Evaluation of Disaster Response Self-Efficacy Levels of Nursing Students Studying in the Region During Kahramanmaraş Earthquakes: A Cross-Sectional Study

Öz

Objective: Nurses have important roles in the care of people affected by disasters. Incorporating disaster management into nursing higher education enhances nurses' competencies in their professional careers. This study aims to evaluate the disaster response self-efficacy of nursing students studying in the region affected by the earthquakes that occurred on February 6, 2023. Material and Methods: The research, designed as a descriptive and cross-sectional, was conducted with 838 nursing students between March and April 2023. The data were collected using a Personal Information Form and the Disaster Response Self-Efficacy Scale. The significance level of the study was found to be p<0.05. Results: The average age of the students was 20.72±2.09, with 78.6% being female, 49% having experienced a loss among their family or friends, and 10.1% having received disaster-related training. The participants' total scale score average was 57.92±14.17. A statistically significant difference was found between gender, class levels, receiving disaster-related training, participating in search and rescue operations in the earthquake region, and the total scale score. Conclusion: It was determined that the self-efficacy of student nurses in disaster response was at a moderate level. Keywords: Disasters, earthquakes, nursing students, self psychology.

Anahtar Kelimeler

• Disasters
• earthquakes
• nursing students
• self psychology

Kahramanmaraş Depremleri Sırasında Bölgede Eğitim Gören Hemşirelik Öğrencilerinin Afete Müdahale Öz-Yeterlilik Düzeylerinin Değerlendirilmesi: Kesitsel Bir Çalışma

Öz

Amaç: Afetlerden etkilenen kişilerin bakımında hemşirelerin önemli rolleri vardır. Hemşirelik yükseköğreniminde afet yönetimine yer verilmesi, hemşirelerin mesleki yaşantılarında niteliklerini arttırmaktadır. Bu araştırmada, 6 Şubat 2023 tarihinde meydana gelen depremlerde, bölgede eğitim gören hemşirelik öğrencilerinin afete müdahale öz yeterlilik durumlarının değerlendirilmesi amaçlanmaktadır. Gereç ve Yöntem: Tanımlayıcı ve kesitsel tipte planlanan araştırma Mart-Nisan 2023 tarihleri arasında 838 hemşirelik öğrencisiyle yürütüldü. Veriler Kişisel Bilgi Formu ve Afete Müdahale Öz-yeterlilik Ölçeği ile toplandı. Araştırmanın anlamlılık düzeyi p<0,05 olarak uygun bulunmuştur. Bulgular: Öğrencilerin yaş ortalamasının 20,72±2,09, %78,6'sı kadın, %49’nun ailesinde veya arkadaşlarından kayıp olduğu, %10,1’nin afetlerle ilgili eğitim aldığı belirlenmiştir. Katılımcıların ölçek toplam puan ortalaması 57,92±14,17’dir. Afetlere yönelik eğitim alan, deprem bölgesinde arama kurtarma çalışmalarına katılan, kadın ve 3. ile 4. sınıfta olan öğrencilerin Afete Müdahale Öz-yeterlilik Ölçeği toplam puan ve alt boyut puanlarının diğer gruplardaki öğrencilere göre anlamlı düzeyde daha yüksek olduğu bulunmuştur (p<0,05). Cinsiyet, sınıf düzeyleri, afetlere yönelik eğitim alma ve deprem bölgesinde arama kurtarma çalışmalarına katılma durumları ile ölçek toplam puanı arasında istatistiksel olarak anlamlı fark olduğu bulunmuştur. Sonuç: Öğrenci hemşirelerin afet müdahalesinde öz yeterlilik durumlarının orta seviyede olduğu saptanmıştır. Anahtar Kelimeler: Afetler, depremler, hemşirelik öğrencileri, kendilik psikolojisi.

Anahtar Kelimeler

• Afetler
• depremler
• hemşirelik öğrencileri
• kendilik psikolojisi

Kaynakça

1. 1. Zhang L, Lıu Y, Yang Z. Human caring at different stages after disasters. J Sichuan Univ ( Med Sci ). 2023;54(4):736-740. https://doi.org/10.12182/20230760103.
2. 2. Kalanlar B. Effects of disaster nursing education on nursing students’ knowledge and preparedness for disasters. International Journal of Disaster Risk Reduction (IJDRR). 2018; 28: 475-480. https://doi.org/10.1016/j.ijdrr.2017.12.008
3. 3. Lee JE, Lee. The effects of disaster training education on the attitudes, preparedness, and competencies in disaster nursing of hospital nurses. (JKACHN). 2020;31(4),491-502. https://doi.org/10.12799/jkachn.2020.31.4.491
4. 4. Goniewicz K, Goniewicz M. Disaster preparedness and professional competence among healthcare providers: pilot study results. Sustainability. 2020;12: 4931. https://doi.org/10.3390/su12124931
5. 5. Al Harthi M, Al Thobaity A, Al A, Almalki M. Challenges for nurses in disaster management: a scoping review. Risk Management and Healthcare Policy. 2020; 2627-2634. https://doi.org/10.2147/RMHP.S279513
6. 6. Wang XJ, Li CP, Huang F. Current situation and factors influencing the disaster response capability of undergraduate nursing students. Alternative Therapies in Health and Medicine. 2023;29(1):210-215.
7. 7. World Health Organization. [Internet]. Emergency Preparedness and Response into Undergraduate Nursing Curricula: 2008 [cited 2023 Oct 12]. Available from: https://www.who.int/publications/i/item/integrating-emergency-preparedness-and-response-into-undergraduate-nursing-curricula
8. 8. Cruz JP, Balay-Odao EM, Bajet JB, Alsharari AF, Tork HM, Alharbi TAF, et al.. Testing the validity and reliability of the Arabic version of the Disaster Response Self-Efficacy Scale among Saudi nursing students. Nurse Education in Practice (NEP). 2022;64:103443. https://doi.org/10.1016/j.nepr.2022.103443

9. 9. Hung CC, Kao HFS, Liu HC, Liang HF, Chu TP, Lee BO. Effects of simulation-based learning on nursing students' perceived competence, self-efficacy, and learning satisfaction: A repeat measurement method. Nurse Education Today.2020;97: 104725. https://doi.org/10.1016/j.nedt.2020.104725
10. 10. Ljunggren F, Lindén Moen I, Rosengren K. How to be prepared as a disaster nursing: an interview study with nursing students in Indonesia. Health in Emergencies and Disasters Quarterly. 2019;5(1):53-62. 10.32598/hdq.5.1.334.1.
11. 11. Satoh M, Iwamitsu H, Yamada E, Kuribayashi Y, Yamagami-Matsuyama T, Yamada Y. Disaster nursing knowledge and competencies among nursing university students participated in relief activities following the 2016 Kumamoto earthquakes. SAGE Open Nursing. 2018;4: 1-9. https://doi.org/10.1177/23779608188049
12. 12. American Association of Colleges of Nursing (AACN) [Internet].. Considerations for COVID-19 preparedness and response in U.S. schools of nursing. AACN Recommendations. 2020 [cited 2023 Sep. 03]. Available from: Retrieved from: https://www.aacnnursing.org/News-Information/COVID-19/AACN-Recommendations
13. 13. Kamanyire JK, Wesonga R, Achora S, Labrague LL, Malik A, Alshaqsi S, Alhabsi J A. Nursing students’ perceived disaster preparedness and response: pilot study in Oman. Sultan Qaboos Univ Med J. (SQUMJ). 2021;21(4):621. doi: 10.18295/squmj.5.2021.074.
14. 14. Yildiz CÇ, Yildirim D. The effects of disaster nursing education program on beliefs in general disaster preparedness, disaster response self-efficacy, and psychological resilience in nursing students: A single-blind, randomized controlled study. Nursing Education Perspectives. 2022;43(5):287-291. doi: 10.1097/01.NEP.0000000000001011.
15. 15. Dastyar N, Nazari M, Rafati F. Design, ımplement, and evaluate a short-term blended training program on nursing students’ disaster response self-efficacy in Iran. Disaster Medicine and Public Health Preparedness. 2023;17:e382. https://doi.org/10.1017/dmp.2022.269
16. 16. Inal E, Altintas KH, Dogan N. The development of a general disaster preparedness belief scale using the health belief model as a theoretical framework. International Journal of Assessment Tools in Education (IJATE) . 2018;5(1):146-158. https://doi.org/10.21449/ijate.366825
17. 17. Bülbül E. Assessment of nursing students’ self-efficiency in disaster response. Emergency. 2021;1(2):45-49.
18. 18. Tercan B, Şahinöz S. Developıng a scale to determıne dısaster preparedness perceptıons of the personnel workıng ın pre-hospıtal emergency health servıces: a methodologıcal study. Journal of Pre-Hospital. 2021;6(3):367-379. https://doi.org/10.54409/hod.995792
19. 19. Li H, Bi RX, Zhong QL. The development and psychometric testing of a disaster response self-efficacy scale among undergraduate nursing students. Nurse Education Today. 2017;5:16-20. https://doi.org/10.1016/j.nedt.2017.07.009
20. 20. Koca B, Çağan Ö, Türe A. Validity and reliability study of the Turkish version of the disaster response self-efficacy scale in undergraduate nursing students. ACU Journal of Health Sciences. 2020;11(3):515-521. https://doi.org/10.31067/0.2020.301
21. 21. Gu M, Kim R, Lee H, Sok S. Factors influencing disaster-incident-related impacts on Korean nursing students. Int. J. Environ. Res. Public Health ( IJERPH). 2019;16(24):5111. https://doi.org/10.3390/ijerph16245111
22. 22. Koca B, Arkan G. The effect of the disaster management training program among nursing students. PHN. 2020;37(5):769-777. https://doi.org/10.1111/phn.12760
23. 23. Xia R, Li S, Chen B, Jin Q, Zhang Z. Evaluating the effectiveness of a disaster preparedness nursing education program in Chengdu, China. PHN. 2020;37(2):287-294. https://doi.org/10.1111/phn.12685
24. 24. Labrague LJ, Kamanyire JK, Achora S, Wesonga R, Malik A, Al Shaqsi S. Predictors of disaster response self-efficacy among nurses in Oman. International Journal of Disaster Risk Reduction. (IJDRR). 2021;61:102300. https://doi.org/10.1016/j.ijdrr.2021.102300
25. 25. Alim S, Kawabata M, Nakazawa M. Evaluation of disaster preparedness training and disaster drill for nursing students. Nurse Education Today. 2015;35(1):25-31. https://doi.org/10.1016/j.nedt.2014.04.016
26. 26. Abuadas MH, Albikawi ZF. Predictors of disaster preparedness among registered nurses in Saudi Arabia: A structural equation modelling analysis. Australasian Emergency Care. 2022;25(2):132-139. https://doi.org/10.1016/j.auec.2021.07.004
27. 27. Hung MSY, Lam SKK, Chow MCM, Ng WWM, Pau OK. The effectiveness of disaster education for undergraduate nursing students’ knowledge, willingness, and perceived ability: An evaluation study. IJERPH. 2021;18(19):10545 https://doi.org/10.3390/ijerph181910545
28. 28. Grimes A, Sparke V, Rouen C, West C. Preparedness and resilience of student nurses in Northern Queensland Australia for disasters. International Journal of Disaster Risk Reduction. (IJDRR). 2020;48:101585. https://doi.org/10.1016/j.ijdrr.2020.101585
29. 29. Keskin AY, Alan H. Assessment of undergraduate nursing students’ self-efficiency in disaster response. Journal of Nursing Effect. 2023;16(3):332-342.
30. 30. Hisar K, Yurdakul A. The evaluation of ınformation about health services in disasters of nursing students of a university. MAKU Journal of Health Sciences Institute. 2015;3(2):54-65.
31. 31. Goddard S, Sheppard M, Thompson K, Konecny L. Disaster Preparedness Knowledge, Beliefs, RiskPerceptions, and Mitigating Factors of Disaster Preparedness Behaviors of Undergraduate Students at a Large Midwest University. J Pub Health Issue Pract. (JPHIP). 2018;2: 115. 2. https://doi.org/10.33790/jphip1100115
32. 32. Grimes A, Sparke V, Rouen C, West C. Preparedness and resilience of student nurses in Northern Queensland Australia for disasters. Int. J. Disaster Risk Reduct. (IJDRR). 2020;48:101585.
33. 33. Wang J, Li C, Zou S, Chen H, Xiang J, Hu Y, Huang H, Tan Y. Psychometric evaluation of undergraduate student nurses' learning perceived needs in disaster nursing: Two cross-sectional studies. Nurse Education Today. 2020; 84, 104208. https://doi.org/10.1016/j.nedt.2019.104208.
34. 34. Erkin Ö, KONAKÇI G, ÜNER GA. The Effect of Disaster Nursing Course on Nursing Students' Perceptions of Disaster Awareness, Preparedness, Response Self-Efficacy. Afet ve Risk Dergisi, 2023;6(4):1234-1246.
35. 35. Olchin, L, Krutz A. (Nurses as first responders in a mass casualty: are you prepared?. Journal of Trauma Nursing. (JTN). 2012;19(2):122-129.
36. 36. Veenema TG. Disaster nursing and emergency preparedness for chemical, biological, and radiological terrorism and other hazards. New York, NY: Springer Publishing Company.2003.
37. 37. Kalanlar B.nThe challenges and opportunities in disaster nursing education in Turkey. Journal of Trauma Nursing. (JTN). 2019;26(3):164-170.
38. 38. Abou Hashish E, Banoona R. Disaster nursing and disaster preparedness: an investigation of nursing students’ knowledge, competence and attitudes. Nursing Management. 2023;30(1).
39. 39. Jennings-Sanders A, Frisch N, Wing S. Nursing students' perceptions about disaster nursing. Disaster Management & Response. 2005;3(3):80-85