Dissertações e Teses
URI permanente para esta coleçãohttps://repositorio.cmmg.edu.br/handle/123456789/6
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Item Simulação de alta fidelidade comparada à de baixa fidelidade no suporte avançado de vida cardiovascular(Faculdade Ciências Médicas de Minas Gerais, 2020-05-08) Alcântara, Rafael Barbosa; Scalabrini Neto, Augusto; Almeida, Alessandra MacielIntroduction: Teaching skills and knowledge using simulation is a useful and important tool for training students in the healthcare students. This teaching model is a constant challenge for institutions and professionals. In a productive and safe environment, there is the possibility of training and assessing students regarding their knowledge, skills and behavioral aspects. In order to achieve that, it uses reliable tools such as checklists to follow a standardized teaching and assessment script. The American Heart Association (AHA) Advanced Cardiovascular Life Support (ACLS) training program relies on simulation for teaching the trainees. Conflicting results are observed in the literature regarding the real benefit of using high fidelity simulation in ACLS courses or in ACLS scenarios. In view of the various forms of teaching using simulation, it becomes necessary to identify the most effective method for training the ACLS. Objectives: (1) To develop a checklist that represents the scenario elaborated by the researchers for the care of cardiorespiratory arrest (PCR) using a Likert scale, (2) To compare the effectiveness of high and low fidelity simulation methods in the training of ACLS using the checklist created. Materials and methods: A checklist was developed using items from a previous one and adding more items created by experts. Final adjustments were made based on the training video, before the approval of the final version. Once the checklist was ready to use, an experimental study was conducted with 55 medical students from the Medical Sciences Faculty of Minas Gerais (FCM-MG) of the 3rd and 4th years. All students completed all phases of the study. Thirty seven were female (67.3%) and the average age was 21.7 ± 1.46 years. The training followed the following steps: (1) Theoretical and practical training of students randomly distributed in groups: experimental (n = 30), which carried out training in high-fidelity simulation and control group (n = 25), of low fidelity. (2) Subsequently, the teams were subjected to a practical assessment of the team's performance using the checklist. Results: Thirty (81.1%) out of 37 checklist items assessed by the experts were scored the highest grade by all of them in a scale from 1 to 4, other six items (16.2%d) were scored 3 by at least one evaluator, and only one (2.7%) was scored 1. Highest grade was scored for 91.9% of the items, exceeding the 85% goal. All students completed the study. Thirty-seven were female and the average age was 21.7 ± 1.46 years. The high fidelity group was compose mainly by females (90.9%) and received more training in emergency and acute care (60.6%, p = 0.002). Practical performance scores were similar for both groups (p = 0.14). Conclusion: The designed checklist based on the 2015 guidelines of the AHA proved to be reliable, with high agreement between the experts. By assessing different types of simulation, this study suggested that there was no advantage in the use of high-fidelity teaching methods.