Speroni Karen Gabel, Seibert Dorothy J, Mallinson R Kevin
Author Affiliations: Clinical Nurse Scientist (Dr Speroni), Independent, Leesburg; Infection Preventionist (Dr Seibert), Independent, Warrenton; and Associate Professor, Assistant Dean, Doctoral Division (Dr Mallinson), School of Nursing, George Mason University, Fairfax, Virginia.
J Nurs Adm. 2015 Oct;45(10):477-84. doi: 10.1097/NNA.0000000000000238.
This study examined US hospital, ambulatory/outpatient facility, and clinic nurses' perceptions regarding care of persons under investigation (PUIs) and confirmed Ebola virus disease (EVD) patients and EVD nursing workforce impact.
Timely research was warranted to better understand nurses' perceptions.
This survey research used convenience sampling of RNs, LPNs, and nurse technicians. Respondents completed a 45-item electronic validated survey.
Overall average perceived risk with providing care was higher for confirmed EVD patients (5.2) than PUIs (4.8) (0 = no risk, 10 = highest risk). Few had cared for confirmed EVD patients (0.3%) or PUIs (0.7%). Whereas 48.4% felt prepared in protecting themselves from contracting EVD, 25.2% were concerned with contracting EVD. More nurses (45.9%) felt they should be able to opt out of caring for confirmed EVD patients as compared with those caring for PUIs (39.2%). EVD emergence had not affected (85.8%) nurses' willingness to provide direct patient care; however, 6.8% reported EVD has decreased years planned in the nursing workforce.
Nurses reported moderate risk for EVD-related patient care; 6.8% may leave the workforce earlier.
本研究调查了美国医院、门诊/门诊设施及诊所护士对正在接受调查者（PUI）、确诊埃博拉病毒病（EVD）患者的护理看法以及EVD对护理人员队伍的影响。
有必要及时开展研究以更好地了解护士的看法。
本调查研究采用便利抽样法选取注册护士（RN）、执业护士（LPN）和护士技术员。受访者完成了一项包含45个条目的电子有效调查问卷。
总体而言，确诊EVD患者（5.2）的护理感知风险高于PUI（4.8）（0 = 无风险，10 = 最高风险）。很少有人护理过确诊EVD患者（0.3%）或PUI（0.7%）。虽然48.4%的人认为自己有能力保护自己不感染EVD，但25.2%的人担心感染EVD。与护理PUI的护士（39.2%）相比，更多护士（45.9%）认为自己应有权选择不护理确诊EVD患者。EVD的出现并未影响（85.8%）护士提供直接患者护理的意愿；然而，6.8%的人报告称EVD使他们计划在护理行业工作的年限减少。
护士报告称护理EVD相关患者的风险为中度；6.8%的人可能会提前离开护理行业。
