Abstract

Purpose: Taiwan, situated in the Pacific Ring of Fire, is a democratic island nation prone to earthquakes and typhoons,compounded by geopolitical tensions. Enhancing national resilience via community preparedness and self-help is a key policy focus. This project evaluated the effectiveness of Emergency Nurse Practitioner (ENP)-leddisaster response training within Taiwan’s “Resilient Nation Medical Preparedness Project.” It aimed to boost community readiness, empower local health centers, and set up functional emergency medical stations through structured training and simulations.

Methods: From October 29 to November 22, 2024, five of Nantou County’s 13 health centers in Central Taiwan joined the initiative. An experienced ENP in disaster medicine delivered 8–16-hour courses over 1–2 days per site.Topics covered disaster medical principles, hemorrhage control and bandaging, emergency team setup,Incident Command System (ICS), and CSCA-TTT model (Command, Safety, Control, Assessment–Triage,Treatment, Transport). Sessions ended with group simulations mimicking real disasters.

Participants, selected by centers, included nurses, physicians, healthcare pros, admins, volunteers, and students—those key to emergency stations. Pre/post-tests (25 multiple-choice questions) and satisfactionsurveys used Google Forms via QR code. Excel analyzed data with descriptive stats and paired t-tests forknowledge gains and satisfaction by site and category.

Results: Participants took pre-tests (mean 55.2); post-tests (mean 71.2). Paired t-tests showed significant improvement across centers (p=0.0088, p< 0.01) and categories (p=0.00008, p< 0.01). Satisfaction was high: topic understanding 4.59/5, lecturer skills 4.84/5, materials 4.79/5. Feedback noted better team coordination, triage skills, and confidence in station setup and procedures.

Conclusions: Findings show ENP-led training boosts knowledge, teamwork, and preparedness in community providers.ENPs extend nursing from hospitals to communities, showcasing leadership in disaster response. Resultsadvocate integrating experienced NPs into Taiwan’s Resilient National Healthcare Plan to enhance local capacity, interdisciplinary ties, and sustainable resilience.
Implications for Nursing Practice.

This underscores NP leadership in community disaster training, linking clinical expertise with public health prep. ENPs can drive resilient, self-reliant communities for effective emergency responses.

Notes

References:

1.Rudner, N., & Hodges, A. (2025). Nurse practitioners: Leaders in all phases of disaster management. TheJournal for Nurse Practitioners, 21, 105548. https://doi.org/10.1016/j.nurpra.2025.105548

2.Ferguson, A., Ward, K., & Parke, R. (2024). What is known about resilient healthcare systems in the contextof natural disasters? A scoping review. Collegian, 31(3), 292–301. https://doi.org/10.1016/j.colegn.2024.05.007

3.Cascini, F., & Gentili, A. (2023). National Recovery and Resilience Plan and Health: qualitative analysis onthe sustainability of the interventions on healthcare. Annali di Igiene, Medicina Preventiva e di Comunità, 35(5).

4.Filippini, T., & Vinceti, S. R. (2021). Italian National Recovery and Resilience Plan: a Healthcare Renaissanceafter the COVID-19 crisis?. Acta bio-medica : Atenei Parmensis, 92(S6), e2021463.https://doi.org/10.23750/abm.v92iS6.12339

5.Franchini, M., Molinaro, S., Caiolfa, M., Salvatori, M., & Pieroni, S. (2021). Facing the National Recovery and Resilience Plan: Sources of Data, Indicators, and Participatory Strategies in Healthcare and Social Fields.International Journal of Environmental Research and Public Health, 18(19), 10457.https://doi.org/10.3390/ijerph181910457

Description

This study assesses a nurse practitioner-led disaster response training under Taiwan’s“Resilient Nation Medical Preparedness Project.” Held at five health centers, the training markedly enhanced participants’ knowledge, teamwork, and disaster readiness. Results affirm nurse practitioners’ role in leading community resilience and disaster medical initiatives.

Author Details

Po-Hsi Su, MSN, RN, NP; Jun-Dai Lin, PhD, RN; Yi-Hui Lee, PhD student, RN; Shun-Shiang Yu, RN, NP; Yi-Fen Liang, MS, RN

Sigma Membership

Lambda Beta at-Large

Type

Poster

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Mixed/Multi Method Research

Keywords:

Interprofessional and Interdisciplinary, Acute Care, Implementation Science, Nurse Practitioners, Disaster Planning, Disaster Planning--Education, Disaster Nursing, Taiwan

Conference Name

37th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Toronto, Ontario, Canada

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-07-28

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Effectiveness of NP-Led Disaster Response Training: A Central Taiwan Case Study

Toronto, Ontario, Canada

Purpose: Taiwan, situated in the Pacific Ring of Fire, is a democratic island nation prone to earthquakes and typhoons,compounded by geopolitical tensions. Enhancing national resilience via community preparedness and self-help is a key policy focus. This project evaluated the effectiveness of Emergency Nurse Practitioner (ENP)-leddisaster response training within Taiwan’s “Resilient Nation Medical Preparedness Project.” It aimed to boost community readiness, empower local health centers, and set up functional emergency medical stations through structured training and simulations.

Methods: From October 29 to November 22, 2024, five of Nantou County’s 13 health centers in Central Taiwan joined the initiative. An experienced ENP in disaster medicine delivered 8–16-hour courses over 1–2 days per site.Topics covered disaster medical principles, hemorrhage control and bandaging, emergency team setup,Incident Command System (ICS), and CSCA-TTT model (Command, Safety, Control, Assessment–Triage,Treatment, Transport). Sessions ended with group simulations mimicking real disasters.

Participants, selected by centers, included nurses, physicians, healthcare pros, admins, volunteers, and students—those key to emergency stations. Pre/post-tests (25 multiple-choice questions) and satisfactionsurveys used Google Forms via QR code. Excel analyzed data with descriptive stats and paired t-tests forknowledge gains and satisfaction by site and category.

Results: Participants took pre-tests (mean 55.2); post-tests (mean 71.2). Paired t-tests showed significant improvement across centers (p=0.0088, p< 0.01) and categories (p=0.00008, p< 0.01). Satisfaction was high: topic understanding 4.59/5, lecturer skills 4.84/5, materials 4.79/5. Feedback noted better team coordination, triage skills, and confidence in station setup and procedures.

Conclusions: Findings show ENP-led training boosts knowledge, teamwork, and preparedness in community providers.ENPs extend nursing from hospitals to communities, showcasing leadership in disaster response. Resultsadvocate integrating experienced NPs into Taiwan’s Resilient National Healthcare Plan to enhance local capacity, interdisciplinary ties, and sustainable resilience.
Implications for Nursing Practice.

This underscores NP leadership in community disaster training, linking clinical expertise with public health prep. ENPs can drive resilient, self-reliant communities for effective emergency responses.