首页|期刊导航|医学新知|紧密型县域医共体护理人员紧急医学救援护理能力和护理培训需求调查

紧密型县域医共体护理人员紧急医学救援护理能力和护理培训需求调查OA

Investigation on emergency medical rescue nursing ability and nursing training needs of nursing staff in compact county-level medical community

中文摘要英文摘要

目的 探讨以紧密型县域医共体(简称"医共体")为载体的紧急医学救援护理能力现状,并分析护理人员紧急医学救援护理培训需求.方法 本研究为横断面研究,通过多阶段分层随机抽样法,于 2023 年 12 月至 2024 年 12 月选取泸州地区 15 所乡镇医院的护理人员为研究对象并进行问卷调查,了解其年龄、职称等一般资料,以及紧急医学救援护理能力及护理知识需求;主成分分析法对紧急医学救援护理知识需求进行降维分析,识别核心需求维度.结果 共发放 300 份电子调查问卷,收回有效问卷 292 份.护理人员紧急医学救援护理能力评分为(133.60±26.45)分;护理人员性别、文化水平、工作年限、职称和是否参与过应急演练、紧急医学救援知识培训及紧急医学救援均对其能力有所影响(P<0.05).大多数护理人员对灾害护理知识培训具有强烈意愿(83.90%)并倾向采用线下技能指导的培训方式(92.81%).识别出技能与知识应用能力、多场景救治适应性、动态救援综合能力 3 个主成分,累积贡献率为 83.06%.结论 以医共体为载体的护理人员紧急医学救援护理能力达到良好水平,但仍有提升空间;护理人员对院内救治、急救护理、灾后健康管理及心理护理等方面需求较为迫切,技能与知识应用能力、多场景救治适应性及动态救援综合能力是当前培训需求的核心维度,需针对性强化实践导向的培训体系.

Objective To explore the present situation of emergency medical rescue nursing ability based on compact county-level medical community(hereinafter referred to as"medical community"),and to analyze the training needs of emergency medical rescue nursing for nurses.Methods This study is a cross-sectional investigation.From December 2023 to December 2024,a multi-stage stratified random sampling method was used to select 300 nursing stafffrom 15 township hospitals in the Luzhou region as research subjects.A questionnaire was administered to collect data on general information,such as age and professional title,as well as emergency medical rescue nursing competency and nursing knowledge needs.Principal component analysis(PCA)was applied to reduce the dimensionality of the emergency medical rescue nursing knowledge needs,aiming to identify core demand dimensions.Results A total of 300 electronic questionnaires were distributed in this study,and 292 were valid.The score of emergency medical rescue nursing ability of 292 nurses in this study was(133.60±26.45).The nurses'gender,education level,working years,participation in emergency medical rescue,and emergency medical rescue knowledge training all affected their emergency medical rescue nursing ability(P<0.05).The majority of nursing staff express a strong desire for disaster nursing knowledge training(83.90%)and favor in-person skills instruction as the training method(92.81%).Three principal components were identified:skill and knowledge application capability,multi-scenario treatment adaptability,and dynamic rescue comprehensive capability,with a cumulative contribution rate of 83.06%.Conclusion The emergency medical rescue nursing capabilities of healthcare professionals within medical consortiums have generally reached a good level,but there is still room for improvement.There is an urgent need for nursing staffto improve their skills in hospital-based treatment,emergency care,post-disaster health management,and psychological support.PCA reveals that the core dimensions of current training needs are the application of skills and knowledge,adaptability to multi-scenario rescue scenarios,and comprehensive dynamic rescue capabilities.This highlights the necessity for targeted development of practice-oriented training systems.

陈孝玉;谢健;邓鸿元;骆昌全

泸州市人民医院急诊医学部(四川 泸州 646000)泸州市人民医院急诊医学部(四川 泸州 646000)泸州市人民医院神经脊柱外科(四川 泸州 646000)泸州市人民医院急诊医学部(四川 泸州 646000)

医药卫生

紧密型县域医共体紧急医学救援护理人员护理能力培训需求

Compact county-level medical communityEmergency medical rescueNursesNursing competenceTraining demand

《医学新知》 2026 (2)

147-153,7

泸州市社科应用研究提质工程规划课题(LZSK-GH030)四川省医院协会医务管理分会资助项目(SCYW031)

10.12173/j.issn.1004-5511.202503110

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