Department of Nursing, Army Medical University (Third Military Medical University), Chongqing, China.
Front Public Health. 2022 Mar 14;10:845588. doi: 10.3389/fpubh.2022.845588. eCollection 2022.
At the beginning of the COVID-19 outbreak, there was a lack of sufficient nursing experience for pneumonia caused by COVID-19. All nursing decisions had to be innovatively made and measures taken by nurses using their existing knowledge and skills. This required nurses to have a solid theoretical understanding of infectious diseases and epidemiology, evidence-based solid practice skills, and problem-solving skills. The COVID outbreak reminded undergraduates to master relevant knowledge and abilities during school study.
Qualitative research on knowledge, attitude, and practice (KAP) of the COVID-19 epidemic was conducted using semi-structured interviews among sophomore nursing students in the university. Based on the characteristics of the KAP of nursing students, we analyzed the deficiencies of the knowledge and ability to deal with large-scale public health emergencies in the second-year nursing education.
A total of 12 subject headings and 41 sublevel headings were identified from three aspects of KAP. The subject headings included knowledge aspect (the origin of the disease, the route of transmission, main symptoms, the epidemiological characteristics of the disease, scientific cognition of information sources), attitude aspect (different emotional experiences, a certain degree of influence, different views on the development trend of the epidemic, support the government's prevention and control strategies), and behavior aspect (do an excellent job in self-protection, help family members to protect, and participate in social anti-epidemic actions). According to this analysis, second-year nursing students have three deficiencies in dealing with large-scale public health emergencies: knowledge of infectious diseases and epidemiology, evidence-based practice skills, and problem- solving ability.
When students start nursing professional courses, the knowledge of infectious diseases and epidemiology, training of evidence-based practice skills, and problem-solving ability should be strengthened to improve the ability of nursing undergraduates to respond to large-scale public health emergencies after entering the workplace.
在 COVID-19 疫情初期，针对 COVID-19 引起的肺炎，护理人员缺乏足够的经验，所有护理决策都必须依靠护理人员利用现有知识和技能进行创新性地制定和采取措施。这要求护理人员对传染病和流行病学有扎实的理论理解、基于证据的扎实实践技能和解决问题的能力。COVID 疫情提醒本科生在在校学习期间掌握相关知识和能力。
采用半结构式访谈对大学二年级护理学生进行 COVID-19 疫情知识、态度和实践（KAP）的定性研究。根据护理学生 KAP 的特点，分析二年级护理教育中应对大规模突发公共卫生事件的知识和能力的不足。
从 KAP 的三个方面共确定了 12 个主题标题和 41 个副标题。主题标题包括知识方面（疾病起源、传播途径、主要症状、疾病的流行病学特征、对信息来源的科学认知）、态度方面（不同的情绪体验、一定程度的影响、对疫情发展趋势的不同看法、支持政府的防控策略）和行为方面（做好自我保护、帮助家庭成员保护、参与社会抗疫行动）。根据这一分析，二年级护理学生在应对大规模突发公共卫生事件方面有三个不足：传染病和流行病学知识、基于证据的实践技能和解决问题的能力。
当学生开始护理专业课程时，应加强传染病和流行病学知识、基于证据的实践技能培训和解决问题能力的培养，以提高护理本科生在进入工作场所后应对大规模突发公共卫生事件的能力。
