Hernández-Martínez Antonio, Rodríguez-Almagro Julián, Martínez-Arce Alejandro, Romero-Blanco Cristina, García-Iglesias Juan Jesús, Gómez-Salgado Juan
Department of Nursing, Ciudad Real Faculty of Nursing, Universidad de Castilla La-Mancha, Ciudad Real, Spain.
Center of advanced simulation. Hospital of Ciudad Real. SESCAM, Ciudad Real, Spain.
J Clin Nurs. 2021 Feb 15. doi: 10.1111/jocn.15706.
During the COVID-19 pandemic health crisis, in some countries such as Spain, nursing students have offered to provide health assistance, but the role they have played, their degree of preparedness to face the situation, and what must be improved in their training to be ready for these situations is unknown.
Describe the experience and perceptions of students of the Nursing university degree during their participation as health support in the COVID-19 health crisis in Spain.
We conducted a cross-sectional survey study.
503 students enrolled in the 4th course of the Nursing degree in Spain during the months of March and April 2020. An online questionnaire was developed, based on a pilot study and distributed through the Nursing Association, students' unions and students' associations. Variables were used to describe their participation, degree of preparedness and training needs to determine how to improve training through descriptive statistics, as well as nonparametric tests to analyse the relationship between training and degree of preparedness nursing students. Results are reported according to the STROBE Statement.
73.2% (368) of students offered to participate in healthcare aid, of which 225 were actively involved. 27.8% carried out nursing tasks without supervision, and 47.7% assisted COVID-19 patients as any other nurse. Only 3.4% felt very prepared to work in the field of intensive care, finding that those students who perceived a higher degree of preparedness had received previous training in personal protective equipment and mechanical ventilation (p < 0.005). The highest scores for training activities that may improve their preparedness were simulations to improve levels of anxiety and stress when managing critical patients, simulation in ventilatory support and mandatory practices in services where ventilators are used.
Although three out of four students were willing to provide health assistance, they recognise that they were not specially prepared in the field of intensive care and demand training with simulation to improve anxiety and stress levels in the management of critical patients and simulation in ventilatory support.
Students have been vital resources for our health system and society when they have been needed. It is now up to us, both teachers and health authorities, to share their efforts by implementing the necessary improvements in training and safety measures not only because these affects the health and safety of the patient, but because they will be essential parts in future pandemics.
在新冠疫情引发的健康危机期间，在西班牙等一些国家，护理专业学生主动提出提供医疗援助，但他们所发挥的作用、面对这种情况的准备程度以及在培训方面必须改进哪些内容才能应对这些情况尚不清楚。
描述西班牙护理专业本科学生在参与新冠疫情健康危机期间提供医疗支持的经历和看法。
我们进行了一项横断面调查研究。
2020年3月和4月期间，对西班牙护理专业四年级的503名学生进行了调查。在一项试点研究的基础上编制了一份在线问卷，并通过护理协会、学生会和学生社团进行分发。使用变量来描述他们的参与情况、准备程度和培训需求，通过描述性统计来确定如何改进培训，以及使用非参数检验来分析护理专业学生的培训与准备程度之间的关系。结果根据STROBE声明进行报告。
73.2%（368名）学生主动提出参与医疗救助，其中225名积极参与。27.8%的学生在无人监督的情况下执行护理任务，47.7%的学生像其他护士一样协助新冠患者。只有3.4%的学生觉得自己为在重症监护领域工作做好了充分准备，发现那些认为自己准备程度较高的学生此前接受过个人防护装备和机械通气方面的培训（p<0.005）。对于可能提高他们准备程度的培训活动，得分最高的是模拟以提高管理重症患者时的焦虑和压力水平、通气支持模拟以及在使用呼吸机的科室进行强制实习。
尽管四分之三的学生愿意提供医疗援助，但他们认识到自己在重症监护领域并未得到专门培训，要求通过模拟培训来提高管理重症患者时的焦虑和压力水平以及通气支持模拟。
在需要的时候，学生一直是我们卫生系统和社会的重要资源。现在，我们教师和卫生当局有责任共同努力，通过在培训和安全措施方面进行必要的改进来分担他们的工作，这不仅是因为这会影响患者的健康和安全，还因为它们将是未来疫情应对的重要组成部分。
