry nursing is incorporated at the final year level of nursing. The student nurses are prepared with the theory of psychiatric nursing, two weeks before their clinical placement in hospitals and clinics. At the end of the year, they are expected to pass both the theory and practical component. The aim of the study was to explore the experiences of final year student nurses, regarding their preparedness for psychiatric clinical placement. The objective of the study was to describe the experiences of the students, regarding their preparedness for psychiatric clinical placement. A descriptive design, with a qualitative approach, was used to explore and describe the phenomenon under investigation. The researcher used purposive sampling to select participants for the study from a population of final year student nurses of a higher education institution in the Western Cape. They met the sampling criteria because they knew a great deal about the phenomenon of interest, had completed the two-week orientation programme and worked in a clinical placement for at least three months. Their participation in the study was on a voluntary basis. The researcher used unstructured interviews to collect data from the participants. The data analysis was done following Coliazzi's seven steps. The findings indicated that the students were not prepared for their psychiatric placements, even though they attended a two-week orientation programme, prior to their placements. It was revealed that anxiety played a huge role in the unpreparedness of students. The participants, therefore, suggest that the orientation period be extended. The researcher, however, applauds the staff members in the clinical placements and urges them to maintain their positive attitude towards the students, as the participants acknowledged and appreciated their support.

M.Ed. (Philosophy of Education) / This study has attempted to outline some of the menaces to the loyalty and love of youth to the nation and to emphasis the important part the parent, the school and the church have to play in his education. The investigation is planned as a theoretical investigation. Use has been made of the following methods ...

Almost every day, we see and hear about disasters impacting individuals and households in communities worldwide. Impacts experienced include loss of life and injury, loss of property, and more. Disasters are often devastating for those who experience them. It is for this reason that preparedness is advocated by national and international organizations such as the Federal Emergency Management Agency and the United Nations. And, it is for this reason that researchers have often attempted to assess how prepared people are. Yet, what is this thing they call preparedness? What does it look like? What is involved in becoming a wholly prepared person? One might have assumed that organizations like FEMA and researchers would have addressed these fundamental questions prior to recommending that people become prepared or measuring how prepared people are, but that is not the case. The absence of an understanding of what preparedness is and entails is a critical theoretical gap with significant practical implications. This research explored the basic issue of what preparedness means and entails to people in Fako Division, Cameroon—a place threated by many hazards and which has experienced many disasters. From the analysis of the 33 interviews conducted in this study, the researcher found that preparedness is a dynamic state of readiness that is dependent on context, a social process, and a process of completing activities to save lives and minimize the effects of disasters. In addition, the researcher found that Cameroonians view a wholly prepared person as a) one who would have knowledge about hazards and what to do about them, b) one who would engage others, including their families and neighbors, in discussions about activities related to hazards and what to do about them, and c) one who would engage in activities to minimize loss from hazards, sustain themselves in the face of hazards, and flee from hazards. The findings from the interview data synch to a large extent with what is implied, but not clearly stated, in the existing research literature. The researcher address this synchrony and posit a definition of preparedness and identify the theoretical components of preparedness.