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应急响应:一项关于护士应对重大传染病疫情核心能力的横断面研究。

Emergency Response: A Cross-sectional Study of Core Competencies for Nurses Regarding Major Infectious Disease Outbreaks.

出版信息

J Emerg Nurs. 2021 Nov;47(6):902-913. doi: 10.1016/j.jen.2021.04.010. Epub 2021 Jun 25.

DOI:10.1016/j.jen.2021.04.010
PMID:34183192
Abstract

INTRODUCTION

The core competencies of nursing personnel have been identified as a main factor affecting nursing effectiveness. This study examined core emergency response competencies of Chinese nursing personnel related to the outbreak of major infectious diseases.

METHODS

A survey was conducted among 960 nurses working in a tertiary hospital in Shanghai, China. Data were collected on core emergency response competencies of nursing personnel caring for patients with major infectious diseases, measuring overall competency as well as by dimensions of prevention ability, rescue ability, and preparation ability. A t-test and one-way analysis of variance were first analyzed for differences between groups, followed by multiple linear regression to analyze main influencing factors for core emergency response competencies.

RESULTS

The average score for core emergency response competencies of nursing personnel delivering care to patients with major infectious diseases was 128.05 (SD 22.23) (range 36-180 points); or 71%, which is equivalent to moderate performance. Multiple linear regression analysis demonstrated that the main influencing factors for these nursing personnel were before participation in emergency drills for infectious diseases, current educational background, and working experience in the realm of infectious disease nursing. The final model explained 8.4% of the variance in core emergency response competencies.

DISCUSSION

These findings indicate that it is necessary to strengthen the training of nursing staff with educational background deficits or no prior work or drill experience related to infectious diseases to effectively improve the core emergency response competencies of nursing personnel relative to infectious diseases.

摘要

简介

护理人员的核心能力已被确定为影响护理效果的主要因素。本研究考察了与重大传染病爆发相关的中国护理人员的核心应急反应能力。

方法

对中国上海一家三级医院的 960 名护士进行了调查。收集了护理人员对重大传染病患者进行核心应急反应能力的数据,衡量了整体能力以及预防能力、救援能力和准备能力三个维度。首先对组间差异进行 t 检验和单因素方差分析,然后进行多元线性回归分析核心应急反应能力的主要影响因素。

结果

护理人员为重大传染病患者提供护理的核心应急反应能力平均得分为 128.05(SD 22.23)(范围 36-180 分);或 71%,相当于中等表现。多元线性回归分析表明,这些护理人员的主要影响因素是参加传染病应急演练前、当前教育背景和传染病护理工作经验。最终模型解释了核心应急反应能力 8.4%的变异性。

讨论

这些发现表明,有必要加强对教育背景不足或没有传染病相关工作或演练经验的护理人员的培训,以有效提高护理人员应对传染病的核心应急反应能力。

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