Methodological aspects and contributions of Clinical Simulation to the development of professional skills: scoping review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i1.11302

Keywords:

Patient simulation; Cardiopulmonary resuscitation; Professional competence; Clinical competence.

Abstract

This objective research will identify the methodological aspects applied during clinical simulation, and map the contribution of clinical simulation without training of cardiopulmonary resuscitation for the development of professional competencies. This is a scoping review carried out on the PUBMED, Lilacs, Cochrane databases, and on the SciELO site, during or over May 2020. It follows the recommendations of The Joanna Briggs Institute and the PRISMA-SCR stages. The studies identified were endorsed by a pair of researchers. The data are synthesized, organized in categories and presented by means of a figure and squares. There were 337 articles identified, 12 included in this review. The methodological aspects identified are related to educational practices, fidelity, realism, skills / support to the participant and or debriefing conducted by the facilitator. The analysis of two studies shows that the clinical simulation for cardiopulmonary resuscitation training contributes to the development of professional competencies such as knowledge, technical and non-technical skills, attitudes, self-confidence, critical thinking, training in clinical responsibility, work in situational equipment, ea satisfaction as learned. The contributions to the simulation are clear and allow the development of diversified professional competitions. Although the methodological aspects related to simulation have been described, they lack the theoretical background for the research to be reproduced in other professionais settings. This scoping confirms that this teaching method adds knowledge and develops competencies, and therefore, is recommended for the training of adult, pediatric and neonatal cardiopulmonary resuscitation for those who are professionals of the health team such as nurses, doctors and physiotherapists.

References

American Heart Association (2020). Destaques das Diretrizes de RCP e RCE. Recuperado de: https://cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/highlights/hghlghts_2020eccguidelines_portuguese.pdf .

Almeida, M. N., Duarte, T. T. P., & MAGRO, M. C. (2019). Simulação in situ: ganho da autoconfiança de profissionais de enfermagem na parada cardiopulmonar. Revista Rene, 20, e41535. http://www.repositorio.ufc.br/bitstream/riufc/46253/1/2019_art_mnalmeida.pdf

Almeida, R. G. S., Mazzo, A., Martins, J. C. A., Coutinho, V. R. D., Jorge, B. M., & Mendes, I. A. C. (2016). Validation to portuguese of the debriefing experience scale. Rev Bras Enferm, 69(4), 658-664. DOI: https://doi.org/10.1590/0034-7167.2016690413i

Arksey, H., & O'Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8, 19-32. https://doi.org/10.1080/1364557032000119616.

Brandão, C. F. S.; Collares, C. F., & Marin, H. F. (2014). A simulação realística como ferramenta educacional para estudantes de medicina. Sci Med (Porto Alegre), 24(2),187–192.

Bortolato-Major, C., et al. (2020). Autoconfiança e satisfação dos estudantes de Enfermagem em simulação de emergência. Rev Min Enferm, 0, e-1336.

Bortolato-Major, C. (2017). O ensino baseado em simulação e o desenvolvimento de competências clínicas de estudantes de enfermagem. 185f. Tese (Doutorado), Universidade Federal do Paraná, Curitiba.

Campos, L. P. S., et al. (2019). Conduta da equipe de enfermagem na parada cardiorrespiratória em crianças. Rev. enferm. UFPE on line, 13,1-7.

Costa, R. R. O., et al (2018). A Simulação no ensino de enfermagem: uma análise conceitual. Revista de Enfermagem do Centro-Oeste Mineiro, 8, e. 1928. http://dx.doi.org/10.19175/recom.v7i0.1928 .

Dwyer, T., Reid Searl, K., McAllister, M., Guerin, M., & Friel, D. (2015). Advanced life simulation: High-fidelity simulation without the high technology. Nurse Education in Practice, 15(6), 430-436. https://doi.org/10.1016/j.nepr.2015.05.007

Govranos, M., & Newton, J. (2014). Exploring ward nurses' perceptions of continuing education in the clinical setting. Nurse Educ Today, 34(4),655-660. https://doi.org/10.1016/j.nedt.2013.07.003

Guskuma, E. M., et al. (2019). Nursing team knowledge on cardiopulmonary resuscitation. Rev. eletrônica enferm, 21,1-8.

Inacsl Standards Committee (2016). INACSL standards of best practice: Simulation SM Design da Simulação. Clinical Simulation in Nursing, 12(S), S5-S12. https://www.inacsl.org/inacsl-standards-of-best-practice-simulation/.

Jeffries, P. R., & Rogers, K. J. (2007). Theoretical framework for simulation design. In: Jeffries, P. R. (org.). Simulation in Nursing Education: from conceptualization to evaluation. New York: National League for Nursing, 25-41.

Klippel, C., et al. (2020). A contribuição do debriefing no ensino baseado em simulação. Revista de Enfermagem UFPE on line, 14, 2020. https://periodicos.ufpe.br/revistas/revistaenfermagem

Laureen, M. D., & Lauren, K. M. (2019). Expanding nursing simulation programs with a standardized patient protocol on therapeutic communication. Nurse Education in Practice, 38, 126-131. https://pubmed.ncbi.nlm.nih.gov/31276971/ .

Leigh, G. T. (2018). High-fidelity patient simulation and nursing students' self-efficacy: a review of the literature. Int J Nurs Educ Scholarsh, 5(1),01–17. http://dx.doi.org/10.2202/1548-923x.1613 .

Levac, D., Colquhoun, H., & O'Brien K. K. (2010). Scoping studies: advancing the methodology. Implementation Sci, 5:69. https://doi.org/10.1186/1748-5908-5-69 .

Lima, M. N., et al. (2020). Retenção da aprendizagem após treinamento em Suporte Básico de Vida com uso de simulação de baixa fidelidade em uma unidade hospitalar odontológica. Scientia Medica, 28(1), ID29410. http://doi.org/10.15448/1980-6108.2018.1.29410.

Mesquita, H. C. T., Santana, B. S., & Magro, M. C. S. (2019). Efeito da simulação realística combinada à teoria na autoconfiança e satisfação de profissionais de enfermagem. Escola Anna Nery, 23(1), 6. www.scielo.br/pdf/ean/v23n1/pt_1414-8145-ean-23-01-e20180270.pdf.

Nascimento, J. S. G., et al. (2020). Métodos e técnicas de debriefing utilizados em simulação na enfermagem. Rev Gaúcha Enferm,41:e20190182. https://doi.org/10.1590/1983-1447.2020.20190182

Rissi, G. P., et al. (2020). Clinical simulation of child emergency in the contexto of nursing professional training: integrativa review. Research, Society and Development, 9(7):1-15, e421974261. http://dx.doi.org/10.33448/rsd-v9i7.4261 .

Rudolph, J. W., et al. (2006). There’s no such thing as “nonjudgmental” debriefing: a theory and method for debriefing with good judgment. Simul Healthc., 1(1) 49-55. https://pubmed.ncbi.nlm.nih.gov/19088574/ .

Peters, M. D. J., Godfrey, C., & McInerney, P., et al. (2020). Chapter 11: Scoping Reviews (2020 version). In: Aromataris, E. & Munn Z (Editors). Joanna Briggs Institute Reviewer's Manual. https://reviewersmanual.joannabriggs.org/ .

Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D., Horsley, T., Weeks, L., & Hempel, S., et al. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med.,169(7):467-473. https://doi.org/10.7326/M18-0850 .

Published

02/01/2021

How to Cite

BORTOLATO-MAJOR, C. .; LIMA, P. A. de .; OLIVEIRA, T. M. N. de .; MOREIRA , A. C. M. G. . Methodological aspects and contributions of Clinical Simulation to the development of professional skills: scoping review. Research, Society and Development, [S. l.], v. 10, n. 1, p. e4610111302, 2021. DOI: 10.33448/rsd-v10i1.11302. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/11302. Acesso em: 20 apr. 2024.

Issue

Section

Health Sciences