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The Professional Nurse01:22

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Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...

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Setup and Execution Of the Blindfolded Code Training Exercise
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Disaster preparedness knowledge and experiences among nurses during a competitive tabletop exercise program.

Bingbing Hu1, Beibei Wang1, Fanglin Li1

  • 1Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.

Frontiers in Public Health
|May 11, 2026
PubMed
Summary
This summary is machine-generated.

This study evaluated a nurse-tailored competitive tabletop exercise (TTX) program for disaster preparedness. The program significantly improved nurses

Keywords:
Kirkpatrick modeldisaster preparednessinterdisciplinary collaborationnursetabletop exercisetraining

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Area of Science:

  • Nursing Education
  • Disaster Management
  • Public Health

Background:

  • Global increase in disasters necessitates enhanced disaster response competencies for frontline nurses.
  • Tabletop exercises (TTX) are low-resource, immersive training tools with potential for improving nurses' disaster preparedness.
  • Systematic evaluations of nurse-centered TTX programs are scarce in China.

Purpose of the Study:

  • To comprehensively evaluate the effectiveness of a nurse-tailored competitive TTX program.
  • To utilize the Kirkpatrick model for a multi-level assessment of the TTX program's impact.

Main Methods:

  • Sequential explanatory mixed-methods design.
  • Implementation of a 270-minute TTX competition for 90 nurses across 30 healthcare institutions in Anhui Province.
  • Quantitative data collection using validated scales (SCLS, SDS, NDEKS, EPQ) and qualitative data from semi-structured interviews with 10 purposefully selected nurses.

Main Results:

  • Positive outcomes observed across all four Kirkpatrick levels.
  • High nurse satisfaction (SCLS: 4.42±0.54) and program design recognition (SDS: 4.38±0.52).
  • Significant improvements in nursing disaster emergency knowledge (NDEKS, p < 0.001) and positive behavioral tendencies (EPQ: 4.40±0.55).
  • Tangible regional impact on disaster nursing development in Anhui Province by 2025, including increased public awareness activities and professional committee formations.

Conclusions:

  • The nurse-tailored competitive TTX program effectively enhances disaster knowledge, core competencies, and interdisciplinary collaboration.
  • The program demonstrates a significant regional impact on disaster nursing development.
  • The integrated evaluation framework provides robust evidence for optimizing disaster nursing training and strengthening healthcare system resilience.