Does confidence mirror competence? Outcomes following Stop the Bleed® training among lay community members

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2025-02-27 DOI:10.1016/j.apnr.2025.151928

Allison R. Jones , Rebekah D. Day , Penni I. Watts

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引用次数: 0

Abstract

Aim

To evaluate and compare pre- and post-STB training outcomes of bleeding control knowledge, willingness to act and confidence in doing so.

Background

Stop the Bleed® (STB) training improves trainees' willingness to intervene in pre-hospital bleeding emergencies and confidence in doing so, but few studies report associated knowledge-based outcomes.

Methods

A cross-sectional, observational study was performed using a pre-/post-test approach. Lay community members aged ≥18 who read and spoke English were included. On enrollment, participants completed the Stop the Bleed Training Survey (STB-TS) (five self-assessment and three knowledge-based items), and provided demographics and work history data; the STB-TS was completed again immediately after training. Descriptive statistics were used to characterize the sample. Paired t-tests were used to compare STB-TS self-assessment items. McNemar's Test was used to compare proportions of correct answers to STB-TS knowledge-based items.

Results

Trainees (N = 31) had a mean age of 33 ± 16 years, identified as mostly female (58.1 %) and people of color (54.8 %), and reported little experience with bleeding control emergencies. Total STB-TS scores increased from 14.4 ± 6.7 to 17.0 ± 10.8 (p = .26), indicating greater knowledge, confidence, and willingness to act. Correct response rates increased significantly from pre- to post-training (27.6 % vs 69.2 %, p = .003) on only one of the knowledge-based items: proper tourniquet application.

Discussion

Findings suggest a disconnect among trainees' willingness to act and confidence in doing so compared to their knowledge of bleeding control intervention. Incorporating use of high-fidelity simulation and standardized evaluation instruments may enhance content and skill mastery.

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自信能反映能力吗？在非专业社区成员中进行Stop the Bleed®培训后的结果

目的评价和比较性病患者出血控制知识、行动意愿和信心培训前后的效果。stop the Bleed®（STB）培训提高了受训者对院前出血紧急情况进行干预的意愿和信心，但很少有研究报告相关的基于知识的结果。方法采用前/后测试方法进行横断面观察性研究。年龄≥18岁、能阅读和说英语的外行社区成员被纳入研究对象。在入组时，参与者完成了停止流血培训调查（STB-TS）（5项自我评估和3项基于知识的项目），并提供了人口统计和工作经历数据；STB-TS在训练后立即再次完成。使用描述性统计来描述样本的特征。采用配对t检验比较STB-TS自评项目。McNemar's Test用于比较STB-TS知识题的正确答案比例。结果31例患者平均年龄（33±16岁），以女性（58.1%）和有色人种（54.8%）为主。STB-TS总分从14.4±6.7分上升到17.0±10.8分（p = 0.26），表明患者的知识、信心和行动意愿增强。正确反应率从培训前到培训后显著增加（27.6% vs 69.2%, p = 0.003），只有一个基于知识的项目：正确使用止血带。研究结果表明，与他们对出血控制干预的了解相比，受训者采取行动的意愿和信心存在脱节。结合使用高保真仿真和标准化评估工具可以提高内容和技能掌握。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.