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A Comparative Study of the Effect of Triage Training by Role-Playing and Educational Video on the Knowledge and Performance of Emergency Medical Service Staffs in Iran

Published online by Cambridge University Press:  12 November 2013

Hamidreza Aghababaeian
Affiliation:
Department of Emergency Medicine and Nursing, Dezful University of Medical Sciences, Dezful, Iran Abadan College of Medical Sciences. Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Soheila Sedaghat*
Affiliation:
Abadan College of Medical Sciences. Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Noorallah Tahery
Affiliation:
Abadan College of Medical Sciences. Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Ali Sadeghi Moghaddam
Affiliation:
Department of Emergency Medicine and Nursing, Dezful University of Medical Sciences, Dezful, Iran
Mohammad Maniei
Affiliation:
Department of Emergency Medicine and Nursing, Dezful University of Medical Sciences, Dezful, Iran
Nosrat Bahrami
Affiliation:
Department of Emergency Medicine and Nursing, Dezful University of Medical Sciences, Dezful, Iran
Ladan Araghi Ahvazi
Affiliation:
Department of Emergency Medicine and Nursing, Dezful University of Medical Sciences, Dezful, Iran
*
Correspondence: Soheila Sedaghat, MSc Abadan College of Medical Sciences Ahvaz Jundishapur University of Medical Sciences Golestan Boulevard Ahvaz, Iran E-mail [email protected]

Abstract

Introduction

Educating emergency medical staffs in triage skills is an important aspect of disaster preparedness. The aim of the study was to compare the effect of role-playing and educational video presentation on the learning and performance of the emergency medical service staffs in Khozestan, Iran

Methods

A total of 144 emergency technicians were randomly classified into two groups. A researcher trained the first group using an educational video method and the second group with a role-playing method. Data were collected before, immediately, and 15 days after training using a questionnaire covering the three domains of demographic information, triage knowledge, and triage performance. The data were analyzed using defined knowledge and performance parameters.

Results

There was no significant difference between the two training methods on performance and immediate knowledge (P = .2), lasting knowledge (P=.05) and immediate performance (P = .35), but there was a statistical advantage for the role-playing method on lasting performance (P = .02).

Conclusion

The two educational methods equally increase knowledge and performance, but the role-playing method may have a more desirable and lasting effect on performance.

AghababaeianH, SedaghatS, TaheryN, Sadeghi MoghaddamA, ManieiM, BahramiN, Araghi AhvaziL. A Comparative Study of the Effect of Triage Training by Role-Playing and Educational Video on the Knowledge and Performance of Emergency Medical Service Staffs in Iran. Prehosp Disaster Med. 2013;28(6):1-5.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2013 

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References

1.Hoey, BA, Schwab, CW. Level I center triage and mass casualties. Clin Orthop Relat Res. 2004; May(422):23-29.CrossRefGoogle Scholar
2.Kennedy, K, Aghababian, RV, Gans, L, Lewis, CP. Triage: techniques and applications in decision making. Ann Emerg Med. 1996;28(2):136-144.CrossRefGoogle Scholar
3.Moskop, JC, Iserson, KV. Triage in medicine, part II: Underlying values and principles. Ann Emerg Med. 2007;49(3):282-287.CrossRefGoogle Scholar
4.Iserson, KV, Moskop, JC. Triage in medicine, part I: concept, history, and types. Ann Emerg Med. 2007;49(3):275-281.CrossRefGoogle Scholar
5.Pham, JC, Patel, R, Millin, MG, Kirsch, TD, Chanmugam, A. The effects of ambulance diversion: a comprehensive review. Acad Emerg Med. 2006;13(11):1220-1227.CrossRefGoogle ScholarPubMed
6.Arnold, T, Cleary, V, Groth, S, Hook, R, Jones, D, Super, G. START. Newport Beach, CA: Newport Beach Fire and Marine Department; 1994.Google Scholar
7.Garner, A, Lee, A, Harrison, K, Schultz, CH. Comparative analysis of multiple-casualty incident triage algorithms. Ann Emerg Med. 2001;38(5):541-548.CrossRefGoogle ScholarPubMed
8.Nocera, A, Garner, A. Australian disaster triage: a colour maze in the Tower of Babel. Aust N Z J Surg. 1999;69(8):598-602.CrossRefGoogle ScholarPubMed
9.Romig, LE. Pediatric triage. A system to JumpSTART your triage of young patients at MCIs. JEMS. 2002;27(7):52-58; 60-63.Google ScholarPubMed
10.Benson, M, Koenig, KL, Schultz, CH. Disaster triage: START, then SAVE—a new method of dynamic triage for victims of a catastrophic earthquake. Prehosp Disaster Med. 1996;11(2):117-124.CrossRefGoogle ScholarPubMed
11.Nocera, A, Garner, A. An Australian mass casualty incident triage system for the future based upon triage mistakes of the past: the Homebush Triage Standard. Aust N Z J Surg. 1999;69(8):603-608.CrossRefGoogle ScholarPubMed
12.Tucker, K, Lettin, A. The Tower of London bomb explosion. BMJ. 1975;3(5978):287-290.CrossRefGoogle Scholar
13.Waterworth, TA, Carr, MJ. Report on injuries sustained by patients treated at the Birmingham General Hospital following the recent bomb explosions. BMJ. 1975;2:25-27.CrossRefGoogle ScholarPubMed
14.Henderson, JV. Anatomy of a terrorist attack: the Cu Chi mess hall incident. J World Assoc Emerg Disaster Med. 1986;2(5961):25-27.Google Scholar
15.Feliciano, DV, Anderson, GV Jr, Rozycki, GS, et al. Management of casualties from the bombing at the centennial olympics. Am J Surg. 1998;176(6):538-543.CrossRefGoogle ScholarPubMed
16.Cooper, GJ, Maynard, RL, Cross, NL, Hill, JF. Casualties from terrorist bombings. J Trauma. 1983;23(11):955-967.CrossRefGoogle ScholarPubMed
17.Brismar, B, Bergenwald, L. The terrorist bomb explosion in Bologna, Italy, 1980: an analysis of the effects and injuries sustained. J Trauma. 1982;22(3):216-220.CrossRefGoogle ScholarPubMed
18.Frykberg, ER. Medical management of disasters and mass casualties from terrorist bombings: how can we cope? J Trauma. 2002;53(2):201-212.CrossRefGoogle ScholarPubMed
19.Lerner, EB, Schwartz, RB, Coule, PL, et al. Mass casualty triage: an evaluation of the data and development of a proposed national guideline. Disaster Med Public Health Prep. 2008;2(Suppl 1):S25-S34.CrossRefGoogle ScholarPubMed
20.Hogan, DE, Lairet, J. Triage. In: Hogan DE, Burstein JL, eds. Disaster Medicine. Philadelphia: Williams & Wilkins; 2002:10-15.Google Scholar
21.Super, G. START: A Triage Training Module. Newport Beach, CA: Hoag Memorial Hospital Presbyterian, 1984.Google Scholar
22.Krejcie, RV, Morgan, DW. Determining sample size for research activities. Educ Psychol Meas. 1970;30:607-610.CrossRefGoogle Scholar
23.Santos, JRA. Cronbach's Alpha. A tool for assessing the reliability of scales. Journal of Extension. 1999;37(2):1-5.Google Scholar
24.Chen, KC, Chen, CC, Wang, TL. Comparisons of efficiencies in recognition of Hospital Emergency Incident Command System by Tabletop drill and real exercise. Ann Disaster Med. 2002;1(1):29-35.Google Scholar
25.Mirhaghi, AH, Roudbari, M. A survey on knowledge level of the nurses about hospital triage. Iranian Journal of Critical Care Nursing. 2010;3(4):164-177.Google Scholar
26.Wang, C, Wei, S, Xiang, H, et al. Evaluating the effectiveness of an emergency preparedness training program for public health staff in China. Public Health. 2008;122(5):471-477.CrossRefGoogle ScholarPubMed
27.Knight, JF, Carley, S, Tregunna, B, et al. Serious gaming technology in major incident triage training: a pragmatic controlled trial. Resuscitation. 2010;81(9):1175-1179.CrossRefGoogle ScholarPubMed
28.Brooke Lerner, E. Use of SALT triage in a simulated mass casualty-incident. Prehosp Emerg Care. 2010;14(1):21-25.CrossRefGoogle Scholar
29.Deluhery, MR, Lerner, EB, Pirrallo, RG, Schwartz, RB. Paramedic accuracy using SALT triage after a brief initial triage. Prehosp Emerg Care. 2011;1(4):1-7.Google Scholar
30.Risavi, BL, Salen, PN, Heller, MB, Arcona, S. A two-hour intervention using START improves prehospital triage of mass casualty incidents. Prehosp Emerg Care. 2001;5(2):197-199.CrossRefGoogle ScholarPubMed
31.Sarikaya, S, Soysal, S, Karcioglu, O, Topacoglu, H, Tasar, A. Paramedics and triage: effect of one training session on triage in the emergency department. Adv Ther. 2004;21(5):329-334.CrossRefGoogle ScholarPubMed
32.Kuo-Chih, Chen. The role [of] Tabletop exercises using START in improving triage ability in disaster medical assistance team. Ann Disaster Med. 2003;1(2):78-84.Google Scholar
33.Goransson, KE, Von Rosen, A. Interrater agreement: a comparison between two emergencies. Department triage scales. Eur J Emerg Med. 2010;18(2):68-72.CrossRefGoogle Scholar
34.Chen, MS, Horroks, EN, Evans, RD. Video versus lecture: effective alternatives for orthodontic auxiliary training. Br J Orthod. 1998;25(3):191-195.CrossRefGoogle ScholarPubMed
35.Karimi-Moneghi, H, Drakhshan, A, Valaei, N, Mortazavi, . The effect of video-based instruction versus demonstration on learning of clinical skills. Journal of Gorgan University of Medical Sciences. 2003;5(2):77-82.Google Scholar
36.Hazavehei, M. The effect of three methods of education by lecture, role playing and play with knowledge about nutrition guidance function of school girls during puberty. Steps to Develop Medical Education. 2006;3(2):126-133.Google Scholar
37.Moemennasb, M, Rahemi, SH, Ayatolahi, A, Aeen, M. The effect of video-based instruction on students’ cognitive learning. Journal of Medical Education. 2002;1(3):129-131.Google Scholar
38.Knowles, C, Kinchington, F, Erwin, J, Peters, B. A randomised controlled trial of the effectiveness of combining video role play with traditional methods of delivering undergraduate medical education. Sex Transm Infect. 2001;77(5):376-380.CrossRefGoogle ScholarPubMed