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Perception of Preparedness of Health Care Professionals in Case of a Nuclear, Chemical, Biological Attack/Emergency in a Tertiary Care Hospital

机译:三级护理医院在发生核,化学,生物袭击/紧急情况下卫生保健专业人员的准备情况

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Background With the growth of global terrorism and rapid advancements in the field of science, the threat of a nuclear, biological, and chemical (NBC) attack remains imminent. This study assesses perceptions of preparedness of health care professionals in case of an NBC attack/incident in a tertiary care hospital. Patients and methods We conducted a descriptive, cross-sectional study of 200 health care workers (including nurses and doctors) in a tertiary care hospital, from October 2018 through December 2018. Participants answered 17 yeso questions and five 5-point Likert scale questions. We analyzed the data using chi-square tests and one-way analysis of variance. Results Most participants (73.6%) reported availability to an isolation facility, and a majority of participants (72%) reported they had access to ventilators. Approximately 60% of participants reported they had access to beds, and 44.6% reported access to a laundry facility. Most participants (65.3%) knew of an employee assistance program while 31.1% did not know about such a program at their institution. More than 50% of the respondents think they can deal with an emergency involving an NBC attack while 60% of the respondents did not think that their institution would be able to protect them in the event of an NBC attack/incident. Overall, the participants were not adequately prepared for a mass scale NBC incident. The level of preparation was linked to the number of courses and training programs completed by the participants, with postgraduate medical personnel having the maximum level of preparedness, followed by medical graduates and nursing personnel. Conclusion Given the inadequate level of preparedness for an NBC incident as indicated by our findings, drills and seminars on large-scale emergencies such as an NBC attack should be included in the curriculum of undergraduate medical and nursing students in order to impart them the necessary training and confidence in dealing with an NBC incident.
机译:背景技术随着全球恐怖主义的增长和科学领域的迅速发展,核,生物和化学(NBC)攻击的威胁仍然迫在眉睫。这项研究评估了三级医院发生NBC袭击/事件时卫生保健专业人员的准备情况。患者和方法自2018年10月至2018年12月,我们在一家三级医院对200名医护人员(包括护士和医生)进行了描述性横断面研究。参与者回答了17个“是/否”问题和5个李克特5分制量表问题。我们使用卡方检验和方差单向分析来分析数据。结果大多数参与者(73.6%)报告说可以使用隔离设施,而大多数参与者(72%)报告说他们可以使用呼吸机。大约60%的参与者报告说他们可以使用病床,而44.6%的参与者报告说可以使用洗衣设施。大多数参与者(65.3%)知道员工援助计划,而31.1%的人不知道其机构中的此类计划。超过50%的受访者认为他们可以应对涉及NBC袭击的紧急情况,而60%的受访者认为,如果发生NBC袭击/事件,他们的机构将无法为他们提供保护。总体而言,参与者没有为大规模NBC事件做好充分的准备。准备水平与参与者完成的课程和培训计划的数量有关,其中研究生医学人员的准备水平最高,其次是医学毕业生和护理人员。结论鉴于我们的调查结果表明,对NBC事件的准备水平不足,应在本科医学和护理专业学生的课程中纳入有关大规模紧急事件(如NBC袭击)的演习和研讨会,以便为他们提供必要的培训对处理NBC事件充满信心。

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