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Chang M, Kim Y. Effects of a mobile-based bioterrorism response program among clinical nurses: A quasi-experimental study. NURSE EDUCATION TODAY 2024; 134:106098. [PMID: 38266428 DOI: 10.1016/j.nedt.2024.106098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 12/19/2023] [Accepted: 01/15/2024] [Indexed: 01/26/2024]
Abstract
BACKGROUND To respond to unstable international security and the outbreak of new infectious diseases, clinical nurses should be equipped with bioterrorism response competencies. OBJECTIVES This study developed a mobile-based bioterrorism response program for clinical nurses and examined its effectiveness on their knowledge of bioterrorism, attitude toward bioterrorism response, and bioterrorism response competencies. DESIGN A quasi-experimental study design was used. SETTING General or tertiary general hospitals in South Korea were considered. PARTICIPANTS Participants were 45 clinical nurses (23 in the experimental group and 22 in the control). METHODS The mobile-based bioterrorism response program was conducted over three weeks in 10 sessions (total of 300 min). The knowledge of bioterrorism, attitude toward bioterrorism response, and bioterrorism response competencies were compared between two groups using paired t-test, and Wilcoxon signed ranks test. Satisfaction with the program was measured in the experimental group. RESULTS Upon completion of the mobile-based bioterrorism response program, the experimental group showed significant increases in knowledge of bioterrorism, attitude toward bioterrorism response, and bioterrorism response competencies. CONCLUSIONS The mobile-based bioterrorism response program is expected to contribute to better preparedness for bioterrorism response systems in clinical practice. In addition, this program is expected to be of valuable use in bioterrorism education for nursing students as well as other healthcare professionals involved in bioterrorism response.
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Affiliation(s)
- Mingi Chang
- College of Nursing, Kyungpook National University, Republic of Korea
| | - Yujeong Kim
- College of Nursing, Research Institute of Nursing Innovation, Kyungpook National University, Republic of Korea.
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Corvetto MA, Altermatt FR, Belmar F, Escudero E. Health Care Simulation as a Training Tool for Epidemic Management: A Systematic Review. Simul Healthc 2023; 18:382-391. [PMID: 36881436 DOI: 10.1097/sih.0000000000000716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
Abstract
SUMMARY STATEMENT The objective of this research was to identify and review studies that have evaluated the impact of simulation-based training on health care professionals during epidemics.All studies in health care simulation-based training published during the last 5 epidemics with a global impact (SARS-CoV, H1N1, MERS, Ebola, SARS-CoV-2; through July 2021) were selected from a systematic search of PUBMED, EMBASE, and key journals.The search strategy identified 274 studies; 148 met the inclusion criteria and were included. Most of the studies were developed in response to SARS-CoV-2 infection (n = 117, 79.1%), used a descriptive approach (n = 54, 36.5%), and were used to train technical skills (n = 82, 55.4%).This review demonstrates a growing interest in publications related to health care simulation and epidemics. Most of the literature is marked by limited study designs and outcome measurements, although there is a trend toward the use of more refined methodologies in the most recent publications. Further research should seek the best evidence-based instructional strategies to design training programs in preparation for future outbreaks.
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Affiliation(s)
- Marcia A Corvetto
- From the Department of Anesthesiology (M.A.C., F.R.A.), Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Experimental Surgery and Simulation Center (M.A.C., F.B.), Department of Digestive Surgery, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; and Comité Académico de Fundación Garrahan (E.E.), Buenos Aires, Argentina
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Nitturi V, Chen TA, Martinez Leal I, Correa-Fernández V, Drenner K, Kyburz B, Williams T, Obasi EM, Britton M, Howard M, Rangel R, Sharp J, Smith S, Reitzel LR. Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111635. [PMID: 34770149 PMCID: PMC8583380 DOI: 10.3390/ijerph182111635] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Revised: 11/01/2021] [Accepted: 11/03/2021] [Indexed: 11/16/2022]
Abstract
Despite prior successful implementation of Taking Texas Tobacco Free (TTTF), an evidence-based tobacco-free workplace program, in local mental health authorities (LMHAs), post-implementation employee attrition necessitated continuing education on tobacco-free policies and tobacco treatment practices. Here, we report on the outcomes of a train-the-trainer program which trained "champions" to deliver tobacco cessation education at their LMHAs. Three LMHAs participated in program implementation via 10 champions, iteratively trained and coached by TTTF. Measures administered evaluated four goals: (1) increase champions' self-efficacy in delivering trainings, (2) achieve program fidelity via TTTF staff evaluation of trainer effectiveness and knowledge increases among attending employees, (3) achieve stakeholder program acceptability, and (4) achieve program adoption via an increase in follow-up trainings. Champions' self-efficacy increased throughout TTTF training. TTTF staff ratings of champion-led trainings met the targeted range for trainer effectiveness; employees had a 28.71% knowledge increase over baseline post-training (p < 0.001). Employees rated champions' training delivery "very good" to "excellent", on average; both champions and employees were, on average, "satisfied" to "extremely satisfied" with the curriculum and training received. There was an increase over baseline in trainings delivered during follow-up, and trainings increased in length and topic coverage. Ultimately, the train-the-trainer program achieved the intended goals, although not all changes were statistically significant, likely at least partially attributable to small sample sizes. Overall, these results suggest that TTTF's train-the-trainer program was successful in its delivery and intention to build capacity for the provision of in-house tobacco education trainings to behavioral health employees/providers. However, further evaluation in additional settings, with more champions, et cetera, is necessary to validate these findings, ensure their replicability, link program implementation with reduced patient tobacco use rates, and assess long-term sustainability.
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Affiliation(s)
- Vijay Nitturi
- Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX 77204, USA; (V.N.); (T.A.C.); (I.M.L.); (V.C.-F.); (K.D.); (E.M.O.); (M.B.)
- HEALTH Research Institute, University of Houston, Houston, TX 77204, USA
| | - Tzuan A. Chen
- Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX 77204, USA; (V.N.); (T.A.C.); (I.M.L.); (V.C.-F.); (K.D.); (E.M.O.); (M.B.)
- HEALTH Research Institute, University of Houston, Houston, TX 77204, USA
| | - Isabel Martinez Leal
- Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX 77204, USA; (V.N.); (T.A.C.); (I.M.L.); (V.C.-F.); (K.D.); (E.M.O.); (M.B.)
- HEALTH Research Institute, University of Houston, Houston, TX 77204, USA
| | - Virmarie Correa-Fernández
- Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX 77204, USA; (V.N.); (T.A.C.); (I.M.L.); (V.C.-F.); (K.D.); (E.M.O.); (M.B.)
- HEALTH Research Institute, University of Houston, Houston, TX 77204, USA
| | - Kelli Drenner
- Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX 77204, USA; (V.N.); (T.A.C.); (I.M.L.); (V.C.-F.); (K.D.); (E.M.O.); (M.B.)
| | - Bryce Kyburz
- Integral Care, Austin, TX 78703, USA; (B.K.); (T.W.)
| | | | - Ezemenari M. Obasi
- Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX 77204, USA; (V.N.); (T.A.C.); (I.M.L.); (V.C.-F.); (K.D.); (E.M.O.); (M.B.)
- HEALTH Research Institute, University of Houston, Houston, TX 77204, USA
| | - Maggie Britton
- Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX 77204, USA; (V.N.); (T.A.C.); (I.M.L.); (V.C.-F.); (K.D.); (E.M.O.); (M.B.)
| | - Molly Howard
- Heart of Texas Region MHMR, Waco, TX 76701, USA; (M.H.); (J.S.)
| | - Rogelio Rangel
- Border Region Behavioral Health Center, Laredo, TX 78041, USA;
| | - Jeni Sharp
- Heart of Texas Region MHMR, Waco, TX 76701, USA; (M.H.); (J.S.)
| | | | - Lorraine R. Reitzel
- Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX 77204, USA; (V.N.); (T.A.C.); (I.M.L.); (V.C.-F.); (K.D.); (E.M.O.); (M.B.)
- HEALTH Research Institute, University of Houston, Houston, TX 77204, USA
- Correspondence: ; Tel.: +1-713-743-6679
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