Sellers David, Crilly Julia, Hughes Lynda, Ranse Jamie
Griffith University, Gold Coast, Queensland, Australia; School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.
Griffith University, Gold Coast, Queensland, Australia; School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia; Department of Emergency Medicine, Gold Coast Health, Gold Coast, Queensland, Australia; Centre for Mental Health, Griffith University, Gold Coast, Queensland, Australia.
Aust Crit Care. 2025 Mar;38(2):101142. doi: 10.1016/j.aucc.2024.101142. Epub 2024 Dec 4.
The number of disasters occurring globally is increasing. Natural hazards, changing geopolitical situations, and increasing population densities may lead to an increased likelihood of a surge of patients requiring health care, some of whom might be requiring intensive care-level treatment. There is a dearth of literature on intensive care unit (ICU) practitioner's priorities regarding disaster preparedness and crisis standards of care.
This study aimed to understand what nurses working in ICUs within Australia prioritise regarding ICU disaster preparedness and the implementation of crisis standards of care.
A modified three-round Delphi design was used for this study. A snowballing recruitment method facilitated the purposive sampling of ICU nurses, starting with members of the Australian College of Critical Care Nurses. Eligible participants were asked to rate statements according to their priorities when addressing disaster preparedness of the Australian ICU in which they work. Statements that achieved the 10 highest scores in the final round were tabulated to indicate the broader areas of disaster preparedness that the respondents considered priorities.
A total of 16 participants completed both round two and round three of this Delphi study. Out of 38 statements across six domains, 33 statements achieved consensus. Healthcare practitioner protection, wellbeing, and the management of space populated the top 10 priorities. These priorities included adequate personal protection equipment, services to support healthcare practitioners, and clear communication and debriefing pathways. Another key priority identified was the need for a clear plan on how the ICU footprint will expand to accommodate a surge of patients.
Healthcare practitioner wellbeing followed by adequate plans for ICU expansion are key priorities of nursing staff working in ICUs within Australia. Understanding the priorities of those who work in the ICU gives a pragmatic insight into what is required to further develop the disaster preparedness of Australian ICUs.
全球发生的灾害数量正在增加。自然灾害、不断变化的地缘政治形势以及不断增长的人口密度可能导致需要医疗护理的患者激增的可能性增加，其中一些患者可能需要重症监护级别的治疗。关于重症监护病房（ICU）从业者在灾难准备和危机护理标准方面的优先事项，相关文献匮乏。
本研究旨在了解澳大利亚ICU护士在ICU灾难准备和危机护理标准实施方面的优先事项。
本研究采用改良的三轮德尔菲设计。一种滚雪球式的招募方法有助于对ICU护士进行有目的抽样，从澳大利亚重症护理护士学院的成员开始。符合条件的参与者被要求根据他们在应对其工作所在澳大利亚ICU的灾难准备时的优先事项对陈述进行评分。在最后一轮中获得最高10分的陈述被列表，以表明受访者认为是优先事项的更广泛的灾难准备领域。
共有16名参与者完成了本德尔菲研究的第二轮和第三轮。在六个领域的38条陈述中，33条陈述达成了共识。医疗从业者保护、福祉和空间管理位列前10大优先事项。这些优先事项包括充足的个人防护设备、支持医疗从业者的服务以及清晰的沟通和汇报途径。确定的另一个关键优先事项是需要有一个关于ICU占地面积将如何扩大以容纳患者激增的明确计划。
医疗从业者的福祉以及随后为ICU扩张制定的充分计划是澳大利亚ICU护士的关键优先事项。了解ICU工作人员的优先事项能切实洞察进一步发展澳大利亚ICU灾难准备工作所需的内容。
