Emergency Preparedness and Factors Influencing Decision-Making in a Sample of Public K-12 Schools During the COVID-19...

Evaluate factors influencing the decision-making processes of school administrators and investigate the existence and use of emergency operations plans (EOPs) during the COVID-19 pandemic.

Using survey data representative of US K-12 public schools in 2022, the prevalence of 16 factors that influenced reporting school administrators' COVID-19 prevention strategy implementation decision-making (Wave 4; N = 399) and the presence and use of school EOPs (Wave 5; N = 400) are presented overall and by urban-rural classification, poverty level, and school level. Qualitative interviews were conducted with a subset of school administrators and used thematic analysis to understand factors influencing implementation of prevention strategies and emergency preparedness.

School district requirements or recommendations (81.6%) was the top reported factor influencing decisions on the use of COVID-19 prevention strategies. Although most schools created or updated their EOP during the 2021/2022 school year (78.1%), only 26.7% implemented or exercised an EOP during the COVID-19 pandemic. Themes from qualitative analysis focused on factors influencing the implementation of prevention strategies, limitations of current EOPs, and importance of continuous investment in school preparedness.

Investing in actions to improve schools' capacity to respond to emergencies such as developing comprehensive EOPs, building partnerships, and defining roles and responsibilities is important.