Construction of nursing emergency management system for sudden acute infectious diseases in Operating Room of general hospital based on 4R crisis management theory
10.3760/cma.j.cn115682-20210530-02336
- VernacularTitle:基于4R危机管理理论的综合性医院手术室突发急性传染病护理应急管理体系的构建
- Author:
Wenjing QIAN
1
;
Rongqian YU
;
Jia LIU
;
Wei WANG
;
Qianjian QIAN
Author Information
1. 上海交通大学医学院附属瑞金医院手术室，上海 200025
- Keywords:
Operating Room;
Infectious diseases;
Nursing emergency management system;
4R crisis management theory;
Delphi method
- From:
Chinese Journal of Modern Nursing
2022;28(4):478-484
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To build a scientific, systematic and standardized index system suitable for emergency management of sudden acute infectious diseases in Operating Rooms of general hospitals.Methods:From June 2020 to March 2021, guided by the 4R crisis management theory, the index framework was initially formulated by scientific methods of literature research and expert interviews. A total of 16 medical and nursing experts from the fields of Operating Room nursing, nursing management, nosocomial infection, disease prevention and control and infectious diseases were further screened and determined indicators at all levels by applying the Delphi expert consultation method. The weight values of indexes at all levels were determined by analytic hierarchy process (AHP) and priority map method, and the emergency management system of nursing for sudden acute infectious diseases in Operating Rooms of general hospitals was finally formed.Results:The positive coefficients of experts in the two rounds of consultation were both 100.00%. The experts who provided opinions accounted for 68.75% and 31.25% respectively. The authoritative coefficient of experts was 0.906 3. The coefficient of variation of indicators at all levels was less than 0.25. The coordination coefficients of the first-level, secondary and tertiary indexes were 0.228, 0.322, 0.288 and 0.252, 0.406, 0.326 (all P<0.01) , respectively. Finally, a nursing emergency management system for sudden acute infectious diseases in Operating Rooms of general hospitals was formed, including 4 first-level indicators, 13 second-level indicators and 64 third-level indicators, and the weight distribution of indicators was reasonable. Conclusions:The constructed nursing emergency management system for sudden acute infectious diseases in Operating Rooms of general hospitals is scientific and reliable, which can provide scientific references for Operating Room nursing managers to deal with emergency nursing management of acute infectious diseases.
