Research Article

Development of Infectious Disease Emergency Response Competencies for Nurses in China: A Delphi Study and an Analytic Hierarchy Process

Table 3

Consensus of the competency index system after two rounds of the Delphi study.

First-levelindicatorsIVCVSecond-levelindicatorsIVCVThird-level indicatorsIVCV

(A) Knowledge4.890.06(A1) General knowledge of infectious disease4.890.06(A1.1) Understand the epidemic process of common infectious diseases and previous major infectious diseases (source of infection, route of transmission, and susceptible population)4.890.06
(A1.2) Understand the typical signs and symptoms of common infectious diseases and previous major infectious diseases4.780.11
(A1.3) Understand the prevention and containment rules of infectious diseases4.940.05
(A1.4) Understand the treatment and nursing of common and previous major infectious diseases4.830.10
(A2) Infectious disease management5.000.00(A2.1) Understand the laws and regulations about infectious disease management4.720.12
(A2.2) Understand the emergency management procedures related to infectious diseases4.720.12
(A2.3) Understand the disinfection and isolation of infectious diseases5.000.00
(A3) Occupational protection4.610.15(A3.1) Understand the standard precaution4.890.06
(A3.2) Understand the personal protective requirements of infectious diseases with different transmission routes5.000.00
(A3.3) Understand the emergency procedures after occupational exposure and medical protective products damage4.890.06

(B) Attitudes4.830.10(B1) Psychological traits4.890.06(B1.1) Effectively adjust one’s own psychology and behavior to quickly meet the work requirements under the pressure caused by the infectious disease emergency4.890.06
(B1.2) Have a strong sense of responsibility and dedication in the infectious disease emergency and actively participate in frontline nursing4.720.12
(B2) Professional attitude4.830.10(B2.1) Follow organization arrangements and collaborate effectively with other team members in an infectious disease emergency4.890.06
(B2.2) Provide care for infectious disease patients in accordance with ethics and laws, without stigmatization, fear, or disclosure of patients’ privacy4.780.09

(C) Skills4.940.05(C1) Specialty nursing practice5.000.00(C1.1) Properly perform respiratory care techniques for patients with infectious disease, e.g., oxygen therapy, atomization inhalation, sputum suction care, endotracheal intubation care, tracheostomy care, and ventilator care4.610.15
(C1.2) Properly perform circulatory care techniques for patients with infectious disease, e.g., electrocardiographic monitoring and cardiopulmonary resuscitation4.720.12
(C1.3) Identify anticipated condition changes and provide effective care for patients with infectious disease4.670.12
(C1.4) Identify the psychological needs of infectious disease patients and their families and give appropriate support4.670.10
(C1.5) Correctly perform specimens collection for infectious disease patients4.830.08
(C2) Hospital infection management4.670.12(C2.1) Comply with the quarantine requirements of different areas (clean, potential contamination, and/or contamination area) and channels5.000.00
(C2.2) Correctly classify and provide quarantine measures for infectious disease patients, e.g., placement of patients, selection of medical protective products, and management of visiting and accompanying4.890.06
(C2.3) Correctly perform disinfection and dispose of the environment, belongings, cadavers, medical waste, and medical reusable materials of infectious disease patients4.890.06
(C2.4) Put on and take off personal protective equipment according to the quarantine type and the protection level (level 1 protection, level 2 protection, and level 3 protection)4.890.06
(C2.5) Properly perform hand hygiene4.830.08
(C2.6) Manage the personnel and environment in the ward to reduce the risk of infectious diseases spread4.720.09
(C3) Education and consulting4.500.13(C3.1) Effectively teach the prevention, containment, and rehabilitation measures about infectious disease to patients and their families4.720.09
(C3.2) Guide other health team members in caring for patients with infectious diseases4.720.09
(C4) Communication abilities4.720.09(C4.1) Effectively communicate with infectious disease patients and their families4.670.12
(C4.2) Effectively communicate and coordinate with health team members during infectious disease emergencies4.830.08
(C5) Thinking and learning abilities4.670.10(C5.1) Under the pressure of infectious disease emergency, remain critical thinking and make correct decisions to solve difficulties in work4.560.13
(C5.2) Identify and deal with potential risks related to infectious disease emergency response4.670.10
(C5.3) Actively and effectively learn new knowledge and skills to improve the required abilities for infectious diseases patient care4.830.10

Note. IV: importance value; CV: coefficient of variation.