The Effect of Educating Confronting Accidents and Disasters on the Improvement of Nurses’ Professional Competence in Response to the Crisis

Background: To achieve the highest possible level of health for individuals and societies involved in the crisis, a high level of individual and professional competency is needed in nurses for their active participation in the crisis. The acquisition of professional qualifications by nurses to provide care in the crisis is very important. The present study aimed to determine the effect of disaster and accident response training on the enhancement of professional competence of nurses in response to the crisis. Materials and Methods: This research was a quasi-experimental study with pre-test, post-test design. The statistical population consisted of all nurses working in Shahid Chamran Hospital in Saveh City, Iran, in ۲۰۱۷. In total, ۸۰ nurses were selected through the convenience sampling method and were randomly divided into the intervention and control groups. The intervention group received training through lectures and workshops for ۱۶ hours in ۴ days. The samples completed a professional nursing competency assessment questionnaire before and one month after the intervention. The obtained data were analyzed by the Chi-squared test, Fisher’s exact-test, Independent samples t-test, and Paired samples t-test in SPSS. Results: The findings revealed no significant difference between the two groups concerning demographic variables. After the intervention, the average improvement of professional competence of nurses in their ability to manage the accident scene increased from ۶۳.۳ to ۷۴.۰۷, teamwork skill from ۵۶.۷ to ۷۴, individual specific abilities from ۶۱.۴ to ۷۰, ethical performance from ۶۷.۸ to ۷۶.۹, and professional skills from ۵۴ to ۶۰. The Mean±SD pretest score of professional competency of nurses in the intervention and control groups were ۱۶۳.۵±۲۸.۶ and ۱۵۵.۷۳±۳۴, respectively. After the intervention, these scores increased to ۱۸۵.۱۳±۲۸.۸ and ۱۵۸.۴۸±۳۳.۳ in the intervention and the control groups, respectively. The difference was statistically significant in the intervention group (P<۰.۰۰۱). Conclusion: The findings of this study indicated that the competence of nurses to provide care in crises was not at a desirable level. Thus, assessing the competence of nurses and identifying the gaps in their knowledge and skills before attending crises is essential. Also, the incident and disaster education can dramatically increase nurses’ professional competence in responding to the crisis. Therefore, we suggest the method used in this study as a feasible, simple, low cost and effective method in this regard.