Study On Establishment Of Curricula Content Design Of Disaster Nursing For Clinical Nurse With Delphi Method

ObjectiveDuring disaster rescue, health care workers must possess adequate experience, knowledge and skills before they can deal with disaster effectively and efficiently. However, the knowledge, skills and complexity required for performing disaster rescue as well as the traditional type of resuscitation training limit the quality of disaster rescue. Therefore, there is an urge to improve the nurses' training on Disaster Nursing, and the first thing is to develop the course curriculum. This study used the Delphi technique to consult the opinions from four groups of specialists including Clinical Nursing, Nursing Management, Nursing Education and doctors, so as to confirm the outline of the curriculum of a Disaster Nursing training program.MethodFirstly, design my own questionnaire on Disaster Nursing Training Program. Convenient Sampling was used to collect feedback from 4 grade-3 hospitals, and (the Emergency Department, Intensive Care Unit, Medical wards and surgical wards of) 4 grade-2 hospitals with a total number of nurses 317 as well as 55 nurses from the 5 Community Nursing Centres from Guangzhou, Shenzhen and DongGuan. Excel file, SPSS 13.0 statistical software is used to analyze the data.Second, Study on Establishment of Curricula Content Design of Disaster Nursing for Clinical Nurse with Delphi Method. After a number of repeated consultation, the facilitator goes through repeated process of consultation, summary and modification, and converges the data into a unified forecastl.Set up a Task GroupThis group was formed by 3 members:one professor, and 2 Nursing Master Students. The primary duty was to identify topics, arrange an expert consultation calendar, and summarize and analyze the consultation result.2.Selection of consultation expertsThe selection criteria are:(1) College qualification, over 10 years' of experience in Nursing or Medicine, and has experience in participating in Disaster Rescue, or an expert in this area; (3) Possess higher than middle level technical position; (4) willing to participating in this study.3.Developing questionnaireThe design of the questionnaire was based on the pre-survey result, literature review and expert interview. The content of this questionnaire included (1) Introduction:Briefly introduce the background of study, the purpose and meaning of such study, and the basic principle of Delphi Method; (2) Background of the expert, including their hospital grading or name of school; ward or department, executive rank, working experience, technical position, and any experience in participating in disaster rescue; (3) Questionnaire for setting the content for Disaster Nursing including:instruction for filling the form, questionnaire, experts' level of understanding about the questionnaire, and self-evaluation.4.Investigation method By giving by hands and by email. The topic development group analyzed the feedback, and developed the 2nd round questionnaire.5.Statistical analysisUsing SPSS 13.0 statistical software for data adjustment and analysis. The descriptive analysis (e.g. the general condition of experts) was represented as frequency and percentage; the experts' eagerness coefficient was represented as effective return rate; the experts'authority level was represented as authority coefficient (Cr); the experts' level of consensus was represented as the level of agreement and importance; the experts' level of coordination was represented as Coordination Coefficient (Kendall'W)Results1. By going through the survey on "The Need of Disaster Nursing Training Program", it reflected that the nurses' need for getting this kind of training is high. The need of nurses in different specialties and different grades is different (p<0.05). Some nurses suggested to add in new topics including "The long term health promotion and maintenance for disaster victims; Post-disaster education on immune prevention and related topics".2. The general information of expertsThe 35 experts in this study came from Clinical Nursing, Nursing Management, Nursing Education and medicine from Beijing, Shanghai, SiChuan and the 8 cities of Guangdong Province. Within the 35 experts, there were 9 clinical nurses,13 nurse managers,5 nurse educators, and 8 doctors; and 17 (49%) of them had frontline experience in participating in Disaster. The mean working experience of these 35 experts was 21.7±6.7 year, and 69% of them were belonged to high rank, and 31% belonged to middle rank. The academic qualification were:doctoral degree(17%); Master degree (40%), and Bachelor degree (43%).3. Experts' positive coefficient2 rounds of expert consultation included a distribution of questionnaires 35,31 and 28 copies, and the return number was 31,28 and 27 copies. The effective return rate was 89%,90% and 96%. And during the first round,58% of experts raised the amendment opinion, and this reflected that the experts was very supportive and cooperative to this study.4. Experts'authoritative coefficientThe experts' authority coefficient (Cr) relied on the experts' self evaluation (Ca) and judgment (Cs), Cr= (Ca+Cs)/2. The experts'mean authority coefficient of this study was 0.83.5.Kendall coefficient of concordanceThis study went through 3 rounds of consultation, the Kendall'W was 0.429, p<0.001, and this reflected that the Cooperation Coefficient was very significant, the experts'opinions were basically very identical and cooperative.6. Confirm the course design content.Grade 1 indicator has 5 items:(An overview of Disaster Nursing, The Core knowledge and skills of Disaster Nursing, The first aid and nursing care of disaster victims, Disaster psychological care, and Disaster nursing management). Grade 2 indicator has 25 item.Conclusions1. By going through the survey on "The Need of Disaster Nursing Training Program", the need of nurses in different specialties and different professional title is different (p<0.05).So, we can held different kinds of training for the nurses who come from different specialties and different professional to attain better training effect. 2.The curriculum of disaster nursing was confirmed, suggestion and theoretical support to the development of disaster nursing education was identified. The author hopes to make a better and in-depth design and study in her future study related to Disaster Nursing.