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1. Development and Effect of a Simulation-Based Disaster Nursing Education Program for Nursing Students Using Standardized Patients.

Author

Yeon Mi PARK and Won Ju HWANG

Subjects
*EXPERIMENTAL design, *CONFIDENCE, *CLINICAL trials, *SIMULATED patients, *RESEARCH methodology, *FISHER exact test, *DISASTER nursing, *HUMAN services programs, *PRE-tests & post-tests, *EMERGENCY management, *CRITICAL thinking, *NURSING education, *CONCEPTUAL structures, *T-test (Statistics), *OUTCOME-based education, *CHI-squared test, *RESEARCH funding, *NURSING students, *INTENTION, *DATA analysis software, *EDUCATIONAL outcomes, RESEARCH evaluation
Abstract

Background: Disaster nursing deploys professional nursing knowledge and skills systematically to reduce disaster-related risks to life and health. Disaster nursing education requires providing simulations using standardized patients. Purpose: The purpose of this study was to develop, based on the International Council of Nurses' Framework of Disaster Nursing Competencies, a simulation-based disaster nursing education program for nursing students that employed standardized patients. Methods: A nonequivalent, control group, pretest-and-posttest design was used. Participants were senior nursing students from two universities, with 70 assigned to the experimental group, 35 assigned to the comparison group, and 35 assigned to the control group. Data were collected from January 25 to April 3, 2019. The simulation-based disaster nursing education program consisted of a 60-minute theoretical lecture on disaster management and two scenarios. The effectiveness of the simulation-based disaster nursing education program was measured using levels of disaster nursing competencies, disaster triage competency, disaster preparedness, critical thinking disposition, and confidence in disaster nursing. Results: Significant differences were found between the experimental and comparison/control groups in terms of disaster nursing competencies (F = 20.06, p < .001), nursing triage (F = 17.35, p < .001), disaster preparedness (F = 60.37, p < .001), critical thinking disposition (F = 19.63, p < .001), and confidence in disaster nursing (F = 20.24, p < .001). Conclusions: Simulation-based disaster nursing education programs using standardized patients can be useful in disaster nursing education. They can contribute to future changes in nursing education and practice by improving the disaster nursing capabilities and preparedness of students. [ABSTRACT FROM AUTHOR]

Published
2024
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3. Factors Influencing the Accessibility of Maternal Health Service in Cambodia

Author

Yeon Mi Park and Won Ju Hwang

Subjects
Adult, Health, Toxicology and Mutagenesis, 030231 tropical medicine, Developing country, lcsh:Medicine, Health Services Accessibility, Article, 03 medical and health sciences, 0302 clinical medicine, Pregnancy, Surveys and Questionnaires, Environmental health, parasitic diseases, Health care, Humans, Maternal health, 030212 general & internal medicine, Developing Countries, Service (business), Travel, Government, business.industry, maternal mortality, maternal health services, lcsh:R, Infant, Newborn, Public Health, Environmental and Occupational Health, Infant, virus diseases, accessibility, Child mortality, Child, Preschool, Child Mortality, Female, Cambodia, International development, business, Explanatory power
Abstract

Despite worldwide efforts, maternal and child mortality remains a major health problem in many developing countries. Cambodia&rsquo, s maternal mortality rate has decreased over recent years through government efforts and support from various international development cooperation agencies. The purpose of this study was to investigate the factors that affected the accessibility of Cambodia&rsquo, s maternal healthcare services. Data from maternal health service surveys conducted in Battambang, Cambodia in 2012 and 2015 were compared and analyzed. Multiple regression analysis was conducted to identify factors related to the accessibility of integrated maternal healthcare service. The travel time to health centers was found to be related to distance from the health center (&szlig, = 0.031, p &lt, 0.001), travel time during the rainy season (&szlig, = 0.166, p &lt, 0.001), and travel cost (&szlig, = 0.001, p &lt, 0.001), with an explanatory power of 27% (R2 = 0.274). Based on these findings, future research and policy should focus on improving accessibility to effective maternal and child healthcare services, to reduce maternal and child mortality. This study is intended to contribute to developing a multi-directional and integrated strategy for access to maternal health services in developing countries.

Published
2019

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