Competências clínicas de estudantes de graduação em enfermagem para assistência ao parto: estudo quase experimental

Autores

DOI:

https://doi.org/10.15649/cuidarte.3679

Palavras-chave:

Estudos Quase-Experimentais, Treinamento com Simulação de Alta Fidelidade, Estudantes de Enfermagem, Educação Baseada em Competências, Trabalho de Parto

Resumo

Introdução: A simulação clínica na gestão do trabalho melhora as competências clínicas dos estudantes de graduação em enfermagem ao integrar conhecimentos, habilidades e atitudes. Essa integração facilita a internalização do conhecimento teórico, reforçando a autoestima e a confiança nos alunos. Objetivo: Avaliar o efeito da simulação clínica no desenvolvimento de competências clínicas para a gestão do parto em estudantes de graduação em enfermagem de uma universidade pública de Oaxaca. Materiais e Métodos: Estudo quase-experimental pré-teste e pós-teste com 38 estudantes de graduação em enfermagem, homens e mulheres, do sexto (18) e quarto (20) semestre, a amostra para comparação de médias foi calculada no G*Power 3. Os dados foram coletados com o instrumento “Avaliação de Competências em Simulação Clínica” (ClinSimCAT). A análise estatística descritiva e inferencial foi realizada por meio do software estatístico SPSS versão 26.0. Resultados: O teste de Wilcoxon revelou diferenças estatisticamente significativas entre as médias dos escores do pré e pós-teste para o Grupo Intervenção (GI) (p < 0,001). Além disso, o teste t de Student mostrou diferenças significativas entre as médias do GI e do Grupo Controle (GC) no pós-teste (t = 7,598, gl = 37, p < 0,0001). Discussão: A simulação clínica melhorou significativamente as competências clínicas dos estudantes na gestão do trabalho de parto, o que está de acordo com os resultados de outras investigações. Conclusão: É fundamental que a simulação clínica não se limite a procedimentos técnicos, mas também promova o desenvolvimento de competências abrangentes de enfermagem.

Como citar este artigo: Castillo Ramírez Alvar Rafael, Librado González Natanael, Sánchez Maldonado Hugo Alberto, Nicolas Santiago Maritza, Urueña González Carolina, Felipe Herrera Leticia. Competencias clínicas en estudiantes de pregrado en enfermería para la atención al trabajo de parto: estudio cuasiexperimental. Revista Cuidarte. 2024;15(3):e3679.  https://doi.org/10.15649/cuidarte.3679

Biografia do Autor

Alvar Rafael Castillo Ramírez, Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, México

Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, México

Natanael Librado González, Universidad Autónoma de Nuevo León, Facultad de Enfermería, Monterrey, Nuevo León, México, Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, México.

Universidad Autónoma de Nuevo León, Facultad de Enfermería, Monterrey, Nuevo León, México, Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, México.

Hugo Alberto Sánchez Maldonado, Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, México.

Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, México.

Maritza Nicolas Santiago , Universidad de la Sierra Sur, Miahuatlán de Porfirio Díaz, Oaxaca, México.

Universidad de la Sierra Sur, Miahuatlán de Porfirio Díaz, Oaxaca, México.

Carolina Urueña González, Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, México.

Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, México.

Leticia Felipe Herrera , Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, México.

Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, México.

Referências

Rusch L, Manz J, Hercinger M, Oertwich A, McCafferty K. Nurse preceptor perceptions of nursing student progress toward readiness for practice. Nurse Educ 2019;44(1):34–7. http://dx.doi.org/10.1097/nne.0000000000000546

Otaghi M, Mozafari M, Veysani Y, Taheri A. The relationship between clinical competence and ethical reasoning and factors affecting it in nurses working in therapeutic educational centers of Ilam. Rom J Mil Med. 2023;126(1):106–11. https://doi.org/10.55453/rjmm.2023.126.1.15

Fetene TT, Abebe HG, GebreEyesus FA, Tsehay TT, Tsegaye BA, Kindie K, et al. Clinical competency and associated factors among undergraduate nursing students studying in universities of Southern Regional State of Ethiopia, 2021. Heliyon. 2023;9(8): e18677. https://doi.org/10.1016/j.heliyon.2023.e18677

Nadler CF, Pina JC, Schmidt SQ, Okido ACC, Fonseca LMM, Rocha PK, et al. Impact of high-fidelity simulation in Pediatric Nursing teaching: An experimental study. Texto Contexto Enferm. 2022; 31:e20210410. http://dx.doi.org/10.1590/1980-265x-tce-2021-0410en

Akyüz E, Ergöl Ş. The challenges experienced by nursing students in clinical learning environment and their suggestions. Sağlık ve Hemşire Yönet Derg. 2022;9(3):463–74. http://dx.doi.org/10.54304/shyd.2022.58561

Franjić S. Midwives and nurses play important roles in every pregnancy. Austin J Nurs Health Care. 2022;9(1):1065 http://dx.doi.org/10.26420/austinjnurshealthcare.2022.1065

Murn NL. Mothering the Mother: an educational program for Nurse-Provided Continuous Labor support. Journal of Perinatal Education. 2019;28(4):199-209. https://doi.org/10.1891/1058-1243.28.4.199

Ortiz Rivas MK, Rosado Colonia JD, Antuna Canales AB, Bañuelos Barrera Y, Bañuelos Barrera P. Simulación clínica: metodología didáctica en la formación de competencia inherentes a la seguridad del paciente. Revista Eugenio Espejo. 2021;15(2):6-17. https://doi.org/10.37135/ee.04.11.03

Teles MG, Mendes-Castillo AMC, Oliveira-Kumakura ARS, Silva JLG. Clinical simulation in teaching pediatric nursing: students’ perception. Rev Bras Enferm. 2020;73(2): e201807201. https://doi.org/10.1590/0034-7167-2018-0720

Sailema M, Cajamarca K, Moreta J, Manzano D, Mariño V. Satisfacción del uso del simulador de alta fidelidad SimMon en estudiantes de enfermeira. LATAM Revista Latinoamericana de Ciencias Sociales y Humanidades. 2023;4(3):1088–1098.https://doi.org/10.56712/latam.v4i3.1133

Zara F. Numerical simulation of vaginal delivery. En: Biomechanics of the Female Reproductive System: Breast and Pelvic Organs. Elsevier; 2023. p. 379–413.

Ami O, Maran J-C, Cohen A, Hendler I, Zabukovek E, Boyer L. Childbirth simulation to assess cephalopelvic disproportion and chances for failed labor in a French population. Sci Rep. 2023;13(1). http://dx.doi.org/10.1038/s41598-023-28459-6

Morchi L, Tognarelli S, Menciassi A. A novel childbirth simulator for real-time monitoring of fetal head during the active phase of the labor. IEEE Trans Med Robot Bionics. 2022;4(3):720–8. http://dx.doi.org/10.1109/tmrb.2022.3191494

Hashem S, El-Kholy E, Abo-Hatab T. Effect of high fidelity simulation on intern students’ competency regarding clinical guidelines for active management of the third stage of labor. Tanta Scientific Nursing Journal. 2022;25(22):49–67. http://dx.doi.org/10.21608/tsnj.2022.241898

Yu YR. Effects of virtual simulation education on labour and delivery care. Korean Assoc Learn-Centered Curric Instr. 2022;22(23):61–72 http://dx.doi.org/10.22251/jlcci.2022.22.23.61

Coro‐Montanet G, Bartolomé-Villar B, García-Hoyos F, Sánchez-Ituarte J, Torres-Moreta L, Méndez-Zunino M, et al. Indicadores para medir fidelidad en escenarios simulados. Educación Médica. 2020;23(3):141-149. https://doi.org/10.33588/fem.233.1058

Hussein MTE, Hakkola J. Valid and reliable tools to measure safety of nursing students during simulated learning experiences: A scoping review. Teaching and Learning in Nursing. 2023;18(2):321-329. https://doi.org/10.1016/j.teln.2022.12.009

Beauvais AM, Phillips KE. Incorporating future of nursing competencies into a clinical and simulation assessment tool: Validating the Clinical Simulation Competency Assessment Tool. Nursing education perspectives. 2020 ;41(5) :280-284.https://doi.org/10.1097/01.nep.0000000000000709

Uribe-Muñoz K, Hidalgo-Mancilla D. Transferencia del aprendizaje desde la educación basada en simulación a la práctica clínica : revisión sistemática. Revista Latinoamericana de Simulación Clínica. 2024;6(1):40–9.http://dx.doi.org/10.35366/115805

Benner P. From Novice to Expert. Nursology. [Internet] 2020 [cited: 2024 Jun 18]. Available from: https://nursology.net/nurse-theories/from-novice-to-expert/

Cole H. Competency-based Evaluations in Undergraduate Nursing Simulation: A State of the literature. Clinical Simulation in Nursing. 2023;76:1-16. https://doi.org/10.1016/j.ecns.2022.12.004

Arrogante Ó, González-Romero GM, López-Torre EM, Carrión-García L, Polo A. Comparing formative and summative simulation-based assessment in undergraduate nursing students: nursing competency acquisition and clinical simulation satisfaction. BMC Nursing. 2021;20(1):92. https://doi.org/10.1186/s12912-021-00614-2

Bailey L, Emory J. High-fidelity simulation improves confidence in nursing students. Teaching and Learning in Nursing. 2022;17(2):191-194. https://doi.org/10.1016/j.teln.2021.12.004

Quinn B. Using Benner’s Model of clinical competency to promote nursing leadership. Nurs Manag (Harrow). 2020;27(2):33–41.http://dx.doi.org/10.7748/nm.2020.e1911

Guerrero JG, Ali SAA, Attallah DM. The acquired critical thinking skills, satisfaction, and self-confidence of nursing students and staff nurses through high-fidelity simulation experience. Clinical Simulation in Nursing. 2022 ;64 :24-30.https://doi.org/10.1016/j.ecns.2021.11.008

Hwang JH. Effects of simulation-based practice education on learning satisfaction, immersion, and self-efficacy of nursing students. J Curric Teach. 2023;12(1):275. http://dx.doi.org/10.5430/jct.v12n1p275

Goodrich D, Miake-Lye I, Braganza M, Wawrin N, Kilbourne A. Evaluation and Study Designs for Implementation and Quality Improvement. The QUERI Roadmap For Implementation And Quality Improvement - NCBI Bookshelf. [Internet] 2020. [cited: 2024 Jun 18]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK566228/

Des Jarlais DC, Lyles C, Crepaz N, Trend Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health. 2004;94(3):361-366. https://www.cdc.gov/trendstatement/

Watts PI, Rossler K, Bowler F, Miller C, Charnetski M, Decker S, et al. Onward and upward: Introducing the healthcare simulation standards of best PracticeTM. Clin Simul Nurs. 2021;58:1–4.http://dx.doi.org/10.1016/j.ecns.2021.08.006

Hallmark B, Brown M, Peterson DT, Fey M, Decker S, Wells-Beede E, et al. Healthcare simulation standards of best PracticeTM professional development. Clin Simul Nurs. 2021; 58:5–8. http://dx.doi.org/10.1016/j.ecns.2021.08.007

Gómez-López L, Tena-Blanco B, Bergè-Ramos R, Coca-Martínez M, Forero-Cortés C, Gomar-Sancho C. Nueva plantilla para diseñar escenarios de simulación: interrelación de elementos en un vistazo. Educación Médica. 2018; 19:350-359. https://doi.org/10.1016/j.edumed.2017.12.001

Cámara de Diputados del Honorable Congreso de la Unión. Ley general de salud. Texto vigente: Últimas reformas publicadas en el Diario Oficial de la Federación. [Internet] 2024 [citado: Junio 20 2024]. Disponible en: https://www.diputados.gob.mx/LeyesBiblio/pdf/LGS.pdf

Castillo AR, Librado N, Sánchez HM, Nicolas MS, Urueña CG. Competencias clínicas de enfermería en la atención al parto vaginal: estudio cuasiexperimental. Mendeley Data v2. 2024. https://doi.org/10.17632/b2s862fn5k.2

IBM Corp. Statistical Package for the Social Sciences (SPSS) para-Windows, versión 26.0. Ibm.com. [Internet] 2019 [cited: 2024 Jun 21]. Available from: https://www.ibm.com/mx-es/products/spss-statistics

Pajohideh ZS, Mohammadi S, Keshmiri F, Jahangirimehr A, Honarmandpour A. The effects of normal vaginal birth simulation training on the clinical skills of midwifery students: a quasi-experiment study. BMC Med Educ. 2023;23(1). http://dx.doi.org/10.1186/s12909-023-04319-9

Mert Karadas M, Terzioglu F. The impact of the using high-fidelity simulation and standardized patients to management of postpartum hemorrhage in undergraduate nursing students: A randomized controlled study in Turkey. Health Care Women Int. 2019;40(5):597–612. http://dx.doi.org/10.1080/07399332.2019.1583229

Publicado

2024-09-01

Como Citar

1.
Castillo Ramírez AR, Librado González N, Sánchez Maldonado HA, Nicolas Santiago M, Urueña González C, Felipe Herrera L. Competências clínicas de estudantes de graduação em enfermagem para assistência ao parto: estudo quase experimental. Revista Cuidarte [Internet]. 1º de setembro de 2024 [citado 14º de setembro de 2024];15(3). Disponível em: https://revistas.udes.edu.co/cuidarte/article/view/3679

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