Effect of a Self-Efficacy Enhancement Program on Capability of Trauma Patient Care on Scene and During Transfer by Emergency Medical Technician Personnel

Main Article Content

Hisham Awae
Natenapha Khupantavee
Jintana Damkliang


    This research is a quasi-experimental study in a single group with repeated measures. The purpose of this study was to investigate the self-efficacy enhancement program on the capability of trauma patient care on scene and during transfer by emergency medical technician personnel. The sample was purposively selected, and thirty emergency medical technician personnel were included in this study. The self-efficacy enhancement program included attending the lecture with slide presentation, videos, role play, and practicing on the pre-hospital trauma patient care under supervision of the experts. Data were collected using and the observational checklist tool related to the practice for trauma patient care. The data were analyzed using paired t-test.
    The results showed that after receiving a self-efficacy enhancement program, the participants had a significantly higher level of practical skills for trauma patient care on scene and during transfer (t = -19.39, p <.001). When considering in each aspect of care, it was found that the level of practice skills increase in every aspect of care; including assessment, patient care on scene, immobilization and patient transfer.
    The study shows that the self-efficacy enhancement program can help to increase the ability of emergency medical technician personnel. As a result, the program should be used as a guideline for enhancing the performance of personnel working in emergency medical services in order to improve care for trauma patients effectively.


Download data is not yet available.

Article Details

How to Cite
Awae, H., Khupantavee, N., & Damkliang, J. (2020). Effect of a Self-Efficacy Enhancement Program on Capability of Trauma Patient Care on Scene and During Transfer by Emergency Medical Technician Personnel. Journal of Research in Nursing-Midwifery and Health Sciences, 40(3), 15–25. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/246105
Research Articles


1. World Health Organization. Global status report on road safety 2015 [Internet]. [cited 2017 May 25]. Available from https://goo.gl/Zv6kSa

2. National Institute for Emergency Medicine. Data report, Information Technology for Emergency Medical System (ITEM) 2015 to 2016 [Internet]. [cited 2017 May 25]. Thai. Available from: https://goo.gl/JmCBLP

3. National Institute for Emergency Medicine. Development of national emergency medicine master plan no. 3, 2017-2021. Union creation, 2016. Thai.

4. Chotiklum P, Viensiao W. Standards and guidelines for emergency medical systems. Nonthaburi: National Institute for Emergency Medicine; 2010. Thai.

5. National Institute for Emergency Medicine. Audit report and service compensation check in an emergency medical system. Nonthaburi: Art qualified; 2015. Thai.

6. Weerakhachon P, Chanthamolee S, Suwan P. Development of emergency operation model for the emergency medical technician in border southern provinces. SCNJ. 2017; 4(3): 87-103. Thai.

7. Bandura A. Self-efficacy. In: VS Ramachaudran, editor. Encyclopedia of human behavior. Vol 4. New York: Academic Press; 1994.

8. Simsiriwat W, Junprasert S, Krungkraipetch N. Effect of self-efficacy promotion on knowledge, perceived self-efficacy and promoting thalassemia control behavior among Bangkok health volunteers. The Journal of Faculty of Nursing Burapha University. 2017; 25(2): 94-104. Thai.

9. Uttama J, Kantawang S, Mesukko J. Effect of educational program on nurses’ knowledge and self-efficacy in caring for leukemic children with chemotherapy induced fatigue. Nursing J. 2016; 43(3): 1-12. Thai.

10. The National Association of Emergency Medical Technicians. Pre-Hospital Trauma Life Support. 8 th ed. The United State of America, 2016.

11. National Institute for Emergency Medicine. Emergency medical protocol under medical direction. Nonthaburi: National Institute for Emergency Medicine; 2013. Thai.

12. Daniel S. Free statistics calculators version 4.0 [Internet]. 2006 [cited 2017 Jun 28]. Available from https://goo.gl/LvsyzG G

13. Grove SK, Burns N, Gray JR. Sampling. In: Grove SK, Burns N, Gray JR, editor. The practice of nursing research: appraisal, synthesis, and generation of evidence. 7 th ed. St. Louis: Saunders; 2013. p. 351-381.

14. Sinthuchai S, Ubolwan K. Fidelity simulation based learning: implementation to learning and teaching management. Journal of The Royal Thai Army Nurses. 2017; 18(1): 29-38. Thai.

15. Lertbunnaphong T. Simulation based medical education. Siriraj Medical Bulletin. 2015; 8(1): 39-46. Thai.

16. Cant RP, Cooper SJ. Simulation-based learning in nurse education: Systematic review. JAN. 2010; 66(1): 3-15. doi: 10.1111/j.1365-2648. 2009.05240.x

17. Khalaila R. Simulation in nursing education: an evaluation of students’ outcomes at their first clinical practice combined with simulations. Nurse Educ. 2014; 34(2): 252-58. doi: https://doi.org/10.1016/j.nedt.2013.08.015

18. Lewis R, Strachan A, Smith MM. Is high fidelity simulation the most effective method for the development of non-technical skills in nursing? a review of the current evidence. Open Nurs J. 2012; 6: 82-89. doi: 10.2174/1874434601206010082

19. Kumkong M, Leejareon P, Aramrom Y, et al. Effects of simulation-based learning on perceived self-efficacy in providing nursing care for advanced life support to patients with critical illness or emergency condition among nursing students. SCNJ. 2016; 3(3): 52-64. Thai.