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Effect of Resilience Training Program on Perceived Stress among Acute Care Nurses 抗压能力培训计划对急症护理护士感知压力的影响
Pub Date : 2023-09-01 DOI: 10.21608/menj.2023.329468
Samar Mounib
: Background: perceived stress in the workplace is a growing concern globally, particularly in high-stress professions such as nursing. The effects of workplace stress on nurses and healthcare organizations can indeed be significant, including illness, absenteeism, and reduced work performance. Purpose: was to examine the effect of resilience training program on perceived stress among acute care nurses. Design: Quasi-experimental two groups' research design was used. Setting: it was conducted in the acute care units at Beni-Suef University Hospital. Sample : Simple random sampling technique was used to recruit 160 nurses from acute care units. Instruments: The Modified Connor-Davidson Resilience Scale and perceived stress scale were used. Results: Study group had very high resilience level after implementation of the program (60%). Nearly half of the study group had a very low perceived stress level after implementation of the program (56.3%). Conclusion: Resilience training is an effective method that helps nurses to better handle stressful situations in their workplace. Recommendations: Nurse Leaders should continue to promote resiliency to nursing staff by reinforcing protective factors such as good time management, problem solving and decision making, effective communication and supportive professional relationships. Build positive and supportive work culture through monthly meetings, conferences to voice their problems, opinions, and needs.
:背景:在全球范围内,工作场所的压力感知问题日益受到关注,尤其是在护理等高压力职业中。工作场所压力对护士和医疗机构的影响确实很大,包括疾病、缺勤和工作表现下降。目的:研究抗压能力培训计划对急症护理护士感知压力的影响。设计:采用准实验两组研究设计。环境:在贝尼苏伊夫大学医院的急症护理病房进行。样本:采用简单随机抽样技术,从急症护理病房招募了 160 名护士。工具:采用改良康纳-戴维森复原力量表和感知压力量表。研究结果实施计划后,研究组的复原力水平非常高(60%)。近一半的研究组在实施计划后的压力感知水平非常低(56.3%)。结论抗压能力培训是一种有效的方法,可帮助护士更好地应对工作场所的压力情况。建议:护士长应通过加强保护性因素,如良好的时间管理、问题解决和决策、有效的沟通和支持性的职业关系,继续提高护理人员的抗压能力。通过每月例会、会议来表达他们的问题、意见和需求,从而建立积极和支持性的工作文化。
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引用次数: 0
Effect of Instructional Technology on Maternity Nurses’ Performance and Satisfaction of Women Undergoing CS 教学技术对产科护士工作表现和产妇满意度的影响
Pub Date : 2023-09-01 DOI: 10.21608/menj.2023.330826
Eman Abu-Almagd, D. Eshra, Howida Mohamed
: Background : Despite the global push for natural childbirth, Cesarean sections have become the most common surgery worldwide; the rate has dramatically risen in Egypt. Women who are recommended to undergo CS must accept the procedure and be satisfied with it. Purpose: This study was conducted to assess the effect of instructional technology on studied nurses’ performance and satisfaction of women undergoing cesarean section. Method: quasi-experimental design was used; for nurses (one group pre and post-test), for women (pre-intervention group & post-intervention group) design was utilized to conduct this study. Instruments : Three instruments were used (interviewing questionnaire for nurses, Observational Checklist for nurses and constructed interview questionnaire for studied women) Results: After conducting the instructional technology program, studied nurses had a higher level of knowledge (81%) and achieved better performance (80%) with higher statistically significant difference compared with pre intervention (5% and 65%). Conclusion: The instructional technology program improved nurses’ knowledge and practices regarding CS and it was reflected on achieving a higher level of satisfaction among studied women. Recommendations Instructional technology should be integrated into the training programs to ensure that studied nurses stay updated with the latest advancements in CS procedures and technologies to achieve maternal satisfaction .
:背景:尽管全球都在提倡自然分娩,但剖腹产已成为全球最常见的手术;在埃及,剖腹产的比例急剧上升。被建议接受剖腹产手术的妇女必须接受该手术并对其感到满意。目的:本研究旨在评估教学技术对所研究的护士在剖宫产手术中的表现和满意度的影响。方法:本研究采用准实验设计;对护士(一组前测和后测)和产妇(干预前组和干预后组)采用准实验设计。工具 :使用了三种工具(针对护士的访谈问卷、针对护士的观察核对表和针对被研究妇女的构建访谈问卷):与干预前(5% 和 65%)相比,干预后护士的知识水平更高(81%),表现更好(80%),差异有统计学意义。结论教学技术项目提高了护士对 CS 的认识和实践能力,这也反映在受试妇女的满意度上。建议 应将教学技术纳入培训计划,以确保接受培训的护士了解 CS 程序和技术的最新进展,从而提高产妇满意度。
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引用次数: 0
Effect of Virtual Reality on Pain and Anxiety among School Age Children during Vein Puncture 虚拟现实对学龄儿童静脉穿刺疼痛和焦虑的影响
Pub Date : 2023-09-01 DOI: 10.21608/menj.2023.326034
Ahlam El sharkawy, Maha Khalifa, Taghreed K Omar, Alyaa El Din Salama
: Background: Virtual Reality (VR) play an integral role as a promising distraction technique for children’s pain and anxiety management. Purpose: To assess the effect of virtual reality on pain and anxiety among school age children during vein puncture. Design A quasi-experimental design (study and control groups) was utilized. Setting The study was conducted in the pediatric department at Menoufia University Hospital, Shebin El-Kom City. Sample A purposive sample of 50 school age children who used the virtual reality goggle during vein puncture and 50 school age children who received only routine hospital care during the vein puncture. Instruments Four instruments used for data collection: A structured interviewing questionnaire for school age children, Wong–Baker Faces Pain Rating Scale, Facial Affective Scale (FAS)-Three Faces Facial Affective Scale and Feasibility assessment sheet. Results showed that there were highly statistical significant differences between levels of pain and anxiety on posttest compared to pretest (3.72 ± 2.86 Vs 7.32 ± 2.67 respectively) & (43.0 ± 33.52 Vs 78.0 ± 32.20 respectively). Also, children who received virtual reality distraction had less pain and anxiety than children who received routine hospital care (3.72 ± 2.86 Vs 6.80 ± 3.16 respectively) & (43.0 ± 33.52 Vs 64.0 ± 35.05 respectively). Conclusion: the application of virtual reality distraction had appositive effect on reducing pain and anxiety during the vein puncture among school age children. So, it was recommended that applying virtual reality goggle during the vein puncture in clinical setting to reduce pain intensity and anxiety level.
:背景:虚拟现实(VR)作为一种很有前景的分散注意力的技术,在缓解儿童疼痛和焦虑方面发挥着不可或缺的作用。目的:评估虚拟现实技术对学龄儿童静脉穿刺时疼痛和焦虑的影响。设计 采用准实验设计(研究组和对照组)。研究地点:Shebin El-Kom 市梅努菲亚大学医院儿科。样本 50 名在静脉穿刺过程中使用虚拟现实护目镜的学龄儿童和 50 名在静脉穿刺过程中仅接受常规医院护理的学龄儿童的目的性样本。工具 用于收集数据的四种工具:学龄儿童结构化访谈问卷、Wong-Baker 面部疼痛评分量表、面部情绪量表(FAS)--三面部情绪量表和可行性评估表。结果表明,与前测相比,后测的疼痛和焦虑水平(分别为 3.72 ± 2.86 Vs 7.32 ± 2.67)和(分别为 43.0 ± 33.52 Vs 78.0 ± 32.20)有非常显著的统计学差异。此外,与接受常规医院护理的儿童相比(分别为 3.72 ± 2.86 Vs 6.80 ± 3.16)和(分别为 43.0 ± 33.52 Vs 64.0 ± 35.05),接受虚拟现实分散注意力的儿童的疼痛和焦虑程度较低。结论:应用虚拟现实分散注意力对减轻学龄儿童静脉穿刺时的疼痛和焦虑有积极作用。因此,建议在临床环境中应用虚拟现实护目镜进行静脉穿刺,以减轻疼痛强度和焦虑程度。
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引用次数: 0
Assessment for Nurses’ Practices Regarding Pre and Postoperative Care for Patients with Total Knee Arthroplasty 评估护士对全膝关节置换术患者术前和术后护理的做法
Pub Date : 2023-09-01 DOI: 10.21608/menj.2023.330228
Mona Ibraheem, M. Elsayed, Hanaa Amin
: Background: Total knee arthroplasty (TKA) is one of the most clinically successful and cost-effective medical procedures developed during the mid of last century, and usually used to treat chronic refractory knee pain and loss of movement because of various underlying knee problems, Purpose: to assess nurses' practices related to pre and postoperative care of patient with total knee arthroplasty, Design: A descriptive research design was used in the study. Setting: The present study was carried out at Orthopedic Departments affiliated to the Suez Canal University Hospitals, Sample: All available staff nurses (80 nurses) were included in the study, Instruments: Nurses‟ Practices Observational Checklist specifically designed for the care of patients undergoing total knee arthroplasty, Results: The findings of the study indicated that a significant proportion, specifically 73.8% of the nurses, demonstrated an incompetent level of total practices concerning the care of patients undergoing TKA., Conclusion: Based on the results of the current study, the majority of studied nurses had an incompetent level of practices regarding pre and postoperative care of patient with TKA, This outcome raises concerns about the adequacy of nursing practices in the pre and postoperative care of TKA patients within the studied setting, As an incompetent practices could potentially impact patient outcomes, recovery, and overall satisfaction with the healthcare provided. Recommendations: Educational programs and educational guidelines about standardized protocol of pre and postoperative nursing care for patients with total knee arthroplasty should be prepared and conducted. Further investigation and intervention may be necessary to address the identified gaps in nursing practices, potentially through targeted training programs, continuing education, or the implementation of evidence-based guidelines. Improving the competency of nursing practices in TKA care is crucial to ensuring the optimal well-being and recovery of patients undergoing this procedure, ultimately contributing to the continued success of TKA as a medical intervention.
:背景:全膝关节置换术(TKA)是上世纪中期发展起来的临床上最成功、最具成本效益的医疗方法之一,通常用于治疗慢性难治性膝关节疼痛和因各种潜在膝关节问题导致的活动障碍:研究采用描述性研究设计。研究地点本研究在样本苏伊士运河大学医院附属骨科进行:研究对象: 所有护士(80 名):工具:专为护理接受全膝关节置换术的患者而设计的 "护士实践观察核对表":研究结果表明,很大一部分护士(73.8%)在对接受全膝关节置换术的患者进行护理时表现出不称职的水平:这一结果引起了人们对所研究环境中 TKA 患者术前和术后护理实践是否充分的关注,因为不充分的实践可能会影响患者的预后、康复以及对所提供医疗服务的总体满意度。建议:应准备和开展有关全膝关节置换术患者术前和术后标准化护理方案的教育计划和教育指南。可能有必要进行进一步的调查和干预,通过有针对性的培训计划、继续教育或循证指南的实施,来解决护理实践中发现的差距。提高全膝关节置换术护理实践的能力对于确保接受该手术的患者获得最佳福祉和康复至关重要,最终将有助于全膝关节置换术作为一种医疗干预措施继续取得成功。
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引用次数: 0
The Relation between Achievement Motivation and Creativity among Nurses at Menoufia University Hospital 梅努菲亚大学医院护士的成就动机与创造力之间的关系
Pub Date : 2023-09-01 DOI: 10.21608/menj.2023.327433
Shimaa Abdelmoamen, Mervat El dahshan, Shimaa El-shall
.
.
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引用次数: 0
Health Literacy Sessions Led by Nurses: Its Effect on Patients' Health Literacy, Self-Care Practices, and Distress among Patients with Type II Diabetes Mellitus 由护士主持的健康知识讲座:对 II 型糖尿病患者的健康知识普及、自我护理实践和压力的影响
Pub Date : 2023-09-01 DOI: 10.21608/menj.2023.327084
O. Shehata, Gehan Elmadbouh, R. Elkalshy
.
.
{"title":"Health Literacy Sessions Led by Nurses: Its Effect on Patients' Health Literacy, Self-Care Practices, and Distress among Patients with Type II Diabetes Mellitus","authors":"O. Shehata, Gehan Elmadbouh, R. Elkalshy","doi":"10.21608/menj.2023.327084","DOIUrl":"https://doi.org/10.21608/menj.2023.327084","url":null,"abstract":".","PeriodicalId":181618,"journal":{"name":"Menoufia Nursing Journal","volume":"206 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Obesity on Progress of Labor 肥胖对分娩进程的影响
Pub Date : 2023-09-01 DOI: 10.21608/menj.2023.326853
Basma Abou Hassan, Fatma El-Shobary, SamahM. El-Homosy
: Background: Obesity is a major public health challenge that affects almost every country in the world. Globally, obesity rates have been increasing steadily over the last three decades. Maternal obesity has been associated with multiple comorbidities and a higher risk of obstetric and peripartum complications, such as prolonged labor and increased CS. The purpose of the present study was to assess effect of obesity on progress of labor. Design: A descriptive research design was used. Sample: A purposive sample of 370 laboring women was divided into two groups: the obese group and the normal-weight women group. Each group had 185 participants. Settings: The study was conducted at the obstetric departments of the University Hospital and Shebin El-Kom Teaching Hospital in Menoufia Governorate. Instruments of this study were a structured interview questionnaire that included sociodemographic characteristics of women (name, age, education, and occupation), menstrual, obstetric, medical surgical history, weight, height, BMI...etc.) and a partogram to assess the progress of labor. Results: There was a lower mean duration of the latent and active phases (first stage), second stage and total duration of labor in the normal-weight women than in the obese women. Also, the mean dose of oxytocin during the first stage of labor was lower in the normal-weight women than in the obese women. Nearly half of the obese women had CS delivery, compared to only one-third in the normal weight women. Conclusion: Obese women had prolonged labor duration, slow progress of labor, and a higher rate of CS delivery than normal weight women. Recommendations Encourage the maternity nurses to include health teaching for obese laboring women during antenatal counseling, such as a healthy diet and exercise to reduce their weight and distribute colorful brochures regarding the negative impact of obesity on pregnancy and labor and its preventive measures to both nurses and women. Also, encourage the maternity nurses to use the partogram in the labor units.
:背景:肥胖症是一项重大的公共卫生挑战,几乎影响到世界上每一个国家。过去三十年来,全球肥胖率持续上升。孕产妇肥胖与多种并发症以及更高的产科和围产期并发症风险有关,如产程延长和CS增加。本研究旨在评估肥胖对产程进展的影响。设计:采用描述性研究设计。样本:将 370 名产妇分为两组:肥胖组和正常体重组。每组 185 人。研究地点研究在梅努菲亚省大学医院和 Shebin El-Kom 教学医院的产科进行。研究工具为结构化访谈问卷,其中包括妇女的社会人口学特征(姓名、年龄、教育程度和职业)、月经史、产科史、内科手术史、体重、身高、体重指数......等)以及用于评估分娩进展的产程图。结果显示正常体重妇女的潜伏期、活跃期(第一产程)、第二产程和总产程的平均持续时间均低于肥胖妇女。此外,正常体重产妇在第一产程中使用催产素的平均剂量也低于肥胖产妇。近一半的肥胖产妇进行了CS分娩,而体重正常的产妇只有三分之一进行了CS分娩。结论与体重正常的产妇相比,肥胖产妇的产程延长,产程进展缓慢,CS分娩率较高。建议 鼓励产科护士在产前咨询中加入针对肥胖产妇的健康教育内容,如健康饮食、运动减重等,并向护士和产妇发放彩色小册子,介绍肥胖对妊娠和分娩的负面影响及其预防措施。同时,鼓励产科护士在产房使用分型图。
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引用次数: 0
Acquired muscle weakness among Critical Ill Patients: Leading Agents and Prevention 危重病人获得性肌无力:主要诱因及预防
Pub Date : 2023-06-01 DOI: 10.21608/menj.2023.308904
Ahmed El-Raghi Mostafa
: Background: ICU-AW is considered one of the most important complications occurs in the ICU. Critical care nurses (CCNs) have an important role in the prevention of ICU-AW through applying early mobilization and applying of range of motion exercises. Purpose: The purpose of the study is to examine the leading agents and preventive measures for acquired muscle weakness among Critical Ill Patients. Design: A descriptive exploratory design was utilized to achieve purpose of this study. Setting: the study was carried out in intensive care units Sample: A Purposive sample of seventy-five patients admitted in the previous mentioned setting. Instruments: Patient assessment tool, muscle strength scale and indicators to incidence of ICU-AW and agents affecting to ICU-AW assessment tool. Results: revealed that, more than half of studied patients had ICU-AW, most studied patients who had muscle weakness were old patients. Administration of corticosteroid and malnutrition was higher in the ICU-AW patients than the Non-ICU-AW patients. There was no statistically significant relation between incidence of ICU-AW and gender, insulin therapy and application of positioning, walking exercises. Conclusion: More than half of studied patients developed ICU-AW. The contributing agents of ICU-AW are patient age, malnutrition, no applying range of motion and chair sitting exercise to ICU patients, administration of corticosteroid. Mobilization as rang of motion exercise and well nutrition is a preventive measures. Recommendations: Further research is recommended to study extensively the effect of nutritional status on incidence of ICU-AW.
背景:ICU- aw被认为是ICU最重要的并发症之一。重症监护护士(ccn)通过应用早期动员和应用活动范围练习在预防ICU-AW中发挥重要作用。目的:本研究的目的是探讨危重病人获得性肌无力的主要药物和预防措施。设计:采用描述性探索性设计达到研究目的。环境:研究在重症监护病房进行样本:在前面提到的环境中入院的75名患者的目的样本。工具:患者评估工具、肌力量表、ICU-AW发生率指标及影响评估工具的因素。结果显示,半数以上的研究患者有ICU-AW,研究中出现肌无力的患者多为老年患者。ICU-AW患者皮质类固醇和营养不良的使用高于非ICU-AW患者。ICU-AW发生率与性别、胰岛素治疗、体位、步行运动的应用无统计学意义。结论:半数以上的患者发生了ICU-AW。ICU- aw的影响因素是患者年龄、营养不良、ICU患者没有活动范围和坐椅运动、皮质类固醇的使用。作为运动范围的运动和良好的营养是预防措施。建议:建议进一步研究营养状况对ICU-AW发生率的影响。
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引用次数: 0
Metacognitive Training Program: It`s Effect on Staff Nurses` Decision Making Abilities 元认知训练对护理人员决策能力的影响
Pub Date : 2023-06-01 DOI: 10.21608/menj.2023.311909
F. Abdelhamed, N. Eid, G. Diab, Hoda M. El-Guindy
: Background: Metacognition is a process that is at the top of all executive cognitive processes and key psychological factor that involved in decision making. Purpose: Examine the effect of metacognitive training program on staff nurses` decision making abilities. Method: A quasi-experimental (one group pretest/posttest) design was utilized. The study was conducted in Medical and surgical departments at Beni-Suef University Hospital. A simple random sample of 64 staff nurses was included. Metacognition Knowledge Questionnaire, Metacognitive Awareness Inventory and Decision Making Abilities Scale were used for data collection. Results: Revealed that the majority 90.6% of staff nurses had unsatisfactory knowledge level at pre program which improved to 95.3% had a satisfactory knowledge post program and decreased to (78.1%) at follow up.. More than one third 42.2% of staff nurses had a moderate level of metacognitive awareness at pre program which improved to 87.5% had a high level post program and decreased to (81.3%) at follow up. About two thirds 64.1% of staff nurses had a moderate level of decision making abilities at pre program which improved to 93.7% had a high level post program and decreased to (92.2%) at follow up. Conclusion: The metacognitive training program had a greater effect on improving staff nurses` metacognitive knowledge and awareness that was reflected in their decision making abilities. Recommendations: Encourage staff nurses to implement metacognitive strategies that improve their abilities to make effective and sound decisions. Involve metacognition concept into nursing curricula and focus on its importance in different aspects of nursing profession.
背景:元认知是所有执行认知过程的顶层过程,是参与决策的关键心理因素。目的:探讨元认知训练方案对护理人员决策能力的影响。方法:采用准实验(一组前测/后测)设计。这项研究是在贝尼-苏夫大学医院的内科和外科进行的。简单随机抽样64名护理人员。采用元认知知识问卷、元认知意识量表和决策能力量表进行数据收集。结果:90.6%的护理人员对培训前的知识水平不满意,95.3%的护理人员对培训后的知识水平满意,而在随访中这一比例下降到78.1%。超过三分之一(42.2%)的护理人员在项目前具有中等水平的元认知意识,项目后提高到87.5%,随访时下降到81.3%。约三分之二(64.1%)的护理人员在项目前的决策能力为中等水平,在项目后的决策能力为高水平的93.7%,在随访时下降到92.2%。结论:元认知培训方案对提高护理人员的元认知知识和意识有较大的作用,体现在护理人员的决策能力上。建议:鼓励护理人员实施元认知策略,提高他们做出有效和合理决策的能力。将元认知概念引入护理课程,并关注其在护理专业各方面的重要性。
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引用次数: 0
Effect of Disaster Management Training Intervention on Competency of Nurses working in Primary Health Care Centers 灾害管理培训干预对初级卫生保健中心护士胜任力的影响
Pub Date : 2023-06-01 DOI: 10.21608/menj.2023.310381
Nabila Sabola, N. Ahmed, Eman A Shokr, Naglaa Abd Elbaset
: Background: Disaster nursing is a new specialty, the most common challenges faced by nurses in this regard are inadequate levels of preparedness, poor formal education, lack of research, ethical and legal issues and issues related to their role in disasters. The purpose of the study was to evaluate the effect of disaster management training intervention on competency of nurses working in primary health care centers. Design: A quasi-experimental design was used. Sampling and setting: All sixty nurses working in the two primary health care centers (named Quiply and Bahary) at Shebin El-kom district, Menoufia Governorates, Egypt was recruited after using a multistage sampling technique to select study settings. Instruments: Four instruments were used: as A structured interviewing questionnaire, Disaster Management Knowledge Questionnaire, Disaster Nursing Competencies Questionnaire and Nursing Skills Checklist Measurement, Results: The total score of knowledge about internal disaster preparedness guidelines among nurses revealed a highly significant improvement (p<0.000) in all knowledge items including the five subgroups, as well as grand total knowledge score that was increased from a range of 1.7% - 6.7% pre intervention to 31.9%- 78.3 post intervention and the effect of disaster management training nursing intervention on total score levels of competency (subdomains as well as grand total score) about disaster management among studied nurses pre and post intervention revealed a highly significant improvement (p<0.000) in all competency items including the ten subdomains. The grand total competency score that was increased from a range of 1.7% - 25% pre intervention to 64.1%- 107.4% post intervention Conclusions: Application of disaster management training intervention is beneficial in improving knowledge and enhancing competencies among nurses working in primary health care centers. Recommendations: Conducting continuous training intervention about disaster management that aims to raise levels of knowledge and competency of nurses and how to treat with any disaster situations is very urgent in PHC.
背景:灾害护理是一门新兴的专业,护士在这方面面临的最常见的挑战是准备水平不足,正规教育不佳,缺乏研究,道德和法律问题以及与他们在灾害中的作用相关的问题。摘要本研究旨在探讨灾害管理训练干预对初级卫生保健中心护士胜任力的影响。设计:采用准实验设计。抽样和环境:在埃及Menoufia省Shebin El-kom区两个初级卫生保健中心(Quiply和Bahary)工作的所有60名护士在使用多阶段抽样技术选择研究环境后被招募。工具:采用四种工具:结构化访谈问卷、灾害管理知识问卷、灾害护理能力问卷和护理技能检查表。护士内部备灾指南知识总分在包括5个亚组在内的所有知识项上均有极显著的改善(p<0.000);灾害管理培训护理干预对受访护士灾害管理胜任力(子领域和总领域)总分水平的影响显著提高(p<0.000),包括10个子领域在内的所有胜任力项目均有显著提高(p<0.000)。结论:应用灾害管理培训干预有助于初级卫生保健中心护士提高知识水平,提高胜任力。建议:开展持续的灾害管理培训干预,旨在提高护士的知识水平和能力,以及如何处理任何灾害情况,这在初级保健中是非常紧迫的。
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引用次数: 0
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Menoufia Nursing Journal
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