Testing the Effectiveness of the Turkish Nurses' Earthquake Management Model

October 27, 2026 updated by: Sakarya University

Testing the Effectiveness of the Turkish Nurses' Earthquake Management Model (TNEMM) on Nurses' Earthquake Preparedness and Intervention Competence: A Randomized Controlled Trial

The goal of this randomized controlled trial is to learn whether an education program based on the Turkish Nurses' Earthquake Management Model improves earthquake preparedness and earthquake intervention competence among nurses working in public hospitals in Türkiye. The model was developed from the experiences of nurses who worked during the 2023 Kahramanmaraş earthquakes and covers the pre-earthquake, during-earthquake and post-earthquake phases.

The main questions it aims to answer are:

Does model-based education increase nurses' earthquake preparedness? Does model-based education increase nurses' earthquake intervention competence? Are these gains maintained three months after the education?

Researchers will compare an intervention group, which receives the model-based education, with a control group, which receives no education.

Participants in the intervention group will complete a 13-session online video-based education program (about 15-20 minutes per session) through a university learning management system within 30 days. All participants will complete the Earthquake Preparedness Scale for Nurses and the Earthquake Intervention Competence Scale before the education, after the education and at a three-month follow-up.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

156

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey (Türkiye)
    • Sakarya
      • Serdivan, Sakarya, Turkey (Türkiye), 54000
        • Sakarya University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Working as a nurse in a public hospital in one of the study provinces
  • Not having previously received similar earthquake-related education
  • Scoring one standard deviation or more below the mean on the Earthquake Preparedness Scale for Nurses and the Earthquake Intervention Competence Scale at screening
  • Not working in the same shift as nurses assigned to the other study group
  • Being open to communication and cooperation
  • Volunteering to participate and providing informed consent

Exclusion Criteria:

  • Having a diagnosed psychiatric disorder
  • Declining to participate

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention Group

Nurses received the 13-session online education program based on the Turkish Nurses' Earthquake Management Model and completed the outcome scales at pretest, posttest and three-month follow-up.
Behavioral: Education Based on the Turkish Nurses' Earthquake Management Model

An online education program developed according to the three components of the Turkish Nurses' Earthquake Management Model (pre-earthquake, during-earthquake and post-earthquake management) and structured using Bloom's Taxonomy. The program consists of 13 video-based sessions of approximately 15-20 minutes each, delivered through the university's learning management system (SAUPORT). Each video includes two embedded questions that must be answered correctly to continue. Participants were given 30 days to complete all sessions, and completion was monitored through the system's administrator panel.
No Intervention: Control Group

Nurses received no education during the study period and completed the outcome scales at the same time points as the intervention group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Earthquake Preparedness Score
Time Frame: Baseline (pretest), immediately after completion of the education program (posttest), and 3 months after the education (follow-up)

Earthquake preparedness will be measured using the Earthquake Preparedness Scale for Nurses, developed by the researchers. The scale consists of 24 items in four subscales (psychosocial support and environmental coordination; first aid, triage and communication; educational preparedness; surveillance) rated on a 5-point Likert scale. Total scores range from 24 to 120, with higher scores indicating greater earthquake preparedness.
Baseline (pretest), immediately after completion of the education program (posttest), and 3 months after the education (follow-up)
Earthquake Intervention Competence Score
Time Frame: Baseline (pretest), immediately after completion of the education program (posttest), and 3 months after the education (follow-up)

Earthquake intervention competence will be measured using the Earthquake Intervention Competence Scale, developed by the researchers. The scale consists of 19 items in five subscales (coordination; patient communication; emergency medical intervention; psychosocial support; surveillance) rated on a 5-point Likert scale. Total scores range from 19 to 95, with higher scores indicating greater earthquake intervention competence.
Baseline (pretest), immediately after completion of the education program (posttest), and 3 months after the education (follow-up)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sakarya University

Collaborators

The Scientific and Technological Research Council of Turkey

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 23, 2025

Primary Completion (Actual)

June 15, 2026

Study Completion (Actual)

June 15, 2026

Study Registration Dates

First Submitted

October 27, 2026

First Submitted That Met QC Criteria

October 27, 2026

First Posted (Actual)

November 3, 2026

Study Record Updates

Last Update Posted (Actual)

November 3, 2026

Last Update Submitted That Met QC Criteria

October 27, 2026

Last Verified

October 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • E-16214662-050.01.04-310632-16
  • 223K236 (Other Grant/Funding Number: The Scientific and Technological Research Council of Türkiye (TÜBİTAK))

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Subscribe