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Abstract
Objective: To evaluate simulation-based teaching in the development of students' clinical competence. Method: Quasi-experimental study carried out at a public university with the participation of 62 students. A Knowledge Test and a Checklist were used for data collection. Data were presented as percentages and compared using ANOVA. Results: The average percentage of knowledge, before, during and after the theoretical strategies (case study and dialogued theoretical class), was 67.6%, 76.7% and 88.1% respectively and 87.6% after 30 days. In the simulation, the skill “communicated with clear speech and controlled tone of voice” obtained 93.5% of correct answers; “attached pulse oximeter” and “administered platelet antiaggregant” 100%; 75% of the students classified the patient in one of the three groups of coronary syndrome and 83.7% related it to the best treatment. Conclusion: Simulation-based teaching enabled the development of students' clinical competence in treating coronary syndromes.
References
Yamane MT, Machado VK, Osternack KT, Mello RG. Simulação realística como ferramenta de ensino na saúde: uma revisão integrativa. Rev Espaço para a Saúde. 2019;20(1):87-107. https://doi.org/10.22421/15177130-2019v20n1p87
Miller GE. The assesment of clinical skills/competence/performance. Acad Med. 1990;65(9):S63-S7. https://doi.org/10.1097/00001888-199009000-00045
Bortolato-Major C, Arhur JP, Silva ATM, Mantovani MF, Felix JVC, Boostel R. Contribuições da simulação para estudantes de graduação em enfermagem. Rev Enferm UFPE Online. 2018;12(6):1751-62. https://doi.org/10.5205/1981-8963 v12i6a230633p1751-1762-2018
INACSL Standards Committee. INACSL Standards of Best Practice: SimulationSM Simulation-Enhanced Interprofessional Education (SimIPE). Clin Simul Nurs. 2016;12(Suppl.):S34-8. http://dx.doi.org/10.1016/j.ecns.2016.09.011
Santos AAA, Braz DDS, Cavalcante AB, Trindade LS, Sá Barros AMM, Souza DS. Identificação precoce da síndrome coronariana aguda: uma revisão bibliográfica. Cad Grad Ciênc Hum Soc Unit (Impr) [Internet]. 2017 [cited 2021 Apr 10];4(2):219-36. Available from: https://periodicos.set.edu.br/cadernobiologicas/article/view/4609/2505
Nogueira LS, Wilson AMMM, Karakhanian ACM, Parreira EV, Machado VMP, Mira VL. Avaliação dos conhecimentos e habilidades em ressuscitação cardiopulmonar assimilados por profissionais da atenção primária em saúde. Sci Med (Porto Alegre, Online). 2018;28(1):ID28843. https://doi.org/10.15448/1980-6108.2015.1.19519
Jeffries PR. The NLN Jeffries simulation theory. Wolters Kluwer (NY): National League for Nursing; 2016.
American Heart Association. Suporte Avançado de Vida Cardiovascular: manual do profissional. Mesquite (TX): Orora Visual; 2016.
Unsworth J, Melling A, Porteous D. Developing an integrated approach to the assessment of student nurse competence using the Total Client Care (TCC) assessment tool. Nurse Educ Pract. 2020;44:102757. https://doi.org/10.1016/j.nepr.2020.102757
Vreugdenhil J, Spek B. Development and validation of Dutch version of Lasater Clinical Judgment Rubric in hospital practice: An instrument design study. Nurse Educ Today. 2018;62:43-51. https://doi.org/10.1016/j.nedt.2017.12.013
Alley WD, Burns C, Hartman ND, Askew K, Mahler SA. 3 for the Price of 1: Teaching Chest Pain Risk Stratification in a Multidisciplinary, Problem-based Learning Workshop. West J Emerg Med. 2018;19(3):613-18. https://doi.org/10.5811/westjem.2017.12.36444
Roman C, Ellwanger J, Becker GC, Silveira AD, Machado CLB, Manfroi WC. Metodologias ativas de ensino-aprendizagem no processo de ensino em saúde no Brasil: uma revisão narrativa. Clin Biomed Res. 2017;37(4):349-57. http://dx.doi.org/10.4322/2357-9730.73911
Sarabia-Cobo CM, Alconero-Camarero AR, Ibánez-Rementería I. Assessment of a learning intervention in palliative care based on clinical simulations for nursing students. Nurse Educ Today. 2016;26:219-24. https://doi.org/10.1016/j.nedt.2016.08.014
Aimoli US, Miranda CH. Clinical Competence in ST-segment Elevation Myocardial Infarction Management by Recently Graduated Physicians Applying for a Medical Residency Program. Arq Bras Cardiol. 2020;114(1):35-44. https://doi.org/10.36660/abc.20180309
Bilello LA, Dubosh NM, Lewis JJ, Hall MM, Fisher J, Ullman EA. Fourth-year medical students do not perform a focused physical examination during a case-based simulation scenario. Adv Med Educ Pract. 2018;17(9):583-8. https://doi.org/10.2147/AMEP.S160701
Kim SJ, Kim S, Kang K, Oh J, Lee M. Development of a simulation evaluation tool for assessing nursing students’ clinical judgment in caring for children with dehydration. Nurse Educ Today. 2016;37:45-52. http://doi.org/10.1016/j.nedt.2015.11.011
Brasil. Lei nº 7498, de 25 de junho de 1986. Dispões sobre a regulamentação do exercício de enfermagem e dá outras providências [Internet]. Diário Oficial da União; 1986 Jun 26 [cited 2021 Aug 28];Seção1:9273-5. Available from: http://www.cofen.gov.br/lei-n-749886-de-25-de-junho-de-1986_4161.html
Almeida RG, Mazzo A, Martins JC, Souza-junior VD, Mendes IA. Validation for the Portuguese language of the Educational Practices Questionnaire (Student Version). Acta Paul Enferm. 2016;29(4):390-6. https://doi.org/10.1590/1982-0194201600054
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