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影响加拿大安大略省护理人员对化学、生物、放射和核威胁应急准备的因素。

Factors Affecting Paramedic Response Readiness to CBRN Threats in Ontario, Canada.

作者信息

Novack Zachary, Novack Lewis, Davidson Robert, Shenhar Gili, Bodas Moran

机构信息

The Department of Emergency & Disaster Management, School of Public Health, Faculty of Medicine, Tel-Aviv University, Tel-Aviv-Yafo, Israel.

Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

出版信息

Disaster Med Public Health Prep. 2022 Oct 28;17:e228. doi: 10.1017/dmp.2022.184.

Abstract

OBJECTIVE

To determine factors associated with increased response readiness to CBRN threats of paramedics in Ontario, Canada.

METHODS

An internet-based survey was distributed via email and delivered at the start of each shift presentation during October, 2019. The target population was active-duty paramedics in the Ontario region of Canada. The survey was comprised of 6 sections pertaining to demographics, attitudinal components of risk perception, self-efficacy, deployment concerns, and resilience. Survey mean, univariate, and multivariate regression analyses were used to find the individual effect of each variable.

RESULTS

The univariate analysis indicated that higher response readiness was associated with additional training, education, CBRN, and family concerns, and incident experience. However, some variables were non-significant in the multivariate analysis. Increased response readiness was associated with CBRN concerns and training.

CONCLUSION

CBRN concerns and focused training regarding terrorism were both associated with increased response readiness. The information from the study can be used to build upon existing knowledge and support paramedics though training and preparation for CBRN specific disasters. The findings may also be used to improve current competency-based frameworks focused on response readiness.

摘要

目的

确定与加拿大安大略省护理人员对化学、生物、放射和核威胁(CBRN)的应急准备能力提高相关的因素。

方法

2019年10月,通过电子邮件分发了一项基于互联网的调查,并在每次轮班开始时进行展示。目标人群是加拿大安大略地区的现役护理人员。该调查由6个部分组成,涉及人口统计学、风险认知的态度成分、自我效能感、部署担忧和恢复力。采用调查均值、单变量和多变量回归分析来确定每个变量的个体效应。

结果

单变量分析表明,更高的应急准备能力与额外培训、教育、CBRN以及家庭担忧和事件经历相关。然而,一些变量在多变量分析中无统计学意义。应急准备能力的提高与对CBRN的担忧和培训相关。

结论

对CBRN的担忧和针对恐怖主义的重点培训均与应急准备能力的提高相关。该研究所得信息可用于在现有知识基础上,通过针对CBRN特定灾难的培训和准备来支持护理人员。研究结果还可用于改进当前侧重于应急准备能力的基于能力的框架。

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