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深圳市社区护士公共卫生应急能力评价及对策

         

摘要

Objective To evaluate and enhance public health emergency competence of nurses in community health center.Methods A questionnaire was applied to survey 158 nurses and 30 community health center leaders with cluster sampling for their public health emergency competence and working conditions. Results 84.7% of the nurses graduated from technical secondary schools and colleges. Nurses which were with and below junior professional title accounted for 66.0%, intermediate title 30.7% and senior only 3.3%. Meanwhile, 78.7% of them did not receive training of public health. Nurses in community health center lacked knowledge of emergency and nursing skill of public health, particularly in the aspect of epidemiological knowledge, prevention of chemical poisoning and occupational poisoning. Conclusion Nurses in community health center receive relatively less training of public health and lack nursing skills of public health emergency. It is urgent to provide more training for them. Besides, courses on publie health should be established for nursing majors in college and university.%目的 评价深圳市社区护士的公共卫生应急能力,探讨提高社区护士公共卫生应急能力的策略.方法 采用问卷调查,整群抽取辖区35家社康中心158名护士和30名中心主任作为调查对象,调查社区护士的社区公共卫生应急护理工作情况和评价社区护士公共卫生应急能力.结果 调查的社区护士中专和大专学历占84.7%,职称初级及以下占66.0%,中级占30.7%,高级职称仅占3.3%;78.7%在进入社区工作前没有参加过有关公共卫生知识方面的培训;社区护士对社区公共卫生应急护理工作认识不足,处理突发性公共卫生事件时技能缺乏,尤其是流行病学知识、化学性中毒事故的防护、职业中毒预防及应急护理方面.结论 社区护士学历和职称偏低,参加培训少,公共卫生应急护理知识技能缺乏.加强社区护士对公共卫生护理知识技能培训力度是当务之急,应在护理院校开设公共卫生相关课程,增强在职继续教育力度.

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