다수사상자사고 대응 실습교육 프로토콜 개발 및 효과성 검증
Development and evaluation of training protocols for mass casualty incidents during disaster response
0
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to develop a training protocol to standardize the management of mass casualties as part of the disaster response, and to verify the effectiveness of the training protocol. Methods: The study was conducted as a quasi-experimental study with a non-equivalent control group and pretest-posttest design. The protocol was divided into 5 parts, the first for the advance party, the second for the rescue team, the third for the paramedic team, the fourth for the ambulance team, and the fifth for the 119 EMS team. This study was conducted on November 15, 2021 and consisted of 21 subjects in the final experimental group and 23 subjects in the control group. In this study, the prior homogeneity test was analyzed using the χ2-test, intragroup comparisons were analyzed using the paired t-test, and intragroup comparisons were analyzed using the independent t-test. Results: The protocol was developed in five parts: advance party, rescue team, paramedics team, ambulance team, and 119 EMS team. In verifying the effectiveness of the protocol, it was found that there were significant differences in self-efficacy (t=-0.941, p=0.001) and self confidence within the group (t=-0.025, p=0.001) after the implementation of the mass casualty incident response training program. However, there was no significant difference between the experimental and control groups. Conclusion: Based on the findings of this study, it is believed that disaster response personnel can experience lower levels of anxiety and tension in disaster situations if they receive practical and realistic education and training. In the future, it is necessary to enhance protocol based practical education that can improve the knowledge and skills of each team and individual.
Abstract
Purpose: The purpose of this study was to develop a training protocol to standardize the management of mass casualties as part of the disaster response, and to verify the effectiveness of the training protocol. Methods: The study was conducted as a quasi-experimental study with a non-equivalent control group and pretest-posttest design. The protocol was divided into 5 parts, the first for the advance party, the second for the rescue team, the third for the paramedic team, the fourth for the ambulance team, and the fifth for the 119 EMS team. This study was conducted on November 15, 2021 and consisted of 21 subjects in the final experimental group and 23 subjects in the control group. In this study, the prior homogeneity test was analyzed using the χ2 -test, intragroup comparisons were analyzed using the paired t-test, and intragroup comparisons were analyzed using the independent t-test. Results: The protocol was developed in five parts: advance party, rescue team, paramedics team, ambulance team, and 119 EMS team. In verifying the effectiveness of the protocol, it was found that there were significant differences in self-efficacy (t=-0.941, p=0.001) and self confidence within the group (t=-0.025, p=0.001) after the implementation of the mass casualty incident response training program. However, there was no significant difference between the experimental and control groups. Conclusion: Based on the findings of this study, it is believed that disaster response personnel can experience lower levels of anxiety and tension in disaster situations if they receive practical and realistic education and training. In the future, it is necessary to enhance protocol based practical education that can improve the knowledge and skills of each team and individual.
참고문헌 (19)
- "A Study on Restructuring of Fire Fighting" (2015)[URL]
- 윤석민, "정부의 지진재난 대응역량과 재난관리체계의 법·제도적 적절성이 재난관리 운영성과에 미치는 영향: 소방공무원의 인식을 중심으로", 한국재난정보학회 논문집, 16(2), pp.318~330 (2020), 한국재난정보학회
- Report of the design of national medical response system and standard manual, "Korea Ministry of Health & Welfare", ~ (2012)
- National Fire Agency, "Mass casualty occurrence disaster 119 emergency response standard manual" (2022)
- 신영민, "화재현장의 소방대원 시야 확보를 위한영상처리 기술 효과성 검토", 한국화재소방학회 논문지, 35(3), pp.118~126 (2021), 한국화재소방학회
- 최윤정, "긴급구조훈련 개선에 관한 의식조사 연구 –강원도 소방조직을 중심으로–", 한국재난정보학회 논문집, 15(3), pp.440~449 (2019), 한국재난정보학회[DOI]
- 유미, "환자안전 시뮬레이션 프로그램 개발: 투약오류를 중심으로", 간호행정학회지, 27(2), pp.107~117 (2021), 간호행정학회
- G.A. Guido Legemaate, "The Evaluation of Research Methods during Disaster Exercises: Applicability for Improving Disaster Health Management", Prehospital and Disaster Medicine, 27(1), pp.18~26 (2012), Cambridge University Press (CUP)[DOI]
- Guilford JP, "Fundamental statistics in psychology and education" (1981), McGraw-Hill
- Cohen, J, "Statistical power analysis for the behavioral sciences" (1988), Erlbaum
- Hong-Yan Li, "The development and psychometric testing of a Disaster Response Self-Efficacy Scale among undergraduate nursing students", Nurse Education Today, 59, pp.16~20 (2017), Elsevier BV[DOI]
- Nypaver, Mary Catherine, "Disaster education for nurses: A comparison of two instructional methods for teaching basic disaster life support in the light of self-efficacy theory", PhD, pp.2011
- 채민정, "심정지 시뮬레이션 교육이 간호학생의 지식, 자신감, 비판적 사고성향 및 임상수행능력에 미치는 효과", 성인간호학회지, 28(4), pp.447~458 (2016), 한국성인간호학회[DOI]
- 이현정, "융합시뮬레이션 교육이 간호학생의 문제해결능력, 자기효능감 및 핵심기본간호술 수행자신감에 미치는 효과", 융합정보논문지, 10(1), pp.44~50 (2020), 중소기업융합학회[DOI]
- J. Macnaughton, "The humanities in medical education: context, outcomes and structures", Medical Humanities, 26(1), pp.23~30 (2000), BMJ[DOI]
- 백민호, "코로나19 상황에서 소방공무원을 대상으로 한 비대면 실시간 교육 만족도에 관한 연구", 한국재난정보학회 논문집, 18(1), pp.91~103 (2022), 한국재난정보학회
- 김정숙, "간호대학생을 위한 시뮬레이션 기반 재난간호 교육프로그램 개발 및 효과 검증", 한국간호시뮬레이션학회지, 7(1), pp.31~43 (2019), 한국간호시뮬레이션학회[DOI]
- 안민정, "간호대학생 대상 시뮬레이션 기반 융합실습교육프로그램 개발 및 효과", 융합정보논문지, 9(10), pp.16~27 (2019), 중소기업융합학회[DOI]
- 김현정, "간호초심자의 표준화 환자를 활용한 시뮬레이션 실습교육의 효과", 한국간호시뮬레이션학회지, 6(1), pp.13~24 (2018), 한국간호시뮬레이션학회[DOI]