SIMULAÇÃO IN SITU PARA O ENSINO DO RECONHECIMENTO DA SEPSE EM UMA UNIDADE DE TERAPIA INTENSIVA
Keywords:
critical care, sepsis,, simulation, education nursingAbstract
Abstract
Objective to evaluate the knowledge of nursing professionals based on in situ simulation on the recognition of sepsis. Descriptive, quantitative study, carried out in a hospital in the interior of the state of São Paulo with professionals from the nursing team of the Intensive Care Unit. Participants were submitted to a pre-test to assess knowledge, followed by an expository class and subsequent clinical simulation. After 30 days, the post-test was applied. Simulation contributed to the acquisition and retention of knowledge by nursing professionals. The mean of correct answers in the pre-test was higher in the nurse category (63.89%). In both categories, they obtained higher success rates after 30 days of the teaching strategy. However, the nursing technician category showed significant gain in the post-test (p * <0.01). It is concluded that the use of simulation in situ provided knowledge gain to nursing professionals, contributing to early recognition and minimizing mortality.
Downloads
References
Referências
Rello J, Valenzuela-Sánchez F, Ruiz-Rodriguez M, Moyano S. Sepsis: A Review of Advances in Management. Adv Ther. [Internet]. 2017 [cited 2020 Jul 20]; 34 (11): 2393-2411. Available from: https://doi.org/10.1007/s12325-017-0622-8.
Tambo M, Taguchi S, Nakamura Y, Okegawa T, Fukuhara H. Presepsin and procalcitonin as predictors of sepsis based on the new Sepsis-3 definitions in obstructive acute pyelonephritis. BCM Urol. [Internet]. 2020 [cited 2020 Apr 25]; 20 (1): 1-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32160878.
Taniguchi LU, Azevedo LCP, Bozza FA, Cavalcanti AB, Ferreira EM, Carrara FSA, et al. Availability of resources to treat sepsis in Brazil: a random sample of Brazilian institutions. Rev. Bras. Ter. Intensiva. [Internet]. 2019 [cited 2020 Apr 25]; 31 (2): 193-201. Available from: http://www.scielo.br/pdf/rbti/v31n2/0103-507X-rbti-20190033.pdf.
Wang L, Zhou W, Wang K, Shuangjun HE, Chen Y. Predictive value of circulating plasma mitochondrial DNA for Sepsis in the emergency department: observational study based on the sepsis-3 definition: observational study based on the Sepsis-3 definition. Bmc Emerg. Med. [Internet]. 2020 [cited 2020 Apr 25]; 20 (1): 1-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32299369.
Goulart LS, Júnior MAF, Sarti ECFB, Sousa AFL, Ferreira AM, Frota OP. Are nurses updated on the proper management of patients with sepsis? Esc. Anna Nery. [Internet]. 2019 [cited 2020 Apr 25]; 23 (4): 1-6. Available from: http://www.scielo.br/pdf/ean/v23n4/pt_1414-8145-ean-23-04-e20190013.pdf.
Silva APRM, Souza HV. Sepsis: importance of early identification by nursing. Revista Pró-UniverSUS. 2018; 09 (1): 97-100.
Novosad SA, Sapiano MRP, Grigg C, Lake J, Robyn M, Dumyati G, et al. Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. Morb Mortal Wkly Rep. [Internet]. 2016 [cited 2020 Jul 20]; 65 (33): 864–869. Available from: doi: 10.15585/mmwr.mm6533e1.
Yang M, Zhao L, Sun M. Diagnostic Value of miR-103 in Patients with Sepsis and Noninfectious SIRS and Its Regulatory Role in LPS-Induced Inflammatory Response by Targeting TLR4. International journal of genomics [Internet]. 2020 [cited 2020 Jul 20]; 2020: 1-8, 2198308. Available from: https://doi.org/10.1155/2020/2198308.
ilas.org.br [Internet]. Brasil e Argentina: Instituto Latino Americano de Sepse (ILAS); c2018 [cited 2018 Dec 27]. Available from: https://ilas.org.br/index.php.
Cecconi M, Evans L, Levy M, Rhodes A. Sepsis and septic shock. Lancet [Internet]. 2018 [cited 2020 Apr 25]; 392 (10141): 75-87. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29937192.
Machado FR, Assunção MSC, Cavalcanti AB, Japiassú AM, Azevedo LCP, Oliveira MC. Getting a consensus: advantages and disadvantages of Sepsis 3 in the context of middle-income settings. Rev Bras Ter Intensiva. [Internet]. 2016 [cited 2018 Oct 17]; 28 (4): 361-365. Available from: http://www.scielo.br/pdf/rbti/v28n4/0103-507X-rbti-28-04-0361.pdf.
Garrido F, Tieppo L, Pereira MDS, Freitas R, Freitas WM, Filipin R, et al. Actions of nurses in early identification of systemic changes caused by severe sepsis. ABCS Health Sci. [Internet]. 2017 [cited 2020 Apr 25]; 42 (1): 15-20. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-833075.
Storozuk SA, MacLeod MLP, Freeman S, Banner D. A survey of sepsis knowledge among Canadian emergency department registered nurses. Australas Emerg. Care. [Internet]. 2019 [cited 2020 Apr 25];22(2):119-125. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31042531.
Rahman NA, Chan CM, Zakaria MI, Jaafar MJ. Knowledge and attitude towards identification of systemic inflammatory response syndrome (SIRS) and sepsis among emergency personnel in tertiary teaching hospital. Australas Emerg. Care. [Internet]. 2019 [cited 2020 Apr 25]; 22 (1): 13-21. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30998867.
Harley A, Johnston ANB, Denny KJ, Keijzers G, Crilly J, Massey D. Emergency nurses' knowledge and understanding of their role in recognising and responding to patients with sepsis: A qualitative study. Int. Emerg. Nurs. [Internet]. 2019 [cited 2020 Apr 25]; 43: 106-112. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30733005.
Rodrigues FL, Moura LM, Boeckmann LMM, Melo MC, França FCV, SantAna G. Evaluation of the teaching-learning process in a realistic simulation environment for undergraduate nursing. Enferm. Foco [Internet]. 2019 [cited 2020 Jul 20]; 10 (6): 118-124. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/view/2782/660.
Vargas MAO. Simulação na formação e na qualificação do profissional de enfermagem. Enferm. Foco [Internet]. 2014 [cited 2020 Jul 20]; 5 (1/2): 1-2. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/view/593/264.
Choi GYS, Wan WTP, Chan AKM, Tong SK, Poon ST, Joynt GM. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br. J. Anaesth. [Internet]. No prelo, 2020 [cited 2020 Apr 25]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32307117.
Almeida MN, Duarte TTP, Magro MCS. In situ simulation: the gain of self-confidence by nursing professionals during cardiopulmonary arrests. Rev. Rene. [Internet]. 2019 [cited 2020 Apr 25];20:e41535. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1040987.
Coutinho V, Martins JCA, Pereira MFCR. Structured debriefing in nursing simulation: students’ Perceptions. Nurse Educ Pract [Internet]. 2016 [cited 2020 Jul 20]; 6 (9): 127-134. Available from: Available from: http://www.sciedu.ca/journal/index.php/jnep/article/view/8878/5824.
Lee BO, Liang HF, Chu TP, Hung CC. Effects of Simulation-Based Learning on Nursing Student Competences and Clinical Performance. Nurse Educ. Pract. [Internet]. 2019 [cited 2020 May 26]; 41: 102646. Available from: https://pubmed.ncbi.nlm.nih.gov/31698255/?from_term=effectiveness+of+simulation+in+nursing+knowledge&from_filter=ds1.y_5&from_pos=9.
Li J, Li X, Gu L, Zhang R, Zhao R, Cai Q et al. Effects of Simulation-Based Deliberate Practice on Nursing Students' Communication, Empathy, and Self-Efficacy. J. Nurs. Educ. [Internet]. 2019 [cited 2020 May 26]; 58 (12): 681-689. Available from: https://pubmed.ncbi.nlm.nih.gov/31794034/?from_term=Clinical+simulation+nursing+improvement&from_filter=ds1.y_5&from_pos=4.
Sapiano AB, Sammut R, Trapani J. The Effectiveness of Virtual Simulation in Improving Student Nurses' Knowledge and Performance During Patient Deterioration: A Pre and Post Test Design. Nurse Educ Today. [Internet]. 2018 [cited 2020 May 26]; 62: 128-133. Available from: https://pubmed.ncbi.nlm.nih.gov/29335162/?from_term=effectiveness+of+simulation+in+nursing+knowledge&from_filter=ds1.y_5&from_pos=5.
Crowe S, Ewart L, Derman S. The impact of simulation based education on nursing confidence, knowledge and patient outcomes on general medicine units. Nurse Educ. Pract. [Internet]. 2018 [cited 2020 May 26]; 29: 70-15. Available from: https://pubmed.ncbi.nlm.nih.gov/29190590/.
Kaneko RMU, Couto TB, Coelho MM, Taneno AK, Barduzzi NN, Barreto JKS, et al. In Situ Simulation, a Multidisciplinary Training Method to Identify Opportunities to Improve Patient Safety Improvement in a High Risk Unit. Rev. bras. educ. méd. [Internet]. 2015 [cited 2020 Apr 22]; 39 (2): 286-293. Available from: http://www.scielo.br/pdf/rbem/v39n2/1981-5271-rbem-39-2-0286.pdf.
Levy MM, Evans LE, Rhodes A. The Surviving Sepsis Campaign Bundle: 2018 update. Intensive Care Med. [Internet]. 2018 [cited 2020 May 27]; 44: 925-928. Available from: https://link.springer.com/content/pdf/10.1007/s00134-018-5085-0.pdf.
Araújo, PRS, Duarte TTP, Magro MCS. Effect of simulation for significant learning. Journal of Nursing. Rev. enferm. UFPE on line. [Internet]. 2018 [cited 2020 Jan 20]; 12 (12): 3416-3425. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/237671.
Linn AC, Caregnato RCA, Souza EM. Clinical simulation in nursing education in intensive therapy: an integrative review. Rev. Bras. Enferm. [Internet]. 2019 [cited 2020 Apr 25]; 72 (4): 1118-1127. Available from: http://www.scielo.br/pdf/reben/v72n4/pt_0034-7167-reben-72-04-1061.pdf.
Rodrigues NR, Andrade CB. Care in the training of nursing technicians: an analysis of political pedagogical projects . J. res. fundam. care. online. [Internet]. 2017 [cited 2020 May 26]; 9 (1): 106-113. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/5014.
Miranda FBG, Mazzo A, Junior GAP. Use of high fidelity simulation in the preparation of nurses for urgency and emergency care: scoping review. Sci. Med. [Internet]. 2018 [cited 2020 May 27]; 28 (1): 1-9. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=6268086.
Davis AH, Hayes SP. Simulation to Manage the Septic Patient in the Intensive Care Unit. Crit. Care Nurs. Clin. North Am. [Internet]. 2018 [cited 2020 Apr 25]; 30 (3): 363-377. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30098740.
Downloads
Published
Issue
Section
License
Os artigos submetidos à revista Colloquium Vitae estão licenciados conforme CC BY-NC-ND. Para mais informações sobre essa forma de Licenciamento, consulte: http://creativecommons.org/licenses/by-nc-nd/4.0/.
A disponibilização é gratuita na Internet, para que os usuários possam ler, fazer download, copiar, distribuir, imprimir, pesquisar ou referenciar o texto integral dos documentos, processá-los para indexação, utilizá-los como dados de entrada de programas para softwares, ou usá-los para qualquer outro propósito legal, sem barreira financeira, legal ou técnica.
