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Evaluating the Difference in Emergency Nurses' Disaster Response Self-Reported Confidence and Assessed Knowledge
Nathan Durbridge1, Emma Hall1,2, Mirjana Sikic1
1Alfred Health, https://ror.org/04scfb908Alfred Hospital Emergency & Trauma Centre, Melbourne VIC, Australia.
Disaster Medicine and Public Health Preparedness
|June 23, 2025
Summary
Face-to-face disaster response training significantly boosts emergency department nurses' confidence and knowledge. This practical, clinical setting education better prepares nurses for emergency disaster incidents compared to online training.
Area of Science:
- Emergency Medicine
- Disaster Preparedness
- Nursing Education
Background:
- Effective disaster response requires well-prepared emergency department (ED) nurses.
- Current online training may not adequately equip nurses for real-world disaster scenarios.
- Assessing the impact of practical training on ED nurse preparedness is crucial.
Purpose of the Study:
- To evaluate the effectiveness of a practical, face-to-face emergency disaster incident response training program.
- To determine if this training improves self-reported confidence and assessed knowledge among ED nurses.
- To compare the outcomes of practical training with standard online training.
Main Methods:
- A single-site prospective pre-test and post-test randomized controlled trial was conducted.
- The intervention group received practical, face-to-face disaster response training.
- The control group completed mandatory annual online hospital training.
Main Results:
- A large difference in post-test median self-reported confidence was observed between groups, favoring the practical training.
- A significant proportion of nurses in the practical training group achieved satisfactory self-reported confidence levels post-intervention.
- Moderate differences in post-test median knowledge and satisfactory knowledge levels were noted, favoring the practical training group.
Conclusions:
- Practical, face-to-face disaster preparedness education in the clinical setting enhances ED nurses' readiness for emergency disaster incidents.
- Organizations should integrate structured, practical, face-to-face training to supplement existing online disaster preparedness programs.
- This approach improves both confidence and knowledge, leading to better overall preparedness for ED nurses.
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