云南省护士严重创伤院前救治技能现状的质性研究

A qualitative research on the present situation of nurses’skills in pre-hospital treatment of severe trauma in Yunnan Province

目的探究云南省护士严重创伤院前救治技能现状,为云南省各级创伤中心的建设和护士院前救治技能培训提供参考。方法对云南省创伤中心建设工作专家委员会的9名专家进行半结构式深入访谈,运用Giorgi现象学分析法进行资料处理与分析。结果提炼出4个主题:护理人员是院前救治团队中不可或缺的团队成员;护士院前救治技能水平低,岗位职责不明确;应急能力弱,规范救治流程迫在眉睫;建立科学、客观、量化的评估标准是提高护士救治能力的迫切需求。结论云南省护士整体院前救治能力弱,缺乏客观评估标准,必须加强护士的院前救治技能培训、明确救治职责,且有必要构建护士严重创伤院前创伤救治技能评估指标,为规范护士院前救治流程和培训提供科学的、客观的参考依据。

Objective To explore the present situation of nurses’skills in pre-hospital treat⁃ment of severe trauma in Yunnan Province,and to provide reference for the construction of trau⁃ma centers at all levels in Yunnan province and the training of pre-hospital first aid skills of nurses.Methods Nine experts from the Yunnan Trauma Center Construction Expert Committee were in⁃terviewed in a semi-structured way,and the data were processed and analyzed by Giorgi phenome⁃nological analysis.Results Four themes were extracted:Nurses were indispensable to the pre-hospital treatment team.Nurses were found with low level of pre-hospital treatment skills and un⁃clear responsibilities;Give the poor emergency response capability,it was urgent to standardize the treatment process.It was an urgent to establish scientific,objective and quantitative evalua⁃tion standard to improve nurses'pre-hospital treatment ability.Conclusion The pre-hospital first aid ability of nurses in Yunnan province is at a low level,and there is a lack of objective evalua⁃tion criteria.It is necessary to strengthen the training of nurses'pre-hospital treatment skills,clari⁃fy their treatment responsibilities,and construct the evaluation index of nurses'pre-hospital treat⁃ment skills for severe trauma,so as to provide scientific and objective reference for standardizing the pre-hospital treatment process and nurse training.