Shi Wenwen, Qiu Chen, Zhang Yifan, Wang Yixin, Gui Li
School of Nursing, Navy Military Medical University, Shanghai, China.
Department of Orthopedics, Fourth Medical Center, Chinese PLA General Hospital, Beijing, China.
Int J Nurs Sci. 2024 Jun 14;11(3):301-307. doi: 10.1016/j.ijnss.2024.06.007. eCollection 2024 Jul.
This study aimed to investigate the factors influencing nurses' ability to respond to public health emergencies and understand the relationship between nurses' ability to respond to emergencies and workplace resilience.
A cross-sectional study of 361 nurses from military hospitals was conducted from January 18 to September 6, 2022, using an online survey. The Infectious Diseases Emergency Response Capacity (IDERC) questionnaire and the Workplace Resilience Scale (WRS) were utilized, and sociodemographic information was also collected. Data were analyzed using descriptive statistics and frequency analysis. Differences between groups were identified by one-way analysis of variance, and linear regression was used to analyze the main factors influencing the infectious emergency response capacity.
The average infectious emergency response capacity score on the IDERC questionnaire and workplace resilience, measured by WRS, were 4.01 ( = 0.76) and 3.85 ( = 0.71), respectively, on a scale of 1-5, indicating high performance. Factors such as degree of education, nurses' service years and experience in epidemic prevention participation were found to be the main influencing factors of the score of IDERC. The level of workplace resilience showed a positive correlation with the capacity to respond to infectious disease, the score of WRS and the service year accounted for 63.6% of the variance in emergency response capabilities.
The results indicate an urgent need to strengthen the training of nurses with lower degree of education, shorter service years, no prior work, or no experience of epidemic prevention participation, and hospitals should also prioritize improving nurses' workplace resilience through targeted interventions, enhancing their abilities in infectious disease prevention, preparation, first aid, and subsequent critical patient care.
本研究旨在调查影响护士应对突发公共卫生事件能力的因素，并了解护士应急能力与工作场所复原力之间的关系。
2022年1月18日至9月6日，采用在线调查的方式，对军队医院的361名护士进行了横断面研究。使用了传染病应急响应能力（IDERC）问卷和工作场所复原力量表（WRS），并收集了社会人口统计学信息。采用描述性统计和频率分析对数据进行分析。通过单因素方差分析确定组间差异，采用线性回归分析影响传染病应急响应能力的主要因素。
IDERC问卷的平均传染病应急响应能力得分和用WRS测量的工作场所复原力得分在1-5分的量表上分别为4.01（标准差=0.76）和3.85（标准差=0.71），表明表现良好。发现教育程度、护士工作年限和参与防疫经验等因素是IDERC得分的主要影响因素。工作场所复原力水平与传染病应对能力呈正相关，WRS得分和工作年限占应急响应能力方差的63.6%。
结果表明，迫切需要加强对教育程度较低、工作年限较短、无既往工作经历或无防疫参与经验的护士的培训，医院还应优先通过有针对性的干预措施提高护士的工作场所复原力，增强他们在传染病预防、准备、急救及后续危重症患者护理方面的能力。
