Using Videos to Analyze the Effectiveness of START Education for Japanese Nursing Students

Abstract

This study aims to evaluate the effectiveness of teaching START (Simple Triage and Rapid Treatment) to nursing students using videos. To this end, we conducted a study from October 1, 2016 to March 31, 2018, instructing nursing students to view a video of 30 simulated cases and to perform triage exercises both before and after START training. Subjects included 57 freshmen and 56 seniors. We calculated the accuracy rate for each case and examined those where students were most likely to make mistakes. We found that after START training, both freshmen and senior students did significantly better on the triage exercises. Before the training, seniors treated an average (± standard error (SE)) of 23.5 ± 0.7 out of 30 patients correctly, while after the training, this number increased to 29.3 ± 0.2 (p < 0.001). For freshmen, the increase was even more drastic, increasing from 17.4 ± 0.6 correct before the training to 29.1 ± 0.3 after (p < 0.001). While freshmen initially answered far fewer questions correctly, after the training, there was no significant difference in the performance of freshmen and seniors: both groups had an overall accuracy rate of 95% or higher. The drastic performance increase even of freshmen with little medical knowledge suggests that this program may even be effective for the general public, making our results relevant for developing better disaster medical care in the future.

Proposal of a Model of Disaster Medical Education for Practical Risk Management and Disaster Nursing: The SINCHI Education Model

“…10,11 Previous studies have also suggested the effectiveness of simulation education in disaster medical education and training. 5,12 The educational model developed in the current study includes a simulation game (disaster imaging game) involving past IDR operations. For example, the Honduras international disaster relief operation in 1988 is one of the sample models.…”

“…However, detailed educational methods for practical disaster nursing education including risk management have not yet been established. 5 The increased number of natural disasters makes it vital for nurses to be taught the principles of disaster medicine and nursing; 6 such education is the most effective when conducted through simulations during nurses' on-going education. 7 Japanese nursing colleges today provide disaster nursing education to their students.…”