The influences of relationship quality with external partners and required levels of approval of messaging on crisis preparedness.

Highlights • Overall, PIOs evaluated their relationships with external partners with whom they manage crises very positively. • Quality of relationships with external partners predicted PIOs' satisfaction with crisis preparedness. • PIOs' crisis messages had to clear significantly more levels for routine than crisis communications. Abstract As funding for public health promotion is increasingly limited in the U.S., public relations research informing management of crises that threaten public health is especially critical. Crisis planning models such as Reynolds and Seeger's (2005, 2014) crisis and emergency risk communication model offer comprehensive directives for crisis managers and present opportunities to extend the utility of best practice recommendations. A survey of public information officers (PIOs) (n= 208) at local public health departments across the U.S. examines the quality of their relationships with partners in public health crisis management, including first responders, media, law enforcement, and hospitals, and reveals that relationships with key publics in crisis management are lacking. Further, PIOs at state governed health departments may face critical delays in releasing crisis messages, as their messages are required to clear more levels of approval than locally (city/county) governed departments. Implications and future research for these key variables extending public relations crisis communication research with a focus on inter-organizational relationships are discussed. [ABSTRACT FROM AUTHOR]