Title

老人福利機構水災撤離因應韌性分析

Translated Titles

Resilience of Nursing Homes in Taiwan in the Process of Flood Evacuation

Authors

李香潔(Hsiang-Chieh Lee);李洋寧(Yang-Ning Lee);楊惠萱(Hui-HsuanYang);莊明仁(Ming-Jen Chuang)

Key Words

因應韌性 ; 老人福利機構 ; 收容安置 ; 緊急救援 ; 撤離 ; Resilience ; Social network ; nursing homes ; sheltering ; emergency rescue

PublicationName

思與言:人文與社會科學期刊

Volume or Term/Year and Month of Publication

51卷1期(2013 / 03 / 01)

Page #

187 - 219

Content Language

繁體中文

Chinese Abstract

本研究從災害因應韌性觀點,分析影響老人福利機構水災撤離行為之因素。以二○○九年莫拉克、二○一○年凡那比颱風水災撤離經驗為研究對象,本研究於二○一○年深度訪談六家老人福利機構、一個地方緊急應變中心,以及三個救難隊。研究結果如下:(1)及時撤離因應韌性之影響因素包含體系因應韌性,如政府對極端災害預警是否有標準作業程序、正式網絡救援能力是否及時到達,以及包含屬於機構因應韌性之非正式網絡是否能有效動員、是否有標準作業程序、住民行動能力與機構人力整備狀況。本文建議長期目標,正式社會支持網絡應致力於針對極端氣候研發減災及調適策略與工具,短期目標,正式社會支持網絡則應培養機構災害因應韌性(如,看河川水位);另外,建議效法日本模式,培養以(機構)自助、(鄰里)共助為主,(正式社會支持網絡)公助為輔的文化;(2)撤離工具安排和避難收容因應韌性影響因素包含屬於機構因應韌性之機構動員非正式社會網絡能力、人力物資整備能力,以及屬於體系因應韌性之動員正式社會網絡能力。多數受訪機構認為自己處理較能了解自身需求,亦即,機構因應韌性較體系因應韌性重要。本文建議政府扮演輔助角色,包含以較強的機構為典範,建立輔導弱者之機制。

English Abstract

This study uses the resilience approach to analyze flood evacuation of nursing homes in Taiwan. Besides conducting in-depth interviews of nursing homes flooded during recent extreme weather events in Taiwan, we also interviewed rescue teams and a local emergency operation center. The study identifies three capacities representing resilience: (1) Rescuing: Major influencing factors are the government's early warning SOP, nursing homes' social network, preparedness in manpower, residents' ability to move, and whether having evacuation SOP. (2) Transportation arrangement: Main causes include formal and informal social networks. (3) Sheltering: Besides formal and informal social networks, preparedness in food, power generators, etc. are also important.

Topic Category 人文學 > 人文學綜合
社會科學 > 社會科學綜合
Reference
  1. 內政部(2009)。〈各級消防機關救災救護指揮中心作業規定〉。臺北:內政部。
  2. Alexander, David(2002).Principles of emergency planning and management.Harpended:Terra Publishing.
  3. Bateman, Julie,Edwards, Bob(2002).Gender and evacuation: a closer look at why women are more likely to evacuate for hurricanes.Natural Hazards Review,3(3),107-117.
  4. Blanchard, Gary,Dosa, David(2009).A comparison of the nursing home evacuation experience between hurricanes Katrina (2005) and Gustav (2008).Journal of American Medical Directors Association (JAMDA),10(9),639-643.
  5. Brown, Lisa M.,Hyer, Kathryn,Polivka-West, LuMarie(2007).A comparative study of laws, rules, codes and other influences on nursing homes' disaster preparedness in the Gulf Coast states.Behavioral Sciences and the Law,25(5),655-675.
  6. Burt, Ronald S.(Ed.),Minor, Michael J.(Ed.)(1983).Applied network analysis.Beverly Hills, CA:Sage.
  7. Carrington, Peter(Ed.),Scott, John(Ed.),Wasserman, Stanley(Ed.)(2005).Models and methods in social network analysis.New York:Cambridge University Press.
  8. Casson, Mark C.,Giusta, Marina Della,Kambhampati, Uma S.(2010).Formal and informal institutions and development.World Development,38,137-218.
  9. Castro, Carmen,Persson, Diane,Berstrom, Nancy,Cron, Stanley(2008).Surviving the storms: Emergency preparedness in Texas nursing facilities and assisted living facilities.Journal of Gerontological Nursing,34(8),9-16.
  10. Christensen, Janelle J.,Brown, Lisa M.,Hyer, Kathryn(2012).A haven of last resort: the consequences of evacuating Florida nursing home residents to nonclinical buildings.Geriatric Nursing,33(5),375-83.
  11. Clark, George,Moser, Susanne,Ratick, Samuel,Dow, Kirstin,Meyer, William,Emani, Srinivas,Jin, Weigen,Kasperson, Jeanne,Kasperson, Roger,Schwarz, Harry E.(1998).Assessing the vulnerability of coastal communities to extreme storms: the case of revere, MA., USA.Mitigation and Adaptation Strategies for Global Change,3,59-82.
  12. Cutter, Susan L.(1996).Vulnerability to environmental hazards.Progress in Human Geography,20,529-539.
  13. Djalante, Riyanti,Cameron, Holley,Thomalla, Frank(2011).Adaptive governance and managing resilience to natural hazards.International Journal of Disaster Risk Science,2(4),1-14.
  14. Dosa, David M.,Grossman, Nancy,Wetle, Terrie,Mor, Vincent(2007).To evacuate or not to evacuate: Lessons learned from Louisiana nursing home administrators following Hurricanes Katrina and Rita.Journal of American Medical Directors Association (JAMDA),8,142-149.
  15. Dosa, David,Hyer, Kathryn,Thomas, Kali,Swaminathan, Feng,Zhanlian, Brown,Mor Lisa, Vincent(2012).To evacuate or shelter in place: implications of universal hurricane evacuation policies on nursing home residents.Journal of the American Medical Directors Association,13(2),190.e1-190.e7.
  16. Gallopin, Gilberto C.(2006).Linkages between vulnerability, resilience, and adaptive capacity.Global Environmental Change,16(3),293-303.
  17. Hyer, Kathryn,Brown, Lisa M.,Christensen, Janelle,Kali, Thomas(2009).Weathering the storm: Challenges to nurses providing care to nursing home residents during hurricanes.Applied Nursing Research,22(4),e9-e14.
  18. Hyer, Kathryn,Polivka-West, LuMarie,Brown, Lisa(2007).Nursing homes and assisted living facilities: Planning and decision making for sheltering in place or evacuation.Generations,31(4),29-33.
  19. Laditka, Sarah B.,Laditka, James N.,Cornman, Carol B.,DaVis, Courtney B.,Chandlee, Maggi J.(2008).Disaster preparedness for vulnerable persons receiving in-home, long-term care in South Carolina.Prehospital and Disaster Medicine,23(2),133-142.
  20. Laditka, Sarah B.,Laditka, James N.,Cornman, Carol B.,Davis, Courtney B.,Richter, Jane V. E.(2009).Resilience and challenges among staff of Gulf Coast nursing homes sheltering frail evacuees following Hurricane Katrina, 2005: implications for planning and training.Prehospital and Disaster Medicine,24(1),54-62.
  21. Laditka, Sarah B.,Laditka, James N.,Xirasagar, Sudha,Cornman, Carol B.,Davis, Courtney B.,Richter, Jane V. E.(2007).Protecting nursing home residents during emergencies or disasters: An exploratory study from South Carolina.Prehospital and Disaster Medicine,22(1),42-48.
  22. Laditka, Sarah B.,Laditka, James N.,Xirasagar, Sudha,Cornman, Carol B.,Davis, Courtney B.,Richter, Jane V. E.(2008).Providing shelter to nursing home evacuees in disasters: Lessons from Hurricane Katrina.American Journal of Public Health,98(7),1288-1293.
  23. Manyena, Siambabala Bernard(2006).The concept of resilience revisited.Disasters,30(4),433-450.
  24. Miller, Fiona,Osbahr, Henny,Boyd, Emily,Thomalla, Frank,Bharwani, Sukaina,Ziervogel, Gina,Walker, Brian,Birkmann, Jörn,van der Leeuw, Sander,Rockström, Johan,Hinkel, Jochen,Downing, Tom,Folke, Carl,Nelson, Donald(2010).Resilience and vulnerability: complementary or conflicting concepts?.Ecology and Society,15(3),1-15.
  25. Ngo, Ehren B.(2001).When disaster and age collide: reviewing vulnerability of the elderly.Natural Hazards Review,2(2),80-89.
  26. North, Douglass C.(1990).Institutions, institutional change, and economic performance.Cambridge, UK:Cambridge University Press.
  27. Ostrom, Elinor(1990).Governing the commons: The evolution of institutions for collective action.Cambridge, UK:Cambridge University Press.
  28. Paton, Douglas,Smith, Leigh,Violanti, John(2000).Disaster response: Risk, vulnerability and resilience.Disaster Prevention and Management,9(3),173.
  29. Perkovic, Vukosava,Seff, Laura,Rothman, Max B.(2007).Planning for and responding to special needs of elders in natural disasters.Generations,31(4),37-41.
  30. Petak, William J.,Atkisson, Arthur A.(1982).Natural hazard risk assessment and public policy: Anticipating the unexpected.New York:Springer-Verlag.
  31. Phillips, B. D.(Ed.),Tomas, D. S. K.(Ed.),Fothergill, A.(Ed.),Blinn-Pike, L.(Ed.)(2007).Social vulnerability to disasters.Boca Raton:CRC Press.
  32. Rhoads, Jacqueline,Clayman, Adnrea(2008).Learning from Katrina: preparing long-term care facilities.Geriatic Nursing,29(4),253-258.
  33. Rygel, Lisa,O''Sullivan, David,Yarnal, Brent(2006).A method for constructing a social vulnerability index.Mitigation and Adaptation Strategies for Global Change,11,741-764.
  34. Sanders, Sara,Bowie, Stan L.,Bowie, Yvonne Dias(2003).Lessons learned on forced relocation of older adults: the impact of hurricane Andrew on health, mental health, and social support of public housing residents.Journal of Gerontological Social Work,40(4),23-35.
  35. Scott, John(2000).Social network analysis: A handbook.Newberry Park, CA:Sage.
  36. Violanti, John M.(Ed.),Paton, Douglas(Ed.)(1999).Police trauma: Psychological aftermath of civilian combat.Springfield, IL:Charles C Thomas Pub Ltd..
  37. Weinstein, Neil D.,Lyon, Judith E.,Rothman, Alexander J.,Cuite, Cara L.(2000).Changes in perceived vulnerability following natural disaster.Journal of Social and Clinical Psychology,19,372-395.
  38. West, Darrell M.,Orr, Marion(2007).Race, gender, and communications in natural disasters.Policy Studies Journal,35,569-586.
  39. Wisner, Ben,Blaikie, Piers,Cannon, Terry,Davis, Ian(2004).At risk-Natural hazards, people's vulnerability and disasters.Wiltshire:Routledge.
  40. Yusuf, Arief Anshory,Francisco, Herminia(2009).Climate change vulnerability mapping for southeast Asia.Singapore:Economy and Environment Program for Southeast Asia.
  41. 林韋廷(2009)。各縣市(政府)消防局救災救護指揮中心災情通報作業之探討。消防月刊,5,18-25。
  42. 陳亮全、陳淑惠、李香潔、楊惠萱、陳永明(2010)。高齡者與高齡(化)社會之災害脆弱性。臺北:國家災害防救科技中心。
  43. 蔡光超、石富元、石崇良、林芳郁(2006)。以JCAHO標準對醫療照護機構緊急應變能力之現況調查與評析。中華民國急救加護醫學會雜誌,17(1),1-12。
  44. 鄭元良、施邦築、林祐正、黃韻潔、黃仲豪、陳彥貝(2011)。內政部建築研究所研究報告內政部建築研究所研究報告,臺北:內政部建築研究所。
Times Cited
  1. 張齡心(2013)。都市地區洪水減災調適策略評估與研究。臺灣大學生物環境系統工程學研究所學位論文。2013。1-114。
  2. 廖俐惇(2016)。長期照護機構應變之行動裝置應用。交通大學土木工程系所學位論文。2016。1-123。