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January 17, 2026Public Health Nursing0 citations

Assessing the Preparedness of Prospective Nurses for Chemical, Biological, Radiological, and Nuclear Emergencies

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BABeyzanur AkçayÜDÜlkü Saygılı Düzova

Key Points

  • The study aims to evaluate nursing students' knowledge, attitudes, and self-efficacy regarding CBRN threats.
  • Descriptive, cross-sectional design conducted with 432 nursing students.
  • Data collection using CBRN Knowledge Test, Attitude Scale, and Self-Efficacy Scale.
  • Comparison of scores across different academic years and training status.
  • Mean knowledge score was 19.47, attitude score was 3.59, and self-efficacy score was 3.44.
  • Female students had significantly higher scores in knowledge and self-efficacy compared to males.
  • Fourth-year students demonstrated the highest levels of knowledge.
  • Students with previous CBRN training reported greater scores in knowledge and attitudes.

Abstract

ABSTRACT Objectives This study aimed to evaluate nursing students’ knowledge, attitudes, and self‐efficacy regarding chemical, biological, radiological, and nuclear (CBRN) threats. Methods A descriptive, cross‐sectional design was employed between January and May 2025 with 432 nursing students. Data were collected using an information form, the CBRN Knowledge Test, the CBRN Attitude Scale, and the CBRN Self‐Efficacy Scale. Results The mean scores were 19.47 ± 2.76 for knowledge, 3.59 ± 1.27 for attitude, and 3.44 ± 0.73 for self‐efficacy. Female students demonstrated significantly higher knowledge and self‐efficacy scores than males ( p < 0.005). Knowledge, attitude, and self‐efficacy scores differed significantly across academic years ( p < 0.001), with fourth‐year students showing the highest knowledge levels. Students who had received CBRN training reported higher knowledge and attitude scores ( p < 0.001). Similarly, students expressing a desire for CBRN training had significantly higher knowledge, attitude, and self‐efficacy scores ( p < 0.005). Conclusions The findings indicate that nursing students have notable gaps in practice‐oriented domains such as triage, radiation safety, personal protective equipment use, and decontamination. These results underscore the importance of integrating structured, simulation‐based CBRN training into undergraduate nursing education to enhance preparedness and practical competence.

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Cite This Study

Akçay et al. (2026) studied this question.

synapsesocial.com/papers/696b2696d2a12237a9349ca0https://doi.org/10.1111/phn.70070
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