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大都市中护士的灾害管理知识、技能和准备:对护理灾害教育的启示。

Nurses' knowledge, skills and preparedness for disaster management of a Megapolis: Implications for nursing disaster education.

机构信息

Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka 1000, Bangladesh; Unit for Research in Emergency and Disaster, Faculty of Medicine and Health Sciences, University of Oviedo, 33006 Oviedo, Spain.

Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka 1000, Bangladesh.

出版信息

Nurse Educ Today. 2021 Dec;107:105122. doi: 10.1016/j.nedt.2021.105122. Epub 2021 Aug 28.

DOI:10.1016/j.nedt.2021.105122
PMID:34507260
Abstract

As frontline health caregivers, nurses must be adequately prepared to respond effectively to disasters. Therefore, it is necessary to assess nurses' disaster management capacity to know their preparedness levels, especially for a densely populated Megapolis like Dhaka, which is at high risk of disasters. Thus, the study aimed to examine Dhaka city nurses' knowledge, skills, preparedness (KSP) for disasters and explore the factors influencing the KSP levels. A self-explanatory descriptive survey questionnaire was developed adopting the Disaster Preparedness Evaluation Tool (DPET) in Bangla language for quantitative data collection. Following multistage sampling, 410 nurses' data were collected from eight hospitals in Dhaka city. The nurses in Dhaka city had moderate levels of knowledge, skills, and preparedness for disaster management, reflecting that they need more development to deal with disasters effectively. Moreover, multiple linear regression analyses indicate that nurses' disaster knowledge, skills, and preparedness scores were significantly positively associated with training on disaster management (p < 0.001) and disaster response experience (p < 0.001). In addition, one-half of the respondents demanded more drills and exercises on disaster management in their workplaces to enhance their disaster skills and preparedness. Furthermore, disaster education should be incorporated into the nursing curriculum, which would play a seminal role in preparing them for future disaster management.

摘要

作为一线医护工作者,护士必须有充分的准备才能有效地应对灾害。因此,有必要评估护士的灾害管理能力,了解他们的准备程度,特别是对于像达卡这样人口密集的大都市,它面临着很高的灾害风险。因此,本研究旨在考察达卡市护士的灾害知识、技能、准备度(KSP),并探讨影响 KSP 水平的因素。采用孟加拉语的灾害准备评估工具(DPET),开发了一份自我解释的描述性调查问卷调查表,用于收集定量数据。通过多阶段抽样,从达卡市的八家医院收集了 410 名护士的数据。达卡市的护士在灾害管理方面的知识、技能和准备程度处于中等水平,这反映出他们需要更多的发展才能有效地应对灾害。此外,多元线性回归分析表明,护士的灾害知识、技能和准备程度得分与灾害管理培训(p<0.001)和灾害应对经验(p<0.001)显著正相关。此外,有一半的受访者要求在工作场所进行更多的灾害管理演练和演习,以提高他们的灾害技能和准备度。此外,应该将灾害教育纳入护理课程,这将在为他们未来的灾害管理做准备方面发挥重要作用。

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