The Effect of Learning Tabletop Disaster Exercise (TDE) to Improve Knowledge among Nursing Students for Disaster Emergency Response

AbstractIntroductionChildren are particularly vulnerable during disasters and mass-casualty incidents. Coordinated multi-hospital training exercises may help health care facilities prepare for pediatric disaster victims.ProblemThe purpose of this study was to use mixed methods to assess the disaster response of three hospitals, focusing on pediatric disaster victims.MethodsA full-functional disaster exercise involving a simulated 7.8-magnitude earthquake was conducted at three Los Angeles (California USA) hospitals, one of which is a freestanding designated Level I Pediatric Trauma Center. Exercise participants provided quantitative and qualitative feedback regarding their perceptions of pediatric disaster response during the exercise in the form of surveys and interviews. Additionally, trained observers provided qualitative feedback and recommendations regarding aspects of emergency response during the exercise, including communication, equipment and supplies, pediatric safety, security, and training.ResultsAccording to quantitative participant feedback, the disaster exercise enhanced respondents’ perceived preparedness to care for the pediatric population during a mass-casualty event. Further, qualitative feedback from exercise participants and observers revealed opportunities to improve multiple aspects of emergency response, such as communication, equipment availability, and physician participation. Additionally, participants and observers reported opportunities to improve safety and security of children, understanding of staff roles and responsibilities, and implementation of disaster triage exercises.ConclusionConsistent with previous investigations of pediatric disaster preparedness, evaluation of the exercise revealed several opportunities for all hospitals to improve their ability to respond to the needs of pediatric victims. Quantitative and qualitative feedback from both participants and observers was useful for comprehensively assessing the exercise's successes and obstacles. The present study has identified several opportunities to improve the current state of all hospitals’ pediatric disaster preparedness, through increased training on pediatric disaster triage methods and additional training on the safety and security of children. Regular assessment and evaluation of supplies, equipment, leadership assignments, and inter-hospital communication is also suggested to optimize the effectiveness and efficiency of response to pediatric victims in a disaster.BurkeRV, KimTY, BachmanSL, IversonEI, BergBM. Using mixed methods to assess pediatric disaster preparedness in the hospital setting. Prehosp Disaster Med. 2014;29(6): 1-7.

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EFEKTIVITAS TABLETOP DISASTER EXERCISE (TDE) SEBAGAI MEDIA SIMULASI DALAM RUANG UNTUK MENINGKATKAN KEMAMPUAN TRIAGE DAN ALUR RUJUKAN KORBAN BENCANA

JI-KES (Jurnal Ilmu Kesehatan) ◽

10.33006/ji-kes.v2i1.100 ◽

2018 ◽

Vol 2 (1) ◽

Author(s):

Widya Addiarto ◽

Shinta Wahyusari

Keyword(s):

Nursing Students ◽

Wilcoxon Test ◽

Control Group ◽

Control Groups ◽

Control Group Design ◽

Disaster Victims ◽

Group Design ◽

Post Test ◽

And Control ◽

Disaster Exercise

AbstrakSaat ini skill perawat ketika menjadi volunteer pada saat terjadi bencana masih rendah. Upaya untuk meningkatkan skill tersebut salah satunya adalah dengan cara memberikan pendidikan bencana sejak awal kepada mahasiswa keperawatan yang salah satunya dapat mengguanakan media Tabletop Disaster Exercise (TDE). Penilitian ini bertujuan untuk mempelajari efektivitas media Tabletop Disaster Exercise dalam meningkatkan skill triage dan alur rujukan korban bencana. Desain penelitian yang digunakan adalah quasy experiment dengan menggunakan pre-post test with control group design. Jumlah populasi adalah 188 mahasiswa. Sampel diambil menggunakan purpossive sampling dan didapatkan jumlah responden sebesar 36 dibagi menjadi 2 kelompok yaitu kelompok kontrol dan perlakuan. Data dianalisis menggunakan uji Wilcoxon dan didapatkan ada perbedaan triage (ρ = 0,001) dan alur rujukan (ρ = 0,000) sedangkan pada kelompok kontrol hasil didapatkan perbedaan skill triage (ρ = 0,001) dan alur rujukan (ρ = 0,001). Hasil uji Mann Whitney yaitu terdapat perbedaan skill triage dan alur rujukan dari responden antara kelompok perlakuan dengan kelompok kontrol dengan nilai signifikansi masing-masing 0,013 dan 0,004. Dapat disimpulkan bahwa pada kelompok perlakuan dan kontrol sama-sama dapat meningkatkan skill triage dan alur rujukan dari masing-masing responden, akan tetapi dari analisis kedua metode didapatkan hasil yang signifikan yang menunjukkan adanya perbedaan antara media TDE dengan metode konvensional. Kata kunci : tabletop disaster exercise, triage, alur rujukan AbstractToday, the nurses' skills when volunteering at disaster management are still low. therefore to improve these skills is by providing disaster education from the beginning to nursing students. One of the learning media that is expected to be able to answer these problems is the Tabletop Disaster Exercise (TDE). This study aims to determine the effectivity of Tabletop Disaster Exercise in improving triage and referral flow of disaster victims. The research design used quasy experimental with two groups pre-post test design. 36 subjects in total (2 groups of 18 members) was selected using purpossive sampling. Data were analyzed using Wilcoxon test and Mann whittney test. The results showed there were differences in triage (ρ = 0,001) and referral flow (ρ = 0,000) while in the results of the control group, there were differences in triage (ρ = 0.001) and referral flow (ρ = 0.001). The result of the Mann Whitney test showed there were differences in respondents’s skill between the treatment group and the control group with a significance value of triage (ρ = 0.013) and referral flow (ρ = 0.004). Thus it can be concluded that both the treatment and control groups can equally improve the triage and referral Flow skills of each respondent, but from the analysis of both methods, significant results are showed by the differences between TDE and conventional methods.Keywords: tabletop disaster exercise, triage, referral flow

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