ACİL SERVİS PERSONELLERİNİN KİMYASAL, BİYOLOJİK, RADYASYON VE NÜKLEER ACİLLERE HAZIRLIK DÜZEYLERİNİN DEĞERLENDİRİLMESİ

Nurcan Biçakçi, Sercan Biçakçi
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Abstract

Purpose: The aim of this study is to determine the chemical, biological, radiation, and nuclear (CBRN) emergency preparedness levels of emergency department (ED) personnel. Materials and Methods: This cross-sectional descriptive survey study was conducted with 49 emergency department personnel (emergency medicine specialists, emergency medicine research assistants, nurses, and nursing staffs) working in the ED of a university hospital through face-to-face. The questionnaire was created by the researchers and consisted of 5 demographic and 30 CBRN preparation information, 12 questions questioning the previous practice and educational status of CBRN subjects. The preparedness level of the participants was determined by evaluating the CBRN preparedness level responses. Results: The Cronbach's Alpha reliability index obtained for the CBRN scale was obtained as α=0,856 for the whole scale and this value shows that the reliability of the whole scale is at a good level. The mean preparedness level score of the ED personnel is 59,7 (min-max:24-81). The mean CBRN preparedness level score of emergency medicine specialists (38) was found to be lower than the other groups. The number of those who received training on CBRN situations and medical management of cases during their professional training (bachelor-master- doctorate education) is 18 (36,7%). Most of the participants didn’t participate in any CBRN exercise during their professional life (n=43, 87,8%). Conclusion: ED personnel's preparations for CBRN emergencies are insufficient. Their participation in training and exercises for the medical management of CBRN cases is low. Our study can be used as a tool to determine the CBRN preparations of ED personnel.
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评估应急服务人员对化学、生物、辐射和核紧急情况的准备水平
目的:本研究旨在确定急诊科(ED)人员的化学、生物、辐射和核(CBRN)应急准备水平。材料与方法:这项横断面描述性调查研究通过面对面的方式对在一所大学医院急诊科工作的 49 名急诊科人员(急诊医学专家、急诊医学研究助理、护士和护理人员)进行了调查。调查问卷由研究人员制作,包括 5 个人口统计学信息和 30 个 CBRN 准备信息,以及 12 个询问 CBRN 受试者以往实践和教育状况的问题。通过对 CBRN 准备水平的回答进行评估,确定受试者的准备水平:化生放核量表的 Cronbach's Alpha 信度指数为α=0,856,表明整个量表的信度处于良好水平。急诊室人员准备水平的平均值为 59.7 分(最小值-最大值:24-81)。急诊医学专家的化学、生物、辐射和核准备水平平均分(38 分)低于其他组别。在专业培训(学士-硕士-博士教育)期间接受过有关 CBRN 情况和病例医疗管理培训的人数为 18 人(36.7%)。大多数参与者在职业生涯中没有参加过任何化学、生物、辐射和核演习(43 人,87.8%):结论:急诊室人员对化学、生物、辐射和核紧急情况的准备不足。结论:急诊室人员对化学、生物、辐射和核紧急情况的准备不足,对化学、生物、辐射和核病例医疗管理培训和演习的参与度较低。我们的研究可作为确定急诊室人员化生放核准备情况的工具。
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