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Evaluation of a Novel Disaster Nursing Education Method

Published online by Cambridge University Press:  21 February 2018

Kristin Levoy ,
Summer D. DeBastiani  and
Brian E. McCabe
Kristin Levoy*
Affiliation:
School of Nursing and Health Studies, University of Miami, Coral Gables, Florida
Summer D. DeBastiani
Affiliation:
School of Nursing and Health Studies, University of Miami, Coral Gables, Florida
Brian E. McCabe
Affiliation:
School of Nursing and Health Studies, University of Miami, Coral Gables, Florida
*
Correspondence and reprint requests to Kristin Levoy, School of Nursing and Health Studies, University of Miami, P.O. Box 248153, Coral Gables, FL 33124-3850 (e-mail: knl17@miami.edu).
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Abstract

Objective

A common method of disaster training is needed to improve disaster nursing education and facilitate better communication among interprofessional disaster responders. To inform the development of disaster nursing curricula, a novel disaster nursing education method consistent with Homeland Security Exercise and Evaluation Program (HSEEP) and the International Council of Nurses (ICN) framework was developed to improve disaster nursing competencies in a baccalaureate nursing program.

Methods

In total, 89 undergraduate nursing students participated. Perceived disaster nursing knowledge, confidence, and training/response were assessed with 14 items before and after the education.

Results

Exploratory factor analysis showed 3 factors, knowledge, confidence, and training/response, explained 71% of variation in items. Nursing students showed large improvements in perceived disaster nursing knowledge (t=11.95, P<0.001, Cohen’s d=1.76), moderate increases in perceived confidence (t=4.54, P<0.001, d=0.67), and no change in disaster training and response (t=0.94, P=0.351, d=0.13).

Conclusions

Results show preliminary evidence supporting the effectiveness of disaster nursing education informed by HSEEP. This training has the potential to fill current practice gaps in disaster nursing knowledge and build confidence to use those skills in practice. (Disaster Med Public Health Preparedness. 2018;12:703-710)

Keywords

disaster nursingdisaster educationdisaster preparedness and responsedisaster simulationdisaster competency
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 6 , December 2018 , pp. 703 - 710
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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References

1. Nursing fact sheet. American Association of the Colleges of Nursing website. http://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Fact-Sheet. Published April 11, 2011. Accessed February 7, 2018.Google Scholar
2. Health Resources and Service Administration, Bureau of Health Professions, National Center for Health Workforce Analysis. The U.S. nursing workforce: trends in supply and education. https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/projections/nursingworkforcetrendsoct2013.pdf. Published October 2013. Accessed June 27, 2017.Google Scholar
3. Guha-Sapir, D, Hoyois, P, Below, R. Centre for Research on the Epidemiology of Disasters, Institute of Health and Society, Universite catholique de Louvain. Annual disaster statistical review 2015: the numbers and trends. http://www.cred.be/sites/default/files/ADSR_2015.pdf. Published October 2016. Accessed June 27, 2017.Google Scholar
4. Gursky, EA, Bice, G. Assessing a decade of public health preparedness: progress on the precipice? Biosecur Bioterror. 2012;10(1):55.Google Scholar
5. American Association of Colleges of Nursing. The essentials of baccalaureate education for professional nursing practice. http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf. Published October 20, 2008. Accessed June 27, 2017.Google Scholar
6. International Council of Nurses, World Health Organization. ICN framework of disaster nursing competencies. http://www.icn.ch/images/stories/documents/networks/DisasterPreparednessNetwork/Disaster_Nursing_Competencies_lite.pdf. Published 2009. Accessed June 27, 2017.Google Scholar
7. Atack, L, Parker, K, Rocchi, M, Maher, J, Dryden, T. The impact of an online interprofessional course in disaster management competency and attitude towards interprofessional learning. J Interprof Care. 2009;23(6):586-598.Google Scholar
8. Austin, EN, Bastepe-Gray, S, Nelson, HW, et al. Pediatric mass-casualty education: experiential learning through university-sponsored disaster simulation. J Emerg Nurs. 2014;40(5):428-433.Google Scholar
9. Colleran-Santos, C, Toronto, CE. Innovative teaching method in emergency response education of undergraduate nursing students. J Nurs Educ. 2014;53(8):483.Google Scholar
10. Hutchinson, SW, Haynes, S, Parker, P, Dennis, B, McLin, C, Welldaregay, W. Implementing a multidisciplinary disaster simulation for undergraduate nursing students. Nurs Educ Perspect. 2011;32(4):240. (report)Google Scholar
11. Zapko, KA, Ferranto, ML, Brady, C, et al. Interdisciplinary disaster drill simulation: laying the groundwork for further research. Nurs Educ Perspect. 2015;36(6):379. (report).Google Scholar
12. Jacobson, HE, Soto Mas, F, Hsu, CE, Turley, JP, Miller, J, Kim, M. Self‐assessed emergency readiness and training needs of nurses in rural Texas. Public Health Nurs. 2010;27(1):41-48.Google Scholar
13. Whetzel, E, Walker-Cillo, G, Chan, GK, Trivett, J. Emergency nurse perceptions of individual and facility emergency preparedness. J Emerg Nurs. 2013;39(1):46.Google Scholar
14. Veenema, TG, Griffin, A, Gable, AR, et al. Nurses as leaders in disaster preparedness and Response—A call to action. J Nurs Scholarsh. 2016;48(2):187-200.Google Scholar
15. Jose, MM, Dufrene, C. Educational competencies and technologies for disaster preparedness in undergraduate nursing education: an integrative review. Nurse Educ Today. 2014;34(4):543-551.Google Scholar
16. World Health Organization. Integrating emergency preparedness and response into undergraduate nursing curricula. http://www.who.int/hac/publications/Nursing_curricula_followup_Feb08.pdf. Published 2008. Accessed June 27, 2017.Google Scholar
17. World Health Organization. The contribution of nursing and midwifery in emergencies: report of a WHO consultation. http://www.who.int/hac/events/2006/nursing_consultation_report_sept07.pdf. Published 2007. Accessed June 27, 2017.Google Scholar
18. Department of Homeland Security. Homeland security exercise and evaluation program (HSEEP). https://www.fema.gov/media-library-data/20130726-1914-25045-8890/hseep_apr13_.pdf. Published April 2013. Accessed June 27, 2017.Google Scholar
19. Trainor, JE, Subbio, T. Critical issues in disaster science and management: a dialogue between researchers and practitioners. https://training.fema.gov/hiedu/docs/critical-issues-in-disaster-science-and-management.pdf. Published 2014. Accessed June 27, 2017.Google Scholar
20. Singleton, C, DeBastiani, S, Rose, D, Kahn, EB. An analysis of root cause identification and continuous quality improvement in public health H1N1 after-action reports. J Public Health Manag Pract. 2014;20(2):197. (report)Google Scholar
21. Department of Homeland Security. Homeland Security Exercise and Evaluation Program (HSEEP) Volume I: HSEEP Overview and Exercise Program Management. http://www.michigan.gov/documents/deq/deq-wb-wws-HSEEP_Vol_I_271850_7.pdf. Published March 2006. Accessed June 28, 2017.Google Scholar
22. Cohen, J. A power primer. Psychol Bull. 1992;112(1):155-159.Google Scholar
23. Chan, SSS, Chan, W, Cheng, Y, et al. Development and evaluation of an undergraduate training course for developing international council of nurses disaster nursing competencies in china. J Nurs Scholarsh. 2010;42(4):405-413.Google Scholar
24. Kaplan, BG, Connor, A, Ferranti, EP, Holmes, L, Spencer, L. Use of an emergency preparedness disaster simulation with undergraduate nursing students. Public Health Nurs. 2012;29(1):44-51.Google Scholar
25. Flanagan, NA, McCausland, L. Teaching around the cycle: strategies for teaching theory to undergraduate nursing students. Nurs Educ Perspect. 2007;28(6):310-314.Google Scholar
26. Bastable, SB. Nurse as Educator: Principles of Teaching and Learning for Nursing Practice. 3rd ed. Sudbury, MA: Jones and Bartlett; 2008.Google Scholar
27. Billings, DM, Halstead, J. Teaching in Nursing: A Guide for Faculty. 4th ed. St Louis, MO: Elsevier; 2012.Google Scholar
28. Baack, S, Alfred, D. Nurses’ preparedness and perceived competence in managing disasters. J Nurs Scholarsh. 2013;45(3):281-287.Google Scholar
29. Maran, N, Glavin, R. Low- to high-fidelity simulation – a continuum of medical education? Med Educ. 2003;37:22-28.Google Scholar
30. Barnett, DJ, Thompson, CB, Errett, NA, et al. Determinants of emergency response willingness in the local public health workforce by jurisdictional and scenario patterns: a cross-sectional survey. BMC Public Health. 2012;12:164. (research article)Google Scholar
31. Ranse, J, Jeeawody, B, Hutton, A, Wilson, R. What are the research needs for the field of disaster nursing? An International Delphi Study. Prehosp Disaster Med. 2014.Google Scholar
32. Turale, S. Nursing education: preparing for the inevitability of disasters and emergencies. Nurse Educ Pract. 2015;15(1):52-52.Google Scholar
33. Alfred, D, Chilton, J, Connor, D, et al. Preparing for disasters: education and management strategies explored. Nurse Educ Pract. 2015;15(1):82-89.Google Scholar
34. Culley, JM. The role of the medical reserve corps in nursing education. J Nurs Educ. 2010;49(12):708.Google Scholar
35. Foronda, CL, Shubeck, K, Swoboda, SM, et al. Impact of virtual simulation to teach concepts of disaster triage. Clin Simul Nurs. 2016;12(4):137-144.Google Scholar
36. El-Deirawi, K, Zuraikat, N. Registered nurses’ actual and perceived knowledge of diabetes mellitus. J Nurses Staff Dev. 2001;17(1):5.Google Scholar
37. DeBastiani, SD, Strine, TW, Vagi, SJ, Barnett, DJ, Kahn, EB. Preparedness perceptions, sociodemographic characteristics, and level of household preparedness for public health emergencies: behavioral risk factor surveillance system, 2006-2010. Health Secur. 2015;13(5):317.Google Scholar