@article{ref1,
title="Effects of a simulation-based education program for nursing students responding to mass casualty incidents: a pre-post intervention study",
journal="Nurse education today",
year="2019",
author="Kim, Jina and Lee, Ogcheol",
volume="85",
number="",
pages="e104297-e104297",
abstract="BACKGROUND: The necessity of disaster preparedness among nursing students has been continuously emphasized. <br><br>OBJECTIVES: This study aimed to verify the effectiveness of a simulation-based education program for nursing students responding to mass casualty incidents (MCI) from the perspectives of triage accuracy, response attitude, teamwork, and program satisfaction. <br><br>DESIGN: This study employed a pre-post intervention design. SETTINGS: Disaster Simulation Lab and a debriefing room in the University Nursing Simulation Center in South Korea. PARTICIPANTS: The participants were 34 graduating nursing students attending a university in Seoul. <br><br>METHODS: The program consisted of lectures on disaster nursing, group discussions, practice, debriefings, and a pre- and post-test, conducted over 180 min. Simulation-based training was conducted using the Emergo Train System®. The simulation environment comprised pre-hospital and hospital sections, with videos displayed on a large screen and sound effects played on loudspeakers. <br><br>RESULTS: Participants were likely to undertriage. There was a significant increase in positive attitudes after the intervention (p < .001). Self-reported teamwork was high, and among its subfactors, &quot;leadership and team coordination&quot; scored the highest. Participants' satisfaction with the program was high (4.5/5.0). <br><br>CONCLUSIONS: The simulation-based MCI program was effective in boosting positive attitudes among nursing students. In future, comparative studies including control groups and different instructional methods should be conducted. A patient bank should also be developed considering participants' knowledge levels and the circumstances of each country.<br><br>Copyright © 2019 Elsevier Ltd. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0260-6917",
doi="10.1016/j.nedt.2019.104297",
url="http://dx.doi.org/10.1016/j.nedt.2019.104297"
}