Simulation-based forensic nursing education for emergency nurses using domestic violence cases: A randomized controlled study

Aim

In this study, we evaluated the effectiveness of a simulation-based training program in improving domestic violence forensic nursing competencies among emergency nurses, who frequently encounter victims of domestic violence.

Background

Nurses face challenges in providing adequate care for domestic violence victims, primarily because of a lack of education and training in this field.

Design

A stratified randomized controlled trial was conducted to evaluate the effectiveness of domestic violence forensic nursing simulation training incorporating standardized patients and injury moulages.

Methods

Thirty-six emergency department nurses with more than six months of experience in South Korea participated in this study. We assigned them into an experimental group (n = 18) that received both theory and simulation training with a control group (n = 18) that received only theory lectures. Both groups were evaluated before, immediately after and six weeks after the training. Knowledge and competency were assessed using questionnaires and performance was evaluated through direct observation. The intervention was conducted at the simulation center of a nursing college in Seoul.

Results

Statistically significant differences were observed between the control and experimental groups regarding forensic nursing performance (p = .009), competency (p = .030) and knowledge (p = .047). Additionally, a statistically significant difference was noted in all three variables over time (p < .001).

Conclusions

Simulation-based forensic nursing education improved knowledge, competency and performance, with sustained benefits for performance. Therefore, integrating simulation into nurse training may enhance domestic violence victim care by providing practical skills and promoting timely, effective interventions.