中国感染控制杂志2024,Vol.23Issue(1):25-31,7.DOI:10.12138/j.issn.1671-9638.20243606
医院工作人员呼吸道防护能力的评价研究
Assessment of respiratory protection competency of staff in healthcare facilities
摘要
Abstract
Objective To understand the respiratory protection competency of staff in hospitals.Methods Staff from six hospitals of different levels and characteristics in Beijing were selected,including doctors,nurses,medical technicians,and servicers,to conduct knowledge assessment on respiratory protection competency.According to exposure risks of respiratory infectious diseases,based on actual cases and daily work scenarios,content of respira-tory protection competency assessment was designed from three aspects:identification of respiratory infectious di-seases,transmission routes and corresponding protection requirements,as well as correct selection and use of masks.The assessment included 6,6,and 8 knowledge points respectively,with 20 knowledge points in total,all of which were choice questions.For multiple-choice questions,full marks,partial marks,and no mark were given respective-ly if all options were correct,partial options were correct and without incorrect options,and partial options were correct but with incorrect options.Difficulty and discrimination analyses on question of each knowledge point was conducted based on classical test theory.Results The respiratory protection competency knowledge assessment for 326 staff members at different risk levels in 6 hospitals showed that concerning the 20 knowledge points,more than 60%participants got full marks for 6 points,while the proportion of full marks for other questions was relatively low.Less than 10%participants got full marks for the following 5 knowledge points:types of airborne diseases,types of droplet-borne diseases,conventional measures for the prevention and control of healthcare-associated infec-tion with respiratory infectious diseases,indications for wearing respirators,and indications for wearing medical protective masks.Among the 20 knowledge questions,5,1,and 14 questions were relatively easy,medium,and difficult,respectively;6,1,4,and 9 questions were with discrimination levels of ≥0.4,0.30-0.39,0.20-0.29,and ≤0.19,respectively.Conclusion There is still much room for hospital staff to improve their respiratory protection competency,especially in the recognition of diseases with different transmission routes and the indications for wearing different types of masks.关键词
工作人员/医院工作人员/呼吸道防护/能力/评价Key words
staff/hospital staff/respiratory protection/competency/assessment分类
医药卫生引用本文复制引用
贾会学,宋丽红,路简羽,宋雪梅,高航,李六亿,姚希,胡美华,张冰丽,孙昕霙,李子涵,邓明卓,卢联合,李杰..医院工作人员呼吸道防护能力的评价研究[J].中国感染控制杂志,2024,23(1):25-31,7.基金项目
首都卫生发展科研专项公共卫生项目(首发2021-1G-4071) (首发2021-1G-4071)