目的:了解CSSD应急准备和应急演练的现状,分析其对护士急救态度和能力的影响。
方法:本研究采用多中心分层抽样方法,2023年1月至6月使用在线调查进行,参与者完成了一般数据,应急准备和演习问卷,公共卫生应急响应问卷和应急能力量表。使用独立样本t检验或Kruskal-Wallis检验来分析护士急救能力和态度的差异。
结果:数据来自中国15个省55家医院。总的来说,77.58%的参与者机构成立了应急管理小组,85.45%有应急预案并定期修订。92.12%储存应急用品。全体测量人员参加了应急演练,主要由单钻组成(51.52%),90.30%是真正的战斗演习,49.09%的参与者每季度进行演练,91.52%的演习参与者超过50%。受访者的紧急态度得分为(29.346±6.029),他们的应急能力评分为(63.594±10.413),有抢救经验者态度较积极(Z=-2.316,P=0.021)。不同的标题,教育水平,救援经验和应急演练次数对调查对象应急救援能力有影响(P<0.05)。
结论:大多数医疗机构建立了应急管理体系和计划,然而,内容缺乏地理特异性。应急演练时间长,参与度高,但是演习的效果需要进一步提高,CSSD护士的反应能力和态度较低。建议机关制定全面,有针对性的应急预案,加强对队伍力量的检查和评估,针对应急计划的设备和保障措施,以确保应急计划规定的措施能够在应急响应启动后迅速实施。
OBJECTIVE: To investigate the current situation of emergency preparation and emergency drill in the CSSD, and analyze its influence on the nurses\' emergency attitude and ability.
METHODS: This study employed a multicenter stratified sampling method, conducted from January to June 2023 using the online survey, participants completed the general data, emergency preparedness and drill questionnaire, public health emergency response questionnaire and emergency capacity scale. An independent samples t test or Kruskal-Wallis test was used to analyse differences in nurses\' emergency capacity and attitudes.
RESULTS: The data from 15 provinces 55 hospitals in China. Overall, 77.58% of participants\' institutions set up emergency management teams, 85.45% have an emergency plan and revise it regularly. 92.12% store emergency supplies. All survey staff participated in the emergency drill, which predominantly consisted of individual drills (51.52%), with 90.30% being real combat drills, 49.09% of participants engaging in drills every quarter, and 91.52% of the drill\'s participants exceeding 50%. The respondents\' emergency attitude score was (29.346 ± 6.029), their emergency ability score was (63.594 ± 10.413), and those with rescue experience showed a more positive attitude (Z = -2.316, P = 0.021). Different titles, education levels, rescue experience and the frequency of emergency drill affected the emergency rescue ability of the respondents (P < 0.05).
CONCLUSIONS: Most medical institutions establish emergency management systems and plans, yet the content lacks geographical specificity.The duration and participation of emergency drills are high, but the effectiveness of the drills needs to be further improved, and the response capacity and attitudes of CSSD nurses are low. It is recommended that agencies develop comprehensive and targeted contingency plans to strengthen the inspection and evaluation of team strength, equipment and safeguards against the contingency plans, so as to ensure that the measures mandated by the contingency plans can be implemented promptly after the emergency response is initiated.