Abstract:

Objective To evaluate and analyze the effect of disaster preparedness training for nurses in emergency departments. Methods 265 emergency nurses were selected by convenient sampling. 20 qualified emergency specialists were recruited to carry out the training according to the primary trauma care（PTC） model. Guided by the Kirkpatrick model,a questionnaire survey,written test,scenario simulation,workshops and other methods were used to evaluate based on 4 levels,namely response level,learning level,behavior level and result level. Results The overall satisfaction score of nurses in emergency department was（8.68±0.83）. The theoretical score of nurses in emergency departments after training （72.51±8.24） was higher than it before training （62.14±7.31） with statistical significance（P<0.05）; the practical skill score after training （74.08±6.87） was higher than it before training （68.23±6.4）,and the difference was statistically significant（P<0.05）. The average score of disaster readiness was（4.47±1.09）. 116 people （49.06%） had high disaster readiness; 101 people （43.02%） had high coping readiness; 109 people （52.08%） had high disaster recovery readiness. Conclusion PTC model and covariant model are helpful to improve the training effect of emergency nurses’ disaster preparedness. After training,emergency nurses’ disaster emergency knowledge,special operation performance and assessment score of scenario model are significantly higher than those before training.

Key words: Department of Emergency, Nurses, Disaster Preparation, Kirkpatrick Model, Nursing Education

摘要：

目的 评估分析急诊科护士灾害准备培训效果。方法 选取268名急诊科护士作为研究对象,由具备带教急诊科护士培训资质的20名急救专家按照初级创伤救治模式进行培训,以柯氏模型为指导,采用问卷调查、笔试、情景模拟、工作坊等方法从反应层、学习层、行为层与结果层4个层面进行评价。 结果 急诊科护士对培训的总体满意度评分为（8.68±0.83）分;培训后急诊科护士的理论评分（72.51±8.24）分高于培训前（62.14±7.31）分,培训后急诊科护士的实践技能评分（74.08±6.87）分高于培训前（68.23±6.40）分,差异有统计学意义（P<0.05）。培训后急诊科护士的备灾准备度、应对准备度、灾后恢复准备度得分均高于培训前,差异有统计学意义（P<0.001）。 结论 采用初级创伤救治模式对急诊科护士进行灾害准备培训有助于提高急诊科护士的灾害准备度、灾害急救知识与专项操作技能。

关键词: 急诊科, 护士, 灾害准备度, 柯氏模型, 护理教育