Karolinska Institutet, Department of Clinical Science and Education, Stockholm, Sweden; Sophiahemmet University, Department of Health Promoting Science, Stockholm, Sweden.
Karolinska Institutet, Department of Clinical Science and Education, Stockholm, Sweden; Örebro University, Department of Medical Sciences, Örebro, Sweden.
Int Emerg Nurs. 2021 Sep;58:101019. doi: 10.1016/j.ienj.2021.101019. Epub 2021 Jul 29.
Major incidents continue to pose a threat to health care systems by overwhelming them with a sudden surge of patients. A major factor impacting a hospital's surge capacity is the skills, abilities, and knowledge of emergency department (ED) registered nurses (RN). The level of disaster nursing competency they possess affects patient safety and outcome. ED RNs' ability to accurately assess their competency and knowledge is imperative for mitigating the effect of major incidents. ED RN's perception of overall disaster preparedness has not been thoroughly addressed. The aim of this study was to assess emergency department registered nurses' self-perceived disaster preparedness.
The study was a cross-sectional study per the STROBE checklist. A self-assessment questionnaire based on the results of a study identifying specific disaster nursing competencies for ED RNs was distributed to all ED RNs at six participating hospitals between January 10th to February 19th of 2019. A five-point Likert-type scale was used to assess competency.
ED RNs' disaster preparedness according to the Total Disaster Competency mean was low. Furthermore, the results indicate that ED RNs' significantly overestimate their disaster nursing competency when compared to the Total Disaster Competency mean. Additionally, this study identified factors such as experience and education were positively associated with disaster preparedness and self-assessment ability.
ED RNs' overestimate their disaster preparedness. However, ED RNs with experience and education may be better prepared. ED RNs with formal disaster education appeared to have better insight concerning their preparedness. Clinical experience, advanced levels of education, and training were positively associated with preparedness. Overestimating disaster competencies may negatively impact patient outcomes during a major incident.
重大事件继续通过大量涌入的患者使医疗系统不堪重负，从而对其构成威胁。影响医院应急能力的一个主要因素是急诊部（ED）注册护士（RN）的技能、能力和知识。他们所拥有的灾难护理能力水平会影响患者的安全和结果。ED RN 准确评估其能力和知识的能力对于减轻重大事件的影响至关重要。ED RN 对整体灾难准备情况的看法尚未得到彻底解决。本研究旨在评估急诊部注册护士的自我感知灾难准备情况。
该研究是按照 STROBE 清单进行的横断面研究。根据一项确定 ED RN 特定灾难护理能力的研究结果，基于自我评估问卷，于 2019 年 1 月 10 日至 2 月 19 日期间分发给六家参与医院的所有 ED RN。采用五点李克特量表评估能力。
根据总灾难能力的平均值，ED RN 的灾难准备情况较低。此外，结果表明，与总灾难能力平均值相比，ED RN 显著高估了其灾难护理能力。此外，本研究还确定了经验和教育等因素与灾难准备和自我评估能力呈正相关。
ED RN 高估了他们的灾难准备情况。然而，有经验和教育的 ED RN 可能准备得更好。接受过正规灾难教育的 ED RN 似乎对自己的准备情况有更好的了解。临床经验、高等教育水平和培训与准备情况呈正相关。高估灾难能力可能会对重大事件期间的患者结果产生负面影响。
