Research Article

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

Table 4

The weights coefficient of each indicator.

First-levelindicatorsWeightsSecond-level indicatorsWeightsThird-level indicatorsWeightsPortfolio weights

(A) Knowledge0.2970(A1) General knowledge of infectious disease0.2797(A1.1) Understand the epidemic process of common infectious diseases and previous major infectious diseases (source of infection, route of transmission, and susceptible population)0.28290.0235
(A1.2) Understand the typical signs and symptoms of common infectious diseases and previous major infectious diseases0.10590.0094
(A1.3) Understand the prevention and containment rules of infectious diseases0.44760.0396
(A1.4) Understand the treatment and nursing of common and previous major infectious diseases0.16360.0145
(A2) Infectious disease management0.6267(A2.1) Understand the laws and regulations about infectious disease management0.16670.0310
(A2.2) Understand the emergency management procedures related to infectious diseases0.16670.0310
(A2.3) Understand the disinfection and isolation of infectious diseases0.66670.1241
(A3) Occupational protection0.0936(A3.1) Understand the standard precaution0.25000.0069
(A3.2) Understand the personal protective requirements of infectious diseases with different transmission routes0.50000.0139
(A3.3) Understand the emergency procedures after occupational exposure and medical protective products damage0.25000.0069

(B) Attitudes0.1634(B1) Psychological traits0.6667(B1.1) Effectively adjust one’s own psychology and behavior to quickly meet the work requirements under the pressure caused by the infectious disease emergency0.75000.0817
(B1.2) Have a strong sense of responsibility and dedication in the infectious disease emergency and actively participate in frontline nursing0.25000.0274
(B2) Professional attitude0.3333(B2.1) Follow organization arrangements and collaborate effectively with other team members in an infectious disease emergency0.75000.0822
(B2.2) Provide care for infectious disease patients in accordance with ethics and laws, without stigmatization, fear, or disclosure of patients’ privacy0.25000.0274

(C) Skills0.5396(C1) Specialty in nursing practice0.5352(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 care0.07730.0223
(C1.2) Properly perform circulatory care techniques for patients with infectious disease, e.g., electrocardiographic monitoring and cardiopulmonary resuscitation0.22240.0642
(C1.3) Identify anticipated condition changes and provide effective care for patients with infectious disease0.13300.0384
(C1.4) Identify the psychological needs of infectious disease patients and their families and give appropriate support0.13300.0384
(C1.5) Correctly perform specimens collection for infectious disease patients0.43430.1254
(C2) Hospital infection management0.1163(C2.1) Comply with the quarantine requirements of different areas (clean, potential contamination, and/or contamination area) and channels0.37720.0237
(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 accompanying0.15700.0099
(C2.3) Correctly perform disinfection and dispose of the environment, belongings, cadavers, medical waste, and medical reusable materials of infectious disease patients0.15700.0099
(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)0.15700.0099
(C2.5) Properly perform hand hygiene0.09360.0059
(C2.6) Manage the personnel and environment in the ward to reduce the risk of infectious diseases spread0.05830.0037
(C3) Education and consulting0.0547(C3.1) Effectively teach the prevention, containment, and rehabilitation measures about infectious disease to patients and their families0.50000.0148
(C3.2) Guide other health team members in caring for patients with infectious diseases0.50000.0148
(C4) Communication abilities0.1697(C4.1) Effectively communicate with infectious disease patients and their families0.25000.0229
(C4.2) Effectively communicate and coordinate with health team members during infectious disease emergencies0.75000.0687
(C5) Thinking and learning abilities0.1240(C5.1) Under the pressure of infectious disease emergency, remain critical thinking and make correct decisions to solve difficulties in work0.11720.0078
(C5.2) Identify and deal with potential risks related to infectious disease emergency response0.26840.0180
(C5.3) Actively and effectively learn new knowledge and skills to improve the required abilities for infectious diseases patient care0.61440.0411

Note. The first-level consistency ratio (CR) was 0.0088; the second-level CR was 0.0825, 0.0000, and 0.0314, respectively; and the third-level CR was 0.0266, 0.0000, 0.0000, 0.0000, 0.0000, 0.0192, 0.0172, 0.0000, 0.0000, and 0.0707, respectively.