Construction and validation of a low-level disaster resilience prediction model for medical rescue workers / 中华护理杂志

Objective To analyze the influencing factors of disaster resilience in medical rescue workers,to construct a prediction model for the low-level risk of disaster resilience in medical rescue workers,and to verify the predictive effect of the model.Methods Using the convenience sampling method and the snowball method,1 037 medical rescue workers who participated in disaster rescue in 18 provinces(autonomous regions and municipalities)were selected as the participants from May to July 2022.Online questionnaire surveys were conducted using general information questionnaires,disaster resilience measuring tools for healthcare rescuers,the Mindful Attention Awareness Scale,the Simple Coping Style Questionnaire and the Depression-Anxiety-Stress Scale.Univariate and multivariate logistic regression analyses were used to determine the independent influencing factors for the low level of disaster resilience of medical rescue workers.A risk prediction model was constructed,and a nomogram chart was drawn.The model's effectiveness was evaluated using the receiver operating characteristic curve(ROC)and calibration curve.The Bootstrap method was applied for internal validation.Results The logistic regression analysis showed that per capita monthly income of households,whether to participate in on-site disaster rescue,positive coping,mindfulness level,and adequacy of rescue supplies were independent influencing factors for the disaster resilience of medical rescue workers(P＜0.05).The predictive formula for the low-level risk of disaster resilience in medical rescue workers was established as follows:Logit(P)=8.741-0.381 x per capita monthly income of households-0.891 x whether to participate in on-site disaster rescue-2.544 x positive coping-0.020 x mindfulness level-0.222 x adequacy of rescue supplies.The area under the ROC curve was 0.823,and the optimal critical value was 0.353.The sensitivity and specificity were 79.12％and 71.43％,respectively.The Hosmer-Lemeshow test showed that x2=12.250(P=0.140),and the predicted curve fitted well with the ideal curve.The external validation showed that the sensitivity and specificity of the model were 75.00％and 66.39％,respectively,and the overall accuracy was 69.95％.Conclusion The prediction model in this study has sound predictive effects and can provide references and guidance for managers to select,recruit,and train medical rescue workers.

The retrospect and prospect of disaster nursing development in China / 中国实用护理杂志

This paper reviews and analyzes the development process of nursing practice in response to natural disasters and public health emergencies, as well as the development process of disaster nursing education and disaster nursing discipline in China, and shows the continuous progress and improvement of disaster nursing. In view of the law of disaster development, the situation and challenges of disaster medicine and disaster nursing science, the development of disaster nursing in China in the future is prospected.

Emergency knowledge and training strategy of disaster nursing for nurses in tertiary general hospitals / 中国实用护理杂志

Objective:To understand the mastery of disaster nursing knowledge of clinical nurses in tertiary general hospitals, so as to provide reference basis for formulating disaster nursing training program.Methods:A total of 374 clinical nurses in tertiary general hospitals in Xi ′an, Shaanxi Province from September to October 2020 were investigated by Nursers Disaster Nursing Emergency Knowledge Scale. Results:The score of the included 374 clinical nurses on disaster nursing emergency knowledge was 2.74±0.98 points. The "accident command system" score was 2.55±1.04 points and the "special care and isolation decontamination" score was 2.93±1.00 points which was the lowest and highest respectively. The followings were important factors which influence the score of emergency knowledge: age, education background, working years, professional title, department, post, hearing of disaster nursing or not, participating in disaster rescue training or not, and participating in disaster rescue or not ( F values were 22.093-2 103.285, P<0.001). Conclusions:The disaster nursing knowledge of clinical nurses in tertiary general hospitals is at a relatively low level. It is necessary to strengthen the training of junior nurses and encourage clinical nurses to actively participate in disaster nursing relevant work to enhance disaster nursing capabilities.

Analysis of the status quo of clinical nurses' disaster nursing ability and its influencing factors / 中国实用护理杂志

Objective:To explore the current situation of clinical nurses' disaster nursing ability and its influencing factors, and to provide basis for carrying out clinical nurses' disaster nursing education and training.Methods:By convenient sampling method, 322 clinical nurses from Peking University Shenzhen Hospital in September 2020 were selected. The disaster nursing ability assessment tool and general information questionnaire were used to conduct a questionnaire survey to analyze the current situation of clinical nurses' disaster nursing ability and its main influencing factors.Results:The total score of disaster nursing ability of clinical nurses was (199.07±34.31) points, which was at the middle and lower level; the scores of each dimension from high to low were as follows: disaster preparedness score was (72.94±12.89) points, coping ability score was (80.00±13.82) points, disaster reduction/prevention capability score was (28.19±6.09) points, recovery/reconstruction ability score was (17.94±3.27) points. Regression analysis showed that the highest degree, clinical department, whether they have autonomously studied disaster nursing related courses after work, and whether they have participated in disaster rescue after work were the main influencing factors of clinical nurses' disaster nursing ability ( t values were -4.715-5.508, P<0.05). Conclusions:The overall level of disaster nursing ability of clinical nurses is at the middle and lower level. It should be combined with clinical nurses' work department, whether clinical nurses have disaster rescue experience and whether they have independently studied disaster nursing related courses, and targeted disaster nursing related training should be carried out to improve their disaster nursing knowledge and skill.

Constructionof the militaryandlocal integration course of"Field and Disaster Nursing"based on Delphi method / 中国实用护理杂志

Objective To construct a"Field and Disaster Nursing"course which is suitable for the military and local higher nursing education, on-the-job and post training education to organic integrate the modern disaster nursing teaching and military field nursing teaching. Methods Based on the methods of qualitative and quantitative research, such as literature research, interviews and observational method, a preliminary plan of curriculum design was established, and an expert consultation table was designed.The Delphi expert consultation method was used to conduct two rounds of consultation with 30 related experts on disaster relief.Quantitative data were obtained and statistical data were analyzed. Results The final screening results of the curriculum content applicability index are 4 first grade, and 23 for the two level.A set of"Field and Disaster Nursing"curriculum had been set up that is suitable for education and training needs of the military and local fusion. Conclusion The construction of this course provides a training thought for exploring disaster nursing education suitable for China's national conditions, and has reference and guiding significance for further implementation of military and civilian integration and multi participatory disaster nursing teaching practice.

Review of the studies on masters′degree training programme of disaster relief nurses / 中国实用护理杂志

Nurses play a key role in disaster prevention, delivery and management of care in disaster situations. Training high education level and enhancing disaster core competencies of disaster nurses are essential part in response to mass casualty incidents and reserving the nursing talent. Masters′degree of disaster nurses began in 2013 in China. At that time, disaster nursing task force was composed of faculty members from both the Hong Kong Polytechnic University and School of Nursing in Sichuan University, and then, students of disaster nursing were enrolled by School of Nursing in Shandong University and Chuanbei College. Masters′ degree training programme of disaster relief nurses was not perfect in China. This paper reviewed the studies on masters′degree training programme of disaster relief nurses.

The research on interdisciplinary cooperative transformation learning modelin Disaster Nursing Course / 中国实用护理杂志

Objective To study the application effect of interdisciplinary collaborative transformational learning mode in undergraduate nursing students′ disaster nursing teaching. Methods A total of 115 undergraduate nursing students in 2014 and 2015 were enrolled in this study. The subjects were divided into two groups: the control group (62 cases) and the experimental group (53 cases). The control group adopted the case teaching mode of full-time teachers, and the experimental group adopted the interdisciplinary collaborative transformation learning mode. The theoretical knowledge, skills, practical skills, critical thinking, humanistic accomplishment and nurse-patient communication skills of two groups of nursing students before and after intervention were compared. Results The scores of theoretical knowledge, operational skills, practical ability, critical thinking, humanistic accomplishment and nurse-patient communication before the intervention were (42.72±10.18), (35.72±7.11), (41.19±5.32), (298.09±3.98), (298.38±6.03), (52.87±6.02) points, (87.21±5.05), (87.02±4.81), (86.13±4.48), (378.47± 9.16), (327.15 ± 12.01) and (69.11 ± 3.38) points after intervention respectively. There was significant difference before and after intervention t=- 57.687-- 14.328, P<0.01). The scores of theoretical knowledge, operational skills, practical ability, critical thinking, humanistic accomplishment and nurse-patient communication before the intervention were (43.90±9.56), (38.21±8.87), (41.39±6.77), (296.76± 10.02), (296.89±6.37), (52.37±5.45) points, (82.27±6.46), (84.06±5.63), (78.21±6.99), (344.18±10.88), (315.16±12.82) and (64.45±3.37) points after intervention, respectively. There was significant difference before and after intervention (t=-38.221--9.823, P<0.01). There was no significant difference between the two groups before the intervention (P>0.05), and the score of the experimental group was significantly higher than that of the control group after intervention (t=- 18.107-- 2.997, P<0.01). Conclusions Introducing interdisciplinary cooperative transformation learning in disaster nursing teaching can promote the enhancement of nursing students'knowledge of disaster succeeding.

A follow- up survey on the training effect of emergency nurses′ core competence in disaster nursing / 中国实用护理杂志

Objective To study the effect and persistence of disaster nurse training in emergency nurses and to provide reference for further disaster nurse training. Methods Sixty-four emergency nurses in the emergency department of Shanxi Provincial People's Hospital were selected as the research objects. Four emergency nursing specialists conducted training to investigate the core competence of disaster nursing six months after the training and after the end of the training. Results Before training and after the end of training. The core ability of disaster nursing training 6 months after the emergency nurses'scores were 133.33±8.95, 145.80 ±2.98, 136.33±10.90, the difference was statistically significant (F=9.076, P<0.05); disaster nursing core ability score, dimension disaster basic knowledge, nursing care, nursing care of vulnerable groups of disaster management and disaster nursing professional development in the 3 periods of the scores were statistically significant (F=3.579-12.421, P<0.05 or 0.01); gender, whether the emergency specialist nurses in the training before and afterthe end of the training, six months after training the three periods of the score was statistically significant (t=4.488-15.640, P<0.05 or 0.01). The scores of nurses with different working years before training and 6 months after training were statistically significant (F=7.565, 4.278, P<0.01 or 0.05). Conclusions Disaster-related knowledge and skills training can increase the emergency care nurse's disaster management core competencies, but require long-term repetitions to ensure the effectiveness of training.

Research development of disaster nursing knowledge system / 中国实用护理杂志

This article reviews the related concepts of disaster nursing, the status of the development of disaster nursing education at home and abroad, the framework and Enlightenment of disaster nursing knowledge system both at home and abroad, and provides a reference for the formation of standard and unified, universal and professional knowledge system for disaster nursing.

Nursing strategies of casualty treatment in huge blast / 中华医院管理杂志

This article reviewed the measures taken by the hospital against a catastrophic fire hazard and exploration in its response and work organization of nursing care of the wounded.Proposed in this paper are development of such five systems as the pre-plan,exercises,personnel,quality control and incentives,which are expected to improve the nursing capacity of the hospital in emergency rescue,for sustainable development of nursing emergency rescue work.