Education and Ethics In Nursing ISSN: 2322-5300

Comparative Effectiveness of Cascade versus Seminar-Based Training on Hypertension Management Knowledge and Performance among Pre-hospital Emergency Personnel

10.22034/ethic.2026.2083974.1223
Volume 15, Issue 1
June 2026
Pages 31-42
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : Original Article

Authors

Yaghoob Hatami 1
Ma ryam alsadat Hashemi 2
Mohammad Sadegh Abutalebi 3
maryam eghbali babadi 4

1 Master of Emergency Nursing, Nursing & Midwifery Care Research Center, and Department of critical care, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor of Nursing, Nursing & Midwifery Care Research Center, Department of critical care, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

3 Senior Lecturer, PhD student, Critical Care Nursing Department, Nursing and Midwifery Care research center, Isfahan University of Medical Sciences, Isfahan, Iran

4 Associate Professor of Health Education and Promotion, Nursing & Midwifery Care Research Center, Department of critical care, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
Introduction and Objective
Prehospital emergency personnel play a crucial role in the care of patients with hypertension, as early detection and timely therapeutic intervention are pivotal to patient survival. Conversely, inadequate knowledge and suboptimal performance in hypertension management can constitute a significant healthcare challenge, necessitating the implementation of effective educational interventions. The present study was conducted to compare the efficacy of two training approaches—the cascade model versus seminar-based training—on the knowledge and performance of prehospital emergency personnel regarding hypertension management.

Results
The findings revealed no statistically significant differences in demographic characteristics between the two groups. The mean ± standard deviation (SD) knowledge scores in the cascade and seminar groups were 22.03 ± 2.09 and 21.82 ± 2.08 before the intervention, and 25.57 ± 2.16 and 27.84 ± 1.14 after the intervention, respectively. Furthermore, the mean ± SD performance scores in the cascade and seminar groups were 43.54 ± 3.92 and 43.96 ± 2.27 before the intervention, and 50.66 ± 3.52 and 55.30 ± 2.17 after the intervention, respectively. Although no significant intergroup differences were observed in knowledge and performance scores prior to the intervention, a statistically significant difference was noted between the groups following the intervention. Additionally, the mean changes in knowledge and performance scores were significantly higher in the seminar group compared to the cascade group.

Conclusion
Both educational modalities proved effective in enhancing knowledge and performance; however, the seminar-based approach demonstrated significantly greater efficacy than the cascade model. Nevertheless, the cascade training method still appears to remain a viable and effective strategy for the education of prehospital emergency personnel. Moreover, empowering emergency base supervisors through this model can facilitate the training of competent and highly skilled sta

Keywords

Hypertension
Pre-hospital emergency
Cascade education
Seminar
Knowledge
performance
Subjects
 
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