摘要
目的调查上海市金山区临床护士的灾害护理能力及灾害应急知识掌握现状,探讨临床护士灾害护理能力的影响因素。方法通过便利抽样法,选取金山区5所二级及以上医院及11家社区卫生服务中心的1270名临床护士作为研究对象,采用一般资料调查表、临床护士灾害护理能力评估工具及灾害应急知识量表进行问卷调查,采用多元线性回归模型分析灾害护理能力的影响因素。结果收到有效问卷1263份,回收率为99.44%。1263名临床护士的灾害护理能力总分为(204.64±43.88)分,其中备灾能力均分最高,减灾/预防能力均分最低;临床护士灾害应急知识总分(134.97±30.60)分,其中事故指挥系统均分最高,特殊护理及隔离、去污均分最低。多元线性回归分析结果显示:相比三级医院,社区医院的护士灾害护理能力得分较低(β=-5.966,P=0.017);相比其他科室,急诊/ICU护士的灾害护理能力得分较高(β=5.765,P=0.029);护士灾害应急知识总分越高者,其灾害护理能力得分越高(β=1.000,P<0.001)。结论上海市金山区临床护士灾害护理能力、灾害应急知识储备整体处于中等偏上水平,在减灾/预防能力及恢复/重建能力上仍有待进一步提升。护理管理者可通过提升护士灾害应急知识水平、加强对急诊和ICU以外科室的护士以及三级医院以下护士的培训,提升临床护士的灾害护理能力。
Objective To investigate the status of clinical nurses’disaster nursing competence and its influencing factors in Jinshan District of Shanghai.Methods By the convenience sampling method,a total sample of 1270 clinical nurses from5 secondary-level or higher general hospital and 11 community health centers were investigated with the general information questionnaire,nurse’s disaster nursing competence evaluation tool and emergency preparedness information questionnaire(EPIQ).The influencing factors of disaster nursing competence were analyzed by multiple linear regression model.Results Totally 1263 valid questionnaires were received with a recovery rate of 99.44%.The mean of total score of disaster nursing competence was(204.64±43.88),with the highest average score of disaster preparedness ability and the lowest average score of disaster mitigation/prevention ability.The mean of total score of disaster emergency knowledge of clinical nurses was(134.97±30.60),of which the average score of accident command system was the highest,and the average score of special care and isolation decontamination was the lowest.The results of multiple linear regression analysis showed that the scores of nurses’disaster nursing competence in community centers were lower than those in first-class hospitals(β=-5.966,P=0.017);the nurses in emergency/ICU had higher score of disaster nursing competence(β=5.765,P=0.029),compared with the nurses in other departments.It showed that the higher the total score of nurses’disaster emergency knowledge,the higher the score of their disaster nursing competence(β=1.000,P<0.001).Conclusions The disaster nursing competence and disaster emergency knowledge reserve of clinical nurses in Jinshan District of Shanghai were at a medium and/or higher level,but their disaster mitigation/prevention ability and recovery/reconstruction ability still need to be improved.Nursing managers should improve the disaster nursing competence of clinical nurses by improving their knowledge of disaster emergency,strengthening the training of nurses in the non-emergency/ICU departments and in secondary-level hospitals or community health centers.
作者
吴玲玲
申捷
沈英
WU Lingling;SHEN Ying;SHEN Jie(Jinshan hospital of Hehai University,Shanghai 201508,China)
出处
《职业卫生与应急救援》
2022年第6期668-672,704,共6页
Occupational Health and Emergency Rescue
基金
金山区卫健委面上项目(JSKJ-KTMS-2020-03)
上海市护理学会课题面上项目B类(2021-MS-B16)。
关键词
护士
灾害
护理能力
应急知识
nurse
disaster
nursing competence
emergency knowledge
