Evaluation of an emergency treatment training program for occupational health nurses

The purpose of this study was to evaluate the appropriateness and usefulness of the first aid training program developed for occupational health nurses (OHNs) to improve their basic skills of first aid treatment.

This was a case-control study. The subjects were 69 nurses who were stationed in workplaces in Japan (intervention group: n=35; waiting-list control group: n=34). The training program was developed using the method of instructional design (ID) and composed of basic life support (BLS) training, basic first aid training, and simulation training. This study was conducted from April to August 2012. The training was evaluated using the Kirkpatrick model of training evaluation: level 1 (reaction), level 2 (learning), level 3 (behavior), and level 4 (results; this level was omitted). For level 1, the training contents were evaluated on a visual analog scale (VAS) of 0 to 10 points on the basis of whether the programs' contents were interesting, understandable, and applicable in the workplace. For level 2, a knowledge test (15 true/false questions) was used. For level 3, the practical application of activities relating to the emergency system was evaluated.

There were no significant differences in the attributes and characteristics of the subjects of the workplaces between the intervention and the waiting-list control groups. The score for reaction (level 1) were 8.5-9.7 points. In the knowledge test (level 2), there was no significant difference in the score before training between the intervention (11.0 points) and the waiting-list control groups (11.1 points). However, the score three months later showed a significant difference between the intervention (12.5 points) and the waiting-list control groups (11.0 points). The score after training was significantly higher than the score before the training that the intervention group received. For evaluation of behavior (level 3) three months later, the ratios of implementation of management and review of necessary items, review of task, and discussion with OHNs on emergency systems were significantly high in the intervention group.

The evaluation of the first aid training programs for OHNs in this study showed high satisfaction of the participants and indicated improved knowledge and contributions to the waiting-list control group. We consider the contents of the program as appropriate.