护士参与灾害护理桌面推演比赛训练体验的质性研究

A qualitative study on the training experience of nurses participating in the desktop deduction competition of disaster care

目的通过护士参与桌面推演比赛体验的研究,了解桌面推演比赛对提高护士灾害护理能力的作用,探索灾害护理培训新模式。方法采用目的抽样的方法,对12名参加桌面推演比赛的护士进行进半结构式访谈,应用主题分析法进行资料分析。结果经过阅读、分析、对比,提炼出5个主题:(1)提高参赛护士对灾害护理的认知水平:认识到护士参与灾害救援的重要性、认识到储备相关知识及技能的重要性。(2)提高参赛护士的灾害护理准备度:灾害知识的储备、救援技术的提高,灾害管理能力的培养。(3)提高参赛护士批判性思维及沟通能力:在推演比赛回答问题环节,团队每个选手必须先独立思考主持人提出的问题,提出解决办法,然后,团队3个选手经过快速沟通,形成团队最后的答案,并用合理的语言进行表达,提高了选手的批判性思维及沟通能力。(4)提高参赛护士心理素质:冷静、镇定是比赛顺利进行的基础,也是处理紧急突发公共事件,参与灾害护理救援的基础,也是缓解护士本身焦虑,降低创伤后应激障碍的发生的基础。(5)探索灾害护理培训新模式。结论突发事件紧急医学救援的桌面推演比赛作为一种新的灾害护理培训模式,可有效提高参赛护士灾害护理能力。

Objective To understand the role of desktop deduction competition on improving nurses'ability of disaster nursing,explore new models of disaster nursing training.Methods A purposive sampling method was used to recruit 12 nurses who participated in the desktop deduction competition and semi-structured interviews were conducted.Thematic analysis was used for data analysis.Results After reading,analyzing,comparing and refining,five themes were extracted:raise the awareness of nurses'disaster nursing:recognize the importance of nurses participating in disaster rescue and mastering the disaster rescue related knowledge and skills;improve the nurses'preparedness of disaster nursing:reserve disaster knowledge,improve the skills of disaster rescue,and cultivate disaster management ability;improve the use of critical thinking and communication skills:in deciding the game to answer questions,each player of the team must independently consider the questions raised by the host and propose solutions.Then,the three players of the team communicated quickly to form the final answer of the team and express them in a reasonable language.Improved players′critical thinking and communication skills;enhance nurses′psychological quality:calm was the basis for successful competition as well as dealing with public emergencies and participating in disaster care and rescue.It was also a basis for relieving nurses'anxiety and reducing post-traumatic stress disorder;explore a new training model of disaster nursing.Conclusion Emergent emergency medical rescue desktop deduction competition as a new disaster nursing training model,can effectively improve nurses'ability of disaster nursing.