Disaster! The Effects of a Large-Scale Simulation on Nursing Students' Disaster Competence.

Peggy P Hill, Desiree A Díaz, Leslee A D'Amato-Kubiet
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Abstract

Background: Nursing education often relegates disaster training to didactic, resulting in nurses who lack the competencies needed for mass-casualty responses.

Method: In this quasiexperimental exploratory study, senior nursing students (n = 44) rated disaster management competency using the Emergency Preparedness Inventory Questionnaire (EPIQ) before and after simulation-based education (SBE) and also provided insight that was analyzed for themes.

Results: Paired samples t tests demonstrated significant differences with decreased overall familiarity reported post-SBE versus pre-SBE (µ = 1.15, SD = 1.04, CI = 0.82, p < .001). Themes included real-world, communication, empathy, and roles. True to Dunning-Kruger effect, post-SBE scores decreased from baseline, suggesting SBE enhanced students' ability to evaluate competency levels. Exploration of themes emphasized gains in empathy and communication.

Conclusion: Providing disaster SBE allows learners to better evaluate their competencies and learn how disasters affect patients and their families. Nurse educators should scaffold disaster management SBE throughout the curriculum to facilitate transition to practice. [J Nurs Educ. 2025;64(4):217-226.].

灾难!大型模拟活动对护理专业学生灾难应对能力的影响。
背景:护理教育经常将灾难培训降级为说教,导致护士缺乏应对大规模伤亡所需的能力。方法:采用准实验探索性研究方法,对44名护生在模拟教育(SBE)前后使用应急准备问卷(EPIQ)对灾害管理能力进行评分,并提供主题分析的见解。结果:配对样本t检验显示sbe后报告的总体熟悉度与sbe前相比有显著差异(µ= 1.15,SD = 1.04, CI = 0.82, p < .001)。主题包括现实世界、沟通、同理心和角色。与邓宁-克鲁格效应一致,SBE后的得分较基线有所下降,表明SBE提高了学生评估能力水平的能力。主题的探索强调了移情和沟通的收获。结论:提供灾难SBE可以让学习者更好地评估他们的能力,并了解灾难如何影响患者及其家属。护士教育者应该在整个课程中建立灾难管理SBE,以促进向实践的过渡。[J].中国生物医学工程学报,2015;32(4):557 - 557。
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