Use of high fidelity simulation in the preparation of nurses for urgency and emergency care: scoping review
DOI:
https://doi.org/10.15448/1980-6108.2018.1.28675Keywords:
nursing, education, perception, patient simulation, high fidelity simulation training, emergency.Abstract
AIMS: To identify, in the scientific literature, what are the gains perceived by nurses in the use of simulated high fidelity practices in urgency and emergency situations.
METHODS: The search was done in pairs in the Cumulative Index to Nursing and Allied Health Literature, Latin-American and Caribbean Literature in Health Sciences, National Library of Medicine, SCOPUS and Web of Science, using the keywords or their synonyms for each item of the strategy. Thus, nurses OR nursing was used for Population; perception OR "acquisition of knowledge" OR experiences, for Concept; "high fidelity simulation" OR simulation OR emergencies, for Context.
RESULTS: Eight studies that met the established inclusion criteria were analyzed, seven of each (88%) being quantitative studies that performed the interventions only with professional nurses. Among the several gains obtained by the nurses, the increase of self-confidence and satisfaction, and improvements in technical and non-technical skills, communication and leadership were remarkable. The fact that each participant had different places of professional performance may have influenced their experience, which may have resulted in different perceptions for each of them.
CONCLUSIONS: The high fidelity simulation in urgency and emergency care with nurses presented itself as a tool that, in association with other teaching strategies, can result in countless benefits for professionals, for the health system, and, especially, for patient safety. Knowledge about the contributions this method provides to the professionals can be a reliable ally to stimulate their participation in simulated scenarios and also to justify to the employers the necessity of this type of strategy.
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Morente L, Morales-Asencio J, Veredas FJ. Effectiveness of an e-learning tool for education on pressure ulcer evaluation. J Clin Nurs. 2013;23(13-14):2043-52. https://doi.org/10.1111/jocn.12450
Palazoğlu CA, Koç Z. Ethical sensitivity, burnout, and job satisfaction in emergency nurses Nurs Ethics. 2017; Jan 1:969733017720846. https://doi.org/10.1177/0969733017720846
Pereira Junior GA, Fraga GP, Arnaud F, Gula EA, Slullitel A, Garcia VL. O ensino de urgência e emergência de acordo com as novas Diretrizes Curriculares Nacionais e a Lei do Mais Médicos. Cadernos ABEM, 2015;11:20-47.
Santos JLG, Lima MADS, Pestana AL, Garlet ER, Erdmann AL. Desafios para a gerência do cuidado em emergência na perspectiva de enfermeiros. Acta paul enferm. 2013; 26(2):136-43. https://doi.org/10.1590/S0103-21002013000200006
Romanzini EM, Lisnéia FB. Concepções e sentimentos de enfermeiros que atuam no atendimento pré-hospitalar sobre a prática e a formação profissional. Rev Latino-Am Enfermagem. 2010;18(2):240-6. https://doi.org/10.1590/S0104-11692010000200015
O'Sullivan TL, Dow D, Turner MC, Lemyre L, Corneil W, Krewski D et al. Disaster and Emergency Management: Canadian Nurses' Perceptions of Preparedness on Hospital Front Lines. Prehosp Disaster Med. 2008;23(3):11-8.
Almeida AO, Araújo IEM, Dalri MCB, Araujo S. Conhecimento teórico dos enfermeiros sobre parada e ressuscitação cardiopulmonar, em unidades não hospitalares de atendimento à urgência e emergência. Rev. Latino-Am. Enfermagem. 2011;19(2):261-8. https://doi.org/10.1590/S0104-11692011000200006
Dellifraine J, Langabeer J, King B. Quality improvement practices in academic emergency medicine: perspectives from the chairs. West J Emerg Med 2010;11(5):479-85.
Bion JF, Abrusci T, Hibbert P. Human factors in the management of the critically ill patient. Br J Anaesth 2010;105(1):26-33. https://doi.org/10.1093/bja/aeq126
Silva DS, Bernardes A, Gabriel CS, Rocha FLR, Caldana G. A liderança do enfermeiro no contexto dos serviços de urgência e emergência. Rev Eletr Enf. 2014;16(1):211-9. https://doi.org/10.5216/ree.v16i1.19615
Ciconet RM, Marques GQ, Lima MADS. Educação em serviço para profissionais de saúde do Serviço de Atendimento Móvel de Urgência (SAMU): relato da experiência de Porto Alegre-RS. Interface (Botucatu) 2008;12(26):659-66. https://doi.org/10.1590/S1414-32832008000300016
Yuan HB, Williams BA, Fang JB. The contribution of high-fidelity simulation to nursing students' confidence and competence: a systematic review. Int Nurs Rev. 2012;59(1):26-33. https://doi.org/10.1111/j.1466-7657.2011.00964.x
Ackermann AD. Investigation of learning outcomes for the acquisition and retention of CPR knowledge and skills learned with the use of high-fidelity simulation. Clin Simul Nurs. 2009;5(6):2013-22. https://doi.org/10.1016/j.ecns.2009.05.002
Rosa ALB. As experiências clínicas simuladas na formação contínua dos enfermeiros de uma UCIC; a influência de um programa de simulação de alta-fidelidade nas práticas diárias dos enfermeiros em situações de urgência [dissertação]. [Coimbra]: Escola Superior de Enfermagem de Coimbra, 2014. 185 p.
Bliss M, Aitken LM. Does simulation enhance nurses' ability to assess deteriorating patients? Nurse Educ Pract. 2017;28:20-6. https://doi.org/10.1016/j.nepr.2017.09.009
Gomez MV, Vieira JE, Scalabrini Neto A. Análise do perfil de professores da área da saúde que usam a simulação como estratégia didática. Rev bras educ med. 2011;35(2):157-62. https://doi.org/10.1590/S0100-55022011000200003
Baptista RCN, Martins JCA, Pereira MFCR, Mazzo A. Simulação de alta-fidelidade no curso de enfermagem: ganhos percebidos pelos estudantes. Rev Enf Refe. 2014;4(1):135-44. https://doi.org/10.12707/RIII13169
Almeida RGS, Mazzo A, Martins JCA, Negri EC, Della Torre BFM, Ventura CA, Mendes IA. Meanings attributed by nurses to ensure the care of critical patients in the light of simulations' premises. Appl Nurs Res. 2016;31:170-4. https://doi.org/10.1016/j.apnr.2016.01.006
Joanna Briggs Institute (JBI). Methodology for JBI Scoping Reviews - Joanna Briggs [Internet]. Australia; 2015 [cited 2016 April 10]. Available from: http://joannabriggs.org/assets/docs/sumari/Reviewers-Manual_Methodology-for-JBI-Scoping-Reviews_2015_v2.pdf
Martins JCA, Mazzo A, Negrão RBC, Coutinho VRD, Godoy S, Mendes IAC, Trevisan MA. A experiência clínica simulada no ensino de enfermagem: retrospectiva histórica. Acta paul enferm. 2012;25(4):619-25. https://doi.org/10.1590/S0103-21002012000400022
Negri EC, Mazzo A, Martins JCA, Pereira Junior GA, Almeida RGS, Pedersoli CE. Clinical simulation with dramatization: gains perceived by students and health professionals. Rev Lat Am Enfermagem. 2017;25:e2916. https://doi.org/10.1590/1518-8345.1807.2916
Lestander O, Lehto N, Engström A. Nursing students' perceptions of learning after high fi delity simulation: Effects of a Three-step Post-simulation Reflection Model. Nurse Educ Today. 2016;40:219-24. https://doi.org/10.1016/j.nedt.2016.03.011
Hoadley, T. A. Comparing the effects of low and high fidelity simulation on learning in advanced cardiac life support classes [dissertação]. [Colorado]: University of Northern Colorado, 2008. 281 p.
Gordon CJ, Buckley T. The effect of high-fidelity simulation training on medical-surgical graduate nurses' perceived ability to respond to patient clinical emergencies. J Contin Educ Nurs. 2009;40(11):491-8. https://doi.org/10.3928/00220124-20091023-06
Stefanski RR, Rossler KL. Preparing the novice critical care nurse: a community-wide collaboration using the benefits of simulation. J Contin Educ Nurs. 2009;40(10):443-51. https://doi.org/10.3928/00220124-20090923-03
Hoadley, TA. Learning advanced cardiac life support: a comparison study of the effects of low and high-fidelity simulation. Nurs Educ Perspect. 2009;30(2):91-5.
Frengley RW, Weller JM, Torrie J, Dzendrowskyj P, Yee B, Paul AM, Shulruf B, Henderson KM. The effect of a simulation-based training intervention on the performance of established critical care unit teams. Crit Care Med. 2011;39(12):2605-11. https://doi.org/10.1097/CCM.0b013e3182282a98
Cooper S, Cant R, Porter J, Missen K, Sparkes L, McConnell-Henry T, Endacott R. Managing patient deterioration: assessing teamwork and individual performance. Emerg Med J. 2013;30(5):377-81. https://doi.org/10.1136/emermed-2012-201312
Ballangrud R, Hall-Lord ML, Hedelin B, Persenius M. Intensive care unit nurses' evaluation of simulation used for team training. Nurs Crit Care. 2014;19(4):175-84. https://doi.org/10.1111/nicc.12031
Watters C, Reedy G, Ross A, Morgan N, Handslip R, Jaye P. Does interprofessional simulation increase self-efficacy: a comparative study. BMJ Open. 2015;5(1):e005472. https://doi.org/10.1136/bmjopen-2014-005472
Kaneko RMU, Couto TB, Coelho MM, Taneno AK, Barduzzi, NN, Barreto JKS, et al. Simulação in situ, uma metodologia de treinamento multidisciplinar para identificar oportunidades de melhoria na segurança do paciente em uma unidade de alto risco. Rev bras educ med. 2015;39(2):286-93. https://doi.org/10.1590/1981-52712015v39n2e00242014
Patterson MD, Geis GL, Falcone RA, LeMaster T, Wears RL. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf. 2013;22(6):468-77. https://doi.org/10.1136/bmjqs-2012-000942
Brandão CFS, Collares CF, Marin HF. A simulação realística como ferramenta educacional para estudantes de medicina. Sci Med. 2014;24(2):187-92. https://doi.org/10.15448/1980-6108.2014.2.16189
Bandura A. Self-efficacy determinants of anticipated fears and calamities. J Pers Soc Psychol. 1983;45(2):464-9. https://doi.org/10.1037/0022-3514.45.2.464
Hicks F, Coke L, Li S. Report of findings from the effect of high-fidelity simulation on nursing students' knowledge and performance: a pilot study. Res Brief. 2009;40.
Martins JCA, Coutinho VR, Baptista RC, Oliveira LM, Gonçalves RF, Paiva LA, Mazzo A, Rodrigues MA, Mendes IAC. Impact of a simulated practice program in the construction of self-confidence for intervention in emergencies and its association with knowledge and performance. J Nurs Educ Pract. 2016;7(1):45-50. https://doi.org/10.5430/jnep.v7n1p45
Martins JCA, Baptista RCN, Coutinho VRD, Mazzo A, Rodrigues MA, Mendes IAC. Autoconfiança para intervenção em emergências: adaptação e validação cultural da self-confidence scale em estudantes de Enfermagem. Rev Latino Am Enfermagem. 2014;22(4): 554-61. https://doi.org/10.1590/0104-1169.3128.2451
Baptista RCN, Martins JCA, Pereira MFCR, Mazzo A . Students' satisfaction with simulated clinical experiences: validation of an assessment scale. Rev Lat Am Enfermagem. 2014;22(5):709-15. https://doi.org/10.1590/0104-1169.3295.2471
Jeffries, P. Designing simulations for nursing education. Ann Rev Nurs Educ., 2006;4:161-77.
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