临床护理人员生物安全事件应对能力现况及影响因素分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (23): 3227-3232.

临床护理人员生物安全事件应对能力现况及影响因素分析

吾超¹, 张宏丽^1,2, 胡梦依^1,2, 徐欢^1,2, 何静³, 郎红娟¹

1.空军军医大学护理系,陕西西安 710032;
2.陕西中医药大学护理系,陕西咸阳 712000;
3.延安市延大附院检验科,陕西延安 716000

收稿日期:2024-03-04 修回日期:2024-05-23 出版日期:2024-12-01 发布日期:2026-04-09
通信作者: 郎红娟,教授,E-mail：langhj@fmmu.edu.cn
作者简介:吾超,女,在读博士研究生,研究方向为传染病护理。
基金资助:
空军生物安全防御项目（145AHQ080005002X）; 陕西省课题一般项目-社会发展领域（2024SF-YBXM-666）; 军队护理创新与培育专项（2023HL008）; 空军军医大学校级教学成果立项培育（JXCG2023PY19）; 空军军医大学博士学位论文课题资助（2023D05）; 空军军医大学军事医学与航空医学重大问题科技攻关项目（2023JSYX19）

Analysis on current status and influencing factors of clinical nursing staff's ability to respond to biosafety incidents

WU Chao¹, ZHANG Hongli^1,2, HU Mengyi^1,2, XU Huan^1,2, HE Jing³, LANG Hongjuan¹

1. Department of Nursing,Air Force Medical University,Xi'an,Shaanxi 710032,China;
2. Department of Nursing,Shaanxi University of Traditional Chinese Medicine,Xianyang,Shaanxi 712000,China;
3. Laboratory Department,Yanda Affiliated Hospital,Yan'an,Shaanxi 716000,China

Received:2024-03-04 Revised:2024-05-23 Online:2024-12-01 Published:2026-04-09
Contact: LANG Hongjuan,Professor,E-mail：langhj@fmmu.edu.cn

摘要/Abstract

摘要： 目的了解我国临床护理人员生物安全事件应对能力现况及影响因素。方法 2023年9—11月,采用临床护理人员生物安全事件应对能力量表作为研究工具,对我国东部、中部、西部、北部、南部不同地理区域的临床护理人员开展大规模、多中心的横断面调查,通过分析影响因素了解临床护理人员生物安全事件应对能力状况和影响因素。结果 4 338名临床护理人员生物安全事件应对能力条目得分为（3.14±0.75）分。在应对能力4个维度中,生物安全事件防护感控能力维度的条目均分最高,为（3.58±0.82）分;生物安全事件监测预警能力维度的条目均分最低,为（2.94±0.84）分。临床护理人员生物安全事件应对能力影响因素为是否参加过生物安全相关方面培训（β=11.316,P<0.01）、医院所在地域（西部为参考,东部β=7.731, P<0.01,南部β=7.764,P<0.01）、婚姻状况（未婚为参考,已婚β=-3.010,P<0.01,离异或者丧偶β=-5.216,P<0.05）、所在科室（β=-6.483,P<0.01）、职务（β=4.827,P<0.01）和工作年限（0~<5年为参考,>10年β=-1.986,P<0.01）。结论我国临床护理人员生物安全事件应对能力水平较低,并受较多因素的影响。临床管理者要积极关注临床护理人员生物安全事件应对能力的影响因素,着力提升我国临床护理人员生物安全事件应对能力水平。

关键词: 临床护理人员, 生物安全, 应对能力, 影响因素

Abstract: Objective To understand the current status and influencing factors of clinical nursing staff's ability to respond to biosafety incidents in China. Methods From September to November 2023,a large-scale,multicenter cross-sectional survey was conducted on clinical nursing staff in different geographical regions of eastern,central,western,northern,and southern China using the biosafety event response ability scale as a research tool. By analyzing the influencing factors,the status and influencing factors of clinical nursing staff's biosafety event response ability were understood. Results The score for the item of biosafety incident response ability among 4 338 clinical nursing staff was （3.14±0.75）points. Among the four dimensions of coping ability,the average score of the item in the dimension of biosafety event protection and control ability was the highest[（3.58±0.82）points],and the average score of the item in the dimension of biosafety event monitoring and early warning ability was the lowest[（2.94±0.84）points]. The influencing factors on the ability to respond to biosafety incidents of clinical nursing staff included whether they had participated in biosafety related training（β=11.316,P<0.01）,the location of the hospital（west as reference,east β=7.731,P<0.01,southern β=7.764,P<0.01）,marital status（unmarried as reference,married β=-3.010,P<0.01,divorced or widowed β=-5.216,P<0.05）,department（β=-6.483,P<0.01）,position（β=4.827,P<0.01）,and years of work（0-<5 years as reference,>10 years β=-1.986,P<0.01）. Conclusion The level of biosafety incident coping ability among clinical nursing staff in China was relatively low,and was influenced by many factors. Clinical managers should actively pay attention to the influencing factors of clinical nursing staff's ability to respond to biosafety incidents,and strive to improve the level of biosafety incident response ability of clinical nursing staff in China.

Key words: Clinical nursing staff, Biosafety, Coping ability, Influencing factors

中图分类号:

R192.6

吾超, 张宏丽, 胡梦依, 徐欢, 何静, 郎红娟. 临床护理人员生物安全事件应对能力现况及影响因素分析. [J]职业与健康, 2024, 40(23): 3227-3232.

WU Chao, ZHANG Hongli, HU Mengyi, XU Huan, HE Jing, LANG Hongjuan. Analysis on current status and influencing factors of clinical nursing staff's ability to respond to biosafety incidents. [J]OCCUPATION AND HEALTH, 2024, 40(23): 3227-3232.

参考文献

[1] GUAN R,PANG H,LIANG Y,et al.Discovering trends and hotspots of biosafety and biosecurity research via machine learning[J].Brief Bioinform,2022,23(5):194-206.
[2] 吾超,颜佳冉,武靖等.野战护理人员生物安全核心能力指标体系构建[J].华南国防医学杂志,2022,36(9):741-746.
[3] LEE J M,JANSEN R,SANDERSON K E,et al.Public health emergency preparedness for infectious disease emergencies:A scoping review of recent evidence[J].BMC Public Health,2023,23(1):420-426.
[4] 马慧. 护理人员面临的生物安全形势及应对策略[J].解放军护理杂志,2021,38(11):1-3.
[5] 马慧,张昕,任哲,等.生物武器防护洗消及损伤救治研究进展[J].中国消毒学杂志,2020,37(4):307-310.
[6] DE CARVALHO NAGLIATE P,NOGUEIRA P C,DE GODOY S,et al.Measures of knowledge about standard precautions:A literature review in nursing[J].Nurse Educ Pract,2013,13(4):244-249.
[7] 杨迪. 造口患者家庭主要照顾者自我效能量表的构建与应用[D].南昌:南昌大学,2023.
[8] ALI AL SHEHRI S,AL-SULAIMAN A M,AZMI S,et al.Bio-safety and bio-security:A major global concern for ongoing COVID-19 pandemic[J].Saudi J Biol Sci,2022,29(1):132-139.
[9] FENG Y,CHEN Y C,JANAPATLA R P,et al.Genomic surveillance reveals international circulation and local transmission of Salmonella enterica serovars Typhi and Paratyphi A in Taiwan[J].J Microbiol Immunol Infect,2022,55(3):489-493.
[10] 何福逵,姚旋,周钰山,等.我国生物安全研究知识图谱分析[J].中国公共卫生管理,2023,39(6):770-773.
[11] 刘懿,林华,刘伟,等.生物安全实验室安全管理体系研究[J].质量安全与检验检测,2024,34(1):104-107.
[12] 吾超. 传染病专科护士核心能力量表的编制及培训课程的构建[D].西安:中国人民解放军空军军医大学,2023.
[13] 谢俊秋,韩俭,杨雯乐,等.新冠疫情下医学生物安全教育与实验室管理[J].实验室科学,2022,25(4):200-203.
[14] 马静伟. 护士组织沉默、工作投入与工作满意度的关系研究[D].承德:承德医学院,2021.
[15] 胡莎莎,周琦,陈静.积极应对方式在传染科护士组织支持感与心理韧性间的中介效应[J].卫生职业教育,2022,40(22):150-153.
[16] 侯妮妮,袁京环,栾绍伟,等.年轻临床护士职业适应能力与未来时间洞察力、工作环境精神气候的相关性研究[J].全科护理,2023, 21(6):732-736.
[17] 宋小认,薛会元,王芳,等.三甲医院女性护士工匠精神现状及影响因素[J].河南医学研究,2023,32(12):2148-2154.
[18] 侬宇琴,曲艳玲,张华,等.不同海拔地区护士操作能力对比分析[J].西北国防医学杂志,2018,39(11):757-761.
[19] 阚庭,陈楚琳,刘晶晶,等.医护人员传染病突发事件培训项目的构建[J].中华医学教育探索杂志,2022,21(2):244-248.
[20] 周思佳,叶琳,李星丹,等.情景模拟结合案例法在护生新发呼吸道传染病职业防护技能教学中的应用[J].河南医学研究,2023,32(22):4169-4172.
[21] 马元吉,吴伟,张永辉,等.PDCA循环在隔离病房医务人员职业防护培训中的应用[J].卫生职业教育,2021,39(18):144-146.
[22] 刘晓,张育玮,刘漫钰,等.综合干预管理模式对提升新冠定点医院护工院感防控和职业防护要求依从性的作用[J].抗感染药学,2022,19(4):601-603.