突发公共卫生事件下护理应急管理的最佳证据总结  

Summary of the best available evidence for nursing emergency management in the context of public health emergencies

作　　者：刘佩玉 陈璐[2] 李雪云[1] 王芳[1] 安晓燕[1] 徐宁 LIU Peiyu;CHEN Lu;LI Xueyun;WANG Fang;AN Xiaoyan;XU Ning(Department of Anesthesiology and Operating Room,Nanjing Drum Tower Hospital,Medical School of Nanjing University,Nanjing,Jiangsu 210008,China;Nursing Department,Nanjing Drum Tower Hospital,Medical School of Nanjing University,Nanjing,Jiangsu 210008,China;Jiangsu Provincial Center for Health Development Studies,Nanjing,Jiangsu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院麻醉手术科,江苏南京210008 [2]南京大学医学院附属鼓楼医院护理部,江苏南京210008 [3]江苏省卫生健康发展研究中心,江苏南京210008

出　　处：《职业卫生与应急救援》2023年第5期635-640,662,共7页Occupational Health and Emergency Rescue

基　　金：江苏省卫生健康发展研究中心开放课题项目(JSHD2021015);中华医学会杂志社2021—2022年护理学科研究课题一般课题(CMAPH-NRG2021005)。

摘　　要：目的全面检索并汇总突发公共卫生事件背景下护理应急管理的最佳证据,为临床决策者提供思路和依据。方法系统检索Up-To-Date、BMJ Best Practice、美国国立临床诊疗指南数据库(NGC)、国际指南协作网(GIN)、英国国家卫生与临床优化研究所(NICE)指南库、中国临床指南文库网、加拿大安大略注册护士协会(RNAO)、苏格兰学院间指南网(SIGN)、JBI循证卫生保健中心、新西兰指南协作组、医脉通、Cochrane Library、PubMed、Web of Science、Embase、中国生物医学文献数据库、中国知网、万方、维普等数据库以及世界卫生组织(WHO)、中国政府网、中国疾病预防控制中心官网等相关网站,包括指南、最佳实践信息册、临床决策、证据总结、系统评价、专家共识和政府文件。检索时限为建库至2023年2月18日。对文献质量独立评价,提取并汇总形成最佳证据。结果检索到文献2487篇,最终纳入文献13篇,其中临床实践指南2篇、循证实践1篇、专家共识8篇、政府文件2篇。从应急预防、应急准备、应急响应、应急恢复4个方面共汇总了19条最佳证据。结论总结的突发公共卫生事件下护理应急管理的最佳证据,可为突发公共卫生事件下护理应急管理策略提供循证依据。建议应用时结合各种突发公共卫生事件实际情况,制订合理的护理应急管理方案,以减轻事件对公众健康和社会经济的损害。Objective The best available evidence for nursing emergency management during public health emergencies was comprehensively retrieved and summarized to provide insights and rationale for clinical decision makers.Methods The evidence resources were systematically searched by combining subject words and free words in the following databases including Up-To-Date,BMJ Best Practice,National Guideline Clearinghouse(NGC),Guidelines International Network(GIN),National Institute for Health and Care Excellence(NICE)guidelines,Chinese Clinical Guideline Library,Registered Nurses’Association of Ontario(RNAO),Scottish Intercollegiate Guidelines Network(SIGN),Joanna Briggs Institute(JBI)Evidence Based Practice,New Zealand Guidelines Group,Medlive,Cochrane Library,PubMed,Web of Science,Embase,China Biological Medicine Database,China National Knowledge Infrastructure(CNKI),Wanfang,VIP,as well as the World Health Organization(WHO),the Chinese Government website,the Chinese Center for Disease Control and Prevention website and other related websites,including the guidelines,best practice information sheets,clinical decisions,evidence summaries,systematic reviews,expert consensus,and government documents.The search time limit was from the establishment of the database to February 18,2023.Study quality was independently assessed.The evidence was extracted and summarized to form the best available evidence.Results A total of 2487 pieces of literature were retrieved,and 13 pieces were finally included,consisting of 2 clinical practice guidelines,1 evidence-based practice,8 expert consensuses,and 2 government documents.19 pieces of best available evidence for nursing emergency management were summarized in four aspects:emergency preparedness,emergency readiness,emergency response,and emergency recovery.Conclusions The summarized best available evidence can provide evidence-based recommendations for developing nursing emergency management strategies in the context of public health emergencies.It is advisable to develop reasonable nurs

关 键 词：突发公共卫生事件 应急管理 应急护理 最佳证据 

分 类 号：R197.1[医药卫生—卫生事业管理] R472.2[医药卫生—公共卫生与预防医学]