Comparison of the Effect of Lecturing and Tabletop Exercise Methods on Level of Preparedness of Nurses against Natural Disasters

Mirzaei, Samaneh; Eftekhari, Adel; Mohammadinia, Leila; Dehghani Tafti, Abbas Ali; Norouzinia, Roohangiz; Nasiriani, Khadijeh

doi:10.32598/JHNM.30.1.3

Volume 30, Issue 1 (1-2020) JHNM 2020, 30(1): 17-26 | Back to browse issues page

‎ 10.32598/JHNM.30.1.3

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Mirzaei S, Eftekhari A, Mohammadinia L, Dehghani Tafti A A, Norouzinia R, Nasiriani K. Comparison of the Effect of Lecturing and Tabletop Exercise Methods on Level of Preparedness of Nurses against Natural Disasters. JHNM 2020; 30 (1) :17-26
URL: http://hnmj.gums.ac.ir/article-1-1091-en.html

Comparison of the Effect of Lecturing and Tabletop Exercise Methods on Level of Preparedness of Nurses against Natural Disasters

Samaneh Mirzaei¹

, Adel Eftekhari¹

, Leila Mohammadinia ^*

², Abbas Ali Dehghani Tafti³

, Roohangiz Norouzinia⁴

, Khadijeh Nasiriani⁵

1- Ph.D. Health in Emergency and Disaster, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.; Research Development Center, Shahid Rahnemoon Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2- Department of Health Emergencies and Disasters, Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. , Leyla.mohammadinia@gmail.com
3- Associate Professor, Department of Health in Emergency and Disaster, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
4- Department of Health in Emergencies and Disaster, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran.
5- Associate Professor, Department of Nursing, Nursing and Midwifery School, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.

Abstract: (2531 Views)

Introduction: Hospitals are the first-line care providers in natural disasters. Nurses, as one of the critical health professional groups, require adequate peroration for responding to natural disasters. Due attention has to be paid to various teaching methods to improve the level of nurses’ preparedness.
Objective: This study compared the effect of lecturing and lecturing-tabletop exercise methods on the level of nurses’ preparedness against natural disasters.
Materials and Methods: In this quasi-experimental study, 74 nurses were randomly selected from different wards at a hospital in Yazd City, Iran, in 2017. Nurses’ preparedness level was measured with the 72-item Scale for Nurses’ Preparedness against Natural Disasters, including three areas of knowledge, attitude, and performance. The study participants were assigned into group A (lecturing method, n=37) and group B (lecturing-tabletop exercise method, n=37) using a simple random sampling technique. Nurses’ level of preparedness was measured three times (pre- and post-intervention, and follow-up) using the Preparedness for Disasters questionnaire. The obtained data were analyzed applying repeated measures Analysis of Variance (ANOVA) and Paired Samples t-test.
Results: The mean scores of nurses’ knowledge, attitude, and performance were increased by 4.94, 7.38, and 5.59 in group A as well as 6.56, 11.43, and 6.08 in group B. Additionally, the total score of nurses’ preparedness in group B was significantly higher at Pre-test, post-test, and one-month follow-up (107.89±7.50) (P=0.0001).
Conclusion: Education ( lecturing and lecturing-tabletop exercise methods) positively affected nurses’ preparedness. However, it was more effective through lecturing-tabletop exercise methods due to having a scenario and the better participation of nurses in the learning process. This finding emphasizes the positive effect of participants’ interactions in the tabletop exercise method on the quality of education, critical skill, and increased level of nurses’ preparedness against natural disasters.

Keywords: Natural disasters, Emergency preparedness, Nurses, Education, Exercise

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● Hospitals and health centers are the first units to provide optimal and timely healthcare services in unexpected accidents and natural disasters.
● Education positively affected nurses’ preparedness through lecturing and lecturing-tabletop exercise methods. However, it was more effective using the lecturing-tabletop exercise method.
● The quality of the health system response (including nurses) to disasters is directly related to the knowledge level and attitude of nurses. Therefore, by improving the knowledge, attitude, and skills of nurses, we have taken an essential step in providing a proper response to disasters.

Plain Language Summary
The role of hospitals and health centers is very critical in disasters. Moreover, they are among the first units to provide optimal and timely healthcare services. They could help with reducing mortality and increasing the number of survivors, reducing the effects of disabilities, and alleviating physical pain. Preparedness has a vital and decisive role in disaster management. Nurses’ training in emergencies and disasters positively impacts their efficacy in care delivery. Although there are various training methods, their effects have not been investigated in many cases. The present study evaluated the effect of two training methods on nurses’ preparedness in response to disasters. We used conventional lecturing and practical training by reviewing an earthquake scenario. The study findings suggested that both methods increased nurses’ preparedness in disasters. However, the effect of the practical education method is more significant than lecturing education. Nurses comprise the most extensive healthcare team and have a multifaceted role in the treatment; therefore, there is a great need to improve the preparedness of the health care sector. This aim could be achieved by increasing their preparedness, and knowledge, and skills to provide a better response in disasters. This will lead to better disaster management and reduce human casualties and ultimately helps to reduce the risk of disasters.

Article Type : Research | Subject: Special
Received: 2019/11/2 | Accepted: 2019/12/9 | Published: 2020/01/1

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