Effect of Emergency Scenario-Based Training Program on Knowledge, Self-confidence, and Competency of Elderly Caregiver Volunteers in a Rural Thai Community: A Quasi- Experimental Study

Authors

1 Department of Adult and Elderly Nursing, Faculty of Nursing, Suratthani Rajabhat University, Surat Thani, Thailand;

2 Department of Emergency and Accident, Suratthani Hospital, Surat Thani, Thailand;

3 Department of Emergency and Accident, Vibhavadi Hospital, Surat Thani, Thailand;

4 Department of Adult and Elderly Nursing, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand

10.30476/ijcbnm.2024.101514.2431

Abstract

Background: Many older people with comorbidities encounter emergency or life-threatening
situations, but the response is often neglected or delayed, resulting in increased morbidity and mortality
rates. Community preparedness to reduce the impact of emergency crises on older people is essential.
This study aimed to determine the effect of an emergency scenario-based training program (ESBTP)
for elderly care on the knowledge, self-confidence, and competency of volunteer caregivers in a rural
Thai community.
Methods: The one-group pre-post-test, quasi-experimental study, was conducted with a nonrandomized
research sampling of 40 community healthcare volunteers in Vibhavadi district, Surat
Thani, Thailand. The research was conducted between October and December 2021. The ESBTP was
based on Bloom’s learning theory. The research instrument was a three-part questionnaire measuring
knowledge, self-confidence, and competency in geriatric life-threatening surveillance and emergency
assistance (GLTSEA) at one, four, and eight weeks of training. Data were analyzed using Bonferroni
statistics and repeated measures ANOVA through the software IBM SPSS version 28 with hypothesis
testing at P<0.05.
Results: The results revealed that at Week 1, Week 4, and Week 8, the volunteers attending the ESBTP
demonstrated significantly higher GLTSEA competency (P<0.001). Otherwise, the participants were not
significantly different in GLTSEA knowledge (P=0.068) and self-confidence (P= 0.052) after the training.
Conclusions: Volunteers’ competency increased after ESBTP, but there must be continuity in
community training to develop the relevant knowledge, self-confidence, and skills for emergencies.

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