Ayenew Temesgen, Gedfew Mihretie, Afenigus Abebe Dilie, Amha Haile, Mulugeta Henok, Mengist Belayneh, Bewket Bekalu, Melese Yidersal Hune, Teym Abraham, Bishaw Keralem Anteneh, Yitayew Meseret
Department of Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia.
SAGE Open Med. 2022 May 14;10:20503121221096532. doi: 10.1177/20503121221096532. eCollection 2022.
Emergency preparedness and response operations for all types of catastrophes rely heavily on healthcare facilities and their staff. On the other hand, hospital employees suffer significant gaps in emergency preparedness knowledge and skills when it comes to treating mass casualties. The objective of this study was to assess the nurses' and physicians' familiarity with emergency preparedness and identify the associated factors.
A facility-based cross-sectional survey was conducted by census utilizing a self-administered questionnaire among all nurses and physicians working in emergency departments in East Gojjam zone public hospitals. The collected data were entered into Epi-data version 4.2 and exported to SPSS 25.0 for further analysis. Frequency, mean, and standard deviation were computed to describe individual and other characteristics of the sample. A simple and multiple linear regression model was fitted to identify factors associated with familiarity with emergency preparedness. An unstandardized adjusted beta () coefficient with a 95 % confidence level was used to report the result of the association at a p-value of 0.05 statistical significance.
In this study, a total of 237 individuals completed the questionnaire, yielding a response rate of 94 %. The mean score of familiarity with emergency preparedness was 106.1 ± 31.8 (95% CI: 102, 110.1), with approximately 52.3 % scoring higher than the mean score. Self-regulation (B = 3.8, 95% CI: 2.6, 5), health care climate (B = 1.4, 95% CI: 0.4, 2.43) and participation in actual major disaster event (B = 15.5, 95% CI: 7.8, 23.2) were significant predictors of familiarity.
According to the findings of this study, nurses' and physicians' expertise in emergency and disaster preparedness is inadequate. Previous engagement in actual disaster events, self-regulation, and the healthcare climate were significant predictors of familiarity. As a result, the responsible stakeholders should develop strategy to enhance self-regulation (motivation), job satisfaction of emergency department employees, and drills and hands-on training in mass casualty management.
各类灾难的应急准备和响应行动在很大程度上依赖于医疗机构及其工作人员。另一方面，医院员工在处理大规模伤亡事件时，应急准备知识和技能存在显著差距。本研究的目的是评估护士和医生对应急准备的熟悉程度，并确定相关因素。
采用普查方式，在东戈贾姆地区公立医院急诊科工作的所有护士和医生中，使用自填式问卷进行基于机构的横断面调查。收集的数据录入Epi-data 4.2版本，并导出到SPSS 25.0进行进一步分析。计算频率、均值和标准差以描述样本的个体特征和其他特征。采用简单和多元线性回归模型来确定与应急准备熟悉程度相关的因素。使用95%置信水平的非标准化调整β（）系数，以p值为0.05的统计显著性报告关联结果。
在本研究中，共有237人完成问卷，回复率为94%。应急准备熟悉程度的平均得分为106.1±31.8（95%置信区间：102, 110.1），约52.3%的得分高于平均分。自我调节（B = 3.8，95%置信区间：2.6, 5）、医疗保健氛围（B = 1.4，95%置信区间：0.4, 2.43）和参与实际重大灾难事件（B = 15.5，95%置信区间：7.8, 23.2）是熟悉程度的显著预测因素。
根据本研究结果，护士和医生在应急和灾难准备方面的专业知识不足。以前参与实际灾难事件、自我调节和医疗保健氛围是熟悉程度的显著预测因素。因此，责任利益相关者应制定策略，以增强自我调节（动机）、急诊科员工的工作满意度，以及大规模伤亡管理方面的演练和实践培训。
