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中国广东新入职护士灾难护理核心能力的横断面研究。

The core competencies in disaster nursing of new graduate nurses in Guangdong, China: A cross-sectional study.

机构信息

School of Nursing, Guangzhou University of Chinese Medicine, Guangdong 510006, China.

Department of Nursing, Guangdong Provincial People's Hospital, Guangdong 510030, China.

出版信息

Nurse Educ Pract. 2024 May;77:103987. doi: 10.1016/j.nepr.2024.103987. Epub 2024 Apr 26.

Abstract

AIM

This study aimed to assess the level of core competencies in disaster nursing of New Graduate Nurses (NGNs) and explore its influencing factors.

BACKGROUND

In recent years, the overall frequency of disasters around the world has been on the rise. As the emerging workforce in clinical settings, NGNs play an integral role in future disaster relief efforts. NGNs' level and influencing impact of core competencies in disaster nursing need to be understood.

DESIGN

A cross-sectional design.

METHODS

From June to September 2023, the Core Competencies in Disaster Nursing Scale - General Professional Nurse (CCDNS-GPN), designed according to the CCDN V2.0, was used to collect data from NGNs of six nursing schools and 15 hospitals in Guangdong, China. Descriptive analysis was conducted to examine the scores of core competencies in disaster nursing. Furthermore, one-way analysis of variance and multivariate linear regression analysis were used to explore the influencing factors.

RESULTS

A total of 607 NGNs participated in this study. The scores of CCDNS-GPN of NGNs were 90.23 (SD 15.09) (score ratio: 51.56%), indicating a low level of core competencies in disaster nursing. The highest competency was the recovery (score ratio: 55.00%), while the lowest competency was the communication (score ratio: 45.44%). The predictor for core competencies in disaster nursing of NGNs were male (β = 0.091, p < 0.05), below bachelor's degree (β = -0.109, p < 0.05), had received disaster nursing education at school (β = 0.087, p < 0.05), had participated in a disaster rescue drill at school (β = 0.140, p < 0.05), had been to the ICU during internship (β = 0.135, p < 0.05) and had the intention to be a disaster specialized nurse (β = 0.114, p < 0.05).

CONCLUSIONS

The NGNs exhibited insufficient core competencies in disaster nursing in Guangdong, China. Nursing schools and clinical institutions should collaborate and play their respective roles to enhance nurses' core competencies in disaster nursing, ensuring they can timely, safely and efficiently participate in disaster medical relief efforts.

摘要

目的

本研究旨在评估新入职护士(NGN)在灾难护理方面的核心能力水平,并探讨其影响因素。

背景

近年来,全球灾害的整体频率呈上升趋势。作为临床工作中的新兴劳动力,NGN 在未来的灾难救援工作中发挥着不可或缺的作用。需要了解 NGN 灾难护理核心能力的水平及其影响。

设计

横断面设计。

方法

2023 年 6 月至 9 月,采用根据灾难护理核心能力量表第 2.0 版(CCDN V2.0)设计的一般专业护士灾难护理核心能力量表(CCDNS-GPN),从广东六所护理学校和 15 家医院收集 NGN 数据。采用描述性分析方法对灾难护理核心能力的得分进行分析。此外,采用单因素方差分析和多元线性回归分析方法对影响因素进行探讨。

结果

共有 607 名 NGN 参与了这项研究。NGN 的 CCDNS-GPN 得分为 90.23(SD 15.09)(得分比:51.56%),表明他们的灾难护理核心能力水平较低。得分最高的能力是恢复(得分比:55.00%),而得分最低的能力是沟通(得分比:45.44%)。NGN 灾难护理核心能力的预测因素为男性(β=0.091,p<0.05)、低于本科(β=-0.109,p<0.05)、在校接受过灾难护理教育(β=0.087,p<0.05)、在校参加过灾难救援演练(β=0.140,p<0.05)、实习期间去过 ICU(β=0.135,p<0.05)和有成为灾难专科护士的意愿(β=0.114,p<0.05)。

结论

中国广东的 NGN 在灾难护理方面的核心能力不足。护理学校和临床机构应协作并发挥各自的作用,提高护士的灾难护理核心能力,确保他们能够及时、安全、有效地参与灾难医疗救援工作。

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