Proposal of a Model of Disaster Medical Education for Practical Risk Management and Disaster Nursing: The SINCHI Education Model.
Proposal of a Model of Disaster Medical Education for Practical Risk Management and Disaster Nursing: The SINCHI Education Model.
复制标题
针对实用风险管理和灾害护理的灾害医学教育模式的提案：SINCHI 教育模式。
DOI：
10.1017/s1049023x19004564
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发表时间：
2019
影响因子：
2.2
通讯作者：
Fukuyama Y.
中科院分区：
文献类型：
--
作者：
Shinchi K;Matsunaga H;Fukuyama Y.
灾害护理和风险管理方面的教育很重要，开发参与灾害应对的医务人员的人力资源也很必要。然而，风险管理和灾难护理的实用教育模式尚未在日本建立。在本研究中，提出了一个灾难医学教育的模式，实际的风险管理和灾难护理。17名具有实际国际灾难应对经验的专家护士参加了这项研究。他们是从日本灾难应对医疗队的前成员中招募的。通过问卷调查，他们被问到一个开放式的问题：“什么样的护理教育是必要的风险管理和实践活动，在灾害应对？”从开放式问题的回答中获得65个编码，并将其分为19个小类和3个大类。随后，提出了“SINCHI教育模式”，用于实际的灾难护理教育，它包括六个要素：（1）模拟练习和小组工作;（2）国际护理知识;（3）护理技能和知识，包括灾难护理;（4）沟通能力的提高;（5）人性，责任和灵活性;（6）感染预防和控制。这种教育模式的一个例子是：（1）编制医务人员名单（2）信息收集模拟（3）编制医疗器械清单，以及（4）制定风险管理和操作计划，包括感染预防和控制。灾难护理教育可以通过包括模拟练习，使其更具指导性和实用性。
Education in disaster nursing and risk management is important, and developing the human resources of medical staff who participate in disaster response is also necessary. However, a practical educational model for risk management and disaster nursing has not yet been established in Japan. In the present study, a model of disaster medical education for practical risk management and disaster nursing was proposed. Seventeen expert nurses with experience in practical international disaster response (IDR) participated in this study. They were recruited from among past members of Japan disaster response medical teams. They were asked an open-ended question through a questionnaire survey: “What kind of nursing education is necessary for risk management and practical activities in disaster response?” The responses were analyzed qualitatively and an educational model was developed.Sixty-five codes were obtained from the answers to the open-ended question, and they were categorized into 19 sub-categories and three categories. Subsequently, the “SINCHI education model” was proposed for practical disaster nursing education; it comprises six elements: (1) Simulation exercise and small-group work; (2) International nursing knowledge; (3) Nursing skills and knowledge, including disaster nursing; (4) Communication ability promotion; (5) Humanity, responsibility, and flexibility; and (6) Infection prevention and control. A sample of this education exercise model is the following: (1) preparing the list of medical staff members (2) information-gathering simulation (3) preparing the list of medical instruments, and (4) developing the plan for risk management and operation, including infection prevention and control. Disaster nursing education could be made more instructive and practical by including simulation exercises.