三级医院急诊护士灾害准备情况及相关影响因素评估:来自中国河南省的描述性横断面研究。
Assessment of disaster preparedness and related impact factors among emergency nurses in tertiary hospitals: descriptive cross-sectional study from Henan Province of China.
机构信息
Department of Emergency, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, China.
Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People's Hospital, Zhengzhou, China.
出版信息
Front Public Health. 2023 May 4;11:1093959. doi: 10.3389/fpubh.2023.1093959. eCollection 2023.
BACKGROUND
The aim of this study was to investigate the current state of disaster preparedness and to determine associated factors among emergency nurses from tertiary hospitals in Henan Province of China.
METHODS
This multicenter descriptive cross-sectional study was conducted with emergency nurses from 48 tertiary hospitals in Henan Province of China between September 7, 2022-September 27, 2022. Data were collected through a self-designeds online questionnaire using the mainland China version of the Disaster Preparedness Evaluation Tool (DPET-MC). Descriptive analysis and multiple linear regression analysis were used to evaluate disaster preparedness and to determine factors affecting disaster preparedness, respectively.
RESULTS
A total of 265 emergency nurses in this study displayed a moderate level of disaster preparedness with a mean item score of 4.24 out 6.0 on the DPET-MC questionnaire. Among the five dimensions of the DPET-MC, the mean item score for pre-disaster awareness was highest (5.17 ± 0.77), while that for disaster management (3.68 ± 1.36) was the lowest. Female gender (B = -9.638, = 0.046) and married status (B = -8.618, = 0.038) were negatively correlated with the levels of disaster preparedness. Five factors positively correlated with the levels of disaster preparedness included having attended in the theoretical knowledge training of disaster nursing since work (B = 8.937, = 0.043), having experienced the disaster response (B = 8.280, = 0.036), having participated in the disaster rescue simulation exercise (B = 8.929, = 0.039), having participated in the disaster relief training (B = 11.515, = 0.025), as well as having participated in the training of disaster nursing specialist nurse (B = 16.101, = 0.002). The explanatory power of these factors was 26.5%.
CONCLUSION
Emergency nurses in Henan Province of China need more education in all areas of disaster preparedness, especially disaster management, which needs to be incorporated into nursing education, including formal and ongoing education. Besides, blended learning approach with simulation-based training and disaster nursing specialist nurse training should be considered as novel ways to improve disaster preparedness for emergency nurses in mainland China.
背景
本研究旨在调查河南省三级医院急诊护士的灾害准备现状，并确定相关因素。
方法
本研究采用多中心描述性横断面研究，于 2022 年 9 月 7 日至 9 月 27 日期间对河南省 48 家三级医院的急诊护士进行调查。使用中国大陆版灾害准备评估工具（DPET-MC）的在线自设问卷收集数据。采用描述性分析和多元线性回归分析分别评估灾害准备情况和确定影响灾害准备的因素。
结果
本研究共纳入 265 名急诊护士，DPET-MC 问卷平均得分为 4.24 分（满分 6.0 分），处于中等灾害准备水平。在 DPET-MC 的五个维度中，灾前意识维度的平均条目得分最高（5.17±0.77），而灾害管理维度的平均条目得分最低（3.68±1.36）。女性（B=-9.638，P=0.046）和已婚（B=-8.618，P=0.038）与灾害准备水平呈负相关。与灾害准备水平呈正相关的五个因素包括工作后参加灾害护理理论知识培训（B=8.937，P=0.043）、经历过灾害应对（B=8.280，P=0.036）、参加过灾害救援模拟演练（B=8.929，P=0.039）、参加过灾害救援培训（B=11.515，P=0.025）以及参加过灾害护理专科护士培训（B=16.101，P=0.002）。这些因素的解释力为 26.5%。
结论
河南省的急诊护士在灾害准备的各个领域，尤其是灾害管理方面，需要更多的教育，这需要纳入护理教育，包括正规和持续教育。此外，应考虑采用混合学习方法，结合模拟培训和灾害护理专科护士培训，以提高中国大陆急诊护士的灾害准备水平。
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