The Effects of Evidence-based Teaching on Awareness and Self-care of Emergency Personnel in Prevention of the Emerging Disease of Crimean-Congo

Abstract

Abstract: Introduction Emerging zoonoses are diseases that have been recently identified or created. In recent years these diseases have been received double importance, and not only in terms of health, but also in terms of economic and international policy also have a special position. Todays, more than 2.5 billion people in more than 100 countries are at risk for these diseases. Controlling some of these diseases is difficult and requires effective measures due to the lack of effective treatment and preventive efforts. Trainings to control these diseases as a level one prevention will be the first major role in controlling them. Todays, evidence-based education has been emphasized as a new method with using the best scientific evidence. This study aimed to determine the effect of using evidence-based knowledge and applying it in self- care measures in emergency wards' personnel in the prevention of emerging diseases such as Ebola, Crimean-Congo and the N1H1 flu. Research methodology In this quasi-experimental study, 154 nurses were selected from emergency wards that as working at ran 6 educational Hospitals in Tabriz. In order to take trainings, these population were randomly divided into two groups (evidence-based training methods with 77 nurses) and control group (no training with 77 nurses). Collecting data was conducted using the researcher designed questionnaire in three parts as: demographic information, awareness and self-care information. All data were collected from pre-tests and post-tests within 2 months after the intervention. Data analysis was held using the software SPSS22 with the significance level of 0.05. Results In intervention group, the mean score of knowledge about prevention of emerging diseases Ebola, Crimean-Congo and N1H1 before (32.64) and followed by trainings (55.44) showed a significant difference (p≤0.05). In the control group the mean score of knowledge about prevention of emerging diseases Ebola, Crimean-Congo and N1H1 before (18.63) and followed by trainings (17.48) was not significant (p≤0.05). Average self-care scores in the intervention and control groups before and after the training showed a significant reduction (0p≤0.05). Conclusion Empowering nurses and enhancing their knowledge with an emphasis on evidence, especially in emergency wards nurses who are located at the first line of care system can be led to make the correct decisions in the field. Also empowering and notifying emergency department nurses can lead to the correct management of evidence and information in an emerging epidemic disease like Ebola, Crimean-Congo and H1N1 by them