2018 年 15 巻 p. 1-12
This study aims to evaluate the effectiveness of teaching START (Simple Triage and Rapid Treatment) to nursing students using videos. To this end, we conducted a study from October 1, 2016 to March 31, 2018, instructing nursing students to view a video of 30 simulated cases and to perform triage exercises both before and after START training. Subjects included 57 freshmen and 56 seniors. We calculated the accuracy rate for each case and examined those where students were most likely to make mistakes. We found that after START training, both freshmen and senior students did significantly better on the triage exercises. Before the training, seniors treated an average (± standard error (SE)) of 23.5 ± 0.7 out of 30 patients correctly, while after the training, this number increased to 29.3 ± 0.2 (p < 0.001). For freshmen, the increase was even more drastic, increasing from 17.4 ± 0.6 correct before the training to 29.1 ± 0.3 after (p < 0.001). While freshmen initially answered far fewer questions correctly, after the training, there was no significant difference in the performance of freshmen and seniors: both groups had an overall accuracy rate of 95% or higher. The drastic performance increase even of freshmen with little medical knowledge suggests that this program may even be effective for the general public, making our results relevant for developing better disaster medical care in the future.
