天津市急诊护士灾害救护核心能力与自我效能感、灾害准备度的现状及关系

Status and relationship of emergency nurses′disaster rescue core competence,self-efficacy and disaster preparedness in Tianjin

目的了解天津市急诊科护士的灾害救护核心能力现状,分析护士灾害救护核心能力与其灾害准备度和自我效能感之间的相关性,建立多元逐步线性模型探究急诊护士灾害准备度及自我效能感对灾害救护核心能力的影响。方法采用方便抽样法,选取天津市12所医院491名急诊护士作为研究对象,采用一般资料调查表、灾害救护核心能力问卷、护士灾害准备度量表、一般自我效能感量表进行问卷调查。结果天津市急诊护士灾害救护核心能力处于中等水平为(69.98±17.85)分,灾害准备度总分为(186.46±44.24)分,一般自我效能感总分为(29.04±4.86)分。相关分析表明,灾害救护核心能力与灾害准备度呈正相关(r值为0.783,P<0.001),与自我效能感呈正相关(r值为0.515,P<0.001)。多元逐步回归显示,急诊护士灾害准备度和自我效能感是其灾害救护核心能力的重要影响因素,共解释61.9%的变异量。结论护理管理者应从护士自身因素入手提高护士自我效能,同时重视和加强对护士的灾害救援培训以改善护士的灾害准备度,从而提高急诊护士的灾害救护能力水平。

Objective To understand the current status of the disaster rescue core capabilities of emergency nurses in Tianjin,analyze the correlation between nurses'core capabilities in disaster rescue and disaster preparedness and self-efficacy,and establish a multiple regression model to explore the impact of emergency nurses'disaster preparedness and self-efficacy on core capabilities of disaster rescue.Methods A survey of 491 emergency nurses in 12 hospitals of Tianjin was conducted using the general data questionnaire,disaster rescue core competency questionnaire,nurse disaster preparedness scale,and general self-efficacy scale.Results The total score of disaster rescue core competence of emergency nurses was at a medium level(69.98±17.85)points,the total disaster preparedness score was(186.46±44.24)points,and the general self-efficacy score was(29.04±4.86)points.Disaster readiness(r=0.783,P<0.001)and general self-efficacy(r=0.515,P<0.001)were positively related to the core competence of disaster rescue,which together accounted for 61.9%of the total variation in core capacity of disaster rescue.Conclusion Nursing managers should start with nurses'own factors to improve nurses'self-efficacy.At the same time,they should pay attention to and strengthen nurses'disaster rescue nursing training,improve nurses'disaster preparedness,so as to improve emergency nurses'emergency rescue ability.