The Effect of Multidimensional Disaster Education on Disaster Awareness and Disaster Response Self- Efficacy Among Student Nurses Affected by the Kahramanmaraş-centered Earthquake: a Quasi- Experimental Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 108
- 试验地点
- 1
- 主要终点
- Disaster Awareness Scale (DAS)
研究概览
简要总结
Objective: This study examines the effect of multidimensional disaster training on disaster awareness and disaster intervention self-efficacy of pre-service nurses who experienced the effects of the earthquake centred in Kahramanmaraş. Since there is not enough disaster-related training in nursing curricula, it is thought that such trainings will improve the skills of nurses. The study aims to investigate whether this training increases students' knowledge and intervention competences towards disasters.
Methods: This research is a study with a quasi-experimental design. The study was conducted with 1st and 2nd year students who were studying at a university, Department of Nursing, and had not taken public health and disaster management courses. An intervention group and a control group were formed by applying tests measuring disaster awareness and disaster response self-efficacy to the students. Web-based multidimensional disaster training consisting of 10 sessions was given to the intervention group. After the training, both groups were retested and the changes in disaster awareness and response self-efficacy were evaluated. After that, the data was analyzed with statistical tests.
详细描述
Disasters are events that cause widespread destruction, exceeding a society's capacity to respond without external assistance. These events may arise from natural or human-induced causes and often result in significant social and environmental consequences. Recent years have seen a marked increase in natural disasters globally. For instance, in 2022, 387 natural disasters affected 185 million people worldwide. The earthquakes that struck the Kahramanmaraş region in Turkey in February 2023 caused massive devastation, impacting over 9 million people and resulting in more than 50,000 fatalities.
To reduce disaster-related losses, integrating disaster risk planning into national policies is essential. Disaster management involves four main stages: preparedness, mitigation, response, and recovery. Among healthcare professionals, nurses have a particularly crucial role at every stage. Their awareness and response capabilities directly influence the effectiveness of disaster interventions. Therefore, strengthening nursing education in disaster preparedness is of growing importance.
Globally, disaster-related content is included in undergraduate and postgraduate nursing education, especially in high-risk areas. However, in Turkey, such content is often limited. Previous studies show that nurses' awareness and competencies in disaster response remain inadequate. While numerous studies assess nursing students' knowledge and awareness, few focus on interventions to improve disaster response self-efficacy.
This study aims to evaluate the effect of a multidimensional disaster training program on nursing students' disaster awareness and self-efficacy.
A quasi-experimental randomized controlled trial was conducted with first- and second-year nursing students who had not received prior education in public health or disaster management. From a pool of 120 eligible students, 108 were randomly assigned into intervention and control groups (54 each), based on stratification by class and gender. The sample size was calculated using G*Power software based on medium effect size assumptions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
盲法说明
To ensure blinding, baseline and final outcome measurements were performed by a researcher other than the training investigator.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being 18 years of age or older,
- •Being a first- or second-year student enrolled in the Nursing Department of a university,
- •Not having received any prior education related to Public Health or Disaster Management,
- •Reading and approving the informed voluntary consent form and agreeing to participate in the study.
排除标准
- •Having received prior education or training in public health, disaster preparedness, or disaster management,
- •Currently enrolled in or having completed any course related to disasters, Not providing informed consent,
- •Being absent during either the intervention or data collection phases.
结局指标
主要结局
Disaster Awareness Scale (DAS)
时间窗: From baseline to the end of treatment at 10 days
Developed by Kırıkkaya and Gerdan, is a five-point Likert-type measurement tool consisting of a total of 23 items: strongly agree 5, agree 4, undecided 3, disagree 2, strongly disagree 1. The scale, which has a 5-factor structure as disaster knowledge, pre-disaster, during disaster, post-disaster and awareness of non-structural risks, has a total variance explanation level of 57%. Cronbach Alpha reliability coefficient of the scale was calculated as α=.86.
Disaster Response Self-Efficacy Scale (DRSES)
时间窗: From baseline to the end of treatment 10 days
It was developed by Hong-Yan Li. The validity and reliability studies of the Turkish form of the scale were conducted by Koca and colleagues. It consisted of 19 items and 3 sub-dimensions, and the answers were taken with a 5-point Likert scale (1=Not confident at all, 2=basically not confident, 3=Somewhat confident, 4=Basically confident, 5=Fully confident). A high score indicates a high level of disaster response self-efficacy. Cronbach's alpha coefficient of the whole scale was determined as 0.96. Cronbach alpha values for the three dimensions were determined as on-site rescue competence=0.93, psychological nursing competence in disaster=0.93 and the quality of the role undertaken in disaster and adaptation competence =0.93.
Disaster Awareness Scale (DAS)
时间窗: From baseline to the end of treatment at 10 days
Developed by Kırıkkaya and Gerdan, is a five-point Likert-type measurement tool consisting of a total of 23 items: strongly agree 5, agree 4, undecided 3, disagree 2, strongly disagree 1. The scale, which has a 5-factor structure as disaster knowledge, pre-disaster, during disaster, post-disaster and awareness of non-structural risks, has a total variance explanation level of 57%. Cronbach Alpha reliability coefficient of the scale was calculated as α=.86.
Disaster Response Self-Efficacy Scale (DRSES)
时间窗: From baseline to the end of treatment 10 days
It was developed by Hong-Yan Li. The validity and reliability studies of the Turkish form of the scale were conducted by Koca and colleagues. It consisted of 19 items and 3 sub-dimensions, and the answers were taken with a 5-point Likert scale (1=Not confident at all, 2=basically not confident, 3=Somewhat confident, 4=Basically confident, 5=Fully confident). A high score indicates a high level of disaster response self-efficacy. Cronbach's alpha coefficient of the whole scale was determined as 0.96. Cronbach alpha values for the three dimensions were determined as on-site rescue competence=0.93, psychological nursing competence in disaster=0.93 and the quality of the role undertaken in disaster and adaptation competence =0.93.
次要结局
未报告次要终点
研究者
Hanifi DÜLGER
Dr. Lecturer
Bartın Unıversity