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情景带动式无剧本应急演练的临床应用

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目的 探讨情景带动式无剧本应急演练的临床应用效果。方法 将2022年1月-2022年10月赣州市妇幼保健院接受事先告知型演练的120例护理人员作为常规组,将2023年1月-2023年6月本院接受情景带动式无剧本应急演练的120例护理人员作为演练组。比较两组人员到位情况、履职情况、物资到位情况、人员防护情况、协调组织情况、应急小组分工情况、实战效果、部分配合协助情况、对突发事件的处理结果及急救意识。结果 演练组人员到位迅速准确、基本按时到位占比均高于常规组,个别人员不到位及重点岗位人员不到位占比低于常规组,差异有统计学意义(P<0。05);演练组履职情况优于常规组,差异有统计学意义(P<0。05);演练组较常规组现场物资准备充分,人员防护全部到位。演练组较常规组整体组织准确、高效,应急小组分工合理、高效。演练组应急演练均达到预期目标,常规组仅有部分达到预期目标,且大部分环节需要改进;演练组较常规组向上级报告及时,迅速,部门之间配合好,可及时达到;演练组对突发事件的处理结果整体优于常规组,急救意识强于常规组,差异有统计学意义(P<0。05)。结论 情景带动式无剧本应急演练可提高护理人员应对突发事件的能力,提高决策指挥、组织协调及处理能力,增强护理人员的急救意识。
Clinical application of scenario-driven unscripted emergency drill
Objective To explore the clinical application effect of scenario-driven unscripted emergency drills.Methods A total of 120 nursing staff who underwent scripted drills from January 2019 to July 2021 were selected as convention group,and 120 nursing staff who underwent scenario-driven unscripted emergency drills at Ganzhou Women and Children's Health Care Hospital from August 2021 to July 2023 were selected as drill group.The two groups were compared in terms of availability of per-sonnel and materials,performance of duties,personnel protection,coordination and organization,division of labor in emergency teams,actual combat effectiveness,partial cooperation and assistance,handling of emergencies,and first aid awareness.Results The drill group demonstrated a higher proportion of personnel who arrived quickly,accurately,and basically on time compared to the convention group.The drill group showed a significantly lower proportion of individual personnel who were not in place and key position personnel who were not in place compared to the convention group(P<0.05).The drill group performed signifi-cantly better than the convention group(P<0.05).The drill group did better in on-site material preparation all as well as in per-sonnel protection compared to the convention group.The drill group had a more accurate and efficient overall organization than the conventional group,and the emergency team of the drill group had a more reasonable and efficient division of labor.The drill group demonstrated superior accuracy and efficiency in overall organization compared to the conventional group,with its emergen-cy team exhibiting a more effective and rational division of labor.The drill group achieved their expected outcomes in emergency drills,whereas the convention group achieved only part of their set goals,with most requiring enhancement.The drill group re-ported to superiors in a more timely and efficient manner compared to the convention group,and the group showed better coordina-tion between their departments was good,which could be achieved in a timely manner.The drill group demonstrated a significant-ly better overall response to emergencies and significantly stronger emergency awareness compared to the convention group(P<0.05).Conclusion Scenario-driven unscripted emergency drills can enhance the emergency response capabilities of nursing staff,improve their decision-making and command skills,optimize organizational coordination,and handling abilities,and strengthen their first aid awareness.

Emergency drillsScenario-drivenNo scriptPrior noticeEmergency response capability

温婷、李晓珍、黄群、何福玉

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赣州市妇幼保健院 江西赣州 341000

应急演练 情景带动 无剧本 事先告知 应急反应能力

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(5)