Related Experiment Video
Updated: Jun 20, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Building School Nurses' Capacity to Lead Medical Emergency Response Teams: Evaluating Knowledge and Practice Changes.
Diane Wing1, Evilia Jankowski2, Julia W Felton3
1Wingspan Research Group, Grand Rapids, MI, USA.
A train-the-trainer program significantly improved school nurses' knowledge and application of Medical Emergency Response Teams (MERTs). This professional development enhanced school medical emergency preparedness and leadership capabilities.
Area of Science:
- Public Health
- Emergency Medicine
- Nursing Education
Background:
- Schools face increasing complex medical emergencies.
- Coordinated school-based response systems are crucial.
- School nurses are vital for leading Medical Emergency Response Teams (MERTs).
Purpose of the Study:
- To evaluate a train-the-trainer program's effectiveness.
- To assess the program's impact on school nurses' capacity to lead MERTs.
- To examine the implementation and sustainability of MERTs in schools.
Main Methods:
- Mixed-methods design with 335 participants.
- Retrospective pre/post-surveys assessing MERT knowledge.
- 6-month follow-up surveys evaluating practical application of MERTs.
Main Results:
- Significant increases in self-reported MERT knowledge post-training (P < 0.05).
- Knowledge gains were sustained at 6 months.
- Active MERT implementation, including team formation, staff training, and plan utilization during emergencies.
Conclusions:
- Professional development effectively enhances school nurses' leadership in medical emergency response.
- The train-the-trainer program leads to sustained improvements in school medical emergency preparedness.
- MERT implementation is feasible and beneficial in school settings.
Related Concept Videos
The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
National Nursing Organizations II
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
Nurses' Legal Responsibilities I
The legal responsibilities of a nurse regarding informed consent include the following:
International Nursing Organizations II
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
Accountability and Responsibility of a Nurse I