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应对护理灾害准备与应对中的挑战:一项综合综述。

Overcoming challenges in nursing disaster preparedness and response: an umbrella review.

作者信息

Al Thobaity Abdulellah

机构信息

Medical Surgical Nursing, College of Nursing, Taif Unoversity, P. O. Box 11099, Taif, 21944, Saudi Arabia.

出版信息

BMC Nurs. 2024 Aug 14;23(1):562. doi: 10.1186/s12912-024-02226-y.

Abstract

Disaster nursing plays a vital role in addressing the health needs of vulnerable populations affected by large scale emergencies. However, disaster nursing faces numerous challenges, including preparedness, logistics, education, ethics, recovery and legalities. To enhance healthcare system effectiveness during crises, it is essential to overcome these issues. This umbrella review, conducted using the Joanna Briggs Institute (JBI) methodology, synthesizes data from 24 studies to identify key strategies for improving disaster nursing. The review highlights nine key themes: Education and Training, Research and Development, Policy and Organizational Support, Technological Advancements, Psychological Preparedness and Support, Assessment and Evaluation, Role-Specific Preparedness, Interprofessional Collaboration and Cultural Competence, and Ethics and Decision-Making. The review emphasizes the importance of education, technological advancements, psychological support, and interprofessional collaboration in bolstering disaster nursing preparedness and response efforts. These elements are crucial for enhancing patient outcomes during emergencies and contributing to a more resilient healthcare system. This comprehensive analysis provides valuable insights into the various aspects essential for enhancing disaster nursing. By implementing evidence-based strategies within these nine themes, the nursing profession can enhance its capacity to effectively manage and respond to the complex needs of disaster-affected populations, ultimately improving patient care and outcomes during emergencies.

摘要

灾害护理在满足受大规模紧急情况影响的弱势群体的健康需求方面发挥着至关重要的作用。然而,灾害护理面临着诸多挑战,包括准备工作、后勤保障、教育、伦理、恢复和法律问题。为了在危机期间提高医疗系统的有效性,克服这些问题至关重要。本系统综述采用乔安娜·布里格斯研究所(JBI)的方法进行,综合了24项研究的数据,以确定改善灾害护理的关键策略。该综述突出了九个关键主题:教育与培训、研究与开发、政策与组织支持、技术进步、心理准备与支持、评估与评价、特定角色准备、跨专业协作与文化能力,以及伦理与决策。该综述强调了教育、技术进步、心理支持和跨专业协作在加强灾害护理准备和应对工作中的重要性。这些要素对于在紧急情况下改善患者结局以及促进更具韧性的医疗系统至关重要。这一全面分析为加强灾害护理的各个重要方面提供了有价值的见解。通过在这九个主题内实施循证策略,护理专业可以提高其有效管理和应对受灾人群复杂需求的能力,最终改善紧急情况下的患者护理和结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf01/11323674/2f4c877418a8/12912_2024_2226_Fig1_HTML.jpg

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