Effect of Game-Based and Simulation-Based Training on Triage Knowledge in Mass Casualty Incidents: A Quasi-Experimental Study among Nurses in Semnan, Iran
Authors
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Nasir Amanat
Nursing Care Research Center, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
https://orcid.org/0009-0009-6018-2153
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Hamed Khosravi
Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran
https://orcid.org/0000-0003-1425-6659
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Roghiyeh Zabihi
Student Research Committee, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
https://orcid.org/0009-0002-9318-105X
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Fatemeh Zahra Zaman Nejad
Nursing Care Research Center, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
https://orcid.org/0009-0009-9096-7605
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Shahin Abedini
Student Research Committee, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran.
https://orcid.org/0009-0004-4645-4048
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Mahdi Koeini
Student Research Committee, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
https://orcid.org/0009-0001-7590-3031
DOI:
https://doi.org/10.22100/sjms.v11i3.1283Keywords:
Triage , Simulation training, Learning, Mass casualty incidents, NursesAbstract
Background: Mass casualty incidents involve sending a large number of injured people to hospitals. Mass casualty incidents require efficient triage to prioritize care, and nurses, as the largest healthcare workforce, play a key role in crisis response. This study aimed to evaluate the effect of combined game-based and simulation-based training on improving nurses' triage knowledge in mass casualty incidents in hospitals affiliated with Semnan University of Medical Sciences, Iran.
Methods: This quasi-experimental study with a pretest-posttest design involved 55 crisis team nurses from eight hospitals affiliated with Semnan University of Medical Sciences, selected via convenience sampling. Participants completed a pretest, followed by a lecture, game-based training, and simulation with 10 simulated patients. Data were analyzed using the Wilcoxon test in SPSS version 26.
Results: The increase from the pre-test mean of 11.87±2.31 to the post-test mean of 15.75±1.65 (P-value<0.001) indicated a significant improvement in nurses' knowledge of triage principles.
Conclusions: Game-based and simulation-based training significantly improved nurses’ triage knowledge and enhanced their preparedness for mass casualty incidents. It is recommended that these methods be integrated into nursing education and that follow-up assessments be conducted.
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