School of Nursing, Third Military University/Army Medical University, Chongqing, China.
Army Health Service Training Base, Third Military University/Army Medical University, Chongqing, China.
Nurs Crit Care. 2024 Sep;29(5):868-879. doi: 10.1111/nicc.12981. Epub 2023 Sep 24.
With frequent conflicts, natural disasters, and public health emergencies globally, mobile medical teams (MMTs) are becoming increasingly critical. Importantly, the competency of critical care nurses in MMTs can substantially affect the effectiveness and quality of its rescue efforts. Yet, these nurses' competencies are not well understood.
This study examined the competencies of critical care nurses in MMTs using the Onion Model.
A qualitative descriptive method was used to describe the competencies of Chinese MMT critical care nurses. From April to May 2022, a convenience sample of 18 participants (14 critical care nurses and 4 surgeons) from 10 MMTs was recruited for semi-structured interviews. Deductive and inductive coding methods were combined for content analysis.
In total, 29 competencies were identified, which were grouped into four major domains using the Onion Model. From the outer to inner layers, these domains were knowledge and skills, professional abilities, professional quality, and personal traits. Several novel competencies emerged, including field medical equipment operation skills, on-site hazard identification and safety prevention skills, triage knowledge, and field survival skills.
Using the Onion Model, this study furthers the understanding of the competency of critical care nurses in MMTs, especially by revealing the novel competencies. Further, the results can be used to recruit, evaluate, and train critical care nurses for MMTs.
Understanding MMT critical care nurses' competencies can help managers plan and provide relevant training and education before deployment, which can improve nurses' performance, and especially reduce the mortalities and disabilities from trauma.
随着全球范围内冲突、自然灾害和公共卫生突发事件的频繁发生，移动医疗队（MMT）变得越来越重要。重要的是，MMT 中重症监护护士的能力可以极大地影响其救援工作的效果和质量。然而，这些护士的能力还没有被很好地理解。
本研究使用洋葱模型来评估 MMT 中重症监护护士的能力。
采用定性描述方法来描述中国 MMT 重症监护护士的能力。2022 年 4 月至 5 月，从 10 个 MMT 中招募了 18 名参与者（14 名重症监护护士和 4 名外科医生）进行半结构式访谈，采用了演绎和归纳编码方法进行内容分析。
共确定了 29 项能力，这些能力使用洋葱模型分为四个主要领域。从外到内分别是知识和技能、专业能力、专业素质和个人特质。出现了一些新的能力，包括现场医疗设备操作技能、现场危险识别和安全预防技能、分诊知识和野外生存技能。
使用洋葱模型，本研究进一步了解了 MMT 中重症监护护士的能力，特别是揭示了新的能力。此外，研究结果可用于 MMT 中重症监护护士的招募、评估和培训。
了解 MMT 重症监护护士的能力可以帮助管理人员在部署前计划并提供相关的培训和教育，从而提高护士的表现，特别是减少创伤造成的死亡率和残疾率。
