Nurses' interest in nuclear disaster medicine: future capacity building

Nurses' interest in nuclear disaster medicine: future capacity building
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DOI:
10.1093/jrr/rrz008
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发表时间:
2019-05-01
影响因子:
2
通讯作者:
Takamura, Noboru
Takamura, Noboru
中科院分区:
医学4区
文献类型:
--
作者:
Yamada, Yumiko;Orita, Makiko;Takamura, Noboru

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致编者:距离2011年福岛第一核电站(FDNPS)事故已经过去近8年了。事故发生前,日本政府已经建立了包括核电站事故在内的核灾害防备体系。然而,FDNPS的事故表明,该系统无法处理紧急情况下的意外情况,从而引起了医疗机构的恐慌。此外,此次事故也表明日本在核灾害医学领域的专家数量不足。事故发生后,政府重组了核灾害准备体系,指定四所大学为核灾害医疗/综合支援中心,指定四所大学和一家研究所为高级放射线急救医学支援中心。核灾害医疗/综合支援中心的作用是在非灾害期间建立区域和国家医疗辐射网络,并在核灾害期间协调医疗队的派遣。先进辐射应急医学支持中心的作用是促进非灾害期间辐​​射灾害医学专业人员的教育和培训,并为核应急核心医院提供先进和专业的医疗支持。临床护士在福岛事故中发挥了重要作用,FDNPS事故的经验表明,对临床护士进行核灾难医学培训和教育至关重要。然而,日本的许多护士对核灾难医学并不感兴趣。本研究的目的是确定与核灾难医学兴趣相关的因素,以便接触对该领域有潜在兴趣的临床护士。
To the editor: Nearly 8 years have passed since the accident at the Fukushima Daiichi Nuclear Power Station (FDNPS) in 2011. Before the accident, the Japanese government had established a system for nuclear disaster preparedness that included accidents at nuclear power plants. Nevertheless, the accident at FDNPS showed that the system was unable to handle unexpected situations during the emergency, which caused panic in medical settings. In addition, the accident showed that the number of specialists in the field of nuclear disaster medicine was insufficient in Japan.After the accident, the government reorganized the nuclear disaster preparedness system by nominating four universities as Nuclear Disaster Medical Care/General Support Centers, and four universities and one research institute as Advanced Radiation Emergency Medicine Support Centers. The roles of Nuclear Disaster Medical Care/General Support Centers are to establish regional and national medical radiation networks during non-disaster periods and to coordinate the dispatch of medical teams during a nuclear disaster. The roles of Advanced Radiation Emergency Medicine Support Centers are to advance the education and training of professionals in radiation disaster medicine during non-disaster periods and to provide advanced and specialized medical support to Nuclear Emergency Core Hospitals. Clinical nurses played important roles during the Fukushima accident, and the experience of the FDNPS accident showed that training and educating clinical nurses in nuclear disaster medicine is critical. However, many nurses in Japan are not interested in nuclear disaster medicine. The purpose of this study was to identify the factors associated with an interest in nuclear disaster medicine in order to approach clinical nurses who have a potential interest in this area.