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急诊护士对急诊科应对埃博拉疫情准备工作的认知:一项质性描述性研究。

Emergency nurses' perceptions of emergency department preparedness for an ebola outbreak: A qualitative descriptive study.

作者信息

Pincha Baduge Mihirika Sds, Moss Cheryle, Morphet Julia

机构信息

Nursing & Midwifery, Monash University, Australia.

Nursing & Midwifery, Monash University, Australia.

出版信息

Australas Emerg Nurs J. 2017 May;20(2):69-74. doi: 10.1016/j.aenj.2017.02.003. Epub 2017 Mar 21.

Abstract

BACKGROUND

Ebola Virus Disease is highly contagious and has high mortality. In 2014, when the outbreak in West Africa was declared a public health emergency, emergency departments in Australia commenced preparation and vigilance for people presenting with ebola like symptoms, to limit spread of the disease.

RESEARCH AIM

To examine Australian emergency nurses' perceptions regarding their own and their emergency departments' preparedness to manage an ebola outbreak.

METHOD

A qualitative descriptive design was used to collect and analyse data in one metropolitan emergency department in Victoria, Australia. Four focus groups were conducted with 13 emergency nurses. Data were thematically analysed.

RESULTS

Major themes emerged from the data: organisational, personal and future preparedness. Participants' believed that both the organisation and themselves had achieved desirable and appropriate preparedness for ebola in their emergency setting.

CONCLUSION

Participants trusted their organisation to prepare and protect them for ebola. Appropriate policies, procedures, and equipment infrastructure were reportedly in place. Nurses' decisions to care for a patient with ebola were informed by professional commitment, and personal responsibilities. Participants were concerned about transmitting ebola to their families, and suggested that more regular training in personal protective equipment would increase confidence and skill in self-protection.

摘要

背景

埃博拉病毒病具有高度传染性且死亡率高。2014年,当西非的疫情被宣布为突发公共卫生事件时,澳大利亚的急诊科开始对出现埃博拉样症状的患者进行准备和监测,以限制疾病传播。

研究目的

探讨澳大利亚急诊护士对自身及急诊科应对埃博拉疫情准备情况的看法。

方法

采用定性描述性设计,在澳大利亚维多利亚州的一个大都市急诊科收集和分析数据。对13名急诊护士进行了4个焦点小组访谈。对数据进行了主题分析。

结果

数据中出现了主要主题:组织准备、个人准备和未来准备。参与者认为组织和他们自己在急诊科应对埃博拉方面都达到了理想且适当的准备程度。

结论

参与者信任他们的组织为应对埃博拉做好准备并保护他们。据报道,有适当的政策、程序和设备基础设施。护士照顾埃博拉患者的决定是出于职业承诺和个人责任。参与者担心将埃博拉病毒传染给家人,并建议更定期的个人防护装备培训将提高自我保护的信心和技能。

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