Establishment of an evaluation system for competency of nurses coping with public health emergency in tertiary hospitals

doi:10.16138/j.1673-6087.2023.01.017

Abstract

Abstract:

Objective To establish an evaluation system for competency of nurses coping with public health emergency in tertiary hospitals. Methods An evaluation system was developed theoretical analysis with reference to the relevant literatures. Delphi method was employed to conduct 2 rounds of consultations among 13 experts to revise the draft. Average distribution method were used to calculate weight of each index at all levels. Results The response rates of the 2 rounds of expert consultation questionnaire were 87% and 100%, with an effective rates of 100%. The whole expert authority coefficient was 0.91; Kendall’s coefficients of concordance were 0.178 and 0.289 (all P<0.001). The final evaluation system was comprised with 4 first level indexes (public health emergency prevention capacity, preparedness capacity, rescue capacity and recovery capacity), 10 second-level indexes, and 27 third-level indexes. Conclusions The evaluation system for competency of nurses established in current study provides a scientific tool to appraisal the capability of nurses coping with public health emergency in tertiary hospitals, and a reference for further optimize the emergency protocol and training of nurses in tertiary hospitals.

Key words: Nurse, Public health emergency, Emergency capacity, Delphi method

CLC Number:

ZHAO Junjie, ZHU Weiyi, ZHA Qinghua. Establishment of an evaluation system for competency of nurses coping with public health emergency in tertiary hospitals[J]. Journal of Internal Medicine Concepts & Practice, 2023, 18(01): 51-55.

Figures/Tables 3

三级指标	重要性评分（分）	变异系数
A1.1识别可能引起突发公共卫生事件的信息	4.85±0.38	0.08
A2.1评估高危人群的防护及健康管理流程，及时预防处理风险隐患	4.77±0.83	0.17
B1.1熟悉法律法规以及医院应急预案、应急指挥系统及流程	4.92±0.28	0.06
B1.2熟悉常见突发公共卫生事件（如重大传染病疫情、食物中毒、核辐射、自然灾害等）特点，熟悉常见避险防护原则方法	5.00±0.00	0.00
B1.3参加应急演练及相关培训	4.69±1.11	0.24
B1.4协助应急救援、防疫防护物资配置	4.77±0.60	0.13
B2.1获取可靠的突发公共卫生事件信息，保持团队良好沟通，保证个人、团队等传递信息的一致性	5.00±0.00	0.00
B2.2掌握突发公共卫生事件的上报时限、流程，按规范程序及时上报相关数据信息	4.92±0.28	0.06
C1.1评估突发公共卫生事件现场环境安全问题	5.00±0.00	0.00
C1.2评估通信设备状况、基本物资准备（如水和食物）	4.92±0.28	0.06
C1.3掌握检伤分类标准及方法	5.00±0.00	0.00
C1.4掌握患者安全转诊转运方法	5.00±0.00	0.00
C1.5掌握急救护理技能，如创伤救护、心肺复苏、气道支持和重症监护技术等	5.00±0.00	0.00
C1.6掌握急救医疗设备的使用方法	4.69±1.11	0.24
C1.7分析患者临床表现，评估其心理状态以及潜在并发症，制定并实施护理干预措施	5.00±0.00	0.00
C1.8熟悉护理文书书写，记录患者相关信息	5.00±0.00	0.00
C2.1掌握标准预防及职业暴露后的应急处理方法	5.00±0.00	0.00
C2.2掌握传染病基本概念、隔离原则和防护要求	5.00±0.00	0.00
C2.3协助疫区、疫点开展消毒处理	4.85±0.38	0.08
C2.4协助开展应急接种和检疫排查	4.85±0.38	0.08
C3.1制定健康教育措施，指导患者及家属远离风险	4.77±0.60	0.13
C4.1服从紧急人员调配，与其他工作人员团结合作	4.92±0.28	0.06
D1.1参与突发公共卫生事件调研以及相关应急预案修订	5.00±0.00	0.00
D1.2促进自身修复和提升心理调节能力，提高突发公共事件应急能力	5.00±0.00	0.00
D1.3评估患者心理状态，提供心理支持以及出院指导	4.92±0.28	0.06
D2.1分享突发公共卫生事件应对经验	4.85±0.38	0.08
D2.2完善培训计划，提供培训指导	4.85±0.38	0.08

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