为量化灾害链应急能力评估中灾害间的链式传递效应,通过叠加(折减)效应系数量化灾害间的链式传递关系,基于灾害链之间的转换概率、阈值,推导灾害链应急能力评价模型和计算方法。综合考虑应急准备能力和响应恢复能力双维度指标,构建暴雨...为量化灾害链应急能力评估中灾害间的链式传递效应,通过叠加(折减)效应系数量化灾害间的链式传递关系,基于灾害链之间的转换概率、阈值,推导灾害链应急能力评价模型和计算方法。综合考虑应急准备能力和响应恢复能力双维度指标,构建暴雨-滑坡灾害链应急能力评估指标体系。运用熵权法、逼近理想排序法(technique for order preference by similarity to an ideal solution,TOPSIS)计算暴雨和滑坡2种单一灾种的应急能力指数,结合灾害链应急能力评价模型计算得到暴雨-滑坡灾害链应急能力,以粤港澳大湾区典型暴雨-滑坡灾害链为例展开实证分析。研究结果表明:粤港澳大湾区中部地区暴雨-滑坡灾害链应急能力与滑坡单一灾害的应急能力相比呈下降趋势,东部地区整体呈上升趋势,西北部地区和西南部地区暴雨-滑坡灾害链应急能力与滑坡单一灾害的应急能力基本保持一致。最终得到的暴雨-滑坡灾害链应急能力评估结果更加科学合理,可为暴雨-滑坡灾害链应急能力评估与提升提供技术支撑。展开更多
目的:探究ISD模型指导下医联体基层医院护士急救能力同质化培训对护士急救技能和应急能力的影响。方法:选取丽水市人民医院两家医联体分院的46名护士作为研究对象,成立急救技能培训管理小组,进行ISD模型指导下医联体基层医院护士急救能...目的:探究ISD模型指导下医联体基层医院护士急救能力同质化培训对护士急救技能和应急能力的影响。方法:选取丽水市人民医院两家医联体分院的46名护士作为研究对象,成立急救技能培训管理小组,进行ISD模型指导下医联体基层医院护士急救能力同质化培训的设计与实施。比较培训前后医联体基层医院护士的急救技能、一般自我效能感量表(GSES)、护理培训满意度。结果:培训后基础理论知识和综合能力各项评分明显高于培训前(P Objective: To explore the impact of homogenized training of nurses’ first-aid capacity on nurses’ first-aid skills and emergency capabilities in primary hospitals under the guidance of ISD model in medical consortia. Method: 46 nurses from two medical consortium branches of Lishui People’s Hospital were selected as research subjects, and an emergency skills training management group was established to design and implement the homogenized first-aid skills training for nurses in primary hospitals of the medical consortium guided by the ISD model. First-aid skills, General Self-Efficacy Scale (GSES), and nursing training satisfaction of nurses in primary hospitals of medical consortia were compared before and after training. Result: The scores of basic theoretical knowledge and comprehensive ability after training were significantly higher than those before training (P < 0.005). The scores of emergency handling skills, professional knowledge, cooperation ability and psychological quality after training were significantly higher than those before training (P < 0.001). The GSES score after training was significantly higher than that before training (P < 0.001). After training (under the guidance of ISD model), training time arrangement, training course content, training teachers, training materials and training harvest scores were significantly higher than those before training (P < 0.001). Conclusion: Under the guidance of the ISD model, the homogenization training of nurses’ first-aid skills in primary hospitals of medical consortia can significantly improve their first-aid skills and emergency capabilities and effectively enhance their self-efficacy and nursing training satisfaction.展开更多
文摘为量化灾害链应急能力评估中灾害间的链式传递效应,通过叠加(折减)效应系数量化灾害间的链式传递关系,基于灾害链之间的转换概率、阈值,推导灾害链应急能力评价模型和计算方法。综合考虑应急准备能力和响应恢复能力双维度指标,构建暴雨-滑坡灾害链应急能力评估指标体系。运用熵权法、逼近理想排序法(technique for order preference by similarity to an ideal solution,TOPSIS)计算暴雨和滑坡2种单一灾种的应急能力指数,结合灾害链应急能力评价模型计算得到暴雨-滑坡灾害链应急能力,以粤港澳大湾区典型暴雨-滑坡灾害链为例展开实证分析。研究结果表明:粤港澳大湾区中部地区暴雨-滑坡灾害链应急能力与滑坡单一灾害的应急能力相比呈下降趋势,东部地区整体呈上升趋势,西北部地区和西南部地区暴雨-滑坡灾害链应急能力与滑坡单一灾害的应急能力基本保持一致。最终得到的暴雨-滑坡灾害链应急能力评估结果更加科学合理,可为暴雨-滑坡灾害链应急能力评估与提升提供技术支撑。
文摘目的:探究ISD模型指导下医联体基层医院护士急救能力同质化培训对护士急救技能和应急能力的影响。方法:选取丽水市人民医院两家医联体分院的46名护士作为研究对象,成立急救技能培训管理小组,进行ISD模型指导下医联体基层医院护士急救能力同质化培训的设计与实施。比较培训前后医联体基层医院护士的急救技能、一般自我效能感量表(GSES)、护理培训满意度。结果:培训后基础理论知识和综合能力各项评分明显高于培训前(P Objective: To explore the impact of homogenized training of nurses’ first-aid capacity on nurses’ first-aid skills and emergency capabilities in primary hospitals under the guidance of ISD model in medical consortia. Method: 46 nurses from two medical consortium branches of Lishui People’s Hospital were selected as research subjects, and an emergency skills training management group was established to design and implement the homogenized first-aid skills training for nurses in primary hospitals of the medical consortium guided by the ISD model. First-aid skills, General Self-Efficacy Scale (GSES), and nursing training satisfaction of nurses in primary hospitals of medical consortia were compared before and after training. Result: The scores of basic theoretical knowledge and comprehensive ability after training were significantly higher than those before training (P < 0.005). The scores of emergency handling skills, professional knowledge, cooperation ability and psychological quality after training were significantly higher than those before training (P < 0.001). The GSES score after training was significantly higher than that before training (P < 0.001). After training (under the guidance of ISD model), training time arrangement, training course content, training teachers, training materials and training harvest scores were significantly higher than those before training (P < 0.001). Conclusion: Under the guidance of the ISD model, the homogenization training of nurses’ first-aid skills in primary hospitals of medical consortia can significantly improve their first-aid skills and emergency capabilities and effectively enhance their self-efficacy and nursing training satisfaction.
