Effect of Disaster Management Training Intervention on Competency of Nurses working in Primary Health Care Centers

Nabila Sabola, N. Ahmed, Eman A Shokr, Naglaa Abd Elbaset
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Abstract

: Background: Disaster nursing is a new specialty, the most common challenges faced by nurses in this regard are inadequate levels of preparedness, poor formal education, lack of research, ethical and legal issues and issues related to their role in disasters. The purpose of the study was to evaluate the effect of disaster management training intervention on competency of nurses working in primary health care centers. Design: A quasi-experimental design was used. Sampling and setting: All sixty nurses working in the two primary health care centers (named Quiply and Bahary) at Shebin El-kom district, Menoufia Governorates, Egypt was recruited after using a multistage sampling technique to select study settings. Instruments: Four instruments were used: as A structured interviewing questionnaire, Disaster Management Knowledge Questionnaire, Disaster Nursing Competencies Questionnaire and Nursing Skills Checklist Measurement, Results: The total score of knowledge about internal disaster preparedness guidelines among nurses revealed a highly significant improvement (p<0.000) in all knowledge items including the five subgroups, as well as grand total knowledge score that was increased from a range of 1.7% - 6.7% pre intervention to 31.9%- 78.3 post intervention and the effect of disaster management training nursing intervention on total score levels of competency (subdomains as well as grand total score) about disaster management among studied nurses pre and post intervention revealed a highly significant improvement (p<0.000) in all competency items including the ten subdomains. The grand total competency score that was increased from a range of 1.7% - 25% pre intervention to 64.1%- 107.4% post intervention Conclusions: Application of disaster management training intervention is beneficial in improving knowledge and enhancing competencies among nurses working in primary health care centers. Recommendations: Conducting continuous training intervention about disaster management that aims to raise levels of knowledge and competency of nurses and how to treat with any disaster situations is very urgent in PHC.
灾害管理培训干预对初级卫生保健中心护士胜任力的影响
背景:灾害护理是一门新兴的专业,护士在这方面面临的最常见的挑战是准备水平不足,正规教育不佳,缺乏研究,道德和法律问题以及与他们在灾害中的作用相关的问题。摘要本研究旨在探讨灾害管理训练干预对初级卫生保健中心护士胜任力的影响。设计:采用准实验设计。抽样和环境:在埃及Menoufia省Shebin El-kom区两个初级卫生保健中心(Quiply和Bahary)工作的所有60名护士在使用多阶段抽样技术选择研究环境后被招募。工具:采用四种工具:结构化访谈问卷、灾害管理知识问卷、灾害护理能力问卷和护理技能检查表。护士内部备灾指南知识总分在包括5个亚组在内的所有知识项上均有极显著的改善(p<0.000);灾害管理培训护理干预对受访护士灾害管理胜任力(子领域和总领域)总分水平的影响显著提高(p<0.000),包括10个子领域在内的所有胜任力项目均有显著提高(p<0.000)。结论:应用灾害管理培训干预有助于初级卫生保健中心护士提高知识水平,提高胜任力。建议:开展持续的灾害管理培训干预,旨在提高护士的知识水平和能力,以及如何处理任何灾害情况,这在初级保健中是非常紧迫的。
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