Objective To investigate the status of clinical nurses' disaster nursing competence and its influencing factors in Jinshan District of Shanghai.
Methods By the convenience sampling method, a total sample of 1 270 clinical nurses from 5 secondary -level or higher general hospital and 11 community health centers were investigated with the general information questionnaire, nurse's disaster nursing competence evaluation tool and emergency preparedness information questionnaire (EPIQ). The influencing factors of disaster nursing competence were analyzed by multiple linear regression model.
Results Totally 1 263 valid questionnaires were received with a recovery rate of 99.44%. The mean of total score of disaster nursing competence was (204.64±43.88), with the highest average score of disaster preparedness ability and the lowest average score of disaster mitigation/prevention ability. The mean of total score of disaster emergency knowledge of clinical nurses was (134.97±30.60), of which the average score of accident command system was the highest, and the average score of special care and isolation decontamination was the lowest. The results of multiple linear regression analysis showed that the scores of nurses' disaster nursing competence in community centers were lower than those in first -class hospitals (β=-5.966, P=0.017); the nurses in emergency/ICU had higher score of disaster nursing competence (β=5.765, P=0.029), compared with the nurses in other departments. It showed that the higher the total score of nurses' disaster emergency knowledge, the higher the score of their disaster nursing competence(β=1.000, P < 0.001).
Conclusions The disaster nursing competence and disaster emergency knowledge reserve of clinical nurses in Jinshan District of Shanghai were at a medium and/or higher level, but their disaster mitigation/prevention ability and recovery/reconstruction ability still need to be improved. Nursing managers should improve the disaster nursing competence of clinical nurses by improving their knowledge of disaster emergency, strengthening the training of nurses in the non-emergency/ICU departments and in secondary-level hospitals or community health centers.
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