护士备灾水平：系统回顾和荟萃分析

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-04-19 DOI:10.1016/j.nepr.2025.104372

Yuling Luo, Hong Yan, Yuanyuan Tang, Shijin Wang, Zhehui Yang, Tingting Zhang, Yan Liu

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引用次数: 0

摘要

目的评价护士备灾情况及出版年份、科室、备灾经验、备灾培训对护士备灾水平的影响。随着全球性灾害事件的频繁发生。作为医疗救援的关键成员，护士的备灾能力对灾害应对效果有着重要的影响。系统综述和meta分析方法中国知网、万方、维普、中国医学信息网、PubMed、Embase、中国国家图书馆、Web of Science和Cochrane图书馆。检索时间为数据库创建至2024年12月4日。采用随机效应模型对备灾评估工具三个子维度的总平均得分进行了汇总。进行亚组分析以探索研究间异质性的来源。结果对来自3个国家的9222名护士的21项研究进行meta分析。总意味着DPET得分(3.95,95 % CI [3.81, 4.10], P = 0.000),与灾害知识得分、灾难技能和灾害管理维度(4.06,95 % CI [3.92, 4.21], P = 0.000),(3.89,95 % CI [3.73, 4.05], P = 0.000),(3.83,95 % CI [3.65, 4.00], P = 0.000)。亚组分析显示，2019冠状病毒病后护士的总平均DPET评分有所上升；急诊科护士和没有救灾经验或培训的护士的平均DPET总得分相对较弱。结论护士备灾能力一般，灾害技能和管理能力有待加强。在急诊科，没有救灾经验和培训的护士备灾水平相对较低。这些发现可以指导护理教育者对护士进行灾难护理教育。

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Levels of nurse disaster preparedness: A systematic review and meta-analysis

Aim

To evaluate nurses' disaster preparedness and the impact of publication year, departments, disaster response experience and disaster training on nurses' level of disaster preparedness.

Background

With the frequent occurrence of global disaster events. As key medical relief members, nurses' preparedness has a significant impact on disaster response effectiveness.

Design

Systematic review and meta-analysis

Method

CNKI, Wanfang, VIP, SinoMed, PubMed, Embase, CINAHL, Web of Science and the Cochrane Library. The search period was from the creation of the database to December 4, 2024. A random effects model was used to summarize the total mean scores for the three sub-dimensions of the Disaster Preparedness Evaluation Tool. Subgroup analyses were performed to explore sources of between-study heterogeneity.

Results

A meta-analysis of 21 studies with 9222 nurses from three countries. The total mean DPET score (3.95, 95 % CI [3.81,4.10], P = 0.000), with scores on the disaster knowledge, disaster skills and disaster management dimensions were (4.06, 95 % CI [3.92,4.21], P = 0.000), (3.89, 95 % CI [3.73,4.05], P = 0.000), (3.83, 95 % CI [3.65,4.00], P = 0.000). Subgroup analyses showed an increase in nurses' total mean DPET scores after COVID-2019; the average total DPET score of emergency department nurses and nurses without disaster relief experience or training was relatively weak.

Conclusions

Nurses' disaster preparedness was moderate and disaster skills and management abilities needed strengthening. In the emergency department, nurses without disaster response experience and training had relatively low levels of disaster preparedness. These findings may guide nursing educators in educating nurses about disaster care.

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.