Preparing Pre-Licensure Nurses: An Interprofessional Disaster Drill

Preparing Pre-Licensure Nurses: An Interprofessional Disaster Drill Jean Ellen Zavertnik, RN, DNP, CNE, CHSE Clemson University School of Nursing

Mass Casualty Shooter Drill First responders; Fire, Police, EMS Medical Students, Faculty Nursing Students, Faculty Hospital Professional

Gain insight/empathy for casualty participants in a disaster Objectives Enhance understanding of roles and responsibilities of law enforcement, fire service, and emergency medical services responding to a mass casualty incident Describe, from a personal perspective, casualty participant-first responder interactions with an emphasis on caring (providing comfort; building trust; and instilling hope)

Description

Questions for the audience: What insights can nursing students gain by participating in a disaster drill? What caring behaviors are demonstrated in a disaster drill? Can participation in a simulated disaster drill help students to gain an appreciation of the role of first responders?

Method and Metrics Two surveys One week post experience Optional IRB approved Mixed methods Quantitative: mean, median, mode, range, and standard deviations Qualitative: thematic analysis

Caring Of the 50 student respondents, more than half (82%) of the participants observed acts of caring during the simulation, particularly from EMT (76%) and police (44%). Results

First Responder Interactions with first responders provided nursing students a better understanding of first responder role and responsibilities (56%), however 17% of the nursing students did not see the role of the first responder differently following the simulation, 16% were undecided. Results

Themes teamwork and collaboration communication reaction and behavior triaging procedure importance of disaster drills and Interprofessional training

Significance Preparing preprofessional nursing student for disaster can lead to positive learning outcomes and facilitate transition to practice in the community health nursing setting.

Implications , Limitations, Replication The impact of exposing pre-professional healthcare students to a disaster may not be fully realized until specific data collection tools are available, however, playing the role of a casualty participant may allow the nursing students to gain insight into the importance of preparing for a disaster, empathy for disaster victims, and appreciate the role of emergency personnel in a disaster.

References: Foisy-Doll, C. & Leighton, K. (2018). Simulation Champions Fostering Courage, Caring, and Connection. Wolters Kluwer: Philadelphia. Interprofessional Education Collaborative. (2016). Core competencies for interprofessional collaborative practice: 2016 update. Washington, DC: Interprofessional Education Collaborative. Sanchez, L., Young, V., & Baker, M. (2018). Active shooter training in the emergency department: A safety initiative. Journal of Emergency Nursing. (in press), https://doi.org/10.1016/j.jen.2018.07.002