West China School of Nursing/West China Hospital, Sichuan University, Guoxuexiang No. 37, Chengdu, Sichuan, China.
BMC Emerg Med. 2024 Jul 29;24(1):133. doi: 10.1186/s12873-024-01053-3.
To investigate the current situation of emergency preparation and emergency drill in the CSSD, and analyze its influence on the nurses' emergency attitude and ability.
This study employed a multicenter stratified sampling method, conducted from January to June 2023 using the online survey, participants completed the general data, emergency preparedness and drill questionnaire, public health emergency response questionnaire and emergency capacity scale. An independent samples t test or Kruskal-Wallis test was used to analyse differences in nurses' emergency capacity and attitudes.
The data from 15 provinces 55 hospitals in China. Overall, 77.58% of participants' institutions set up emergency management teams, 85.45% have an emergency plan and revise it regularly. 92.12% store emergency supplies. All survey staff participated in the emergency drill, which predominantly consisted of individual drills (51.52%), with 90.30% being real combat drills, 49.09% of participants engaging in drills every quarter, and 91.52% of the drill's participants exceeding 50%. The respondents' emergency attitude score was (29.346 ± 6.029), their emergency ability score was (63.594 ± 10.413), and those with rescue experience showed a more positive attitude (Z = -2.316, P = 0.021). Different titles, education levels, rescue experience and the frequency of emergency drill affected the emergency rescue ability of the respondents (P < 0.05).
Most medical institutions establish emergency management systems and plans, yet the content lacks geographical specificity.The duration and participation of emergency drills are high, but the effectiveness of the drills needs to be further improved, and the response capacity and attitudes of CSSD nurses are low. It is recommended that agencies develop comprehensive and targeted contingency plans to strengthen the inspection and evaluation of team strength, equipment and safeguards against the contingency plans, so as to ensure that the measures mandated by the contingency plans can be implemented promptly after the emergency response is initiated.
调查 CSSD 应急准备和应急演练的现状，并分析其对护士应急态度和能力的影响。
本研究采用多中心分层抽样方法，于 2023 年 1 月至 6 月采用在线调查，参与者完成一般资料、应急准备和演练问卷、公共卫生应急响应问卷和应急能力量表。采用独立样本 t 检验或 Kruskal-Wallis 检验分析护士应急能力和态度的差异。
共纳入我国 15 个省 55 家医院的数据。总体而言，77.58%的机构设立了应急管理团队，85.45%有应急预案且定期修订。92.12%储存应急物资。所有调查人员均参加过应急演练，演练主要以个人演练（51.52%）为主，实战演练占 90.30%，49.09%的演练每季度进行一次，91.52%的演练参与者超过 50%。受访者的应急态度评分为（29.346±6.029），应急能力评分为（63.594±10.413），有救援经验的受访者态度更积极（Z=-2.316，P=0.021）。不同职称、学历、救援经验和应急演练频率影响受访者的应急救援能力（P<0.05）。
大多数医疗机构建立了应急管理体系和计划，但内容缺乏地域特异性。应急演练的持续时间和参与度较高，但演练效果有待进一步提高，CSSD 护士的应对能力和态度较低。建议各机构制定全面、有针对性的应急预案，加强对应急预案的团队实力、设备及保障措施的检查和评估，确保应急预案启动后，能迅速实施应急响应措施。
