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Building Trust and Confidence in Disaster Nursing: A Mixed-Methods Critical Inquiry.

Jeanette Drake1, Adrianna Watson1, Matthew Anderson1

  • 1College of Nursing, Brigham Young University, Provo, Utah, USA.

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|October 21, 2025
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Summary
This summary is machine-generated.

Mass casualty incident simulations significantly boost nursing confidence and preparedness. Relational competence, not just technical skill, is crucial for trust-building in disaster response, emphasizing humanistic care.

Keywords:
critical inquirydisaster nursingmixed‐methodsphenomenologysimulationtrust‐building

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Area of Science:

  • Nursing Education
  • Disaster Preparedness
  • Simulation-Based Learning

Background:

  • Mass casualty incident (MCI) simulations are vital for disaster nursing preparedness.
  • Current approaches often overemphasize technical skills in simulation.

Purpose of the Study:

  • To evaluate the impact of MCI simulations on student nurse confidence and preparedness.
  • To explore the role of relational competence in disaster response trust-building.

Main Methods:

  • Mixed-methods analysis combining quantitative surveys (380 student nurses) and qualitative data (251 student reflections, 487 volunteer patient actor narratives).
  • Hermeneutic analysis to interpret qualitative data on readiness, composure, and compassionate care.

Main Results:

  • Quantitative data showed significant increases in student nurse confidence across all domains (p < 0.001).
  • Qualitative data identified readiness, composure, and compassionate care as key to trust-building.
  • Relational competence emerged as a fundamental aspect of preparedness, not merely a secondary outcome.

Conclusions:

  • Disaster nursing curricula should integrate trust-building, reflection, and ethical dialogue into simulations.
  • Volunteer patient actors provide a cost-effective, scalable method for global simulation.
  • Prioritizing relational and ethical competencies alongside technical skills reframes disaster readiness as a humanistic and ethical practice.