Issues of Readiness of Nursing Personnel to Provide Medical Care in Conditions of Mass Admission of Victims in Emergency Situations to Medical Organizations

Abstract

Summary. The purpose of the study is to analyze the need to train medical workers with secondary medical education in order to ensure their readiness to provide medical care in conditions of mass admission of victims in emergency situations (emergency situations) to medical treatment organizations (HMOs). Materials and methods of research. The research materials are the results of a survey of nurses at a large multidisciplinary medical facility in the city of Orenburg regarding their subjective assessment of their own level of skills and the need for further improvement of labor functions performed when providing medical care to emergency victims in the emergency department of the medical facility. The survey was conducted anonymously on the Telegram platform. The survey participants included 72 medical workers with secondary medical education, of which 94.5% were women; 5.5% are men. Distribution of participants by professional experience: experience up to 5 years – 13.9%; from 5 to 10 years – 19.5; experience more than 10 years – 66.6%. Research methods. The obtained data were analyzed in the form Me [Q25;Q75], the calculations of which were carried out in Excel spreadsheets using the function “=QUARTILE.INC”. Statistical analysis of the obtained data was carried out by calculating relative values – intensive and extensive indicators. The level of statistical significance of differences between the study groups was determined using the Pearson χ2 test. Differences were considered statistically significant at p≤0.05. All calculations of statistical indicators were carried out in the Statistica 10.0 program. Research results and their analysis. The results of a survey of nurses at a large multidisciplinary medical facility showed the need for their additional training on the provision of medical care during the mass arrival of victims in emergencies. When developing training programs for nursing personnel, they should include training in triage skills and preparation for medical evacuation. The manipulations that nurses mastered poorly and very poorly were: assessment of the patient’s consciousness on the Glasgow scale – 27.8%; assessment of the patient’s condition on the PEWS scale – 34.7; preparing and performing an infection test for epidemic indications – 27.7; transcutaneous determination of bilirubin – 30.6%.