Disaster Education Among Student Nurses After the Kahramanmaraş Earthquake

NCT07047274 | Completed

• 1 other identifier: E-23688910-050.01.04-230003832
• Study Type: interventional
• Target: 108
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: This study examines the effect of multidimensional disaster training on disaster awareness and disaster intervention self-efficacy of pre-service nurses who experienced the effects of the earthquake centred in Kahramanmaraş. Since there is not enough disaster-related training in nursing curricula, it is thought that such trainings will improve the skills of nurses. The study aims to investigate whether this training increases students' knowledge and intervention competences towards disasters. Methods: This research is a study with a quasi-experimental design. The study was conducted with 1st and 2nd year students who were studying at a university, Department of Nursing, and had not taken public health and disaster management courses. An intervention group and a control group were formed by applying tests measuring disaster awareness and disaster response self-efficacy to the students. Web-based multidimensional disaster training consisting of 10 sessions was given to the intervention group. After the training, both groups were retested and the changes in disaster awareness and response self-efficacy were evaluated. After that, the data was analyzed with statistical tests.

Conditions

Earthquake; Nurses Role; Disaster Nursing

Keywords

Disaster awareness; Disaster education; Disaster response; Earthquake; Nurse candidates; Self-efficacy

Outcome Measures

Primary Outcomes (2)

• Disaster Awareness Scale (DAS)

  Developed by Kırıkkaya and Gerdan, is a five-point Likert-type measurement tool consisting of a total of 23 items: strongly agree 5, agree 4, undecided 3, disagree 2, strongly disagree 1. The scale, which has a 5-factor structure as disaster knowledge, pre-disaster, during disaster, post-disaster and awareness of non-structural risks, has a total variance explanation level of 57%. Cronbach Alpha reliability coefficient of the scale was calculated as α=.86.

  From baseline to the end of treatment at 10 days

• Disaster Response Self-Efficacy Scale (DRSES)

  It was developed by Hong-Yan Li. The validity and reliability studies of the Turkish form of the scale were conducted by Koca and colleagues. It consisted of 19 items and 3 sub-dimensions, and the answers were taken with a 5-point Likert scale (1=Not confident at all, 2=basically not confident, 3=Somewhat confident, 4=Basically confident, 5=Fully confident). A high score indicates a high level of disaster response self-efficacy. Cronbach's alpha coefficient of the whole scale was determined as 0.96. Cronbach alpha values for the three dimensions were determined as on-site rescue competence=0.93, psychological nursing competence in disaster=0.93 and the quality of the role undertaken in disaster and adaptation competence =0.93.

  From baseline to the end of treatment 10 days

Study Arms (2)

Education Group

EXPERIMENTAL

A web-based training program consisting of ten sessions, each lasting one hour, was implemented for the students in the intervention group. To enhance participation and reinforce learning, game-based activities related to the session topics were conducted via an online platform (Kahoot) during each session. The training content was developed based on the expert opinions of 12 professionals specializing in emergency care, public health, internal medicine, surgery, and education. Additionally, the program was structured in alignment with the emergency action plans of AFAD, the official disaster management authority in Türkiye. The training covered key topics including types and classifications of disasters, disaster awareness, risk analysis, personal protective equipment, triage, post-disaster processes, basic first aid, and the social dimensions of disasters.

Behavioral: Education group (DBM/BMP)

Control Group

NO INTERVENTION

Since there were no participants with high levels of self-efficacy and awareness in the pre-test results, 54 students were randomly assigned to the control group according to gender and grade level. After the training in the intervention group was completed, the same assessment tools were re-applied to both groups and post-test data were collected. After the data were collected, the materials used in the training were shared with the control group.

Interventions

Education group (DBM/BMP) BEHAVIORAL

A structured web-based training program, consisting of ten one-hour sessions, was delivered to students in the intervention group. To foster active engagement and reinforce learning outcomes, each session incorporated interactive, game-based activities through the Kahoot platform. The content of the training was developed in collaboration with a panel of 12 subject-matter experts, including specialists in emergency care, public health, internal medicine, surgery, and education. Additionally, the structure and thematic scope of the program were aligned with the emergency action guidelines of AFAD, Türkiye's official disaster management authority. The curriculum encompassed a comprehensive range of topics, including the classification of disasters, disaster awareness, risk assessment, use of personal protective equipment, triage procedures, post-disaster management, basic first aid practices, and the psychosocial dimensions of disaster response.

Education Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being 18 years of age or older,
• Being a first- or second-year student enrolled in the Nursing Department of a university,
• Not having received any prior education related to Public Health or Disaster Management,
• Reading and approving the informed voluntary consent form and agreeing to participate in the study.

You may not qualify if:

• Having received prior education or training in public health, disaster preparedness, or disaster management,
• Currently enrolled in or having completed any course related to disasters, Not providing informed consent,
• Being absent during either the intervention or data collection phases.

Sponsors & Collaborators

• Bartın Unıversity: lead

Study Sites (1)

Faculty of Health Sciences

Bartın, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: To ensure blinding, baseline and final outcome measurements were performed by a researcher other than the training investigator.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Lecturer

Model Details: 54 students were assigned to the intervention group and 54 students to the control group using the randomization method according to grade and gender strata, and the study was completed with a total of 108 students.

Study Record Dates

• First Submitted: June 24, 2025
• First Posted: July 2, 2025
• Study Start: March 15, 2023
• Primary Completion: September 15, 2023
• Study Completion: February 2, 2024
• Last Updated: July 11, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL

Locations

TU (1)