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评估一线能力差距:也门冲突地区护士对急诊护理的看法

Assessing the frontline competency gap: Emergency care perceptions among nurses in Yemen's conflict zone.

作者信息

Mani Zakaria Ahmed, Innab Adnan, Taleb Fuad

机构信息

Nursing Department, Jazan University, Jazan, Saudi Arabia.

Nursing and Midwifery Department, Monash University, Frankston, Australia.

出版信息

Int Nurs Rev. 2025 Jun;72(2):e13047. doi: 10.1111/inr.13047. Epub 2024 Oct 3.

DOI:10.1111/inr.13047
PMID:39363388
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11969315/
Abstract

BACKGROUND

Nursing competencies in armed conflict situations are critical for effective response and recovery. This study explores nurses' perceptions regarding their competencies in armed conflict zones to identify areas of proficiency and those requiring further emphasis in training.

METHODS

This cross-sectional descriptive study adhered to the STROBE reporting guidelines. It used a validated questionnaire examining 47 different competencies for nursing in armed conflict zones, which were subsequently ranked to identify those that were valued most and least.

RESULTS

In total, 102 questionnaires were returned (85% response rate). The highest-ranked competencies focused on immediate life-saving interventions and personal safety. In contrast, competencies involving broader disaster management, such as understanding organizational disaster plans, post-death care, and risk identification, ranked lower. This observation may indicate a tendency to prioritize direct clinical care over strategic planning and long-term recovery in disaster nursing education.

CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY

This study highlights the critical need to strengthen emergency care competencies among nurses working in armed conflict zones in Yemen. Its findings underscore the importance of targeted training programs, particularly in complex trauma management and psychological first aid, to address nurses' self-identified competency gaps. Policy implications include prioritizing resource allocation for emergency care infrastructure, implementing competency-based deployment strategies, and ensuring access to mental health support for nurses in working conflict zones. These actions are essential for building a resilient nursing workforce capable of providing quality care amidst the unique challenges of armed conflict.

摘要

背景

武装冲突情况下的护理能力对于有效应对和恢复至关重要。本研究探讨护士对其在武装冲突地区能力的看法,以确定熟练掌握的领域以及在培训中需要进一步强调的领域。

方法

本横断面描述性研究遵循STROBE报告指南。它使用了一份经过验证的问卷,调查了武装冲突地区护理的47种不同能力,随后对这些能力进行排名,以确定最受重视和最不受重视的能力。

结果

共回收102份问卷(回复率85%)。排名最高的能力集中在即时救生干预和个人安全方面。相比之下,涉及更广泛灾害管理的能力,如理解组织灾害计划、死亡后护理和风险识别,排名较低。这一观察结果可能表明,在灾害护理教育中,倾向于将直接临床护理置于战略规划和长期恢复之上。

结论及对护理和卫生政策的启示

本研究强调迫切需要加强也门武装冲突地区护士的急救能力。其研究结果强调了有针对性的培训项目的重要性,特别是在复杂创伤管理和心理急救方面,以弥补护士自我认定的能力差距。政策启示包括优先为急救基础设施分配资源、实施基于能力的部署战略,以及确保在工作冲突地区的护士能够获得心理健康支持。这些行动对于建立一支有韧性的护理队伍至关重要,这支队伍能够在武装冲突的独特挑战中提供高质量的护理。

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