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Informal Caregiving and Disaster Risk Reduction: A Scoping Review
International Journal of Disaster Risk Science ( IF 2.9 ) Pub Date : 2021-02-15 , DOI: 10.1007/s13753-021-00328-8
Christina J. Pickering , Maya Dancey , Karen Paik , Tracey O’Sullivan

Informal caregivers are a population currently in the shadows of disaster risk reduction (DRR), and yet essential to the provision of healthcare services. This scoping review explored the literature to understand issues related to informal caregiving and promising practices to support resilience for disasters. Following guidelines for scoping review as outlined by Tricco et al. (2016), relevant publications were identified from five major databases—Medline, Embase, PubMed, Web of Science, and Scopus. Relevant studies referenced informal caregiving and disasters for a variety of population groups including children, people with disabilities or chronic illnesses, and older adults. Studies were excluded if they discussed formal caregiving services (for example, nursing), lacked relevance to disasters, or had insufficient discussion of informal caregiving. Overall, 21 articles met the inclusion criteria and were fully analyzed. Five themes were identified: (1) the need for education and training in DRR; (2) stressors around medication and supply issues; (3) factors affecting the decision-making process in a disaster; (4) barriers leading to disaster-related problems; and (5) factors promoting resilience. Recommended areas of strategic action and knowledge gaps are discussed. Many informal caregivers do not feel adequately prepared for disasters. Given the important role of informal caregivers in healthcare provision, preparedness strategies are essential to support community resilience for those requiring personal care support. By understanding and mobilizing assets to support the resilience of informal caregivers, we also support the resilience of the greater healthcare system and the community, in disaster contexts.



中文翻译:

非正式护理和减少灾害风险:范围回顾

非正式护理人员是目前处于减少灾害风险(DRR)阴影之下的人群,但对于提供医疗服务至关重要。这次范围界定性审查探索了文献,以了解与非正式照料和有前途的实践有关的问题,以支持抗灾能力。按照Tricco等人概述的范围界定审查指南。(2016年),从五个主要数据库(Medline,Embase,PubMed,Web of Science和Scopus)中确定了相关出版物。相关研究针对各种人群,包括儿童,残疾人或慢性病患者和老年人,提供了非正式的照料和灾难。如果研究讨论正式的护理服务(例如护理),与灾难无关,或对非正式照料的讨论不足。总体而言,有21篇文章符合纳入标准,并进行了全面分析。确定了五个主题:(1)对DRR进行教育和培训的需求;(2)围绕药物和供应问题的压力源;(3)影响灾害决策过程的因素;(4)导致灾害相关问题的障碍;(5)促进弹性的因素。讨论了战略行动和知识差距的建议领域。许多非正式的看护者对灾难没有足够的准备。鉴于非正式护理人员在医疗保健提供中的重要作用,防备策略对于支持需要个人护理支持的人的社区应变能力至关重要。通过了解和动员资产以支持非正式照料者的复原力,

更新日期:2021-02-16
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