急诊科成批伤患者救治模拟演练中护士能力的研究  

Study on nurses′competency in simulation exercises of mass casualty incidents treatment in emergency department

作　　者：贺学敏 王玲敏[2] 陈翠萍[1] 杜云海[2] 李宏[2] 

机构地区：[1]上海市第十人民医院护理部,200072 [2]上海市第十人民医院急诊科,200072 [3]苏州大学护理学院,215006

出　　处：《中华现代护理杂志》2015年第12期1382-1385,共4页Chinese Journal of Modern Nursing

基　　金：上海市科学技术委员会国内合作项目（13695840700）

摘　　要：目的：探讨急诊科护士在成批伤救治中应具备的临床能力及这些能力对患者的影响。方法本研究通过量性与质性结合的研究方法收集资料。自行设计的调查问卷包括一般资料、对本次模拟演练的满意度及各种能力的提高率、对模拟演练的体验及能力需求3个部分。急诊科共23名护士参与该研究,回收有效问卷23份,全部有效,有效回收率100%。结果急诊科参与此次模拟演练的护士均对此次模拟演练表示满意,通过此次模拟演练后,95.6%的护士认为提高了应急能力,91.3%的护士认为提高了心理素质,86.9%的护士认为提高了技术技能,73.9%的护士认为提高了专业知识,56.5%的护士认为提高了沟通协调能力。大部分护士认为适当的专业知识与技能、丰富的经验、较强的心理素质和良好的沟通交流能力是成批伤救治中最需具备的能力。结论完善、有效的组织管理是救治成批伤患者的有力保障,拥有丰富知识、娴熟技能、较强心理素质的护士是完成成批伤患者救治的必要因素。Objective To investigate the ability of the emergency department （ ED ） nurses in the simulation treatment of mass casualty incidents （ MCI ） . Methods Qualitative and quantitative data were collected via survey using self-developed questionnaires which included personal information, satisfaction and competency improved in MCIs. A total of 23 emergency nurses were participated in the survey, and 23 questionnaires were returned and effective, with a response rate of 100%. Results All the nurses were satisfied with the simulation treatment of MCI. 95. 6% nurses thought their emergency response capabilities wereincreased, 91. 3% nurses thought their psychological quality were improved, 86. 9% nurses thought their technical skills were improved, 73. 9% nurses thought their specialized knowledge were improved, 56. 5%nurses thought their communication and coordinating ability were improved. Most of the nurses thought the ability of emergency response capabilities, rich clinical experience, good psychological quality and communication skills were the most needed ability in the treatment of MCI. Conclusions Perfect and effective organizing management is the guarantee of treatment of MCI. A wealth of knowledge and skills, good mental quality of nurses are the necessary factors in the treatment of MCI.

关 键 词：急诊科 成批伤 患者 救治 模拟训练 

分 类 号：R473[医药卫生—护理学]