Emergency and Disaster Research Unit, Faculty of Medicine and Health Sciences,University of Oviedo,Spain.
Prehosp Disaster Med. 2019 Aug;34(4):376-384. doi: 10.1017/S1049023X19004461. Epub 2019 Jul 1.
Within out-of-hospital emergencies, primary health care (PHC) nurses must face life-threatening emergencies (LTEs), which are defined as "a situation associated with an imminent life risk that entails the start-up of resources and special means to resolve the situation."
The objectives of this study were to know the training received for out-of-hospital LTEs by PHC nurses of Asturias, Spain and the perception they have about their theoretical knowledge and practical skills in a series of emergency procedures or techniques used in LTE emergencies; as well as to analyze the differences according to the geographical area of their work.
Cross-sectional, descriptive, and observational study was conducted in 2018 of a sample of PHC service nurses of Asturias, Spain.
A total of 236 nurses from PHC service centers of Asturias, Spain, from among the total of 730 nurses who make up the staff of nurses of the PHC service of Asturias, between April and May 2018, were surveyed. The survey was designed ad hoc using the Doctrinal Body of Emergency Nursing (DBEN) proposed by the Spanish Society of Emergency Medicine (SEMES; Madrid, Spain), which indicates the theoretical and practical procedures that must be acquired by the PHC nurses. It is composed of 37 procedures or techniques employed in LTEs using an 11-point Likert scale rating to detect their self-perception about theoretical knowledge and practical skills from zero ("Minimum") to ten ("Maximum").
There were significant differences in the mean of theoretical knowledge and practical skills in many procedures or techniques studied, depending on the different areas of work.
All PHC nurses must be perfectly trained to provide initial quality assistance to the LTE, with both theoretical and practical knowledge of the different techniques, so that it can continue to be attended by the corresponding Emergency Service.
在院外急救中，基层医疗保健（PHC）护士必须应对危及生命的紧急情况（LTE），这些紧急情况被定义为“与即将发生的生命危险相关的情况，需要启动资源和特殊手段来解决该情况”。
本研究的目的是了解西班牙阿斯图里亚斯的 PHC 护士在院外 LTE 方面接受的培训，以及他们对一系列在 LTE 紧急情况下使用的紧急程序或技术的理论知识和实践技能的看法；并分析其工作地理位置差异。
这是一项 2018 年在西班牙阿斯图里亚斯的 PHC 服务护士中进行的横断面、描述性和观察性研究。
共有 236 名来自西班牙阿斯图里亚斯的 PHC 服务中心的护士参加了这项研究，他们是在 2018 年 4 月至 5 月期间，从构成阿斯图里亚斯的 PHC 服务护士人员的 730 名护士中抽取的。该调查是使用西班牙急诊医学学会（SEMES；马德里，西班牙）提出的紧急护理理论大纲（DBEN）专门设计的，该大纲指出了 PHC 护士必须掌握的理论和实践程序。它由 37 种在 LTE 中使用的程序或技术组成，使用 11 点李克特量表进行评分，从 0（“最低”）到 10（“最高”）来检测他们对理论知识和实践技能的自我认知。
在许多研究的程序或技术中，根据不同的工作领域，理论知识和实践技能的平均值存在显著差异。
所有 PHC 护士都必须接受完美的培训，以提供 LTE 的初始优质护理，具备不同技术的理论和实践知识，以便能够继续由相应的急救服务进行治疗。
