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• W168093296 abstract "Abstract Disasters and infectious disease outbreaks over the last several years have demonstrated the importance of emergency preparedness for large-scale events affecting many people. The ability to respond effectively to events producing a massive influx of patients that disrupt daily operations requires surge capacity. Key components of surge capacity include the four S's: staff/ stuff/ structure/ and systems/ As experts in planning and coordinating patient care, nurses have a crucial role to play in disaster planning. Nurses must become familiar with the concept of surge capacity and understand both how it relates to the health and safety of communities and how it is applicable to their nursing practice. This article explores the concept of surge capacity and describes how surge capacity can be useful in various aspects of emergency preparedness planning. Key Words: disaster, disaster planning, disaster preparedness, emergency preparedness, nursing role in surge capacity, surge capacity Anthrax. Severe acute respiratory distress syndrome (SARS). Katrina. Ike. Pandemic influenza. All these words highlight the importance of local, regional, and national emergency planning. Since 2001, efforts at emergency planning have increased in the United States (U.S.), and various organizations have made recommendations for emergency preparedness and emergency management plans. For example, The Joint Commission (TJC, 2003) has made emergency planning, based on hazard vulnerability analysis, a requirement. The U.S. Department of Health and Human Services, (U.S DHHS, 2008), the Agency for Healthcare Research and Quality (AHRQ, 2005), and the Centers for Disease Control and Prevention (CDC, 2008) have begun to emphasize emergency preparedness in their research agendas. The Department of Homeland Security (DHS, 2008) has funded initiatives designed to improve emergency preparedness. Effective emergency preparedness in the healthcare arena requires planning for large-scale events that affect many people. These events may include chemical, biological, radiological, 7 , ' » * , natural disasters. The aftermath of Hurricane Katrina provides a r vivid example of a large-scale, natural-disaster event. . . , disease outbreaks, such as severe acute respiratory distress syndrome or pandemic avian flu, provide yet other examples of potentially, large-scale events. A critical component of the ability to respond to large-scale disasters is surge capacity. The study of surge capacity is a relatively recent science, studied most commonly in the fields of military and emergency medicine and public health. Few nurses outside of these arenas are familiar with the concept; and even within these arenas, the definition of surge capacity remains elusive. As surge capacity becomes a greater focus of discussion and research in the realm of disaster planning and emergency preparedness, it is crucial that nurses understand the concept of surge capacity and its relevance to their practice. One way to achieve this increased awareness is through the use of concept analysis. Concept analysis is a process that examines the basic elements of a concept, describes the meaning and use of the word or terms expressing the concept, and explores how the concept's terminology is similar to, or different from, related words. Concept analysis assists in clarifying the meaning of concepts so that subsequent terminology usage is consistent. The process leads to an operational definition of a concept, which allows questions to be more clearly defined for study and more readily tested (Walker & Avant, 2005). The purpose of the concept analysis presented in this article is to help nurses grasp the meaning and implications of surge capacity so as to improve their clinical practice and facilitate research in this area. Developing standardized terminology and establishing clear questions regarding the concept of surge capacity are essential for effective disaster planning and preparedness. …" @default.
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• W168093296 title "Exploring the Concept of Surge Capacity" @default.
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