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护士在监测以加强全球卫生安全中的作用:一项德尔菲研究。

The role of nurses in surveillance to enhance global health security: A delphi study.

作者信息

Beggs-Yeager Caitlin, Sharts-Hopko Nancy, McDermott-Levy Ruth

机构信息

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, PA.

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, PA.

出版信息

Nurs Outlook. 2021 Nov-Dec;69(6):1021-1029. doi: 10.1016/j.outlook.2021.05.011. Epub 2021 Jul 28.

DOI:10.1016/j.outlook.2021.05.011
PMID:34332765
Abstract

BACKGROUND

Internationally, nurses are gaining recognition for their contributions to public health and global health initiatives, however, their contributions to surveillance and the detection of new and emerging infectious disease, which is an important element of global health security, remain largely unknown.

PURPOSE

The purpose of this study was to investigate the perceptions of nurse experts related to the current and optimal roles of nurses in surveillance of new and emerging infectious diseases. Additionally, this study aimed to identify the skills needed by nurses in all practice settings for optimal performance of surveillance and to identify barriers to achieving optimal performance of surveillance.

METHODS

A three-round Delphi study was conducted. Nurse experts participated in Round 1 interviews followed by ranking current and optimal role, skill, and barrier statements in Rounds 2 and 3.

FINDINGS

Findings revealed four current roles and 13 optimal roles for nurses in surveillance, 13 skills needed to perform surveillance activities, and seven barriers to optimal performance of surveillance activities by nurses.

DISUCSSION

Results of this study are intended to inform nursing practice and education in the U.S., and to provide guidance on the role of nurses in surveillance of new and emerging infectious disease as part of the Global Health Security Agenda.

摘要

背景

在国际上,护士对公共卫生和全球卫生倡议的贡献正获得认可,然而,他们对监测以及新出现传染病的检测所做的贡献在很大程度上仍不为人所知,而这是全球卫生安全的一个重要要素。

目的

本研究的目的是调查护士专家对护士在新出现传染病监测中的当前和最佳角色的看法。此外,本研究旨在确定护士在所有实践环境中为实现监测的最佳表现所需的技能,并确定实现监测最佳表现的障碍。

方法

进行了三轮德尔菲研究。护士专家参与第一轮访谈,随后在第二轮和第三轮中对当前和最佳角色、技能及障碍陈述进行排序。

结果

结果揭示了护士在监测中的四个当前角色和13个最佳角色、开展监测活动所需的13项技能以及护士在监测活动中实现最佳表现的七个障碍。

讨论

本研究结果旨在为美国的护理实践和教育提供信息,并就护士在作为全球卫生安全议程一部分的新出现传染病监测中的作用提供指导。

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