International Journal of Community Based Nursing and Midwifery最新文献

{"title":"Post-traumatic Growth in the Link with Resilience, Self-compassion, and the Personal and Clinical Characteristics in Adolescents with Life-threatening Disease: A Cross-sectional Correlational Study.","authors":"Zahra Ghasemi, Manijeh Nourian, Azam Shirinabadi Farahani, Amir Heidari, Malihe Nasiri","doi":"10.30476/ijcbnm.2024.101885.2449","DOIUrl":"10.30476/ijcbnm.2024.101885.2449","url":null,"abstract":"<p><strong>Background: </strong>Post-traumatic growth (PTG) is a significant factor influencing health outcomes. This research aims to determine the status of PTG and its correlation with resilience, self-compassion (SC) and personal and clinical characteristics in adolescents with life-threatening diseases.</p><p><strong>Methods: </strong>In this cross-sectional correlational study, 200 adolescents with life-threatening disease who were referred to clinics or hospitalized at Shohada Tajrish and children's Medical Center hospitals from June to October 2023 in Tehran, Iran, were selected through convenience sampling. Data was collected using personal and clinical characteristics form, PTG Inventory, resilience scale, and SC scale. Analysis was conducted using SPSS software version 20, employing descriptive statistics, Pearson's correlation coefficient, ANOVA, t-tests, and multiple linear regression analysis with a P value≤0.05.</p><p><strong>Results: </strong>The study found that the mean total PTG score was 63.35±18.19, the resilience score was 82.39±13.62, and the SC score was 76.36±6.65. There was a significant difference between various treatment stages in the total PTG score (P=0.05), and PTG score was correlated with resilience (r=0.63, P<0.001) and SC score (r=0.20, P=0.04). The total resilience score was the sole predictor of the total PTG score. Higher resilience total scores during chemotherapy and radiotherapy (B=0.74, P<0.001), surgery (B=1.08, P<0.001), and drug treatment phases (B=0.89, P<0.001), were associated with higher PTG scores. While SC was positively correlated with PTG, it did not predict it (P>0.05).</p><p><strong>Conclusion: </strong>The study suggests that enhancing resilience in adolescents with life-threatening diseases can improve PTG. Future studies are recommended to explore the impact of resilience strategies training on PTG in this population.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 1","pages":"53-66"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Caring Motivation Barriers among Mothers of Children with Intellectual and Developmental Disabilities: A Qualitative Content Analysis.","authors":"Seyed Javad Hosseini, Monir Ramezani, Farah Ashrafzadeh, Jamshid Jamali","doi":"10.30476/ijcbnm.2024.102470.2490","DOIUrl":"10.30476/ijcbnm.2024.102470.2490","url":null,"abstract":"<p><strong>Background: </strong>Caring a child with intellectual and developmental disabilities (IDDs) presents numerous challenges that can impact the mothers' caring motivation. This study aimed to explore the caring motivation barriers among mothers of children with IDDs.</p><p><strong>Methods: </strong>This qualitative content analysis study was conducted from July 2023 to March 2024. Twenty-six mothers of children with IDDs were purposefully selected to participate in face-to-face semi-structured interviews. Data collection continued until saturation was achieved. Data analysis was conducted using Mayring's inductive approach within MAXQDA version 20. We utilized Lincoln and Guba's criteria for ensuring rigor.</p><p><strong>Results: </strong>The mean ages of the mothers and children were 40.34±7.44 years and 9.38±4.33 years, respectively. The analysis identified several main categories and 15 subcategories: (I) Mother's insufficient readiness: low level of competency, decreased maternal strength with child's advancing age, caregiving fatigue, complex health problems, and incompatibility with the child's disability; (II) Perceived lack of support for the mother in caregiving: insufficient family support, inadequate social support, deficient healthcare provider support, lack of spiritual support, and insufficient financial support; and (III) Encountering caring complexity: disappointment with the child's recovery, challenges in providing optimal rehabilitation, multiple physical problems in the child, unintentional behaviors in the child, and priority of personal goals over the care.</p><p><strong>Conclusion: </strong>The motivation of mothers to care for children with IDDs is influenced by a range of challenges. Future research should take these barriers into account to enhance maternal caregiving motivation. To modify the identified obstacles, a comprehensive plan of actions should be devised.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 1","pages":"77-89"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stakeholders' Perspectives on Child Healthcare Services under Rural Health Reform in Thailand: A Qualitative Study.","authors":"Katemanee Moonpanane, Salisa Kodyee, Pimkanabhon Trakooltorwong, Kunnara Maneekunwong, Chompunut Sopajaree","doi":"10.30476/ijcbnm.2024.102052.2468","DOIUrl":"10.30476/ijcbnm.2024.102052.2468","url":null,"abstract":"<p><strong>Background: </strong>Children under 5 years old are a global health priority; however, healthcare services for this age group remain limited, especially in rural areas of Thailand. This study explores the perspectives of stakeholders responsible for child healthcare delivery in resource-constrained rural communities.</p><p><strong>Methods: </strong>This study is a qualitative research using thematic framework analysis. Participants (N=45) including twenty parents, ten healthcare providers, five village health volunteers, five teachers, and five community leaders were recruited using purposive sampling. In-depth interviews and focus group discussions, lasting between 40 and 70 minutes, were performed to explore the participants' perspectives. Data were collected from February to November 2021. All interviews were transcribed and analyzed using NVivo software version 21.</p><p><strong>Results: </strong>The research identified two themes, each with two sub-themes: 1) Structural limitations: disparity in the distribution of service and healthcare provider training and challenges in policy implementation, and 2) Opportunities to optimize childcare: fostering community ownership and multidisciplinary collaboration and strengthening family engagement.</p><p><strong>Conclusions: </strong>This study revealed significant challenges and opportunities in delivering healthcare services to children in rural Thailand. The findings underscore the importance of coordinated interventions that enhance community involvement and strengthen family engagement.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 1","pages":"16-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of an Educational Application on The Quality of Life and Treatment Adherence in Mothers of Children with Congenital Heart Disease Undergoing Cardiac Surgery: A Randomized Clinical Trial.","authors":"Mohammad Mehdi Rajabi, Jamalodin Begjani, Reza Negarandeh","doi":"10.30476/ijcbnm.2024.103351.2544","DOIUrl":"10.30476/ijcbnm.2024.103351.2544","url":null,"abstract":"<p><strong>Background: </strong>The primary caregivers of children with congenital heart disease (CHD) after cardiac surgery at home are often their mothers. Therefore, the quality of life (QoL) and treatment adherence (TA) of mothers are crucial for the prognosis of these children. This study evaluated the impact of a mobile educational application on the QoL and TA in mothers of children with CHD undergoing cardiac surgery.</p><p><strong>Methods: </strong>This randomized clinical trial was conducted on 72 mothers of children with CHD referred for cardiac surgery to Children's Medical Center Hospital, Tehran, Iran, from September 2023 to May 2024. Mothers were randomly assigned to intervention (n=36) and control (n=36) groups. The intervention group received the educational app upon discharge and used it for four weeks, while the control group received standard discharge education, which consisted of face-to-face education. Data were collected using a demographic form, the 36-Item Short Form Health Survey (SF-36), and the Modanloo Treatment Adherence Questionnaire at baseline and one month post-intervention. Data were analyzed using SPSS software version 26, with independent t-test, chi-square, and analysis of covariance. A significance level of P<0.05 was considered.</p><p><strong>Results: </strong>At baseline, no significant differences were observed between the two groups in total score of QoL (P=0.18) and TA (P=0.70). One month post-intervention, the intervention group showed significantly higher total scores in QoL (P<0.001) and TA (P<0.001) compared to the control group.</p><p><strong>Conclusion: </strong>Using mobile applications in home care education can significantly enhance the QoL and TA in mothers of children with CHD after surgery.<b>Trial Registration Number:</b> IRCT20230816059164N1.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 1","pages":"40-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Need to Develop Evidence-based Practice Guidelines for School Nurses in Iran.","authors":"Mahnaz Solhi, Zahra Saboohi","doi":"10.30476/ijcbnm.2024.102800.2511","DOIUrl":"https://doi.org/10.30476/ijcbnm.2024.102800.2511","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"12 4","pages":"292-293"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Super Brain Yoga on Concentration, Memory, and Academic Progress in Nursing Students: A Quasi-Experimental Study.","authors":"Pouran Varvani Farahani, Candan Ozturk, Abimbola Carew","doi":"10.30476/ijcbnm.2024.101697.2440","DOIUrl":"https://doi.org/10.30476/ijcbnm.2024.101697.2440","url":null,"abstract":"<p><strong>Background: </strong>During university life, students often face significant changes in relationships and academic pressures. Given the stressors faced by nursing students and the importance of their academic success, the study aimed to assess the impact of Super Brain Yoga on nursing students' concentration, memory, and academic progress.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted on 59 nursing students at Near East University in Cyprus from February to June 2023. The intervention group (N=29) performed Super Brain Yoga three times a week for two months, while the control group (N=30) continued the usual routines. Data were collected using the demographic questionnaire, Wechsler's memory test, Concentration test, and the semester grade point average. Data analysis was performed using independent and paired t-test, chi-square, and ANCOVA using SPSS software version 26, with a significance level of P˂0.05.</p><p><strong>Results: </strong>The study revealed a significant difference in total memory scores (P<0.001) and its subscales including personal and public information (P<0.001), orientation (P<0.001), mental control (P<0.001), logical memory (P=0.002), repeating numbers (P<0.001), visual memory (P<0.001), and learning associations (P=0.003) between the experimental and control groups after the intervention. Findings revealed a significant difference between the two groups in the reaction time (P=0.003) and the error of the reverse counting (P=0.021) following the intervention. After the intervention, based on ANCOVA test with adjusting the baseline values, there was no statistically significant difference in the semester mean of Grade Point Average between the two groups (95% confidence interval, P=0.657).</p><p><strong>Conclusion: </strong>Super Brain Yoga is a non-invasive intervention that can improve memory, concentration, and cognitive abilities in nursing students.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"12 4","pages":"218-227"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Shiatsu Massage on Labour Pain and Anxiety: A Randomized Controlled Trial.","authors":"Hestri Norhapifah, Mohamad Rodi Isa, Bahiyah Abdullah, Salina Mohamed","doi":"10.30476/ijcbnm.2024.101509.2432","DOIUrl":"10.30476/ijcbnm.2024.101509.2432","url":null,"abstract":"<p><strong>Background: </strong>Labour pain experienced by women during childbirth can significantly affect the mother's psychological condition and birthing process. This study aimed to determine the effect of shiatsu massage on pain and anxiety during labour.</p><p><strong>Method: </strong>This randomized controlled trial was conducted on 80 nulliparous pregnant women who gave birth in four low-risk maternity clinics in Samarinda, Indonesia, from February to May 2022. The women were randomized into intervention (N=40) and control (N=40) groups based on random allocation. Certified midwives performed shiatsu massages following standard protocols. Pain was assessed using the Numeric Rating Scale, and anxiety was assessed using the Hamilton Anxiety Rating Score at three times including before the intervention (T0), the latent phase (T1), and at transition phase (T2). The impact of the intervention was analyzed using repeated measures analysis of variance by SPSS 26. A p-value less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The intervention group showed a significant reduction in labour pain scores from 6.85±1.00 (T0) to 6.13±0.88 (T1) and 4.78±0.83 (T2) (P<0.001), while the control group showed an increase from 6.85±1.00 (T0) to 8.05±0.64 (T1) and 8.85±0.48 (T2) (P<0.001). Anxiety scores in the intervention group decreased from 28.53±4.41 (T0) to 26.15±3.59 (T1) and 20.65±2.69 (T2) (P<0.001), whereas the control group experienced an increase from 25.55±3.16 (T0) to 27.05±3.36 (T1) and 31.73±3.27 (T2) (P<0.001). The between-subject effects in time levels for labour pain and anxiety in the two study groups had a significant impact (P<0.001).</p><p><strong>Conclusion: </strong>Findings showed that shiatsu massage was effective and safe for relieving pain and reducing anxiety during childbirth of nulliparous women. This research suggests that shiatsu massage can be used as an effective alternative method to relieve pain and anxiety during labour in low risk pregnancies, particularly in settings with limited access to pharmaceutical analgesics.<b>Trial Registration Number:</b> IRCT20220317054316N1.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"12 4","pages":"243-253"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Well-being Experiences of Patients Following Heart Valve Replacement Surgery through the Biopsychosocial-spiritual Model: A Qualitative Content Analysis.","authors":"Masoud Abdollahi, Hossein Karimi Moonaghi, Abbas Ebadi, Ali Eshraghi, Tahereh Sadeghi","doi":"10.30476/ijcbnm.2024.101473.2427","DOIUrl":"https://doi.org/10.30476/ijcbnm.2024.101473.2427","url":null,"abstract":"<p><strong>Background: </strong>Heart valve replacement (HVR) surgery represents a significant life event that can potentially impact the well-being (WB) of patients; however, there is a shortage of research on the understanding of WB in HVR patients. This study aims to elucidate the WB experiences of patients who have undergone HVR surgery.</p><p><strong>Methods: </strong>A qualitative directed content analysis approach was employed, focusing on patients who had undergone HVR surgery at hospitals affiliated with Mashhad University of Medical Sciences in Iran from March 2021 to June 2022. Data collection involved conducting 23 face-to-face, semi-structured, in-depth interviews with HVR patients until data saturation was reached. Data analysis was performed using the Elo and Kyngäs approach in MAXQDA software version 10.</p><p><strong>Results: </strong>The analysis revealed 11 generic categories based on the Biopsychosocial-Spiritual (BPSS) model, encompassing the WB experiences of HVR patients. These categories included physical improvements, facilitated treatment compliance, personal and environmental mastery, optimism in life, resilience, healing therapeutic communication of medical staff, a positive supportive atmosphere, job and financial assurance, faith in a higher power, optimism regarding a purposeful future, and gratitude mixed with generosity.</p><p><strong>Conclusion: </strong>The findings of the current study revealed that the experience of WB in HVR patients was influenced by various conditions. By recognizing these conditions, healthcare providers can develop targeted interventions to improve the WB experience in these patients. Also, the findings provide a foundation for future research on WB in medical contexts.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"12 4","pages":"228-242"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Applying Problem-solving Skills on Stress Coping Styles and Emotional Self-efficacy in Mothers of Preterm Neonates: A Randomized Clinical Trial.","authors":"Mahbubeh Bagheri, Monir Ramezani, Saeed Vaghee, Tahereh Sadeghi","doi":"10.30476/ijcbnm.2024.100522.2368","DOIUrl":"10.30476/ijcbnm.2024.100522.2368","url":null,"abstract":"<p><strong>Background: </strong>Dysfunctional stress-coping styles may accelerate negative emotional self-efficacy in the mothers of preterm neonates. This study was conducted to determine the effect of applying problem-solving skills on stress-coping styles and emotional self-efficacy in mothers of preterm neonates.</p><p><strong>Methods: </strong>This randomized clinical trial was conducted from January 2020 to February 2021 in 4 neonatal intensive care units (NICU) of Mashhad, Iran. 60 mothers were selected using convenience sampling method and randomly assigned to control and intervention groups. The intervention group was divided into groups of 3-5 people to attend 6 sessions of at least 60 minutes held 3 times a week for two weeks and received training on problem-solving skills. The control group received routine care. Data were collected using demographic characteristic forms, problem-solving inventory, ways of Coping Questionnaire, and the emotional self-efficacy scale. The tools were initially filled out by both groups and re-completed at the end of the second week after the intervention and four weeks later. Data were analyzed using SPSS version 21 and the significance level of less than 0.05. Independent and paired t-test, Mann-Whitney, Chi-square, Fisher's exact test, repeated measures, and Bonferroni post hoc test were used.</p><p><strong>Results: </strong>Analysis of variance with repeated measures showed that in the intervention group, there was an increase in the scores of problem-focused style (before: 37.9±6.3; immediately: 46.2±5.3; one month later: 47.5±5.6) (P<0.001), a decrease in scores of emotion-focused style (before: 44.0±6.9; immediately: 38.6±6.2; one month later: 38.0±4.4) (P<0.001), and an increase in mothers' emotional self-efficacy (before: 113.0±14.9; immediately: 130.3±10.6; one month later: 134.5±8.3) (P<0.001). Conclusion: Problem-solving skills are recommended to be used in NICU to empower mothers.</p><p><strong>Conclusion: </strong>Problem-solving skills are recommended to be used in NICU to empower mothers to adopt appropriate strategies for dealing with the situational stress of having a preterm neonate and to increase emotional self-efficacy.<b>Trial Registration Number:</b> IRCT20191211045696N1.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"12 4","pages":"254-266"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Emergency Scenario-Based Training Program on Knowledge, Self-confidence, and Competency of Elderly Caregiver Volunteers in a Rural Thai Community: A Quasi-Experimental Study.","authors":"Praditporn Pongtriang, Thassanee Soontorn, Jaruwat Sumleepun, Noawarat Chuson, Praneed Songwathana","doi":"10.30476/ijcbnm.2024.101514.2431","DOIUrl":"10.30476/ijcbnm.2024.101514.2431","url":null,"abstract":"<p><strong>Background: </strong>Many older people with comorbidities encounter emergency or life-threatening situations, but the response is often neglected or delayed, resulting in increased morbidity and mortality rates. Community preparedness to reduce the impact of emergency crises on older people is essential. This study aimed to determine the effect of an emergency scenario-based training program (ESBTP) for elderly care on the knowledge, self-confidence, and competency of volunteer caregivers in a rural Thai community.</p><p><strong>Methods: </strong>The one-group pre-post-test, quasi-experimental study, was conducted with a non-randomized research sampling of 40 community healthcare volunteers in Vibhavadi district, Surat Thani, Thailand. The research was conducted between October and December 2021. The ESBTP was based on Bloom's learning theory. The research instrument was a three-part questionnaire measuring knowledge, self-confidence, and competency in geriatric life-threatening surveillance and emergency assistance (GLTSEA) at one, four, and eight weeks of training. Data were analyzed using Bonferroni statistics and repeated measures ANOVA through the software IBM SPSS version 28 with hypothesis testing at P<0.05.</p><p><strong>Results: </strong>The results revealed that at Week 1, Week 4, and Week 8, the volunteers attending the ESBTP demonstrated significantly higher GLTSEA competency (P<0.001). Otherwise, the participants were not significantly different in GLTSEA knowledge (P=0.068) and self-confidence (P= 0.052) after the training.</p><p><strong>Conclusions: </strong>Volunteers' competency increased after ESBTP, but there must be continuity in community training to develop the relevant knowledge, self-confidence, and skills for emergencies.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"12 4","pages":"267-277"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}