Articles in Press

Multimodal Education and Simulation Training for Emergency Response Knowledge among ‘Aisyiyah Cadres

https://doi.org/10.56741/IISTR.jphs.002283

Authors

Keywords:

Basic Life Support, Burn Injuries, Disaster Preparedness, Health Cadres, Simulation Training

Abstract

Timely and appropriate community response to medical and environmental emergencies remains a critical public health concern, particularly in settings with limited access to immediate professional care. Gaps in community knowledge of first aid and basic emergency response continue to constrain early action at the grassroots level. As a community-based organization, ‘Aisyiyah plays a strategic role in strengthening emergency response capacity through its cadres. This study examined changes in emergency response knowledge following community-based education and simulation training among ‘Aisyiyah cadres. A quasi-experimental single-group pre–post design without a control group was conducted among 34 cadres who participated in structured educational sessions, hands-on simulations, and role-play activities focusing on burn management and Basic Life Support (BLS). Knowledge was assessed using a validated true–false questionnaire and analysed using the Wilcoxon Signed-Rank test with effect size estimation. The results showed significant improvements across all domains. The median overall knowledge score increased from 80 (IQR=13) to 90 (IQR=0) (p<0.001) with a large effect size (r=0.56). Burn management knowledge reached the maximum score for all participants after the intervention (median=50; IQR=0), indicating a strong standardisation effect. BLS knowledge also improved significantly (p=0.003) with a moderate effect size (r=0.36), although variability in improvement was observed. These findings highlight the potential of multimodal, community-based training as an entry point for strengthening emergency response knowledge. Achieving optimal and sustained outcomes requires training continuity, periodic reinforcement, and integration with broader community health and disaster management systems through cross-sectoral collaboration.

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Author Biographies

Merita Arini, Universitas Muhammadiyah Yogyakarta

is a lecturer and researcher at the Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, and a general practitioner at Klinik Firdaus Yogyakarta. She serves as the Secretary of the Master of Hospital Administration Program for the 2025–2030 period. Her research interests include public health, health administration, and the provision of quality healthcare services. Merita Arini is actively involved in the National Tuberculosis Research Network and the Health Division of Muhammadiyah National Board. She has experience serving as a medical advisor for a national start-up telemedicine platform and is an active health educator on multiple platforms. Furthermore, Dr. Merita is a national primary healthcare accreditation assessor. She is also an active reviewer in national and international, reputable journals. (email: merita.arini@umy.ac.id).

Ekorini Listiowati, Universitas Muhammadiyah Yogyakarta

is lecturer and researcher at the Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta. She earned her Doctor of Medicine from the University of Indonesia. She is the Secretary of the Health Division of the Muhammadiyah Central Board, the Coordinator for Community Empowerment at the Health Division of Aisyiyah Central Board, the Project Manager of Mentari COVID-19 MPKU PPM-USAID, a member of the National Patient Safety Committee, a Hospital Accreditation Surveyor, the Central Board of the Indonesian Medical Education Association, and an Assessor for Teaching Hospitals. Previous positions held include serving on the Board of Directors of PKU Muhammadiyah Gamping Hospital, the Board of Directors of PKU Muhammadiyah Yogyakarta Hospital, as Hospital Coordinator of the Muhammadiyah COVID-19 Command Center, and as Deputy Dean of the Faculty of Medicine and Health Sciences at Universitas Muhammadiyah Yogyakarta. (email: ekorini_santosa@umy.ac.id).

Al Afik, Universitas Muhammadiyah Yogyakarta

is a senior lecturer in nursing at Universitas Muhammadiyah Yogyakarta with expertise in community health, emergency preparedness, and nursing practice. He is actively involved in humanitarian response and disaster preparedness education, having contributed to international community engagement programs, such as Kuliah Kerja Nyata (KKN) in Egypt, and to health service missions in disaster-affected areas. In addition to his academic roles, he participates in professional nursing networks, serves as a clinical practitioner, and contributes to capacity building through emergency medical and community health training. (email: afik72@umy.ac.id).

Harumi Iring Primastuti, Universitas Muhammadiyah Yogyakarta

completed her Bachelor’s degree in Nursing and Professional Nurse Education at the Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta. She is currently a researcher in the Master of Hospital Administration Program at Universitas Muhammadiyah Yogyakarta. Her research and community engagement activities focus on nursing, healthcare management, and public health. Her works have been published in several reputable national and international journals. (email: harumiiring@gmail.com).

Suratini, Universitas ‘Aisyiyah Yogyakarta

is a lecturer at Universitas ‘Aisyiyah Yogyakarta with expertise in community and nursing communication. Her academic and professional interests focus on community nursing, health communication, and health promotion, particularly in strengthening community empowerment and preventive care. She is actively involved in education, research, and community service programs related to nursing and public health. (email: suratini@unisayogya.ac.id).

Nina Dwi Lestari, Universitas Muhammadiyah Yogyakarta

is a nursing lecturer at Universitas Muhammadiyah Yogyakarta with expertise in community nursing and nursing communication. Her research and scholarly work focus on community health, health literacy, and health promotion, including publications on violence prevention, ergonomic health, and community empowerment. She has contributed to nursing education, authored instructional materials and tools, and is actively engaged in developing nursing practice and public health capacity. (email: ninadwilestari@umy.ac.id).

Zubaida Rohmawati, Universitas ‘Aisyiyah Yogyakarta

is a nursing lecturer at Universitas ‘Aisyiyah Yogyakarta with expertise in community and gerontic nursing. Her research and professional work focus on community health, elderly care, health education, and preventive health interventions, with multiple journal publications and involvement in community health programs, including interactive health screenings and chronic disease prevention activities. She has contributed to scholarly articles on public health topics, participated in interdisciplinary research, and actively engages in health promotion and capacity-building activities within the community. (email: zubaidarohmawati@unisayogyakarta.ac.id).

Bima Ananta Putra, Universitas Muhammadiyah Yogyakarta

is a medical doctor and a Masters student in Hospital Administration at Universitas Muhammadiyah Yogyakarta. He is also a general practitioner who graduated from the Faculty of Medicine, Islamic University of Indonesia. He currently serves as the Medical Support Manager and practicing physician at the PKU Muhammadiyah Grabag Clinic, with previous experience as Head of Medical Services at N-21 Gemilang Hospital. His professional interests include clinical service management and improving the quality of healthcare through integrated and ethical medical practices. (email: bimaap052@gmail.com).

Habib Laksmana Prima, Universitas Muhammadiyah Yogyakarta

is a medical doctor and a Masters student in Hospital Administration at Universitas Muhammadiyah Yogyakarta. He is currently the Vice Director of Medical Services at RSU An Ni’mah Wangon, with previous experience in clinical practice and hospital management. His recent scholarly work includes contributions to research on optimizing hospital response times and health services innovation, reflecting a focus on healthcare quality and management. (email: habiblaksmana@gmail.com).

Fitri Andriyani, Universitas Muhammadiyah Yogyakarta

is a student in the Masters in Hospital Administration at Universitas Muhammadiyah Yogyakarta. He is also a pharmacist graduated from the Islamic University of Indonesia and has served as Head of the Pharmacy Unit at Klaten Islamic Hospital since 2014. He has extensive experience in hospital pharmacy management, accreditation, patient safety, and clinical pharmacy service management. In addition to his active role in the Indonesian Pharmacists Association (IPKA), he is also involved in various hospital strategic committees and has published scientific papers on the integration of hospital management information systems and pharmacy services. (email: fitriandriyani.marsumy@gmail.com).

Miura Ayudini Kuswara, Universitas Muhammadiyah Yogyakarta

is a dental clinician and a Masters student in Hospital Administration at Universitas Muhammadiyah Yogyakarta. She is also a dentist who graduated from the Faculty of Dentistry, Gadjah Mada University. She has clinical experience as an intern dentist at Yogyakarta City Hospital and Mantrijeron Community Health Center, specializing in basic dental health services, community education, and professional patient care. (email: miuraayudini@gmail.com).

Zahra Nadira, Universitas Muhammadiyah Yogyakarta

is a student in the Masters in Hospital Administration at Universitas Muhammadiyah Yogyakarta. He is also a general practitioner, a graduate of Trisakti University, with an interest in hospital management and healthcare services. He has experience as a research assistant in the Department of Medical Rehabilitation, Faculty of Medicine, University of Indonesia/RSCM, and has completed an internship at a healthcare facility in Rembang Regency. (email: zahnadira@gmail.com).

Khofidhotur Rofiqoh, Universitas Muhammadiyah Yogyakarta

is a student in the Masters in Hospital Administration at Universitas Muhammadiyah Yogyakarta. He is also an academic with educational backgrounds at Muhammadiyah University of Kudus and Karya Husada University in Semarang. He has been actively working at Muhammadiyah University of Kudus since 2012. (email: khofidhoturrofiqoh8@gmail.com).

Chintya Puspa Ayu Tirta, Universitas Muhammadiyah Yogyakarta

is a student in the Masters in Hospital Administration at Universitas Muhammadiyah Yogyakarta. She is also a pharmacist who completed her professional education at the University of Indonesia after earning a Bachelor of Pharmacy degree from Prof. DR. HAMKA University. She has extensive experience in hospital pharmacy and medical support management at PKU Muhammadiyah Wonosobo Hospital. Her interests include pharmaceutical service efficiency, Lean Hospital implementation, and healthcare quality improvement, as evidenced by her contributions to scientific publications and hospital accreditation activities. (email: chintyaayu2016@gmail.com).

Agus Suharto, Universitas Muhammadiyah Yogyakarta

is a student in the Masters in Hospital Administration at Universitas Muhammadiyah Yogyakarta. He is also a healthcare professional with a clinical and academic background from Gadjah Mada University. He currently serves as the Clinical Research Unit Manager at Dr. Soeradji Tirtonegoro General Hospital. His expertise spans clinical research, healthcare innovation, and training development, with numerous scientific publications and national awards in the field of healthcare innovation. (email: agussuhartomistik@gmail.com).

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Published

2026-10-11

How to Cite

Arini, M., Listiowati, E., Afik, A., Primastuti, H. I., Suratini, Lestari, N. D., Rohmawati, Z., Putra, B. A., Prima, H. L., Andriyani, F., Kuswara, M. A., Nadira, Z., Rofiqoh, K., Tirta, C. P. A., & Suharto, A. (2026). Multimodal Education and Simulation Training for Emergency Response Knowledge among ‘Aisyiyah Cadres. Journal of Public Health Sciences, 5(03), 845–861. https://doi.org/10.56741/IISTR.jphs.002283

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