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Decision-Making During a Disaster-Scenario Tabletop Exercise by Prelicensure Student Nurses - A Replication Study.

Cathleen A Evans1, Joan Perks2, Linda O'Kane3

  • 1School of Nursing, Widener University, Chester, Pennsylvania, USA.

Disaster Medicine and Public Health Preparedness
|May 10, 2022
PubMed
Summary
This summary is machine-generated.

Senior nursing students effectively transferred disaster and medical-surgical knowledge during a simulated disaster. Most decisions demonstrated successful learning transfer, with remediation for those below the optimal threshold.

Keywords:
community health planningdisasteremergency nursingnurse’s rolepatient acuity

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Area of Science:

  • Nursing Education
  • Disaster Preparedness
  • Clinical Decision-Making

Background:

  • The National Council Licensing Exam includes "Determine which clients to recommend for discharge in a disaster situation" as a Registered Nurse Activity Statement.
  • This raises questions about senior nursing students' ability to apply knowledge in high-risk disaster scenarios.

Purpose of the Study:

  • To describe senior nursing students' transfer of learning for disaster and medical-surgical knowledge.
  • To evaluate students' recommendations for patient dispositions in a disaster simulation.
  • To assess students' attitudes toward their learning transfer during a tabletop exercise.

Main Methods:

  • A descriptive quantitative study utilized a researcher-designed disaster-scenario tabletop exercise.
  • Data were collected using three instruments with subject-matter-expert feedback.
  • Eligible senior nursing students from two universities participated; decisions and attitudes were statistically analyzed.

Main Results:

  • Descriptive and difficulty index (DI) statistics were used to analyze students' knowledge transfer and patient disposition recommendations.
  • The cut-score for optimal transfer of learning was defined as a DI ≤ .49.
  • Students exhibited positive attitudes and successfully transferred learning to most decisions.

Conclusions:

  • Senior nursing students demonstrated the ability to transfer foundational disaster and medical-surgical knowledge.
  • Students' decision-making in simulated disaster scenarios was largely effective.
  • Decisions with a DI ≤ .49 indicated a need for remediation, suggesting a targeted approach to improve learning transfer.