scholarly journals Simulación con pacientes estandarizados en ciencias de la salud: una revisión sistemática

2021 ◽  
Vol 22 (2) ◽  
pp. 25
Author(s):  
Jose Antonio Merchán-Baeza ◽  
Manuel González-Sánchez ◽  
David Pérez-Cruzado
Keyword(s):  
Program Evaluation ◽  
Patient Simulation ◽  
Role Playing ◽  
Simulation Education ◽  
Revisión Sistemática ◽  
Simulation Scenario

Introducción: Los métodos de enseñanza utilizados en terapia ocupacional son numerosos y podrían clasificarse en dos grupos: métodos de enseñanza tradicionales y alternativos. La simulación es un método alternativo que permite el aprendizaje autónomo y el desarrollo de habilidades de pensamiento crítico de los estudiantes durante su participación activa en una práctica segura. Objetivo: Analizar la efectividad del aprendizaje a través de la simulación con pacientes estandarizados frente a la enseñanza tradicional en ciencias de la salud. Método: La estrategia de búsqueda fue: (“Patient Simulation” OR “Role Playing” OR “Simulation Scenario” OR “Simulation Education”) AND (“Program Evaluation” OR Effectiveness) AND (Student OR Postgraduate). El análisis de validez interna de los artículos incluidos en la revisión se realizó mediante la escala PEDro. Resultados: Se incluyeron catorce estudios y las variables evaluadas se organizaron en cuatro categorías: adquisición de conocimiento, aprendizaje de la práctica clínica, autoeficacia y desarrollo de habilidades de comunicación. Las muestras estuvieron compuestas por estudiantes de las profesiones de la salud y las simulaciones tuvieron una duración de entre 10 y 40 minutos por sesión (4-24 sesiones). Conclusión: No se encontraron diferencias significativas entre ambas metodologías en la adquisición de habilidades prácticas por parte de los estudiantes. Aun así, la visualización de videos explicativos al principio y el resumen al final del proceso de simulación, han demostrado ser etapas fundamentales para mejorar la efectividad de este método de enseñanza. Futuros estudios son necesarios para analizar los posibles beneficios de la simulación en la titulación de terapia ocupacional.

Role Assignment in High Fidelity Patient Simulation and the Effects on Nursing Students’ Self-Efficacy Development

2017 ◽  
Vol 61 (1) ◽  
pp. 671-675 ◽  
Author(s):  
Dustin T. Weiler ◽  
Jason J. Saleem
Keyword(s):  
Nursing Students ◽  
Self Efficacy ◽  
Patient Simulation ◽  
High Fidelity ◽  
Role Assignment ◽  
Patient Simulators ◽  
Simulation Scenario ◽  
Efficacy Development ◽  
Nursing Training ◽  
The Impact

Previous studies have evaluated the effectiveness of high fidelity patient simulators (HFPS) on nursing training. However, a gap exists on the effects of role assignment in multiple-student simulation scenarios. This study explored the effects of role assignment on self-efficacy development in baccalaureate-level nursing students. Using a researcher-developed tool, based upon a previously developed and utilized tool to fit the simulation scenario, the effects of role assignment were determined. Role assignment was found to have a significant effect on self-efficacy development. Furthermore, roles that require the participant to be more involved with the simulation scenario yielded more confident scores than roles that did not require the participant to be as involved. With this study, future multi-student simulation scenarios can be adjusted knowing the impact different roles can have on self-efficacy development.

Seeking reality through the unreal: Interviewing high-fidelity human patient simulation in undergraduate nursing education

2020 ◽  
Vol 19 (3) ◽  
pp. 319-335
Author(s):  
Gillian Lemermeyer
Keyword(s):  
Nursing Education ◽  
Patient Simulation ◽  
Student Nurses ◽  
Research Literature ◽  
High Fidelity ◽  
Human Patient Simulation ◽  
Human Patient ◽  
Undergraduate Nursing ◽  
The People ◽  
Simulation Scenario

This article examines the use of high-fidelity mannequins in simulation scenarios as used in nursing undergraduate education. Notwithstanding a lack of robust support in the research literature regarding outcomes, these mannequins have been broadly taken up by educators. Employing a form of posthuman inquiry, I explore how the use of high-fidelity mannequins may affect the student nurses’ relation with real living bodies, and therefore the people they eventually look after. Ways to mitigate the potential side-effects of the medium are offered, including a reframing of the simulation scenario.

scholarly journals Evaluation of simulated drug dispensing and patient counseling in the course of pharmaceutical improvement: 2009 to 2015

2020 ◽  
Vol 18 (4) ◽  
pp. 1865
Author(s):  
Priscila B. Packeiser ◽  
Mauro S. Castro
Keyword(s):  
Patient Simulation ◽  
Role Playing ◽  
Assessment Instrument ◽  
Patient Counseling ◽  
Cross Sectional ◽  
Drug Dispensing ◽  
Face To Face ◽  
Know How ◽  
Behavior Skills ◽  
Time Availability

Background: Aiming to facilitate the drug dispensing process and patient counseling, specific professional skills are required. The knowledge, skills and attitudes involved in this process can be improved. From 2012 to 2015, a nationwide course was held, in partnership with the Ministry of Health and the Federal University of Rio Grande do Sul (UFRGS) – Brazil, to train pharmacists working in primary health care through the development of their clinical and communication skills. One of the steps in this process involved the simulation of the drug dispensing process and patient counseling. Objective: To evaluate the performance of pharmacists in drug dispensing and counseling through patient simulation role-playing held in a face-to-face meeting at the end of a training course. Methods: A cross-sectional and retrospective study with analysis of patient simulation recordings and data collection using an assessment instrument with scores ranging from 0 to 10 points to assess pharmacist's behavior, skills, and technical knowledge. Results: Participants presented poor-to-regular performance, with median scores equal to or lower than six. The median time of the drug dispensing simulation was five minutes and the patient counseling was eight minutes. Pharmacists had better scores in the simulation of asthma cases. In drug dispensing, 99.5% of pharmacists had difficulty checking the patient's time availability, 98.5% did not know how to use the devices, and 94.7% did not advise the patient on what to do if they forgot to take a dose. In patient counseling simulation, 1.18% of pharmacists remembered to advise on what do with medication leftovers, and 50.6% asked questions that induced the patient's responses. Conclusions: The low-to-regular performance showed that pharmacists had difficulties at improving their skills in the performance of complete and effective drug dispensing and patient counseling.

STARS Mobile Simulation Education Program Evaluation and Needs Assessment

2016 ◽  
Vol 35 (5) ◽  
pp. 286
Author(s):  
James Huffman ◽  
Jane Duncan ◽  
Jonathan Antal ◽  
Anna Whalen-Browne
Keyword(s):  
Program Evaluation ◽  
Needs Assessment ◽  
Education Program ◽  
Simulation Education

scholarly journals The Impact of Exposure to Liver Transplantation Anesthesia on the Ability to Treat Intraoperative Hyperkalemia: A Simulation Experience

2015 ◽  
Vol 100 (4) ◽  
pp. 672-677 ◽  
Author(s):  
Dung Nguyen ◽  
Shira Gurvitz-Gambrel ◽  
Paul A. Sloan ◽  
Jeremy S. Dority ◽  
Amy DiLorenzo ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Clinical Skills ◽  
Patient Simulation ◽  
The United States ◽  
Pharmacologic Therapy ◽  
Anesthesia Care ◽  
Human Patient ◽  
Liver Transplantations ◽  
Simulation Scenario ◽  
The Impact

The objective of this study was to assess whether resident exposure to liver transplantation anesthesia results in improved patient care during a simulated critical care scenario. Our hypothesis was that anesthesia residents exposed to liver transplantation anesthesia care would be able to identify and treat a simulated hyperkalemic crisis after reperfusion more appropriately than residents who have not been involved in liver transplantation anesthesia care. Participation in liver transplantation anesthesia is not a mandatory component of the curriculum of anesthesiology training programs in the United States. It is unclear whether exposure to liver transplantation anesthesia is beneficial for skill set development. A high-fidelity human patient simulation scenario was developed. Times for administration of epinephrine, calcium chloride, and secondary hyperkalemia treatment were recorded. A total of 25 residents with similar training levels participated: 13 residents had previous liver transplantation experience (OLT), whereas 12 residents had not been previously exposed to liver transplantations (non-OLT). The OLT group performed better in recognizing and treating the hyperkalemic crisis than the non-OLT group. Pharmacologic therapy for hyperkalemia was given earlier (OLT 53.3 ± 27.0 seconds versus non-OLT 148 ± 104.1 seconds; P < 0.01) and hemodynamics restored quicker (OLT 87.9 ± 24.9 seconds versus non-OLT 219.9 ± 87.1 seconds; P < 0.01). Simulation-based assessment of clinical skills is a useful tool for evaluating anesthesia resident performance during an intraoperative crisis situation related to liver transplantations. Previous liver transplantation experience improves the anesthesia resident's ability to recognize and treat hyperkalemic cardiac arrest.

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