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一种新型灾害护理教育方法的评估

Evaluation of a Novel Disaster Nursing Education Method.

作者信息

Levoy Kristin, DeBastiani Summer D, McCabe Brian E

机构信息

School of Nursing and Health Studies,University of Miami,Coral Gables,Florida.

出版信息

Disaster Med Public Health Prep. 2018 Dec;12(6):703-710. doi: 10.1017/dmp.2017.150. Epub 2018 Feb 21.

Abstract

OBJECTIVE

A common method of disaster training is needed to improve disaster nursing education and facilitate better communication among interprofessional disaster responders. To inform the development of disaster nursing curricula, a novel disaster nursing education method consistent with Homeland Security Exercise and Evaluation Program (HSEEP) and the International Council of Nurses (ICN) framework was developed to improve disaster nursing competencies in a baccalaureate nursing program.

METHODS

In total, 89 undergraduate nursing students participated. Perceived disaster nursing knowledge, confidence, and training/response were assessed with 14 items before and after the education.

RESULTS

Exploratory factor analysis showed 3 factors, knowledge, confidence, and training/response, explained 71% of variation in items. Nursing students showed large improvements in perceived disaster nursing knowledge (t=11.95, P<0.001, Cohen's d=1.76), moderate increases in perceived confidence (t=4.54, P<0.001, d=0.67), and no change in disaster training and response (t=0.94, P=0.351, d=0.13).

CONCLUSIONS

Results show preliminary evidence supporting the effectiveness of disaster nursing education informed by HSEEP. This training has the potential to fill current practice gaps in disaster nursing knowledge and build confidence to use those skills in practice. (Disaster Med Public Health Preparedness. 2018;12:703-710).

摘要

目的

需要一种通用的灾难培训方法来改善灾难护理教育,并促进跨专业灾难应对人员之间更好的沟通。为了为灾难护理课程的开发提供参考,我们开发了一种与国土安全演习与评估计划(HSEEP)和国际护士理事会(ICN)框架相一致的新型灾难护理教育方法,以提高本科护理专业学生的灾难护理能力。

方法

共有89名本科护理专业学生参与。在教育前后,通过14个项目对学生的灾难护理知识、信心以及培训/应对情况进行评估。

结果

探索性因素分析显示,知识、信心和培训/应对这3个因素解释了项目中71%的变异。护理专业学生在灾难护理知识认知方面有显著提高(t = 11.95,P < 0.001,Cohen's d = 1.76),信心认知有适度增加(t = 4.54,P < 0.001,d = 0.67),而在灾难培训和应对方面没有变化(t = 0.94,P = 0.351,d = 0.13)。

结论

结果显示初步证据支持以HSEEP为依据的灾难护理教育的有效性。这种培训有可能填补当前灾难护理知识的实践空白,并增强在实践中运用这些技能的信心。(《灾难医学与公共卫生防范》。2018年;12:703 - 710)

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