Shubayr Nasser, Ahmed Shaghf, Otif Maria, Hussain Maysa, Khalid Hams, Bashiri Wasan, Dailh Hamad, Alsairaman Mashael, Alfaifi Ali
Diagnostic Radiograph Technology, College of Nursing and Health Sciences, Jazan University, Al- maarefah Rd, Jazan, 45142, Saudi Arabia.
Department of Nursing, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
BMC Med Educ. 2025 Mar 19;25(1):407. doi: 10.1186/s12909-025-06976-4.
Nuclear and radiological accidents pose serious public health risks, requiring healthcare professionals to be prepared with specific response skills. Given the essential role of nurses in disaster situations, this study evaluates the self-efficacy of final-year nursing students and interns at Jazan University, Saudi Arabia, in responding to radiological and nuclear incidents. Assessing self-efficacy levels can highlight strengths and gaps in disaster preparedness, guiding improvements in nursing education.
This cross-sectional study was conducted between August and November 2024, involving final-year nursing students and interns recruited through convenience sampling. Data were collected using a modified version of the Disaster Response Self-Efficacy Scale (DRSES), adapted to measure competencies specific to radiological emergencies. The instrument assessed self-efficacy across three subscales "Onsite Rescue", "Psychological Nursing" and "Role Quality and Adaptation". Data analysis included descriptive statistics, Pearson's correlation, independent t-tests, one-way ANOVA, and multiple linear regression to identify predictors of self-efficacy subscales.
A total of 405 participants were included, with a mean age of 22.08 ± 1.24 years. The majority were female (57.04%). The overall DRSES mean score was 2.89 ± 1.00, and participants with prior disaster training scored significantly higher at 3.36 ± 0.92 compared to those without such training, who scored 2.83 ± 0.99 (p = 0.048). Analysis of the subscales revealed that "Role Quality and Adaptation" achieved the highest mean score (3.08 ± 1.18), followed by "Psychological Nursing" (2.90 ± 1.17), while "Onsite Rescue" received the lowest (2.69 ± 0.93). Strong positive correlations were observed among the three competency domains (r = 0.71-0.88, p < 0.001). Participants reported the least confidence in assessing epidemic risks (2.50 ± 1.21) and performing effective decontamination procedures (2.57 ± 1.24). Interns exhibited greater confidence in "Onsite Rescue" tasks compared to final-year students (β = 0.78, p = 0.034).
Nursing students demonstrated moderate self-efficacy in radiological disaster response, with strengths in professional role adaptation but weaknesses in technical and assessment-related competencies. The findings underscore the need for targeted educational interventions, including simulation-based training and psychological preparedness modules, to enhance nurses' confidence and readiness for radiological emergencies.
核事故和放射事故对公众健康构成严重风险，要求医护人员具备特定的应对技能。鉴于护士在灾难情况下的重要作用，本研究评估了沙特阿拉伯吉赞大学护理学专业大四学生和实习生应对放射和核事故的自我效能感。评估自我效能水平可以突出灾难准备方面的优势和差距，为护理教育的改进提供指导。
本横断面研究于2024年8月至11月进行，通过便利抽样招募护理学专业大四学生和实习生。使用经过修改的《灾难应对自我效能量表》（DRSES）收集数据，该量表经过调整以测量放射紧急情况特有的能力。该工具在“现场救援”、“心理护理”和“角色质量与适应”三个子量表上评估自我效能感。数据分析包括描述性统计、Pearson相关性分析、独立t检验、单因素方差分析和多元线性回归，以确定自我效能量表的预测因素。
共纳入405名参与者，平均年龄为22.08±1.24岁。大多数为女性（57.04%）。DRSES总体平均分为2.89±1.00，有过灾难培训的参与者得分显著更高，为3.36±0.92，而没有此类培训的参与者得分为2.83±0.99（p=0.048）。对子量表的分析显示，“角色质量与适应”的平均得分最高（3.08±1.18），其次是“心理护理”（2.90±1.17），而“现场救援”得分最低（2.69±0.93）。在三个能力领域之间观察到强正相关（r=0.71-0.88，p<0.001）。参与者表示在评估疫情风险（2.50±1.21）和执行有效的去污程序（2.57±1.24）方面信心最低。与护理学专业大四学生相比，实习生在“现场救援”任务上表现出更大的信心（β=0.78，p=0.034）。
护理学专业学生在放射灾难应对方面表现出中等自我效能感，在专业角色适应方面有优势，但在技术和评估相关能力方面存在不足。研究结果强调需要进行有针对性的教育干预，包括基于模拟的培训和心理准备模块，以增强护士对放射紧急情况的信心和准备程度。
