Effects of a Self-Efficacy Enhancement Program on Knowledge, Attitudes, and Skills in Emergency Medical Service Practice among Emergency and Forensic Nursing Staff at Khaw Wong Hospital.
Keywords:
self-efficacy, emergency medical services, nurses, knowledge, attitudes, skillsAbstract
This quasi-experimental research using a one-group pretest–posttest design aimed to examine the effects of a self-efficacy enhancement program on knowledge, attitudes, and skills (both technical and non-technical) in providing emergency medical services among emergency and forensic nurses at Khao Wong Hospital. Data were collected from February to July 2025. The participants were 17 purposively selected emergency and forensic nurses. Research instruments included the self-efficacy enhancement program, a knowledge assessment, an attitude assessment, an emergency medical service performance skill assessment, and a satisfaction questionnaire. Data were analyzed using descriptive statistics and paired t-tests to compare the mean scores before and after the intervention.
The results showed that after participating in the program, the nurses’ mean knowledge scores significantly increased from 12.5 ± 3.2 to 17.3 ± 2.1 (t = 6.12, p < .001). Their attitude scores significantly increased from 49.2 ± 8.1 to 63.5 ± 6.4 (t = 7.45, p < .001), and their skill scores significantly increased from 11.8 ± 3.5 to 18.2 ± 1.9 (t = 8.21, p < .001). Moreover, the participants reported very high satisfaction with the program (mean 4.41–4.71).
References
Deakin, C. D., Koster, R. W., Smith, G. B., & Jacobs, I. (2010). The golden minute: Early defibrillation improves survival after cardiac arrest. Resuscitation, 81(6), 736–741. https://doi.org/10.1016/j.resuscitation.2010.03.005
สถาบันการแพทย์ฉุกเฉินแห่งชาติ. (2564). รายงานสถานการณ์การแพทย์ฉุกเฉินในประเทศไทย. สำนักพิมพ์สถาบันการแพทย์ฉุกเฉินแห่งชาติ.
สถิติข้อมูลโรงพยาบาลเขาวง, (2567) ). สถิติและรายงานประจำปีหน่วยอุบัติเหตุฉุกเฉินและนิติเวช โรงพยาบาลเขาวง.
Lee, H. J., Kim, J. S., & Park, J. Y. (2018). Effects of emergency nursing simulation on confidence and performance of nursing students. Journal of Nursing Education, 57(6), 352–356. https://doi.org/10.3928/01484834-20180522-07
Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.
Best J. W.(1981), Research in Education, 4th Edition , New Delhi, Prentice Hall Of India Pvt. Ltd.
Stolpe, T. L., et al. (2018). Improving emergency department nurses' triage decision-making with a simulation-based training program. Journal of Emergency Nursing, 44(4), 361-367.
Ford, T. C., et al. (2017). The impact of a continuing education program on the knowledge and skills of emergency nurses. Journal of Continuing Education in Nursing, 48(6), 263-268.
Stolpe, T. L., et al. (2018). Improving emergency department nurses' triage decision-making with a simulation-based training program. Journal of Emergency Nursing, 44(4), 361-367.
Adair, J. L., et al. (2019). The effect of simulation training on stress and anxiety in emergency room nurses. Journal of Emergency Nursing, 45(2), 154-159.
Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.
Knowles, M. S. (1984). The adult learner: A neglected species. Houston: Gulf Publishing Company.

