Short simulation exercises to improve emergency department nurses' self-efficacy for initial disaster management: Controlled before and after study

Jonson, Carl‐Oscar; Pettersson, Jenny; Rybing, Jonas; Nilsson, Heléne; Prytz, Erik

doi:10.1016/j.nedt.2017.04.020

Cited by 54 publications

(39 citation statements)

References 35 publications

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“…the ability to make distinctions between previously indistinguishable concepts or events (Klein and Baxter 2009 ). Exposing trainees with an already high proficiency level to realistic and complex simulated environments may, thus, build experience and enhance recognition-primed decision-making (see Klein 2008 ), learner self-efficacy (Jonson et al 2017 ), and requisite imagination (see Adamski and Westrum 2003 ).…”

Section: Introductionmentioning

confidence: 99%

Operationalising resilience for disaster medicine practitioners: capability development through training, simulation and reflection

et al. 2019

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Resilience has in recent decades been introduced as a term describing a new perspective within the domains of disaster management and safety management. Several theoretical interpretations and definitions of the essence of resilience have been proposed, but less work has described how to operationalise resilience and implement the concept within organisations. This case study describes the implementation of a set of general resilience management guidelines for critical infrastructure within a Swedish Regional Medical Command and Control Team. The case study demonstrates how domain-independent guidelines can be contextualised and introduced at an operational level, through a comprehensive capability development programme. It also demonstrates how a set of conceptual and reflective tools consisting of educational, training and exercise sessions of increasing complexity and realism can be used to move from high-level guidelines to practice. The experience from the case study demonstrates the value of combining (1) developmental learning of practitioners' cognitive skills through resilience-oriented reflection and interaction with dynamic complex open-ended problems; (2) contextualisation of generic guidelines as a basis for operational methodological support in the operational environment; and (3) the use of simulation-based training as part of a capability development programme with increasing complexity and realism across mixed educational, training and exercise sessions. As an actual example of a resilience implementation effort in a disaster medicine management organisation, the study contributes to the body of knowledge regarding how to implement the concept of resilience in operational practice.

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Section: Introductionmentioning

confidence: 99%

Operationalising resilience for disaster medicine practitioners: capability development through training, simulation and reflection

et al. 2019

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“…[1] Similar to the current study findings, this study also documented that psychological preparedness was positively correlated with self-efficacy, optimism, self-esteem, older age, more years of experience and more times responding to disasters. PPDTS had a strong positive correlation with self-efficacy and a high positive correlation with resilience suggesting that presence of self-efficacy [13] and resilience helps individual handle difficult situation and conversely, the higher the psychological preparedness, the more the perceived self-efficacy or resilience. Further, high level of optimism among the present study subjects may contribute to a positive relationship with adaptive coping that might enhance their cognitive and emotional functioning when they face challenges [14] or may have less psychological distress and greater resilience to post-disaster psychological sequels.…”

Section: Discussionmentioning

confidence: 99%

“…[1] In another study, small-scale computer-based simulation exercises were found to be effective in improving head emergency nurses’ general self-efficacy and disaster management skills. [13] Thus the findings also highlight the need to work on improving these areas among health care professionals to equip them to handle difficult situations properly.…”

Section: Discussionmentioning

confidence: 99%

Psychological preparedness for pandemic (COVID-19) management: Perceptions of nurses and nursing students in India

Gandhi

Sahu

Govindan

et al. 2020

Preprint

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Introduction: The growing COVID-19 pandemic has posed a great threat to millions of people worldwide. Nurses and nursing students are an important group of health professionals who are most likely to face many challenges in this unprecedented scenario. The present study aimed at exploring the perception of nurses and nursing students regarding psychological preparedness for the pandemic (COVID-19) management. Materials & Methods: The study employed a quantitative cross-sectional online survey research design. Purposive sampling was used with an attempt to represent the entire nurses (i.e. nursing officers, nurse administrators and nursing teachers) and nursing students group of India. The survey link was shared to their email ID and they were invited to participate in the study. Data were collected using Psychological Preparedness for Disaster Threat Scale (PPDTS)-Modified, General Self Efficacy (GSE) Scale, Optimism Scale and Brief Resilient Coping Scale (BRS). Totally 685 responses were received and 676 forms were completed which were analyzed using SPSS software (version 24). Results: The mean age of the subjects was 31.72 (SD=9.58) years. Around 20% of the subjects previously had some kind of psychological training and 4% of the subjects had taken care of persons with COVID-19. Findings revealed that mean score for PPDTS, GSE, BRCS and Optimism was 73.44 (SD=10.82, 33.19 (SD=5.23), 16.79 (SD=2.73) and 9.61 (SD=2.26) respectively indicating that the subjects had moderate level of psychological preparedness, self-efficacy and resilience but higher level of optimism. Psychological preparedness, self-efficacy, optimism and resilience were positively correlated to each other. Self- efficacy, optimism, and resilience emerged as predictors of psychological preparedness. Conclusion: The findings suggested that self-efficacy, optimism and resilience can be considered as predictors for psychological preparedness in pandemic management. Appropriate training could influence self-efficacy while programs addressing resilience and coping may strengthen psychological preparedness which can help in further management of ongoing pandemic.

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“…Another technique is to utilize one hour computer-based simulations to assess management and self-efficacy. By the end of multiple sessions, participants exhibit improved abilities to triage and treat trauma and in-hospital patients 49. Another recent simulation involving an active shooter in a hospital showed a 70% improvement in knowledge and preparation for an MCE 50…”

Section: Discussionmentioning

confidence: 99%

<p>Mass Casualty Shootings and Emergency Preparedness: A Multidisciplinary Approach for an Unpredictable Event</p>

Melmer¹,

Carlin²,

Castater³

et al. 2019

JMDH

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Mass casualty events (MCE) are an infrequent occurrence to most daily healthcare systems however these incidents are the causation for new hospital preparedness and the development of coordinated emergency services. The broad support and operational plans outside the hospital include emergency medical services, local law enforcement, government agencies, and city officials. Modern-day hospital disaster preparedness goals include scheduled training for healthcare personnel to ensure effective and accurate triage for a highvolume of injured patients. This MDT collaboration strengthens the emergency response to optimize the delivery of life-saving care during MCEs. This review identifies the clinical importance of the interdisciplinary team interactions and the lessons learned from past MCE experiences, strengthening healthcare system readiness for such critical incidents.

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Short simulation exercises to improve emergency department nurses' self-efficacy for initial disaster management: Controlled before and after study

Abstract: This study indicates that short computer based simulation exercises provide opportunities for head nurses to improve management skills and increase their general self-efficacy.

Cited by 54 publications

References 35 publications

Operationalising resilience for disaster medicine practitioners: capability development through training, simulation and reflection

Operationalising resilience for disaster medicine practitioners: capability development through training, simulation and reflection

Psychological preparedness for pandemic (COVID-19) management: Perceptions of nurses and nursing students in India

<p>Mass Casualty Shootings and Emergency Preparedness: A Multidisciplinary Approach for an Unpredictable Event</p>

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