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护士对抗 COVID-19 的核心灾难应对能力:一项横断面研究。

Nurses' core disaster-response competencies for combating COVID-19-A cross-sectional study.

机构信息

Faculty of Health Sciences, University of Primorska, Izola, Slovenia.

出版信息

PLoS One. 2021 Jun 10;16(6):e0252934. doi: 10.1371/journal.pone.0252934. eCollection 2021.

Abstract

The core competencies in disaster nursing, nurses' roles in disaster management and the potential barriers are assessed with a view to developing disaster nursing in Slovenia. Despite training and experience, many indicators show nurses are deficient in skills involving emergency and disaster-preparedness competencies. Nurses report little familiarity with disaster-planning skills, the implementation of disaster guidelines and assessment of patients subject to a disaster circumstance. A cross-sectional descriptive study was conducted based on data collected through an online survey. 118 registered nurses from different clinical settings in Slovenia participated in the study. Data were collected according to the Slovenian version of the Disaster Nursing Core Competencies Scale (Sl-DNCC-Scale). The scale was limited to a 7-point Likert response format (from 1 = strongly disagree to 7 = strongly agree). The results show the registered nurses perceive the core competencies of disaster nursing to be important to their preparedness for disaster situations (median = 161; range 74-189). Registered nurses who work in nursing homes and nurse managers are more aware of the importance of acquiring the listed competencies for unexpected events (p = 0.011 and 0.060 respectively) and the importance of their active role in disaster management (p = 0.027 and p = 0.004, respectively). To effectively deal with a disaster, nurses must be well prepared for unexpected events and more actively involved in disaster management. This study demonstrates that nurses regard the core disaster nursing competencies as important and greatly needed in various healthcare facilities. Future studies in this area should focus on ways to implement these competencies in nursing education.

摘要

灾难护理的核心能力、护士在灾难管理中的角色以及潜在障碍,这些都需要进行评估,以便在斯洛文尼亚发展灾难护理。尽管有培训和经验,但许多指标表明,护士在涉及紧急情况和备灾能力的技能方面存在不足。护士报告称,他们对灾难规划技能、灾难指南的实施以及对受灾患者的评估知之甚少。本研究采用横断面描述性研究,基于通过在线调查收集的数据进行。来自斯洛文尼亚不同临床环境的 118 名注册护士参与了这项研究。数据是根据斯洛文尼亚版灾难护理核心能力量表(Sl-DNCC-Scale)收集的。该量表仅限于 7 点李克特反应格式(从 1 = 非常不同意到 7 = 非常同意)。结果表明,注册护士认为灾难护理的核心能力对他们应对灾难情况的准备工作很重要(中位数=161;范围 74-189)。在疗养院工作的注册护士和护士长更意识到为意外事件获得列出的能力的重要性(p=0.011 和 0.060),以及他们在灾难管理中积极作用的重要性(p=0.027 和 p=0.004)。为了有效应对灾难,护士必须为意外事件做好充分准备,并更积极地参与灾难管理。这项研究表明,护士认为灾难护理的核心能力很重要,在各种医疗保健设施中非常需要。未来在这一领域的研究应侧重于在护理教育中实施这些能力的方法。

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