| Citation: |
LI Bin-xia, ZHANG Yu-hong, YAN Mei-qiong, et al. Survey of the current status of knowledge-attitude-practice and influencing factors about emerging infectious diseases in the emergency department nurses[J]. Chin J Clin Med, 2022, 29(3): 464-472. DOI: 10.12025/j.issn.1008-6358.2022.20220041
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To explore the current status of knowledge-attitude-practice (KAP) for emerging infectious diseases (EID) in the emergency department nurses and to analyze the influencing factors.
The self-designed KAP questionnaire of EID were used in 360 emergency department nurses. The related influencing factors were analyzed through multiple linear stepwise regression.
The survey achieved a response of 98.6%(355/360).The knowledge dimension score of emergency department nurses was 4.10±1.86, the attitude dimension score was 30.50±3.77, and the practice dimension score was 68.77±8.68. Univariate analysis revealed that the nurses with ≥37 years old, 16-34 years of nursing age, 16-31 years of working in the emergency department, Junior college or below, senior nurse, placed in triage positions had higher knowledge score (P < 0.05); the nurses with 32-36 years old, 11-15 years of nursing age, placed in triage positions had higher attitude score were (P < 0.05); the nurses with 11-15 years of nursing age, placed in triage positions had higher behavior score (P < 0.05). Multivariate analysis showed that nursing age, professional rank, and the highest education were the influencing factors of the knowledge score of EID (P < 0.05); nursing age and operating post were the influencing factors of the attitude and practice scores of EID (P < 0.05).
Nurses in the emergency department have a positive attitude towards EID, but their knowledge is not comprehensive enough and their practical ability needs to be further improved. The knowledge training and practice need to be strengthened for emergency department nurses aged 6 to 10 years, the emergency department nurses aged 11 to 15 years and placed in triage positions can be selected as key targets to deal with EID.
| [1] |
卢洪洲, 梁晓峰. 新发传染病[M]. 3版. 北京: 人民卫生出版社, 2018: 15.
LU H Z, LIANG X F. Emerging infectious diseases[M]. 3rd edition. Beijing: People's Health Press, 2018: 15.
|
| [2] |
CAO Y B, LI Q, CHEN J, et al. Hospital emergency management plan during the COVID-19 epidemic[J]. Acad Emerg Med, 2020, 27(4): 309-311. DOI: 10.1111/acem.13951
|
| [3] |
HUANG C, WANG Y, LI X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China[J]. Lancet, 2020, 395(10223): 497-506. DOI: 10.1016/S0140-6736(20)30183-5
|
| [4] |
葛声, 姜素英, 曹芸, 等. 上海社区代谢综合征患者膳食及糖尿病知信行调查[J]. 中国临床医学, 2012, 19(3): 320-322. DOI: 10.3969/j.issn.1008-6358.2012.03.054
GE S, JIANG S Y, CAO Y, et al. Survey of diet status and diabetic nutrition knowledge in patients with metabolic syndrome in Shanghai[J]. Chinese Journal of Clinical Medicine, 2012, 19(3): 320-322. DOI: 10.3969/j.issn.1008-6358.2012.03.054
|
| [5] |
HASSON F, KEENEY S, MCKENNA H. Research guidelines for the Delphi survey technique[J]. J Adv Nurs, 2000, 32(4): 1008-1015.
|
| [6] |
吴明隆. 问卷统计分析实务: SPSS操作与应用[M]. 1版. 重庆: 重庆大学出版社, 2010: 476-477.
WU M L. Questionnaire statistical analysis practice: SPSS operation and application[M]. 1st edition. Chongqing: Chongqing University Press, 2010: 476-477.
|
| [7] |
程宝珍, 孙立琴, 张小红. 急诊护士新发传染病认知行为调查分析[J]. 护理实践与研究, 2010, 7(21): 139-141. DOI: 10.3969/j.issn.1672-9676.2010.21.073
CHENG B Z, SUN L Q, ZHANG X H. Analysis of cognitive behavior of emerging infectious diseases in emergency nurses[J]. Nursing Practice and Research, 2010, 7 (21): 139-141. DOI: 10.3969/j.issn.1672-9676.2010.21.073
|
| [8] |
WEBER D J, RUTALA W A, FISCHER W A, et al. Emerging infectious diseases: focus on infection control issues for novel coronaviruses (Severe Acute Respiratory Syndrome-CoV and Middle East Respiratory Syndrome-CoV), hemorrhagic fever viruses (Lassa and Ebola), and highly pathogenic avian influenza viruses, A(H5N1) and A(H7N9)[J]. Am J Infect Control, 2016, 44(5 Suppl): e91-e100.
|
| [9] |
牟笛, 崔金朝, 殷文武, 等. 2015-2018年我国登革热暴发流行病学特征分析[J]. 中华流行病学杂志, 2020, 41(5): 685-689. DOI: 10.3760/cma.j.cn112338-20190715-00523
MOU D, CUI J C, YIN W W, et al. Epidemiological characteristics of dengue outbreaks in China from 2015—2018[J]. Chinese Journal of Epidemiology, 2020, 41 (5): 685-689. DOI: 10.3760/cma.j.cn112338-20190715-00523
|
| [10] |
WANG D W, HU B, HU C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China[J]. JAMA, 2020, 323(11): 1061-1069. DOI: 10.1001/jama.2020.1585
|
| [11] |
LAM S K, KWONG E W, HUNG M S, et al. Bridging the gap between guidelines and practice in the management of emerging infectious diseases: a qualitative study of emergency nurses[J]. J Clin Nurs, 2016, 25(19-20): 2895-2905. DOI: 10.1111/jocn.13343
|
| [12] |
HOUGHTON C, MESKELL P, DELANEY H, et al. Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis[J]. Cochrane Database Syst Rev, 2020, 4(4): CD013582.
|
| [13] |
冯丽, 杨漂羽, 丁佳妮, 等. 急诊预检分诊护士岗位培训方案的构建[J]. 中国护理管理, 2021, 21(3): 420-424. DOI: 10.3969/j.issn.1672-1756.2021.03.019
FENG L, YANG P Y, DING J N, et al. Construction of training program for emergency triage nurses[J]. Chinese Nursing Management, 2021, 21 (3): 420-424. DOI: 10.3969/j.issn.1672-1756.2021.03.019
|
| [14] |
WOLF L, ULRICH C M, GRADY C. Emergency nursing, ebola, and public policy: the contributions of nursing to the public policy conversation[J]. Hastings Cent Rep, 2016, 46 Suppl 1: S35-S38.
|
| [15] |
LEE J, KANG S J. Factors influencing nurses' intention to care for patients with emerging infectious diseases: application of the theory of planned behavior[J]. Nurs Health Sci, 2020, 22(1): 82-90. DOI: 10.1111/nhs.12652
|
| [16] |
BARRATT R, GILBERT G L, SHABAN R Z, et al. Enablers of, and barriers to, optimal glove and mask use for routine care in the emergency department: an ethnographic study of Australian clinicians[J]. Australas Emerg Care, 2020, 23(2): 105-113. DOI: 10.1016/j.auec.2019.10.002
|
| [17] |
BADUGE P M S, MOSS C, MORPHET J. Emergency nurses'perceptions of emergency department preparedness for an ebola outbreak: a qualitative descriptive study[J]. Australas Emerg Nurs J, 2017, 20(2): 69-74. DOI: 10.1016/j.aenj.2017.02.003
|
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