Interdisciplinary simulation scenario in nursing education: Humanized childbirth and birth

Objective: to develop and validate with a panel of experts a scenario of maternal-child clinical simulation, related to humanized childbirth and birth. Method: methodological study based on the Jeffries framework and standardized guides of the International Nursing Association for Clinical Simulation in Learning, which used analysis with descriptive statistics for general aspects of adherence to the aforementioned guide and inferential statistics for validating the checklist of actions through the Intraclass Correlation Coefficient (ICC). Results: the scenario contains learning objectives, necessary resources, prebriefing and debriefing of guidelines, description of the simulated situation, participants and roles, and checklist of expected actions. The validation obtained an agreement level above 80% in all aspects evaluated by 31 experts, highlighting realism of the environment and setting, vital sign parameters, alignment with scientific literature and encouragement of critical thinking and problem solving. In addition, the checklist of actions was validated with 0.899 agreement among experts, statistically analyzed by the ICC and Cronbach’s alpha 0.908 (95% confidence interval). Conclusion: the simulated scenario on humanized childbirth and birth can strengthen the articulation between women’s and children’s health disciplines, and was validated by experts.

Download Full-text

Management of severe preeclampsia in the puerperium: development and scenario validation for clinical simulation

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0445 ◽

2021 ◽

Vol 74 (6) ◽

Author(s):

Samyla Carla Nóbrega Silva ◽

Beatriz Rodrigues de Alencar ◽

Alecssandra de Fátima Silva Viduedo ◽

Laiane Medeiros Ribeiro ◽

Casandra Genoveva Rosales Martins Ponce de Leon ◽

...

Keyword(s):

Nursing Education ◽

Scientific Evidence ◽

Learning Objectives ◽

Severe Preeclampsia ◽

Descriptive Statistics ◽

Methodological Study ◽

Validity Index ◽

Clinical Simulation ◽

Scenario Design ◽

Definition Of

ABSTRACT Objective: to develop and validate a scenario for clinical simulation in nursing education on the management of severe preeclampsia in the puerperium. Method: methodological study in five stages (overview, scenario, scenario design progression, debriefing and assessment), developed from March to December 2019, involving 10 volunteers (one professor, five actors and four judges). Data were analyzed using descriptive statistics and Content Validation Index. Results: the scenario was built from the definition of learning objectives that meet the needs of nursing education. From the completion of a Likert scale, by the judges in on-site validation, a Content Validity Index of 1.0 was reached, which indicates 100% agreement in the assessed items. Conclusion: the scenario was validated. It is expected that teaching by simulation will be expanded and that new studies of scenario validation will contribute to the preparation of future nurses, based on the most recent scientific evidence.

Download Full-text

Realistic health care simulation scenario: what is relevant for its design?

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2018015703453 ◽

2019 ◽

Vol 53 ◽

Author(s):

Regina Mayumi Utiyama Kaneko ◽

Maria Helena Baena de Moraes Lopes

Keyword(s):

Professional Experience ◽

Pilot Test ◽

Scenario Development ◽

Good Practices ◽

Creation Process ◽

Clinical Simulation ◽

International Nursing ◽

Scenario Design ◽

Simulation Scenario ◽

Best Evidence Medical Education

ABSTRACT We sought to describe the stages of scenario development with emphasis on the most relevant aspects according to the literature and guidelines of The International Nursing Association for Clinical Simulation and Learning and Best Evidence Medical Education, which are discussed and exemplified on the basis of our professional experience. The following stages were described and commented on for scenario design: planning, objectives, simulation structure and format, case description and perception of realism, pre-debriefing, debriefing, evaluation, materials and resources, and pilot test. A scenario design based on good practices involves important elements, and each stage is closely interrelated and interdependent in its creation process.

Download Full-text

Avaliação do debriefing na simulação clínica no ensino em enfermagem

Enfermagem em Foco ◽

10.21675/2357-707x.2020.v11.n3.2854 ◽

2021 ◽

Vol 11 (4) ◽

Author(s):

Maria Ercília Chagas ◽

Fernanda Maria Vieira Pereira-Ávila ◽

Fernanda Garcia Bezerra Góes ◽

Giovanna Martins De Salvo ◽

Roberto Carlos Lyra Da Silva ◽

...

Keyword(s):

Nursing Education ◽

Quantitative Study ◽

Simulation Training ◽

Positive Impact ◽

La Réunion ◽

Ethical Aspects ◽

Clinical Simulation ◽

Simulation Scenario ◽

The Right ◽

Estudiantes Universitarios

Objetivo: avaliar o debriefing na prática simulada de graduandos de enfermagem. Método: estudo quantitativo em duas etapas: Etapa 1 – Realização de cenário de simulação clínica. Etapa 2 – Aplicação da Escala de Avaliação do Debriefing associado à Simulação (EaDaS). Todos os aspectos éticos foram atendidos. Resultados: participaram do estudo 36 (100,0%) graduandos de enfermagem. Desses, 27 (75,0%) relatou nunca ter participado de simulação. Na avaliação do debriefing associado à simulação, o escore geral obtido foi de 4,41 (DP=0,25), correspondendo ao percentual de 85,4% de impacto positivo. A maioria dos graduandos 25 (69,4%) confirmou que o debriefing auxiliou no desenvolvimento da capacidade para a tomada de decisões acertadas. Conclusão: a avaliação do debriefing foi positiva na simulação cínica, possibilitando melhorias no desempenho e aprendizado dos acadêmicos.Palavras-chave: Ensino; Simulação; Educação em enfermagem; Treinamento por simulação; Estudantes de enfermagem.NURSING EDUCATION: EVALUATING THE EFFECTIVENESS OF DEBRIEFING IN CLINICAL SIMULATIONObjective: To evaluate the debriefing in the simulated practice of nursing undergraduates. Method: Quantitative study in two steps: Step 1 - Realization of the clinical simulation scenario. Step 2 - Application of the Simulation Debriefing Assessment Scale (EaDaS). All ethical aspects were met. Results: 36 (100.0%) nursing undergraduates participated in the study. Of these, 27 (75.0%) reported never having participated in the simulation beforehand. In the evaluation of debriefing associated with the simulation, the overall score obtained was 4.41 (SD = 0.25), corresponding to a percentage of 85.4% of positive impact. Most undergraduates 25 (69.4%) confirmed that debriefing assisted in developing the ability to make the right decisions. Conclusion: The evaluation of debriefing was positive in the clinical simulation, allowing improvements in the performance and learning of the students.Descriptors: Teaching; Simulation; Nursing education; Simulation training; Nursing students.EVALUACIÓN DEBRIEFING EN LA SIMULACIÓN CLÍNICA EN LA EDUCACIÓN EN ENFERMERÍAObjetivo: Evaluar la información en la práctica simulada de estudiantes de pregrado en enfermería. Método: estudio cuantitativo en dos pasos: Paso 1 - Realización del escenario de simulación clínica. Paso 2: aplicación de la escala de evaluación de simulación de informes (EaDaS). Todos los aspectos éticos se cumplieron. Resultados: 36 (100.0%) estudiantes universitarios de enfermería participaron en el estudio. De estos, 27 (75.0%) informaron nunca haber participado en la simulación. En la evaluación de los informes asociados con la simulación, el puntaje general obtenido fue 4.41 (DE = 0.25), correspondiente a un porcentaje de 85.4% de impacto positivo. La mayoría de los estudiantes universitarios 25 (69.4%) confirmaron que la reunión de información ayudó a desarrollar la capacidad de tomar las decisiones correctas. Conclusión: La evaluación del informe fue positiva en la simulación cínica, permitiendo mejoras en el rendimiento y el aprendizaje de los estudiantes.Descriptores: Enseñanza; Simulación; Educación en enfermería; Capacitación en simulación; Estudiantes de enfermería.

Download Full-text

CONSTRUCTION AND VALIDATION OF SIMULATED SCENARIO FOR NURSING CARE TO COLOSTOMY PATIENTS

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2018-0199 ◽

2019 ◽

Vol 28 ◽

Author(s):

Elaine Cristina Negri ◽

Gerson Alves Pereira Júnior ◽

Cezar Kayzuka Cotta Filho ◽

Juliana Constantino Franzon ◽

Alessandra Mazzo

Keyword(s):

Nursing Care ◽

Skills Training ◽

Hospital Environment ◽

High Fidelity ◽

Patient Medical Record ◽

Clinical Simulation ◽

Reading Material ◽

Simulation Scenario ◽

Simulated Scenario

ABSTRACT Objective: to construct and validate a high fidelity clinical simulation scenario on nursing care to colostomy patients. Method: descriptive study of construction and validation of the appearance and content of a high fidelity clinical simulation scenario referring to nursing care for colostomy patients. To guide the elaboration of the scenario, a study was carried out in the literature on nursing care for the colostomy patient in the hospital environment. The scenario was constructed according to the items proposed by Fabri, based on the Bloom’s Taxonomy. For the selection of the nine experts, the criteria proposed by Fehring were used. The scenario, after being structured, was tested by a group of students from the 3rd and 4th years of graduation in nursing in a clinical simulation laboratory of a public university. It was considered 80% level of agreement. Results: in the validation of the scenario, all the experts agreed with the proposed items, suggesting the inclusion of some references, book chapters, skills training, preparation of reading material and checklist follow-up of participants. This scenario test allowed the identification of relevant contributions for adjustments of the simulated activity and allowed to test the debriefing with the support of the checklist. It was also evidenced the need to include information in the patient medical record and to increase the time of development of the scenario to solve the proposed objectives. Conclusion: the results show that for practical simulated well defined and successful are required to careful preparation, validation and prior testing of the planned activities.

Download Full-text

International nursing education: Istanbul, Turkey

Journal of Pediatric Nursing ◽

10.1053/jn.2000.6024 ◽

2000 ◽

Vol 15 (3) ◽

pp. 183-188 ◽

Cited By ~ 4

Author(s):

Jo Oswalt ◽

Debbie Boyce

Keyword(s):

Nursing Education ◽

International Nursing

Download Full-text

Promoting Palliative Care Worldwide Through International Nursing Education

Journal of Transcultural Nursing ◽

10.1177/1043659614523993 ◽

2014 ◽

Vol 25 (4) ◽

pp. 410-417 ◽

Cited By ~ 11

Author(s):

Pam Malloy ◽

Judith Paice ◽

Nessa Coyle ◽

Patrick Coyne ◽

Thomas Smith ◽

...

Keyword(s):

Palliative Care ◽

Nursing Education ◽

International Nursing

Download Full-text

Maximum phonation time in the pulmonary function assessment

Revista CEFAC ◽

10.1590/1982-0216/20212349720 ◽

2021 ◽

Vol 23 (4) ◽

Author(s):

Edvania Gomes Henrique Moreno ◽

Bianca Teixeira Calassa ◽

Daniela Vitoria Silva Oliveira ◽

Maylanne Iris Nascimento Silva ◽

Laienne Carla Barbosa de Barros Albuquerque ◽

...

Keyword(s):

Vital Capacity ◽

Intraclass Correlation ◽

Correlation Coefficients ◽

Descriptive Statistics ◽

Healthy Individuals ◽

Reliability Study ◽

Maximum Phonation Time ◽

Intraclass Correlation Coefficients ◽

Single Breath ◽

Examiner Agreement

ABSTRACT Purpose: to evaluate the reliability of the maximum phonation time (MPT) and Vital Capacity intra and inter-examiner, by means of the single-breath counting test (CT) and the sustained /a/ phoneme, and the slow vital capacity (SVC). Methods: a reliability study carried out in three groups of healthy individuals, each group with 30 volunteers, allocated according to age. SVC was measured using a spirometer, while the MPT was assessed by the phoneme /a/ and CT. The data were analyzed using SPSS version 20.0. Initially, descriptive statistics were used and for data reliability, the intraclass correlation coefficient (ICC). Results: the Intraclass Correlation Coefficients (ICC) were considered excellent, with significant results above 0.92 for SVC and greater than 0.79 for CT and phoneme /a/. Regarding the inter-examiner evaluation, the ICCs were also significant for both SVC with values greater than 0.96, and for CT and the phoneme /a/ with values greater than 0.85. The error inherent in the technique was assessed using the standard error of the measurement for intra and inter-examiner analyses with values ranging from 1.79 to 3.29 for phoneme /a/, 3.20 to 6.58 for CT and 65, 05 to 206.73 for SVCml. Conclusion: phonation techniques with the phoneme /a/ and CT, as well as SVC, have an excellent reliability, due to intra and inter-examiner agreement measures.

Download Full-text