在新出现的高后果传染病疫情中为护士构建紧急能力模型:行为事件采访方法
Shanshan Liu1, Yijing Li2, Chunfen Zhou3
1Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China; Evidence-Based Nursing Research Laboratory, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
International emergency nursing
|May 20, 2025
概括
为应对高后果传染病爆发 (EHCID) 的护士开发了一种新的能力模型. 该模型定义了有效的EHCID护理管理和专业团队培训的基本技能.
科学领域:
- 护理科学 护理科学
- 传染病管理 传染病管理
- 公共卫生 公共卫生
背景情况:
- 新出现的高后果传染病爆发 (EHCID) 给全球健康带来重大挑战.
- 护士在预防和控制EHCID方面至关重要,但他们的专业能力尚未明确.
- 这项研究解决了对护士在EHCID响应中的结构化能力模型的需求.
研究的目的:
- 为管理EHCID的护士开发一个全面的能力模型.
- 为培训和组织针对疫情的专业护理响应小组提供基础.
- 加强在传染病危机期间护理护理的准备和有效性.
主要方法:
- 一项涉及中国三级医院40名护士的横截面研究 (2021年4月至2023年4月).
- 利用行为事件采访 (BEI) 方法与半结构化采访,收集有关流行病应对经验的定性数据.
- 使用NVivo软件进行持续比较分析,并对能力模型进行可靠性/有效性测试.
主要成果:
- 开发了一个由20个能力组成的能力模型,分为核心 (6),关键 (7) 和基础 (7).
- 高级的编码器间可靠性 (科恩 κ: 0.741-0.830) 证实了该模型的稳定性.
- 在高绩效和平均水平的护士之间,在能力分数上观察到显著的差异,特别是在核心和关键领域.
结论:
- 开发的能力模型在科学上是合理的,并且对于疫情应对护理的实用.
- 这种模式对于在突然和不可预测的传染病爆发期间有效的护理管理至关重要.
- 它为提高在EHCID情况下的护理专业知识提供了一个框架.
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