Özet:

Aim: CBRN incidents occur intentionally or accidentally, which may affect individuals or communities with serious health problems. It is extremely important in terms of occupational health and safety that the personnel working in CBRN incidents and cases in hospitals are prepared. This research is a review of the scientific literature and a systematic examination of the data obtained from the studies in order to determine the knowledge, attitudes and awareness levels of nurses towards chemical, biological, radiation and nuclear (CBRN) events in Turkey. Method: This study is a systematic review. The research was completed between January 2012 and November 2022 using Google Academic, ULAKBİM, Scopus, PubMed, and National Thesis Center databases and search engines with keywords such as "CBRN", "CBRN awareness and nursing", "CBRN knowledge and attitude". studies with text are included. Results: As a result of the scans, 19 studies that met the research criteria were included in the review. It was analyzed based on the PRISMA (2009) reporting criteria. Of the examined studies, 14 are research articles and 5 are postgraduate thesis. The knowledge, attitudes and awareness of nurses towards CBRN events were measured with questionnaires created by the researchers. Questionnaire questions measure knowledge, awareness and attitudes about CBRN event type, effects, decontamination, use of personal protective equipment. In the studies, it was concluded that the majority of the nurses did not receive training on CBRN, did not know the job description in CBRN incidents in the units they worked, and had insufficient knowledge about personal protective equipment. Conclusion: Nurses, who are the largest component of the health sector, have a critical importance in the effective intervention of any event within the scope of CBRN. It is important in terms of occupational health and safety that nurses who will take part in CBRN incidents in hospitals are prepared, effective intervention and personal protection are kept at an optimum level. For this reason, nurses who will take part in CBRN events should have the highest level of knowledge and skills in terms of education and practices. In addition to awareness trainings on CBRN for nurses, their readiness should be ensured through practical training and exercises. It is recommended that subjects related to CBRN should be included in the curriculum of nurses in their education processes.

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