School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong.
School of Nursing, Tung Wah College, Kowloon, Hong Kong.
J Clin Nurs. 2018 Apr;27(7-8):e1244-e1255. doi: 10.1111/jocn.14210. Epub 2018 Jan 11.
To explore the core components that constitute nurses' preparedness in an epidemic event.
Healthcare service providers have worked to augment efforts to protect the public from the impact of epidemic events. While constituting the major healthcare taskforce, nurses are frequently tasked with fronting the response to an infectious disease outbreak. Given the crucial role of nurses in the management of prevailing epidemics, the constituents of their preparedness in epidemic events should be identified.
A systematic search was undertaken to identify eligible studies from the literature. A narrative synthesis approach was employed to extract and synthesise findings of the reviewed qualitative studies.
Seven qualitative studies on nurses' experience and perceptions of epidemic events were examined for scientific quality using the Critical Appraisal Skills Programme Qualitative Checklist. Findings of these studies were synthesised adopting a narrative synthesis approach.
Three interplaying themes were identified as follows: (i) personal resources, (ii) workplace resources and (iii) situational influences. The findings suggest that an effective epidemic outbreak response would require further effort to reinforce the interplay between individual nurses, healthcare institutions and the governments.
The practical interplay among individual nurses, healthcare institutions and the governments is crucial in establishing an effective epidemic response. Further research on the understanding of the dynamic process of preparedness development is recommended to set future directions in research.
This study offers important insights for devising future strategies in enhancing nurses' preparedness and response to an epidemic event. These include recommendations on providing education and training to nurses regarding infectious diseases, fostering institutional assistance and support in an outbreak and revising government policies and planning.
探索构成护士在疫情事件中准备情况的核心要素。
医疗保健服务提供者一直在努力加强保护公众免受疫情影响的工作。虽然构成了主要的医疗保健力量，但护士经常被要求率先应对传染病的爆发。鉴于护士在管理当前流行的传染病方面的关键作用，应确定他们在疫情事件中的准备情况的组成部分。
系统搜索文献，以确定合格的研究。采用叙述性综合方法提取和综合审查的定性研究的结果。
使用批判性评估技能计划定性清单检查了七项关于护士对疫情事件的经验和看法的定性研究，以评估其科学质量。采用叙述性综合方法综合这些研究的结果。
确定了三个相互作用的主题：（i）个人资源，（ii）工作场所资源和（iii）情境影响。研究结果表明，有效的疫情爆发应对需要进一步努力加强个体护士、医疗机构和政府之间的相互作用。
个体护士、医疗机构和政府之间的实际相互作用对于建立有效的疫情应对至关重要。建议进一步研究理解准备情况发展的动态过程，为未来的研究方向提供建议。
本研究为制定未来战略提供了重要的见解，以提高护士对疫情事件的准备和应对能力。这些建议包括向护士提供有关传染病的教育和培训、在疫情爆发时为医疗机构提供援助和支持，以及修订政府政策和规划。
