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Evaluation of disaster medicine knowledge levels and e-learning attitudes among prehospital healthcare personnel: A case study of Istanbul

Year 2025, Volume: 30 Issue: 1, 124 - 135, 29.01.2025
https://doi.org/10.21673/anadoluklin.1501179

Abstract

Aim: The aim of this study is to evaluate the disaster medicine knowledge level of prehospital healthcare personnel, identify their educational expectations, and determine their attitudes toward e-learning.

Methods: This cross-sectional study was conducted between February 1 and March 31, 2023. The population of the study consisted of 3817 personnel working in the Istanbul Provincial Ambulance Service, and the sample consisted of 384 personnel. Participants were administered a survey including the Personal Information Form, the Attitude Towards E-learning Scale, and the Disaster Medicine Knowledge questionnaire through face-to-face data collection method.

Results: Of the 384 participants, 119 were Emergency Medical Technicians (EMTs), 241 were paramedics, and 24 were physicians. The average disaster medicine knowledge level was 68.15±14.06, and the average attitude towards e-learning level was 26.69±8.42. Of the participants, 52.1% (n=200) had a low level of disaster medicine knowledge, while 47.9% (n=184) had a high level of knowledge. The majority of participants (n=221, 64.8%) preferred to receive disaster medicine training online. Participants who expressed a desire for disaster medicine training had higher attitudes toward e-learning compared to those who did not (28.43±7.93 vs. 23.74 ± 8.39; p < 0.001).

Conclusion: This study found that the majority of prehospital healthcare personnel had low levels of disaster medicine knowledge, but high attitudes towards e-learning. Developing an online training program tailored to current developments and needs in disaster medicine could systematically prepare prehospital healthcare personnel for their disaster response roles. Making this training a mandatory part of in-service education could enhance the knowledge levels and confidence in personal competence of personnel with lower knowledge levels.

References

  • Lenjani B, Baftiu N, Krasniqi B, et al. Access and emergency medical care for massive or multiple injuries. Albanian J Trauma Emerg Surg. 2023;7(1):1181-8.
  • Beyramijam M, Farrokhi M, Ebadi A, Masoumi G, Khankeh HR. Disaster preparedness in emergency medical service agencies: a systematic review. J Educ Health Promot. 2021;10(1):258.
  • Sevinç Ö, Güner Y, Til A. Çanakkale ili 112 acil sağlık hizmetleri istasyonlarında çalışan personelin afet tıbbı konusundaki bilgi düzeyleri. Pamukkale Tıp Derg. 2018;11(2):119-25.
  • Kuday AD, Özcan T, Çalışkan C, Kınık K. Challenges faced by medical rescue teams during disaster response: A systematic review study. Disaster Med Public Health Prep. 2023;17(e548):1–10.
  • Westman A, Kurland L, Hugelius K. Non-technical skills needed by medical disaster responders- a scoping review. Scand J Trauma Resusc Emerg Med. 2024;32(1):25.
  • Voicescu G, Valente M, Corte FD, Ragazzoni L, Caviglia M. Medical Students’ Education in Disaster Medicine: A Systematic Literature Review of Existing Curricula. Prehosp Disaster Med. 2023;38(S1):30
  • Kuday AD. Afetlerde Tıbbi Etik: Ne Kadar Uygulanabilir?. Acil Yardım ve Afet Bilimi Dergisi. Eylül 2023;3(2):42-48.
  • Bahattab A, Zain O, Linty M, Hubloue I, Della Corte F, Ragazzoni L. Development and evaluation of e-learning tool for humanitarian public health training. Prehosp Disaster Med. 2022;37(S2):93.
  • Ladeira LM, Cardoso IM, Correia AM, Rato F. Emergency medical teams (EMT) education and training – improving disaster preparedness with the Portuguese emergency medical team (PT EMT) e-learning course. Prehosp Disaster Med. 2022;37(S2):103.
  • Paquay M, Goffoy J, Chevalier S, Servotte JC, Ghuysen A. Relationships between internal factors, social factors and the sense of presence in virtual reality-based simulations. Clin Simul Nurs. 2020;62:1-11.
  • Manjeese C. Divulging the efficacy of e-learning through the eyes of university students: lessons from a third world perspective. Phys Chem Earth A/B/C. 2022;127:103187.
  • Lytovchenko I, Terenko O, Lavrysh Y, Ogienko O, Avsheniuk N, Lukianenko V. Training delivery methods implemented by American companies: opportunities and challenges in context of knowledge society. Postmod Open. 2022;13(4):187-98.
  • Hammad KS, Arbon P, Gebbie KM. Emergency nurses and disaster response: an exploration of South Australian emergency nurses’ knowledge and perceptions of their roles in disaster response. Australas Emerg Nurs J. 2011;14(2):87-94.
  • Çalışkan C, Algan A, Koçak H, Biçer BK, Şengelen M, Çakir B. Preparations for Severe Winter Conditions by Emergency Health Personnel in Turkey. Disaster Med Public Health Prep. 2014;8(2):170-3.
  • Koçak H, Çaliskan C, Kaya E, Yavuz Ö, Altintas KH. 28. Determination of individual preparation behaviors of emergency health services personnel towards disasters. Journal of Acute Disease. 2015;4(3):180-5
  • Karasar N. Bilimsel araştırma yöntemi: kavramlar ilkeler teknikler. Ankara: Nobel Akademik Yayıncılık; 2023.
  • Kotora JG. An assessment of chemical, biological, radiologic, nuclear, and explosive preparedness among emergency department healthcare providers in an inner city emergency department. Am J Disaster Med. 2015;10(3):189-204.
  • Bıçakcı N, Bıçakcı S, Çetin M. Evaluation of disaster medicine knowledge level and educational approaches of future health professionals. Namık Kemal Med J. 2022;10(1):59-73.
  • Kaji AH, Coates W, Fung CC. A disaster medicine curriculum for medical students. Teach Learn Med. 2010;22(2):116-22.
  • Su T, Han X, Chen F, et al. Knowledge levels and training needs of disaster medicine among health professionals, medical students, and local residents in Shanghai, China. PLoS One. 2013;8(6):e67041.
  • Barrimah I, Adam I, Al-Mohaimeed A. Disaster medicine education for medical students: is it a real need? Med Teach. 2016;38(sup1):S60-5
  • European Master Disaster Medicine. 2017. [cited 2023 Aug 1]. EMDM Course Program XIX edition. Available from: https://www.dismedmaster.com/course/#!/program-teachers.
  • Zabadi AM, Al-Alawi AH. University students’ attitudes towards e-learning: university of Business and Technology (uBT)-Saudi Arabia- Jeddah: a case study. Int J Bus Manag. 2016;11(6):286-95.
  • Aydın M, Şahin CU, Kulakaç N. Hemşirelik öğrencilerinin e-öğrenmeye yönelik tutum ölçeği: metodolojik bir çalışma. Türkiye Klinikleri Hemşirelik Bilimleri Derg. 2022;14(2):464-71.
  • Barış E. Afet tıbbı eğitiminin İzmir metropol alanda acil sağlık hizmetlerinde çalışan hekimlerin bilgi düzeyine etkisi (Yayımlanmamış Yüksek Lisans Tezi). Dokuz Eylül Üniversitesi, İzmir, 2011.
  • Çelebi İ, Uçku RŞ. Kayseri ili 112 acil sağlık hizmetlerinde görev yapan sağlık personelinin deprem bilgi düzeyi ve etkileyen etmenler. Hastane Öncesi Derg. 2017;2(2):91-103.
  • Naser WN, Saleem HB. Emergency and disaster management training; knowledge and attitude of Yemeni health professionals- a cross-sectional study. BMC Emerg Med. 2018;18(1):1-12.
  • Yılmaz S, Karakayali O, Yilmaz S, et al. Emergency Medicine Association of Turkey Disaster Committee Summary of field observations of February 6th Kahramanmaraş earthquakes. Prehosp Disaster Med. 2023;38(3):415-8
  • Kaya U. Kuzey Kıbrıs’ta ilk ve acil yardım (paramedik) eğitimi. J Paramed Emerg Health Serv. 2021;2(1):26-30.
  • Aslan R, Şahinöz S, Şahinöz T. Determination of START triage skill and knowledge levels of prehospital emergency medical staff: a cross sectional study. Int Emerg Nurs. 2021;56:101004.
  • Budd C. Informatics and telecommunications in disaster. In: Ciottone Gr, Biddinger PD, Darling RG, Fares S, Keim ME, Molloy MS, Süner S, editors. Ciottone’s disaster medicine, 2nd edition. Philadelphia: Elsevier, 2016; p. 149-155.
  • Ruiz JG, Mintzer MJ, Leipzig RM. The impact of E-Learning in Medical Education. Acad Med. 2006;81(3):207-212.
  • Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Internet-based learning in the health professions: a meta-analysis. JAMA. 2008;300(10):1181-1196.
  • Salas E, Tannenbaum SI, Kraiger K, Smith-Jentsch KA. The Science of Training and Development in Organizations: What Matters in Practice. Psychol. Sci. Public Interest. 2021;13(2):74-101.
  • World Health Organization. 2015. [cited 2023 Aug 5]. eLearning for under- graduate health professional education: a systematic review informing a radical transformation of health workforce development. World Health Organization. Available from: https://iris.who.int/handle/10665/330089
  • Mahdi SS, Jafri HA, Allana R, et al. Systematic review on the current state of disaster preparation Simulation Exercises (SimEx). BMC Emerg Med. 2023;23(1):52.
  • Arafeh JMR. Simulation-based training. J Perinat Neonatal Nurs. 2017;31(4):286-9.
  • Gue S, Cohen S, Tassone M, et al. Disaster day: a simulation-based competition for educating emergency medicine residents and medical students on disaster medicine. Int J Emerg Med. 2023;16(1):59.

Hastane öncesi sağlık personelinin afet tıbbı bilgi düzeyi ve e-öğrenme tutumlarının değerlendirilmesi: İstanbul örneği

Year 2025, Volume: 30 Issue: 1, 124 - 135, 29.01.2025
https://doi.org/10.21673/anadoluklin.1501179

Abstract

Amaç: Bu çalışmanın amacı, hastane öncesi sağlık personelinin afet tıbbı bilgi düzeyini değerlendirmek, eğitim beklentilerini belirlemek ve e-öğrenmeye yönelik tutumlarını saptamaktır.

Yöntemler: Bu kesitsel çalışma 1 Şubat ve 31 Mart 2023 tarihleri arasında gerçekleştirilmiştir. Çalışmanın evrenini İstanbul İl Ambulans Servisi’nde çalışan 3817 personel, örneklemini ise 384 personel oluşturmuştur. Katılımcılara yüz yüze veri toplama yöntemi ile Kişisel Bilgi Formu, E-öğrenmeye Yönelik Tutum Ölçeği ve Afet Tıbbı Bilgi Anketi uygulanmıştır.

Bulgular: 384 katılımcının 119’u acil tıp teknisyeni, 241’i paramedik ve 24’ü doktordu. Afet tıbbı bilgi düzeyi ortalaması 68.15±14.06, e-öğrenmeye yönelik tutum düzeyi ortalaması 26.69±8.42 olarak bulundu. Katılımcıların %52,1’i (n=200) düşük düzeyde afet tıbbı bilgisine sahipken, %47,9’u (n=184) yüksek düzeyde bilgiye sahiptir. Katılımcıların çoğunluğu (n=221, %64.8) afet tıbbı eğitimini çevrimiçi olarak almayı tercih etmiştir. Afet tıbbı eğitimi talep eden katılımcılar, talep etmeyenlere kıyasla e-öğrenmeye yönelik daha yüksek tutum sergilemiştir (28.43±7.93 vs. 23.74±8.39; p < 0.001).

Sonuç: Bu çalışma, hastane öncesi sağlık personelinin çoğunluğunun düşük afet tıbbı bilgi düzeyine sahip olduğunu, ancak e-öğrenmeye yönelik yüksek tutum sergilediğini göstermiştir. Afet tıbbındaki güncel gelişmelere ve ihtiyaçlara göre tasarlanmış bir çevrimiçi eğitim programının geliştirilmesi, hastane öncesi sağlık personelini afet müdahale rollerine sistematik bir şekilde hazırlayabilir. Bu eğitimin hizmet içi eğitimin zorunlu bir parçası haline getirilmesi, bilgi düzeyi düşük olan personelin bilgi düzeylerini ve kişisel yeterliliklerine olan güvenlerini artırabilir.

References

  • Lenjani B, Baftiu N, Krasniqi B, et al. Access and emergency medical care for massive or multiple injuries. Albanian J Trauma Emerg Surg. 2023;7(1):1181-8.
  • Beyramijam M, Farrokhi M, Ebadi A, Masoumi G, Khankeh HR. Disaster preparedness in emergency medical service agencies: a systematic review. J Educ Health Promot. 2021;10(1):258.
  • Sevinç Ö, Güner Y, Til A. Çanakkale ili 112 acil sağlık hizmetleri istasyonlarında çalışan personelin afet tıbbı konusundaki bilgi düzeyleri. Pamukkale Tıp Derg. 2018;11(2):119-25.
  • Kuday AD, Özcan T, Çalışkan C, Kınık K. Challenges faced by medical rescue teams during disaster response: A systematic review study. Disaster Med Public Health Prep. 2023;17(e548):1–10.
  • Westman A, Kurland L, Hugelius K. Non-technical skills needed by medical disaster responders- a scoping review. Scand J Trauma Resusc Emerg Med. 2024;32(1):25.
  • Voicescu G, Valente M, Corte FD, Ragazzoni L, Caviglia M. Medical Students’ Education in Disaster Medicine: A Systematic Literature Review of Existing Curricula. Prehosp Disaster Med. 2023;38(S1):30
  • Kuday AD. Afetlerde Tıbbi Etik: Ne Kadar Uygulanabilir?. Acil Yardım ve Afet Bilimi Dergisi. Eylül 2023;3(2):42-48.
  • Bahattab A, Zain O, Linty M, Hubloue I, Della Corte F, Ragazzoni L. Development and evaluation of e-learning tool for humanitarian public health training. Prehosp Disaster Med. 2022;37(S2):93.
  • Ladeira LM, Cardoso IM, Correia AM, Rato F. Emergency medical teams (EMT) education and training – improving disaster preparedness with the Portuguese emergency medical team (PT EMT) e-learning course. Prehosp Disaster Med. 2022;37(S2):103.
  • Paquay M, Goffoy J, Chevalier S, Servotte JC, Ghuysen A. Relationships between internal factors, social factors and the sense of presence in virtual reality-based simulations. Clin Simul Nurs. 2020;62:1-11.
  • Manjeese C. Divulging the efficacy of e-learning through the eyes of university students: lessons from a third world perspective. Phys Chem Earth A/B/C. 2022;127:103187.
  • Lytovchenko I, Terenko O, Lavrysh Y, Ogienko O, Avsheniuk N, Lukianenko V. Training delivery methods implemented by American companies: opportunities and challenges in context of knowledge society. Postmod Open. 2022;13(4):187-98.
  • Hammad KS, Arbon P, Gebbie KM. Emergency nurses and disaster response: an exploration of South Australian emergency nurses’ knowledge and perceptions of their roles in disaster response. Australas Emerg Nurs J. 2011;14(2):87-94.
  • Çalışkan C, Algan A, Koçak H, Biçer BK, Şengelen M, Çakir B. Preparations for Severe Winter Conditions by Emergency Health Personnel in Turkey. Disaster Med Public Health Prep. 2014;8(2):170-3.
  • Koçak H, Çaliskan C, Kaya E, Yavuz Ö, Altintas KH. 28. Determination of individual preparation behaviors of emergency health services personnel towards disasters. Journal of Acute Disease. 2015;4(3):180-5
  • Karasar N. Bilimsel araştırma yöntemi: kavramlar ilkeler teknikler. Ankara: Nobel Akademik Yayıncılık; 2023.
  • Kotora JG. An assessment of chemical, biological, radiologic, nuclear, and explosive preparedness among emergency department healthcare providers in an inner city emergency department. Am J Disaster Med. 2015;10(3):189-204.
  • Bıçakcı N, Bıçakcı S, Çetin M. Evaluation of disaster medicine knowledge level and educational approaches of future health professionals. Namık Kemal Med J. 2022;10(1):59-73.
  • Kaji AH, Coates W, Fung CC. A disaster medicine curriculum for medical students. Teach Learn Med. 2010;22(2):116-22.
  • Su T, Han X, Chen F, et al. Knowledge levels and training needs of disaster medicine among health professionals, medical students, and local residents in Shanghai, China. PLoS One. 2013;8(6):e67041.
  • Barrimah I, Adam I, Al-Mohaimeed A. Disaster medicine education for medical students: is it a real need? Med Teach. 2016;38(sup1):S60-5
  • European Master Disaster Medicine. 2017. [cited 2023 Aug 1]. EMDM Course Program XIX edition. Available from: https://www.dismedmaster.com/course/#!/program-teachers.
  • Zabadi AM, Al-Alawi AH. University students’ attitudes towards e-learning: university of Business and Technology (uBT)-Saudi Arabia- Jeddah: a case study. Int J Bus Manag. 2016;11(6):286-95.
  • Aydın M, Şahin CU, Kulakaç N. Hemşirelik öğrencilerinin e-öğrenmeye yönelik tutum ölçeği: metodolojik bir çalışma. Türkiye Klinikleri Hemşirelik Bilimleri Derg. 2022;14(2):464-71.
  • Barış E. Afet tıbbı eğitiminin İzmir metropol alanda acil sağlık hizmetlerinde çalışan hekimlerin bilgi düzeyine etkisi (Yayımlanmamış Yüksek Lisans Tezi). Dokuz Eylül Üniversitesi, İzmir, 2011.
  • Çelebi İ, Uçku RŞ. Kayseri ili 112 acil sağlık hizmetlerinde görev yapan sağlık personelinin deprem bilgi düzeyi ve etkileyen etmenler. Hastane Öncesi Derg. 2017;2(2):91-103.
  • Naser WN, Saleem HB. Emergency and disaster management training; knowledge and attitude of Yemeni health professionals- a cross-sectional study. BMC Emerg Med. 2018;18(1):1-12.
  • Yılmaz S, Karakayali O, Yilmaz S, et al. Emergency Medicine Association of Turkey Disaster Committee Summary of field observations of February 6th Kahramanmaraş earthquakes. Prehosp Disaster Med. 2023;38(3):415-8
  • Kaya U. Kuzey Kıbrıs’ta ilk ve acil yardım (paramedik) eğitimi. J Paramed Emerg Health Serv. 2021;2(1):26-30.
  • Aslan R, Şahinöz S, Şahinöz T. Determination of START triage skill and knowledge levels of prehospital emergency medical staff: a cross sectional study. Int Emerg Nurs. 2021;56:101004.
  • Budd C. Informatics and telecommunications in disaster. In: Ciottone Gr, Biddinger PD, Darling RG, Fares S, Keim ME, Molloy MS, Süner S, editors. Ciottone’s disaster medicine, 2nd edition. Philadelphia: Elsevier, 2016; p. 149-155.
  • Ruiz JG, Mintzer MJ, Leipzig RM. The impact of E-Learning in Medical Education. Acad Med. 2006;81(3):207-212.
  • Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Internet-based learning in the health professions: a meta-analysis. JAMA. 2008;300(10):1181-1196.
  • Salas E, Tannenbaum SI, Kraiger K, Smith-Jentsch KA. The Science of Training and Development in Organizations: What Matters in Practice. Psychol. Sci. Public Interest. 2021;13(2):74-101.
  • World Health Organization. 2015. [cited 2023 Aug 5]. eLearning for under- graduate health professional education: a systematic review informing a radical transformation of health workforce development. World Health Organization. Available from: https://iris.who.int/handle/10665/330089
  • Mahdi SS, Jafri HA, Allana R, et al. Systematic review on the current state of disaster preparation Simulation Exercises (SimEx). BMC Emerg Med. 2023;23(1):52.
  • Arafeh JMR. Simulation-based training. J Perinat Neonatal Nurs. 2017;31(4):286-9.
  • Gue S, Cohen S, Tassone M, et al. Disaster day: a simulation-based competition for educating emergency medicine residents and medical students on disaster medicine. Int J Emerg Med. 2023;16(1):59.
There are 38 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section ORIGINAL ARTICLE
Authors

Ahmet Doğan Kuday 0000-0001-8361-5526

Tuğba Özcan 0000-0003-4062-892X

Kerem Kınık 0000-0002-6913-5312

Cüneyt Çalışkan 0000-0003-0232-1118

Publication Date January 29, 2025
Submission Date June 14, 2024
Acceptance Date July 29, 2024
Published in Issue Year 2025 Volume: 30 Issue: 1

Cite

Vancouver Kuday AD, Özcan T, Kınık K, Çalışkan C. Evaluation of disaster medicine knowledge levels and e-learning attitudes among prehospital healthcare personnel: A case study of Istanbul. Anatolian Clin. 2025;30(1):124-35.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.