Cenário de simulação realística: atendimento de paciente idoso hospitalizado com dispneia no final de vida
DOI:
https://doi.org/10.33159/25959484.repen.2026v37a03Palavras-chave:
Dispneia, Idoso, Educação em Enfermagem, Cuidados Paliativos, Enfermagem geriátricaResumo
Objetivo: Analisar a percepção dos estudantes de graduação em enfermagem em relação à experiência de simulação clínica sobre assistência a pacientes idosos em cuidados paliativos com dispneia. Métodos: Estudo metodológico realizado em julho de 2023, com amostra de oito estudantes de graduação de enfermagem, sendo utilizados o questionário de Perfil Sociodemográfico, Escala de Satisfação e Autoconfiança na Aprendizagem, Escala do design da simulação e Escala de experiência com debriefing. Utilizou-se a estatística descritiva. Resultados: Na satisfação e autoconfiança, o domínio mais relevante foi a satisfação com a aprendizagem. Quanto ao design da simulação relacionado às práticas educativas e para importância para o aluno a maior média foi o realismo. Na experiência com o debriefing, a melhor média das práticas educativas, foi a orientação apropriada do professor e quanto à importância para o aluno, a melhor média foi o domínio pensamentos e sentimentos. Ao analisar as médias, verificou-se que a média de satisfação e autoconfiança na aprendizagem foi 58,86. Quanto ao design da simulação nas práticas educativas foi 68,29 e o que é importante para o participante foi de 97,57. Médias altas, em que as práticas educativas atingiram 96 e o que é importante para o aluno de 97,57 pontos de 100 que é o escore total do instrumento, foram identificadas na experiência com o debriefing, em que as práticas educativas e o que é importante para o aluno. Conclusão: Os resultados do estudo confirmam que a simulação promove a integração do conhecimento teórico com a prática de forma crítica e reflexiva, permitindo que os alunos desenvolvam autonomia na tomada de decisões.
Referências
1. Alves RSF, Cunha ECN, Santos GC, Melo MO. Palliative care: alternative to essential care at the end of life. Psicol Ciênc Prof. 2019;39:e185734. https://doi.org/10.1590/1982-3703003185734
2. Costa BM, Silva DA. Performance of the nursing team in palliative care. RSD. 2021;10(2):e28010212553. https://doi.org/10.33448/rsd-v10i2.12553
3. Souza MCS, Jaramillo RG, Borges MS. Comfort of patients in palliative care: integrative review. Enferm Glob. 2021;20(61):420–465. https://doi.org/10.6018/eglobal.42075
4. Meireles DS, Bittencourt GKGD, Montenegro CPD, Fortunato CN, Melo GMOG, Soares HS, et al. Nursing care for the elderly in palliative care: an experience report. Braz J Develop. 2020;6(6):40854-67. https://doi.org/10.34117/bjdv6n6-576
5. Parshall MB, Schwartzstein RM, Adams L, Banzett RB, Manning HL, Bourbeau J, et al. An official American Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnea. Am J Respir Crit Care Med. 2012;185(4):435-52. https://doi.org/10.1164/rccm.201111-2042ST
6. Hutchinson A, Barclay-Klingle N, Galvin K, Johnson MJ. Living with breathlessness: a systematic literature review and qualitative synthesis. Eur Respir J. 2018;51(2):1701477. https://doi.org/10.1183/13993003.01477-2017
7. American Thoracic Society. Dyspnea, Mechanisms, assessment, and management: a consensus statement. Am J Respir Crit Care Med. 1999;159(1):321-40. https://doi.org/10.1164/ajrccm.159.1.ats898
8. Vo AT, Ta KT, Chuang KJ. Comparative effectiveness of pharmacological and non-pharmacological interventions for dyspnea management in advanced cancer: a systematic review and network meta-analysis. Asia Pac J Oncol Nurs. 2025;12:100671. https://doi.org/10.1016/j.apjon.2025.100671
9. Senderovich H, Yendamuri A. Management of breathlessness in palliative care: inhalers and dyspnea-a literature review. Rambam Maimonides Med J. 2019;10(1):e0006. https://doi.org/10.5041/RMMJ.10357
10. Ghezzi JFSA, Higa EFR, Lemes MA, Marin MJS. Strategies of active learning methodologies in nursing education: an integrative literature review. Rev Bras Enferm. 2021;74(1):e20200130. https://doi.org/10.1590/0034-7167-2020-0130
11. Nascimento JSG, Oliveira JLG, Alves MG, Siqueira TV, Assis MS, Dalri MCB. Clinical simulation in nursing in the light of experiential learning: systematic review. Rev Enferm Cent O Min. 2022;12:1-11. https://doi.org/10.19175/recom.v12i0.4405
12. Paiva FP, Santos TCF, Aperibense PGGS, Martins GCS, Ennes LD, Almeida Filho AJ. Historical aspects in pain management in palliative care in an oncological reference unit. Rev Bras Enferm. 2021;74(5):e20200761. https://doi.org/10.1590/0034-7167-2020-0761
13. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-9. https://doi.org/10.1016/j.jclinepi.2007
14. Fhon JRS, Sousa EF, Li W, Silva ARF, Silva LM. Nursing care for hospitalized elderly at the end of life: integrative review. Rev Eletr Enferm. 2022;24:70169. https://doi.org/10.5216/ree.v24.70169
15. Fhon JRS, Sousa EF, Li W, Silva LM. Perception of palliative care by nurses: end of life of hospitalized elderly patients. Rev Iberoam Educ Investig Enferm. 2022;12(4):7-17. https://doi.org/10.56104/Aladafe.0000.12.1021000391
16. Sousa EF, Li W, Matsui WN, Lira RR, Silva LM, Fhon JRS. Palliative care in elderly people with dyspnea: a validation study. Av Enferm. 2023;41(1):104969. http://doi.org/10.15446/av.enferm.v41n1.104969
17. Almeida RGS, Mazzo A, Martins JCA, Baptista RCN, Girão FB, Mendes IAC. Validation to Portuguese of the Scale of Student Satisfaction and Self-Confidence in Learning. Rev Latino-Am Enfermagem, 2015;23(6):1007-13. http://doi.org/10.1590/0104-1169.0472.2643
18. Almeida RGS, Mazzo A, Martins JCA, Pedersoli CE, Fumincelli L, Mendes IAC. Validation for the Portuguese language of the simulation design scale. Texto Contexto Enferm, 2015;24(4):934-40. https://doi.org/10.1590/0104-0707201500004570014
19. Almeida RGS, Mazzo A, Martins JCA, Coutinho VRD, Jorge BM, Mendes IAC. Validation to Portuguese of the Debriefing Experience Scale. Rev Bras Enferm, 2016;69(4):705-11. https://doi.org/10.1590/0034-7167.2016690413i
20. Fabri RP, Mazzo A, Martins JCA, Fonseca AS, Pedersoli CE, Miranda FBG, et al. Development of a theoretical-practical script for clinical simulation. Rev Esc Enferm USP. 2017;51:e3218. https://doi.org/10.1590/S1980-220X2016265103218
21. Teixeira CRS, Pereira MCA, Kusumota L, Gaioso VP, Mello CL, Carvalho EC. Evaluation of nursing students about learning with clinical simulation. Rev Bras Enferm. 2015;68(2):284-91. https://doi.org/10.1590/0034-7167.2015680218i
22. Liu YH, Subeq YM, Lin PH. Clinical dyspnea scenario: using high-fidelity situation simulation teaching program to evaluate learning effectiveness for clinical junior and pre-clinical nurses. Front Psychol. 2023;13:1015106. https://doi.org/10.3389/fpsyg.2022.1015106
23. Tamaki T, Inumaru A, Yokoi Y, Fujii M, Tomita M, Inoue Y, et al. The effectiveness of end-of-life care simulation in undergraduate nursing education: a randomized controlled trial. Nurse Educ. Today 2019;76:1–7. https://doi.org/10.1016/j.nedt.2019.01.005
24. Olímpio CG, Fulquini FL, Garbuio DC, Carvalho EC. Learning style and level of satisfaction in nursing clinical simulation. Acta Paul Enferm. 2021;34:eAPE001675. https://doi.org/10.37689/acta-ape/2021AO001675
25. Teixeira A, Tavares JP, Cogo ALP. Satisfaction and self-confidence of nursing students as participants and observers in realistic simulations. Rev Gaúcha Enferm. 2022;43:e20210344. https://doi.org/10.1590/1983-1447.2022.20210344.en
26. Bergamasco EC, Murakami BM, Cruz DALM. Use of the Student Satisfaction and Self-Confidence in Learning (SSSCL) and the Simulation Design Scale (SDS) in nursing teaching: experience report. Sci Med 2018;28(3):ID31036. https://doi.org/10.15448/1980-6108.2018.3.31036
27. Adams NE. Bloom's taxonomy of cognitive learning objectives. J Med Libr Assoc. 2015;103(3):152-3. https://doi.org/10.3163/1536-5050.103.3.010
28. Al Sabei SD, Lasater K. Simulation debriefing for clinical judgment development: a concept analysis. Nurse Educ Today. 2016;45:42-7. https://doi.org/10.1016/j.nedt.2016.06.008
29. Rodrigues FL, Moura LM, Boeckman LMM, Melo MC, França FCV, SantAna G. Evaluation of the teaching-learning process in a realistic simulation environment for undergraduate nursing. Enferm. Foco. 2019;10(6):118-124. https://doi.org/10.21675/2357-707X.2019.v10.n6.2782
30. Tyerman J, Luctkar-Flude M, Graham L, Coffey S, Olsen-Lynch E. A systematic review of health care presimulation preparation and briefing effectiveness. Clin Simul Nurs. 2019;27:12-25. https://doi.org/10.1016/j.ecns.2018.11.002
31. Harder N. The value of simulation in health care: the obvious, the tangential, and the obscure. Clinic Simul Nurs. 2018;15:73–4. https://doi.org/10.1016/j.ecns.2017.12.004
32. Groves PS, Bunch JL, Cram E, Perkhounkova Y. Development and feasibility testing of a patient safety research simulation. Clinic Simul Nurs. 2018;15:27–33. https://doi.org/10.1016/j.ecns.2017.09.007
33. Klippel C, Nieto ECB, Santos HAS, Emmerick LG, Costa LCR, Silva RCL. Contribution of debriefing in simulation-based on simulation. J Nurs UFPE. 2020;14:e241872 https://doi.org/10.5205/1981-8963.2020.241872
34. Brown DK, Wong AH, Ahmed RA. Evaluation of simulation debriefing methods with interprofessional learning. J Interprof Care. 2018;32(6):779-81. https://doi.org/10.1080/13561820.2018.1500451
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