Objective  To explore the present situation of emergency medical rescue nursing ability based on compact county-level medical community (hereinafter referred to as "medical community"), and to analyze the training needs of emergency medical rescue nursing for nurses.  

Methods This study is a cross-sectional investigation. From December 2023 to December 2024, a multi-stage stratified random sampling method was used to select 300 nursing staff from 15 township hospitals in the Luzhou region as research subjects. A questionnaire was administered to collect data on general information, such as age and professional title, as well as emergency medical rescue nursing competency and nursing knowledge needs. Principal component analysis (PCA) was applied to reduce the dimensionality of the emergency medical rescue nursing knowledge needs, aiming to identify core demand dimensions.

Results  A total of 300 electronic questionnaires were distributed in this study, and 292 were valid. The score of emergency medical rescue nursing ability of 292 nurses in this study was (133.60±26.45). The nurses' gender, education level, working years, participation in emergency medical rescue, and emergency medical rescue knowledge training all affected their emergency medical rescue nursing ability (P<0.05). The majority of nursing staff express a strong desire for disaster nursing knowledge training (83.90%) and favor in- person skills instruction as the training method (92.81%). Three principal components were identified: skill and knowledge application capability, multi-scenario treatment adaptability, and dynamic rescue comprehensive capability, with a cumulative contribution rate of 83.06%.

Conclusion  The emergency medical rescue nursing capabilities of healthcare professionals within medical consortiums have generally reached a good level, but there is still room for improvement. There is an urgent need for nursing staff to improve their skills in hospital-based treatment, emergency care, post-disaster health management, and psychological support. PCA reveals that the core dimensions of current training needs are the application of skills and knowledge, adaptability to multi-scenario rescue scenarios, and comprehensive dynamic rescue capabilities. This highlights the necessity for targeted development of practice-oriented training systems.

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