Effects of a simulation-based education program for nursing students responding to mass casualty incidents: A pre-post intervention study

The necessity of disaster preparedness among nursing students has been continuously emphasized. This study aimed to verify the effectiveness of a simulation-based education program for nursing students responding to mass casualty incidents (MCI) from the perspectives of triage accuracy, response attitude, teamwork, and program satisfaction. This study employed a pre-post intervention design. Disaster Simulation Lab and a debriefing room in the University Nursing Simulation Center in South Korea. The participants were 34 graduating nursing students attending a university in Seoul. The program consisted of lectures on disaster nursing, group discussions, practice, debriefings, and a pre- and post-test, conducted over 180 min. Simulation-based training was conducted using the Emergo Train System®. The simulation environment comprised pre-hospital and hospital sections, with videos displayed on a large screen and sound effects played on loudspeakers. Participants were likely to undertriage. There was a significant increase in positive attitudes after the intervention (p