Evaluation of a Model-Based CBRN Training Program (CBRN)

The Effect of Chemical Biological Radiological and Nuclear Training Program Based on Mastery Learning Model on the Learning Outcome of Student Nurses

The aim of the study is to evaluate the effect of the Education Program based on the Mastery Learning Model for Chemical, Biological, Radiological, and Nuclear threats and hazards (MLM-CBRN Education Program) on student nurses' knowledge, attitude, self-efficacy, and skill development in chemical, biological, radiological and nuclear threats and hazards. The complete experimental design type was used in the study.

Study Overview

• Status: Completed
• Conditions: Radiation Exposure; Chemical Accident; Biological Substance Poisoning
• Intervention / Treatment: Behavioral: Mastery Learning Model for Chemical, Biological, Radiological, and Nuclear threats and hazards (MLM-CBRN Education Program) on student nurses

Detailed Description

The aim of the study is to evaluate the effect of the Education Program based on the Mastery Learning Model for Chemical, Biological, Radiological, and Nuclear threats and hazards (MLM-CBRN Education Program) on student nurses' knowledge, attitude, self-efficacy, and skill development in chemical, biological, radiological and nuclear threats and hazards. The complete experimental design type was used in the study. The study sample comprised 104 4th-year nursing students (52 in the experimental group, 52 in the control group). The MLM-CBRN Education Program was carried out with the students in the experimental group face-to-face as theoretical and practical education once a week for four weeks. As a criterion for starting a new unit, 80% of the participants needed to receive minimum 70 points from the unit follow-up tests in line with the "Learning Objective" determined within the scope of the Mastery Learning Model. The data were collected before and right after the intervention and in the 1st and 3rd months after the intervention using the "Personal Information Form," "Nursing Student CBRN Knowledge Test," "Nursing Student CBRN Attitude Scale," and "Nursing Student CBRN Self-Efficacy Scale." Moreover, only the knowledge scores of the students in the experimental group were collected using the unit follow-up tests, which enabled us to check whether the "Learning Objective" related to the unit taught was achieved. During the skill training, the "START Triage and JumpSTART Triage Skill Check List," Gas Mask Wearing-Removing Skill Check List, and Level C Clothes Wearing-Removing Skill Check List were scored for each student in the experimental group after observing the students twice.

• Study Type: Interventional
• Enrollment (Actual): 104
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Nilüfer
    • Bursa, Nilüfer, Turkey, 16285
      • Bursa Uludağ Üniversitesi

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 30 years (Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Being a senior nursing undergraduate student
• Not having received CBRN training

Exclusion Criteria:

• Be a full-time worker in a healthcare institution
• Having taken courses on disaster and CBRN

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control; No intervention
Experimental: Experimental; The Effect of the Education Based on the Mastery Learning Model on the Practical Skills of Student Nurses in Chemical, Biological, Radiological, and Nuclear Hazards. The MLM-CBRN Education Program was carried out with the students in the experimental group face-to-face as theoretical and practical education once a week for four weeks.	Behavioral: Mastery Learning Model for Chemical, Biological, Radiological, and Nuclear threats and hazards (MLM-CBRN Education Program) on student nurses; The MLM-CBRN Education Program was carried out with the students in the experimental group face-to-face as theoretical and practical education once a week for four weeks. . The data were collected before and right after the intervention and in the 1st and 3rd months after the intervention using the "Personal Information Form," "Nursing Student CBRN Knowledge Test," "Nursing Student CBRN Attitude Scale," and "Nursing Student CBRN Self-Efficacy Scale." Moreover, only the knowledge scores of the students in the experimental group were collected using the unit follow-up tests, which enabled us to check whether the "Learning Objective" related to the unit taught was achieved. During the skill training, the "START Triage and JumpSTART Triage Skill Check List," Gas Mask Wearing-Removing Skill Check List, and Level C Clothes Wearing-Removing Skill Check List were scored for each student in the experimental group after observing the students twice.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Individual Information Form	It consists of items questioning the students' demographic data, their school success, and whether they have received a CBRN education or not.	up to 24 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nursing Student CBRN Knowledge Test	Knowledge Test used to determine the knowledge level of nursing students about CBRN consists of 31 items. The answer options of true and false statements. The score that can be obtained from the test varies between 0-31. The results get improve as the points are received.KR-20 was calculated as 0.82	up to 24 weeks

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nursing Student CBRN Attitude Scale	To determine their attitudes about kbrn used it.Attitude Scale. The scale consists of 3 sub-factors. Individual attitude (factor 1), professional attitude (factor 2), and social attitude (factor 3). Scores related to the scale score and sub-dimensions are obtained by adding the scores given to the items and dividing them by the number of items. It is a Likert-type scale and is graded between "5" completely agree and "1" strongly disagree. The Cronbach Alpha is 0.92. The score that can be obtained from the test varies between 1-5. The results get improve as the points are received.	up to 24 weeks
Nursing Student CBRN Self-Efficacy Scale	To determine their self-efficacy about kbrn used it. The Self-Efficacy Scale score is obtained by adding the scores given to the items and dividing them by the number of items. The CBRN attitude scale was grouped under a single factor structure. The scale consists of 9 items. Scores from the scale range from 1 to 5. It is a Likert-type scale. The Cronbach Alpha is 0.90. The score that can be obtained from the test varies between 1-5. The results get improve as the points are received.	up to 24 weeks

Collaborators and Investigators

• Sponsor: Uludag University
• Collaborators: Istanbul University
• Investigators: Study Director: Melek Nihal Esin, mnesin@istanbul.edu.tr

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2020
• Primary Completion (Actual): February 20, 2020
• Study Completion (Actual): March 12, 2020

Study Registration Dates

• First Submitted: December 16, 2021
• First Submitted That Met QC Criteria: June 5, 2022
• First Posted (Actual): June 9, 2022

Study Record Updates

• Last Update Posted (Actual): February 20, 2024
• Last Update Submitted That Met QC Criteria: February 19, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Chemically-Induced Disorders; Poisoning
• Other Study ID Numbers: 982d71uk

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: if requested; training plan, data collection forms used, presentation content used, checklists used, unit follow-up tests used, and case examples used can be shared.
• IPD Sharing Time Frame: 1-12 months
• IPD Sharing Access Criteria: have ethics committee approval, Researchers who want to do meta-analysis or systematic review
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; ICF

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No