ABSTRACT
Objective To explore the current situation of evidence-based nursing practice in pain assess-ment by nurses in China to provide the decision-making data for maximizing to relieve the patient pain by car-rying out the pain assessment evidence-based nursing practice.Methods The non-probability sampling meth-od was used to conduct an online anonymous survey in 63 class 3A hospitals in the whole country.The ques-tionnaire included the general information questionnaire and evidence-based nursing practice scale for pain as-sessment.The evidence-based nursing practice scale for pain assessment included the pain screening,compre-hensive pain assessment,exchange with the patients and their households in the pain assessment,pain re-as-sessment,pain assessment tool selection and record.The 5 dimensions were compared by using item equaliza-tion.The data analysis was performed by the SPSS26.0.Results A total of 1 518 questionnaires were recov-ered,in which 1 482 questionnaires were valid with an effective recovery rate of 97.62％.The evidence-based nurse practice of pain assessment by nurse was(108.40±17.96)points,the pain screening was(12.87±2.23)points,the item average score was the highest[(4.29±0.74)points],the communication with the patients and their household was(23.69±4.93)points and the item average score was the lowest[(3.94±0.82)points].The regression analysis showed that whether receiving the pain training and whether distinguishing active pain and resting pain had a positive effect on the practical behavior(P＜0.05).Conclusion The evi-dence-based nursing practice in pain assessment by nurses in the partial class 3A hospitals in China is in the upper medium level.However,the communication between the patients and their families is insufficient.Man-agers should constantly enrich the training content and methods,and guide nurses to strengthen the communi-cation between nurses and the patients.
ABSTRACT
Objective:To assess the knowledge of Chinese nurses regarding disaster and emergency preparedness and its related factors.Methods:A total of 1 950 nurses were randomly selected from 152 hospitals of 30 provinces and municipalities in China. Two questionnaires were used to collect general data and associated information. The scale of nurse disaster emergency knowledge includes six dimensions: the function of emergency command system (ICS), the role, triage, communication, special care and isolation decontamination, report and access to important resources, biological agents. All of the data were analyzed with SPSS 20.0.Results:Totally 1 950 valid questionnaires were collected. The average score of Chinese nurses was (147.5 ± 33.8) (index value: 73.75%), which was at a middle level. And it was greater than that of the domestic norm. Among the six dimensions, knowledge of triage yielded the highest score (21.25 ± 5.55) (index value: 85.00%), and knowledge of biologics had the lowest score (10.21 ± 3.00) (index value: 68.07%). Education background, professional title, job position, experience, training and identity also were important associated factors ( t values were -4.107-12.376, P<0.01). Conclusion:Chinese nurses have a moderate level of knowledge of disaster and emergency preparedness. Health administrators should constantly enhance framework for disaster and emergency nursing core competencies, and enrich the content and methods of training. Further, simulation-based training and participation in large-scale disaster relief could improve nurses knowledge of disaster and emergency preparedness.