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针对医疗资源匮乏地区中小型医院护士开展的新兴传染病应对培训桌面演练项目的效果

Effect of a Tabletop Program for Training Emerging Infectious Disease Responses in Nurses at Small- to Medium-Sized Hospitals in Areas with Poor Healthcare Access.

作者信息

Cha Kyung-Sook, Lee Keelyong

机构信息

Department of Nursing Science, Sun Moon University, 70 Sunmoon-ro 221 beon-gil, Tangjeong-myeon, Asan-si 31460, Republic of Korea.

Department of Nursing, Suwon Science College, 288, Seja-ro, Jeongnam-myeon, Hwaseong-si 18516, Republic of Korea.

出版信息

Healthcare (Basel). 2023 Aug 22;11(17):2370. doi: 10.3390/healthcare11172370.

DOI:10.3390/healthcare11172370
PMID:37685404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10486792/
Abstract

This study developed and evaluated a tabletop program for training nurses working in small- to medium-sized hospitals in areas with poor healthcare access for emerging a tabletop program for training emerging infectious disease responses in nurses working at small- to medium-sized hospitals in areas with poor healthcare access and evaluated infectious disease responses. A tabletop program for training responses to emerging infectious diseases was provided to 29 nurses at a general hospital with <300 beds in a region without a tertiary general hospital or healthcare institution with nationally designated inpatient wards for patients with infectious diseases. The 180 min program consisted of an online theoretical lecture (Phase 1), one-on-one drills (Phase 2), and a scenario-based tabletop exercise (Phase 3). To evaluate the program's effect, pre- and post-knowledge, awareness, and competencies related to responses to emerging infectious diseases were assessed. The mean knowledge score significantly improved from 11.41 ± 2.33 before the training to 16.69 ± 2.48 after the training (z = -4.529, < 0.001). The mean awareness score significantly improved from 80.83 ± 11.94 before the training to 85.45 ± 7.08 after the training (z = -2.335, = 0.020). The mean competence score significantly increased from 67.31 ± 14.75 before the training to 79.38 ± 10.39 after the training (t = -6.187, < 0.001). The tabletop exercise program effectively enhanced the nurses' competencies in responding to emerging infectious diseases. The training program developed in this study may be utilized in addition to a simplified theoretical lecture to train nurses to improve their competency in responding to emerging infectious diseases.

摘要

本研究开发并评估了一个桌面演练项目,用于培训在医疗服务可及性差的地区的中小型医院工作的护士应对新发传染病的能力。该桌面演练项目被提供给一家位于没有三级综合医院或设有国家指定传染病患者住院病房的医疗机构的地区、床位少于300张的综合医院的29名护士。这个180分钟的项目包括在线理论讲座(第一阶段)、一对一演练(第二阶段)和基于情景的桌面演练(第三阶段)。为了评估该项目的效果,对与应对新发传染病相关的知识、意识和能力在培训前后进行了评估。知识平均得分从培训前的11.41±2.33显著提高到培训后的16.69±2.48(z=-4.529,P<0.001)。意识平均得分从培训前的80.83±11.94显著提高到培训后的85.45±7.08(z=-2.335,P=0.020)。能力平均得分从培训前的67.31±14.75显著提高到培训后的79.38±10.39(t=-6.187,P<0.001)。桌面演练项目有效地提高了护士应对新发传染病的能力。本研究中开发的培训项目除了简化的理论讲座外,还可用于培训护士提高其应对新发传染病的能力。

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