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[https://doi.org/10.1155/nrp/5597849](https://doi.org/10.1155/nrp/5597849)  \nResearch Article  \nThe Effectiveness of Instructor Course of Basic Maritime Emergency Care on Knowledge and Skill Among Laypersons: A Mixed Methods Design  \nSoontorn Thassanee , 1 Sarathep Prakit ,2 Rumtiammak Siriporn ,3  \nand Wuthisuthimethawee Prasit 4  \n1 Faculty of Nursing, Surat Tani Rajabhat University, Surat Tani 84100, Tailand  \n2 Ministry of Public Health, Nonthaburi, Tailand  \n3 Faculty of Nursing, Prince of Songkla University, Hat Yai, Tailand  \n4 Department of Emergency Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Tailand  \nCorrespondence should be addressed to Soontorn Tassanee; [thassanee.soo@sru.ac.th](thassanee.soo@sru.ac.th)  \nReceived 16 January 2025; Revised 3 July 2025; Accepted 17 November 2025  \nAcademic Editor: Leona Cilar Budler  \nCopyright © 2025 Soontorn Tassanee et al. Nursing Research and Practice published by John Wiley & Sons Ltd. Tis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \nIntroduction: Efectiveness of basic emergency care by bystanders is the cornerstone of ensuring maritime safety. Tis study aimed to assess the efectiveness of the BMEC-TC program in enhancing both knowledge and practical skills related to maritime emergency care among layperson participants.  \nMethods: A mixed-methods design, integrating both quantitative and qualitative approaches to evaluate the program’s impact, was employed from March to October 2021 . Pre-and post-training assessments of knowledge and practical skills were utilized to measure learning outcomes. In addition, qualitative data were collected through group discussions to explore participants’perceptions and experiences regarding the training program.  \nResults: After participating in the BMEC-TC program, both healthcare providers and laypersons demonstrated statistically signifcant improvements in knowledge scores (p \u003C 0.001) . Post-test mean ranks were considerably higher than pretest ranks for both groups, indicating enhanced understanding. Skill scores after training were notably high for healthcare providers (M 􀂈 90.81, SD 􀂈 2.81) and laypersons (88.80, SD 􀂈 3.92), refecting strong competency development. Practical assessments further confrmed substantial gains in clinical performance. Participants also reported high levels of engagement and widely acknowledged the training’s relevance and applicability to daily maritime emergencies. Te fndings highlighted four key elements: 1E: Empathy and Knowledge Exchange in Healthcare Training, 2E: Encouraging Knowledge Sharing and Active Learning through Real-Life Experiences, 3E: Efective Communication for Practical Skills, and 4E: Ensuring Comprehensive Understanding to Prevent Misapplication.  \nConclusion: Te BMEC-TC program efectively improved knowledge and skills in maritime emergency care education within local communities. Tis study highlights the importance of an integrated training approach that combines cognitive learning with practical application.  \nKeywords: emergency care; emergency medical services; health services; instructor training; maritime  \n1. Introduction  \nEfective emergency care in coastal areas is essential for marine and coastal safety [1–3] . According to specifc  \nmarine environments, efective emergency care relied on layperson performance in basic emergency care and activation of emergency medical service and professional competencies in responding to acute illness and accident  \n2 Nursing Research and Practice  \nwhile traveling and at leisure [4, 5] . Te WHO introduced the Community First Aid Responder curriculum, emphasizing essential frst-aid skills among laypeople to manage emergencies efectively, particularly within the “golden hour” immediately ","cbCaitIvHjbIC0gj","https://ap.wps.com/l/cbCaitIvHjbIC0gj","pdf",496550,"English","# Introduction\n# Review of Literature and Conceptual Framework\n# Study Aim and Hypothesis","[{\"question\":\"What is the BMEC-TC program designed to improve?\",\"answer\":\"The BMEC-TC program aims to enhance laypersons’ knowledge and practical skills in basic maritime emergency care.\"},{\"question\":\"How was the effectiveness of the program evaluated?\",\"answer\":\"Effectiveness was assessed using a mixed-methods design with pre- and post-training measurements plus qualitative group discussions.\"},{\"question\":\"What outcomes were observed after participating in BMEC-TC?\",\"answer\":\"Participants showed statistically significant improvements in knowledge and high skill scores after training, along with confirmation of gains in practical clinical performance.\"}]","The Effectiveness of Instructor Course of Basic Maritime Emergency Care on Knowledge and Skill Among Laypersons - Research Article | PDF",1790684047]