{"title":"灾害护理教育项目的有效性：一项基于知识、态度和技能领域的元分析。","authors":"Hwa Sun Kim","doi":"10.1017/dmp.2025.10209","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Disaster preparedness is a critical component of nursing education as nurses are expected to respond effectively to public health emergencies. Various disaster nursing education programs have been developed globally, but their effectiveness across cognitive, affective, and psychomotor domains remains unclear. This meta-analysis evaluated the overall impact of these programs across learning domains.</p><p><strong>Methods: </strong>Eleven experimental or quasi-experimental studies involving nursing students and nurses were included. The pooled effect size was calculated using Hedges' g. Heterogeneity was assessed using Cochran's Q and the I<sup>2</sup> statistic. Subgroup analyses were conducted by learning domain. Publication bias was assessed via a funnel plot.</p><p><strong>Results: </strong>The overall effect size was large (Hedges' g = 1.80, 95% CI: 1.491-2.399, <i>P</i> < .001). Heterogeneity was high (Q = 377.91, <i>P</i> < .001, I<sup>2</sup> = 97.4%). The affective domain showed the strongest effect (g = 2.96), followed by psychomotor (g = 1.98) and cognitive (g = 0.66). The funnel plot showed minimal publication bias.</p><p><strong>Conclusions: </strong>Disaster nursing education programs significantly improve learning outcomes across domains, especially in attitudes and practical skills. These findings support the need for integrated curricula in nursing education.</p>","PeriodicalId":54390,"journal":{"name":"Disaster Medicine and Public Health Preparedness","volume":"19 ","pages":"e275"},"PeriodicalIF":1.8000,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of Disaster Nursing Education Programs: A Meta-Analysis Focused on Knowledge, Attitude, and Skill Domains.\",\"authors\":\"Hwa Sun Kim\",\"doi\":\"10.1017/dmp.2025.10209\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Disaster preparedness is a critical component of nursing education as nurses are expected to respond effectively to public health emergencies. Various disaster nursing education programs have been developed globally, but their effectiveness across cognitive, affective, and psychomotor domains remains unclear. This meta-analysis evaluated the overall impact of these programs across learning domains.</p><p><strong>Methods: </strong>Eleven experimental or quasi-experimental studies involving nursing students and nurses were included. The pooled effect size was calculated using Hedges' g. Heterogeneity was assessed using Cochran's Q and the I<sup>2</sup> statistic. Subgroup analyses were conducted by learning domain. Publication bias was assessed via a funnel plot.</p><p><strong>Results: </strong>The overall effect size was large (Hedges' g = 1.80, 95% CI: 1.491-2.399, <i>P</i> < .001). Heterogeneity was high (Q = 377.91, <i>P</i> < .001, I<sup>2</sup> = 97.4%). The affective domain showed the strongest effect (g = 2.96), followed by psychomotor (g = 1.98) and cognitive (g = 0.66). The funnel plot showed minimal publication bias.</p><p><strong>Conclusions: </strong>Disaster nursing education programs significantly improve learning outcomes across domains, especially in attitudes and practical skills. These findings support the need for integrated curricula in nursing education.</p>\",\"PeriodicalId\":54390,\"journal\":{\"name\":\"Disaster Medicine and Public Health Preparedness\",\"volume\":\"19 \",\"pages\":\"e275\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-09-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Disaster Medicine and Public Health Preparedness\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1017/dmp.2025.10209\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Disaster Medicine and Public Health Preparedness","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/dmp.2025.10209","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
目的：备灾是护理教育的重要组成部分，因为护士应有效应对突发公共卫生事件。各种灾难护理教育项目已经在全球范围内发展起来，但它们在认知、情感和精神运动领域的有效性尚不清楚。本荟萃分析评估了这些课程在学习领域的总体影响。方法：纳入11项涉及护生和护士的实验或准实验研究。合并效应量采用Hedges’s g计算。异质性采用Cochran’s Q和I2统计量评估。采用学习域进行分组分析。通过漏斗图评估发表偏倚。结果：总体效应量较大（Hedges' g = 1.80, 95% CI: 1.491-2.399, P < 0.001）。异质性高（Q = 377.91, P < 0.001, I2 = 97.4%）。情感领域的影响最大（g = 2.96），其次是精神运动领域（g = 1.98）和认知领域（g = 0.66）。漏斗图显示最小的发表偏倚。结论：灾害护理教育项目显著提高了各领域的学习成果，特别是在态度和实践技能方面。这些发现支持了护理教育中整合课程的必要性。
Effectiveness of Disaster Nursing Education Programs: A Meta-Analysis Focused on Knowledge, Attitude, and Skill Domains.
Objective: Disaster preparedness is a critical component of nursing education as nurses are expected to respond effectively to public health emergencies. Various disaster nursing education programs have been developed globally, but their effectiveness across cognitive, affective, and psychomotor domains remains unclear. This meta-analysis evaluated the overall impact of these programs across learning domains.
Methods: Eleven experimental or quasi-experimental studies involving nursing students and nurses were included. The pooled effect size was calculated using Hedges' g. Heterogeneity was assessed using Cochran's Q and the I2 statistic. Subgroup analyses were conducted by learning domain. Publication bias was assessed via a funnel plot.
Results: The overall effect size was large (Hedges' g = 1.80, 95% CI: 1.491-2.399, P < .001). Heterogeneity was high (Q = 377.91, P < .001, I2 = 97.4%). The affective domain showed the strongest effect (g = 2.96), followed by psychomotor (g = 1.98) and cognitive (g = 0.66). The funnel plot showed minimal publication bias.
Conclusions: Disaster nursing education programs significantly improve learning outcomes across domains, especially in attitudes and practical skills. These findings support the need for integrated curricula in nursing education.
期刊介绍：
Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.
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