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Evaluating the Difference in Emergency Nurses’ Disaster Response Self-Reported Confidence and Assessed Knowledge Scores: A Randomized Controlled Trial

Published online by Cambridge University Press:  23 June 2025

Nathan Durbridge*
Affiliation:
Alfred Health, https://ror.org/04scfb908 Alfred Hospital Emergency & Trauma Centre , Melbourne VIC, Australia
Emma Hall
Affiliation:
Alfred Health, https://ror.org/04scfb908 Alfred Hospital Emergency & Trauma Centre , Melbourne VIC, Australia Mercy Health, Werribee Hospital, Werribee VIC, Australia
Mirjana Sikic
Affiliation:
Alfred Health, https://ror.org/04scfb908 Alfred Hospital Emergency & Trauma Centre , Melbourne VIC, Australia
Angela Weber
Affiliation:
Alfred Health, https://ror.org/04scfb908 Alfred Hospital Emergency & Trauma Centre , Melbourne VIC, Australia
John Thompson
Affiliation:
University of Melbourne. School of Health Sciences, https://ror.org/01ej9dk98 Department of Nursing , Parkville VIC, Australia
Gerard O’Reilly
Affiliation:
Alfred Health, https://ror.org/04scfb908 Alfred Hospital Emergency & Trauma Centre , Melbourne VIC, Australia Monash University. https://ror.org/02bfwt286 School of Public Health & Preventative Medicine , Melbourne VIC, Australia
*
Corresponding author: Nathan Durbridge; Email: nathandurbridge@gmail.com

Abstract

Objectives

The objective is to determine if a practical face-to-face emergency disaster incident response training program delivered in the clinical setting will improve self-reported confidence and assessed knowledge of emergency department (ED) nurses to respond to disasters.

Methods

A single site prospective pre-test and post-test randomized controlled trial was adopted for this study. The intervention was a practical face-to-face training program, while the control group completed the required annual mandatory hospital online training.

Results

There was a large difference in post-test median self-reported confidence between groups. There was also a large difference in the proportion of subjects who reached satisfactory levels of self-reported confidence post-test. Regarding assessed knowledge, there was a moderate difference in post-test median knowledge between groups. There was also a moderate difference in the proportion who reached satisfactory levels of knowledge post-test.

Conclusions

This study has shown that ED nurses who undertake a practical face-to-face disaster preparedness education program in the clinical setting, are better prepared to respond to emergency disaster incidents. Organizations should consider the use of a practical structured face-to-face emergency disaster incident response education program to complement and enhance any online emergency and disaster training.

Type
Original Research
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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