Alakrawi Ghadeer A, Al-Wathinani Ahmed M, Gómez-Salgado Juan, Alobaid Abdullah M, Abahussian Mohammed, Alhazmi Riyadh, Mobrad Abdulmajeed, Jebreel Albaraa, Althunayyan Saqar, Goniewicz Krzysztof
Department of Emergency Medical Services, Prince Sultan bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh, Saudi Arabia.
Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain.
Medicine (Baltimore). 2024 Dec 6;103(49):e40777. doi: 10.1097/MD.0000000000040777.
The increasing frequency and severity of disasters worldwide needs effective disaster management training to enhance the preparedness and response capabilities of emergency responders. This study compares the outcomes of tabletop exercises (TTEs) and full-scale exercises (FSEs) in training senior paramedic students at Prince Sultan bin Abdul Aziz College for Emergency Medical Services, King Saud University, Riyadh, Saudi Arabia.
A nonequivalent two-group quasi-experimental design was used. Forty-five senior paramedic students who had completed a disaster management course were randomly assigned to either TTE or FSE groups. Both groups participated in a simulated multi-vehicle accident scenario. Data were collected using an adapted CLUT Scale survey, which measured learning, trust, and usefulness immediately after the exercises. The Mann-Whitney U test was applied to compare outcomes between the 2 groups.
Both TTE and FSE resulted in high levels of perceived learning, trust, and usefulness among participants, indicating a positive impact on disaster preparedness. While the TTE group scored slightly higher on average across all variables, these differences were not statistically significant, suggesting that both exercise types are similarly effective. The findings underscore the cost-effectiveness of TTEs and their potential to foster collaborative learning environments.
Both TTE and FSE are effective in enhancing disaster preparedness among senior paramedic students. Given their adaptability and cost-effectiveness, TTEs may be particularly valuable for resource-constrained training settings. Further research with larger, more diverse samples and pre-/post-intervention assessments is recommended to validate these findings and improve disaster management training programs.
全球灾害发生的频率和严重程度不断增加，需要有效的灾害管理培训来提高应急响应人员的准备和应对能力。本研究比较了桌面演练（TTEs）和全面演练（FSEs）在沙特阿拉伯利雅得国王沙特大学苏丹·本·阿卜杜勒阿齐兹王子紧急医疗服务学院培训高级护理人员学生方面的效果。
采用非等效两组准实验设计。45名完成灾害管理课程的高级护理人员学生被随机分配到TTE组或FSE组。两组都参与了模拟多车事故场景。使用改编后的CLUT量表进行数据收集，该量表在演练后立即测量学习、信任和有用性。应用曼-惠特尼U检验比较两组之间的结果。
TTE和FSE都使参与者在学习、信任和有用性方面有较高的感知水平，表明对灾害准备有积极影响。虽然TTE组在所有变量上的平均得分略高，但这些差异无统计学意义，表明两种演练类型同样有效。研究结果强调了TTE的成本效益及其促进协作学习环境的潜力。
TTE和FSE在提高高级护理人员学生的灾害准备方面均有效。鉴于其适应性和成本效益，TTE对于资源有限的培训环境可能特别有价值。建议进行更大、更多样化样本以及干预前/后评估的进一步研究，以验证这些发现并改进灾害管理培训计划。
