Development and evaluation of a multimodality simulation disaster education and training program for hospital nurses

• Published in: International journal of nursing practice 2020-06, Vol.26 (3), p.e12810-n/a
• Main Authors: Noh, Jiyoung, Oh, Eui Geum, Kim, So Sun, Jang, Yeon Soo, Chung, Hyun Soo, Lee, Ogcheol
• Format: Article
• Language: English
• Subjects: Competence; Curricula; Curriculum development; Debriefing; disaster; Emergency services; Formative assessment; Management of crises; Multimodality; Needs assessment; Nurses; Nursing; Problem solving; Professional training; Simulation; Teachers; Technical skills; training; Triage
• ISSN: 1322-7114; 1440-172X
• DOI: 10.1111/ijn.12810

Aim: To develop a multimodality simulation program for hospital nurses to enhance their disaster competency and evaluate the effect of the program. Methods: The program implementation started in October 2016 and ended in December 2016. It was developed using the ADDIE model (analysis, design, development, implementation, and evaluation). Evaluation consisted of formative assessment and summative assessment. Formative assessment was performed during triage, crisis management, and problem‐solving simulation programs through direct feedback and debriefing from the teacher. Summative assessment was performed using the Kirkpatrick curriculum evaluation framework. Results: Needs assessment using the modified Delphi survey resulted in these competencies for hospital disaster nursing: triage, incident command, surge capacity, life‐saving procedures, and special situations. Each competency was matched with the appropriate simulation modalities. A total of 40 emergency nurses participated in the study program. The evaluation of the program resulted in improvement in perception, crisis management, problem solving, and technical skills in disaster nursing. Conclusion: Multimodality simulation training program was developed to enhance the competency of hospital nurses in disaster response. All participants improved their disaster response competencies significantly. The program that was developed in this study could be used as a fundamental tool in future research in disaster curriculum development. SUMMARY STATEMENT What is already known about this topic? Disaster response is an important part of nursing competency. Many disaster training programs exist to assist with developing competencies in disaster preparedness. What this paper adds? This study provides an example to emergency nurses for how a structured and standardized training program can lead to a positive competency change. Multimodality is a suitable method of teaching in disaster, since a disaster event is a very complex and variable crisis. Multimodality can also help the participants to better understand the learning objectives and retain what they have learned. The implications of this paper: Findings can guide future development of training programs for specific nursing areas, especially for complex situations like disaster crisis events.