Abstract: Objective　To investigate the current situation of emergency nurses' core competence in disaster care in Guangdong Province and to analyze the influencing factors. Methods　The convenience sampling method was used to select 286 nurses in the emergency departments in major hospitals in Guangdong Province from November 10, 2021 to November 20, 2021 as the study objects, including 45 males (15.7%) and 241 females (84.3%). There were 7 nurses (2.4%) under 20 years old, 100 (35.0%) between 20 and 29, 139 (48.6%) between 30 and 39, and 36 (12.6%) between 40 and 49. The General Information Questionnaire, Disaster Nursing Core Competence Questionnaire, and Nurses' Innovation Behavior Scale were used to investigate the nurses. t test, analysis of variance, and rank sum test were used for the univariate analysis. Pearson correlation analysis was used to analyze the correlation. Multiple linear regression analysis was used for the multivariate analysis. α=0.05 on both sides. The present situation and influencing factors of disaster nursing core competence were analyzed. Results　The total score of disaster nursing core competence of the 286 emergency nurses was (3.210±0.735). The univariate analysis showed that gender (t=3.049, P=0.003), age (t=4,159, P=0.003), marital status (t=6.285, P<0.001), years of working (t=3.508, P=0.008), and department position (t=5.091, P=0.007) were the influencing factors of disaster nursing core competence score. The results of multiple linear regression analysis showed that age (t=2.766, P=0.006) and innovation ability (t=15.902, P<0.001) were the main factors that affected the core competence of emergency nurses in disaster nursing, which could explain 52% of the total variation. Conclusions　The core competence of disaster nursing of emergency nurses in Guangdong Province needs to be improved. Emergency nursing managers should establish and optimize disaster rescue teams according to the actual situation, and strengthen the cultivation of emergency nurses' core competence of disaster care and innovation ability, so as to improve the quality of disaster rescue.

Key words: Disaster nursing, Core competence for disaster care, Influencing factors, Innovation ability

摘要： 目的　调查广东省急诊护士灾害护理核心能力现状并分析其影响因素。方法　采用便利抽样法，选取2021年11月10日至2021年11月20日期间在广东省各大医院临床工作的286名急诊科护士为研究对象，由性别分布统计得出：其中男护士45（15.7％）名，女护士241（84.3％）名。由年龄分布统计得出：20岁以下的护士7（2.4％）名，20～29岁的护士100（35.0％）名，30～39岁的护士139（48.6％），40～49岁的护士36（12.6％）名。采用一般资料问卷、灾害护理核心能力问卷、护士创新行为量表对其进行调查，使用t检验、方差分析、秩和检验进行单因素分析，使用Pearson相关分析进行相关性分析，使用多元线性回归分析进行多因素分析等统计学方法，检验水准为双侧α=0.05，分析其灾害护理核心能力现状及其影响因素。结果　286 名急诊科护士灾害护理核心能力总均分为（3.210±0.735）分；单因素关联性分析显示不同特征的灾害护理核心能力得分比较结果为：性别（t=3.049、 P=0.003）、年龄（t=4.159、 P=0.003）、婚姻状况（t=6.285、 P<0.001）、工作年限（t=3.508、 P=0.008）、科室职务（t=5.091、 P=0.007）等差异均有统计学意义（均P<0.05）。影响灾害护士护理核心能力的多元线性回归分析结果为：年龄（t=2.766、 P=0.006）、创新能力（t=15.902、 P<0.001）是急诊护士灾害护理核心能力的主要影响因素（ P<0.05 ），可解释总变异的 52％ 。结论　广东省急诊科护士灾害护理核心能力有待提高。急诊护理管理者应根据实际情况创建和优化灾害救援队伍，强化急诊护士灾害护理核心能力的培养，并重视培养灾害护士的创新能力，提高灾害救护质量。

关键词: 灾害护理, 灾害护理核心能力, 影响因素, 创新能力