Li Yijing, Wang Cong, Hu Qin, Xu Ke, Zhu Wei, Jiang Yan
Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, China.
Evidence-Based Nursing Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2023 Jul;54(4):741-745. doi: 10.12182/20230760104.
Nurses constitute the largest component of the healthcare workforce and are often the mainstay of disaster management. The leadership, decision-making, and coordination skills that advanced practice nurses possess are of critical value for disaster precision nursing. However, previous studies mostly focused on disaster specialist nurses and emergency or critical care nurses and little attention was directed at advanced practice nurses. In this paper, we reviewed published research and summarized the current status of advanced practice nursing in disaster events. We identified through our analysis the problems in advanced practice nursing, including poor disaster education, a lack of clearly-defined rescue roles, and difficulty in the implementation of practice reform. We suggested solutions, including developing a whole-process and multi-form disaster curriculum, refining rescue tasks from a team perspective, and establishing a system of quality and safety supervision for advanced practice nursing, aiming to provide new ideas for the development of disaster nursing in China.
护士是医疗保健劳动力的最大组成部分，通常是灾害管理的中流砥柱。高级实践护士所具备的领导、决策和协调技能对灾害精准护理至关重要。然而，以往的研究大多集中在灾害专科护士以及急诊或重症护理护士身上，对高级实践护士的关注较少。在本文中，我们回顾了已发表的研究，并总结了灾害事件中高级实践护理的现状。通过分析，我们确定了高级实践护理中存在的问题，包括灾害教育不足、救援角色定义不明确以及实践改革难以实施。我们提出了解决方案，包括制定全过程、多形式的灾害课程，从团队角度细化救援任务，以及建立高级实践护理质量与安全监督体系，旨在为中国灾害护理的发展提供新思路。
