首页|手术室护士灾难素养现状及影响因素的混合研究

手术室护士灾难素养现状及影响因素的混合研究

A mixed study on the status quo and influencing factors of disaster literacy of nurses in operating room

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目的 采用基于解释性序列设计的混合研究方法,了解手术室护士灾难素养现状及影响因素.方法 2023年1-4月,采用方便抽样法对镇江市4所综合医院180名手术室护士进行一般资料、灾难素养问卷调查;采用现象学研究法,目的性、异质性抽取其中14名手术室护士为访谈对象进行半结构式访谈,运用Colaizzi 7步分析法整理资料.结果 手术室护士灾难素养总分为(110.04±19.71)分,各维度条目均分由高到低为:信念性灾难素养(4.13±0.16)分、行为性灾难素养(4.00±0.22)分、判别性灾难素养(3.93±0.36)分、知识性灾难素养(3.65±0.18)分;职称、护理能级、是否参加过灾难培训或演习、是否有灾难救援经历、手术室有无灾难应对流程是灾难素养的影响因素(t=-2.041、5.391、-2.982、2.068、7.792,均P<0.05).质性访谈共提炼4个主题:职业信念感鲜明、灾难认知和技能水平匮乏、灾难应急管理不完备、内心缺乏可控感.结论 本研究调查的手术室护士灾难素养处于中等水平,受多种因素影响,有待进一步提升.建议手术室管理者可从灾难教育、应灾管理和心理调适入手,深化手术室护士对灾难的认知、应灾救援能力和信心,提升其灾难素养.
Objective To understand the current status and influencing factors of disaster literacy among nurses in the operating room using a mixed research method based on explanatory sequence design.Methods From January to April 2023,a total of 180 operating room nurses in 4 general hospitals in Zhenjiang citywere selected by convenience sampling method to conduct a general information and disaster literacyquestionnaire survey.A total of 14 operating room nurses using phenomenological research methodwere selected as interview subjects in purpose and heterogeneity for semi-structured interviews,and Colaizzi 7-step analysis methodwas used to organize the data.Results The total score of disaster literacy of nurses in the operating room was(110.04±19.71)points,and the average scores of each dimension were as follows:Belief disaster literacy(4.13±0.16)points,behavioral disaster literacy(4.00±0.22)points,discriminative disaster literacy(3.93±0.36)points,and intellectual disaster literacy(3.65±0.18)points.Job title,nursing level,whether disaster training or drills,disaster rescue experience,and disaster response proce-dures in the operating room were the influencing factors of disaster literacy(t=-2.041,5.391,-2.982,-2.068,-7.792;all P<0.05).A total of 4 themes were extracted from the qualitative interviews:a clear sense of profes-sional belief,lack of disaster cognition and skill level,incomplete disaster emergency management,and lack of inner controllability.Conclusion The disaster literacy of nurses in the operating room is at a moderate level,which is affect-ed by many factorsand needs to be further improved.It is suggested that operating room managers can start with dis-aster education,disaster response management,and psychological adjustment to deepen the cognition,response and confidence of operating room nurses in disasters,and improve their disaster literacy.

operating room nursedisaster literacyanalysis of influence factorsmixed-method research

孙婧、吕妃、尚彬、罗彩凤、唐为定

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江苏大学附属医院,江苏 镇江 212001

江苏大学,江苏 镇江 212013

手术室护士 灾难素养 影响因素分析 混合研究

江苏大学临床医学专项基金项目(护理专项)

JDLCHL202206

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(12)
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