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Comparing spousal agreement on perceived responsibility for household natural hazard preparedness to actual behavior.

ABSTRACT: This study compares husbands' and wives' views on the person in a couple who should be responsible for preparing for hurricane hazards; it also examines whether the varying levels of agreement reached by husbands and wives regarding this responsibility are associated with actual preparedness behaviors. An online survey targeting married, heterosexual couples living in Sarasota County, Florida, USA was sent out between March and May, 2015. Both the husbands and the wives were asked to fill out the survey. A total of 170 surveys were used for analysis. Results suggested that husbands and wives felt that they had shared responsibility for most of the 19 preparedness behaviors considered. However, a few stereotypically masculine preparedness behaviors were found to typically fall to husbands. Husbands' and wives' views of perceived responsibility were not statistically different, but husbands tended to favor individual responsibility, while wives tended to favor joint responsibility. Higher levels of agreement were significantly associated with greater engagement in planning-related preparedness behaviors. Policy implications are discussed.

SUBMITTER: Hung LS

PROVIDER: S-EPMC6693778 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Comparing spousal agreement on perceived responsibility for household natural hazard preparedness to actual behavior.

Hung Li-San LS

PloS one 20190814 8

This study compares husbands' and wives' views on the person in a couple who should be responsible for preparing for hurricane hazards; it also examines whether the varying levels of agreement reached by husbands and wives regarding this responsibility are associated with actual preparedness behaviors. An online survey targeting married, heterosexual couples living in Sarasota County, Florida, USA was sent out between March and May, 2015. Both the husbands and the wives were asked to fill out th ...[more]

PMID: 31412076

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Project description:RationaleLow-Vt ventilation lowers mortality in patients with acute respiratory distress syndrome (ARDS) but is underused. Little is known about clinician attitudes toward and perceived barriers to low-Vt ventilation use and their association with actual low-Vt ventilation use.ObjectivesThe objectives of this study were to assess clinicians' attitudes toward and perceived barriers to low-Vt ventilation (Vt <6.5 ml/kg predicted body weight) in patients with ARDS, to identify differences in attitudes and perceived barriers among clinician types, and to compare attitudes toward and perceived barriers to actual low-Vt ventilation use in patients with ARDS.MethodsWe conducted a survey of critical care physicians, nurses, and respiratory therapists at four non-ARDS Network hospitals in the Chicago region. We compared survey responses with performance in a cohort of 362 patients with ARDS.ResultsSurvey responses included clinician attitudes toward and perceived barriers to low-Vt ventilation use. We also measured low-Vt ventilation initiation by these clinicians in 347 patients with ARDS initiated after ARDS onset as well as correlation with clinician attitudes and perceived barriers. Of 674 clinicians surveyed, 467 (69.3%) responded. Clinicians had positive attitudes toward and perceived few process barriers to ARDS diagnosis or initiation of low-Vt ventilation. Physicians had more positive attitudes and perceived fewer barriers than nurses or respiratory therapists. However, use of low-Vt ventilation by all three clinician groups was low. For example, whereas physicians believed that 92.5% of their patients with ARDS warranted treatment with low-Vt ventilation, they initiated low-Vt ventilation for a median (interquartile range) of 7.4% (0 to 14.3%) of their eligible patients with ARDS. Clinician attitudes and perceived barriers were not correlated with low-Vt ventilation initiation.ConclusionsClinicians had positive attitudes toward low-Vt ventilation and perceived few barriers to using it, but attitudes and perceived process barriers were not correlated with actual low-Vt ventilation use, which was low. Implementation strategies should be focused on examining other issues, such as ARDS recognition and process solutions, to improve low-Vt ventilation use.

Dataset Information

Comparing spousal agreement on perceived responsibility for household natural hazard preparedness to actual behavior.

Publications

Comparing spousal agreement on perceived responsibility for household natural hazard preparedness to actual behavior.

Similar Datasets

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