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运用客观结构化临床考试对护士灾害应对能力的调查。

Investigation of competencies of nurses in disaster response by utilizing objective structured clinical examination.

作者信息

Bahrami Masoud, Aliakbari Fatemeh, Aein Fereshteh

机构信息

Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Medical-Surgical Nursing, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2014 Feb;19(7 Suppl 1):S1-6.

Abstract

BACKGROUND

Nurses are members of the health care team for crisis response. Identifying nurses' capability in responding to a disaster and promoting their preparedness will lead to effective use of human resources and decreasing the detrimental effects of disaster. The purpose of this article was to determine emergency nurses' competences in triage, life support, and basic clinical skills in disaster response.

MATERIALS AND METHODS

This study was a descriptive study in which 40 emergency nurses were recruited by purposeful sampling. Moreover, their competencies in performing triage, life support, and basic clinical skills were evaluated by utilizing eight-station objective structured clinical examination (OSCE).

RESULTS

Our findings showed that the mean scores of nurses' performance were: In triage (4.3 ± 1.27), life support (4 ± 1.5), airway management (5.3 ± 1.7), chest tube insertion (7.3 ± 1.8), nasogastric tube insertion (5.6 ± 2.5), IV therapy (2.5 ± 0.8), IV line insertion (6 ± 1.4), suturing (9.1 ± 1.6), and urinary catheterization (10.4 ± 2.2). No statistically significant correlation was found between demographic variables and nurses' performance (P > 0.05).

CONCLUSION

According to our findings, it can be concluded that competencies of nurses in performing triage, life support, and basic clinical skills were undesirable. Because emergency nurses are members of the emergency medical team, they should be prepared for disaster response via continuous training programs.

摘要

背景

护士是危机应对医疗团队的成员。确定护士应对灾难的能力并促进其准备工作,将有助于有效利用人力资源并减少灾难的有害影响。本文旨在确定急诊护士在灾难应对中的分诊、生命支持和基本临床技能方面的能力。

材料与方法

本研究为描述性研究,通过目的抽样招募了40名急诊护士。此外,利用八站式客观结构化临床考试(OSCE)评估了他们在进行分诊、生命支持和基本临床技能方面的能力。

结果

我们的研究结果表明,护士的表现平均得分如下:分诊(4.3±1.27)、生命支持(4±1.5)、气道管理(5.3±1.7)、胸腔闭式引流管插入(7.3±1.8)、鼻胃管插入(5.6±2.5)、静脉治疗(2.5±0.8)、静脉穿刺(6±1.4)、缝合(9.1±1.6)和导尿(10.4±2.2)。人口统计学变量与护士表现之间未发现统计学上的显著相关性(P>0.05)。

结论

根据我们的研究结果,可以得出结论,护士在进行分诊、生命支持和基本临床技能方面的能力不理想。由于急诊护士是紧急医疗团队的成员,他们应通过持续培训计划为灾难应对做好准备。

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