Debriefing analysis in realistic simulation in a health institution of medical teaching
DOI:
https://doi.org/10.17267/2594-7907ijeh.2022.e4390Keywords:
Education, Medicine, Simulation, FeedbackAbstract
INTRODUCTION: Realistic simulation is an active teaching-learning method incorporated in universities. After the experience, it can be discussed through Debriefing, valued by the Experience Scale with Debriefing (EED), divided into four subscales that total twenty commands, answered under two dimensions: analysis of experience and importance. OBJECTIVE: This study aims to compare students' perceptions about the experience and importance of Debriefing. METHODS AND MATERIALS: Observational, cross-sectional, analytical and quantitative study. Target population: Medical students present in the simulation “Cough with an area of interest in Asthma”. The Paired T Test was used to analyze the association between the variables. Cronbach's Alpha coefficient was used to determine the internal reliability of the scales. RESULTS: 84 questionnaires met the inclusion criteria. There was a difference statistically significant in the subscales “analyzing thoughts and feelings” and “learning and making connections”, even as in the items “the facilitator reinforced aspects of the health care team's behavior”, “unsettled feelings from the simulation were resolved by debriefing”, “my questions from the simulation were answered by debriefing”, “I became more aware of myself during the debriefing session”, “debriefing helped me to make connections between theory and real-life situations and “the facilitator taught the right amount during the debriefing session”. The overall internal reliability of the scale was 0.89. CONCLUSION: Through the comparison between the perceptions about the experience and the importance, aspects of the simulation that can be improved in the curricular component are evidenced, allowing the optimization of the activity and its implementation in other classes.
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(1) Dourado ASS, Giannella TR. Ensino Baseado em Simulação na Formação Continuada de Médicos: Análise das Percepções de Alunos e Professores de um Hospital do Rio de Janeiro. Rev. bras. educ. med. 2014;38(4):460-9. https://doi.org/10.1590/S0100-55022014000400007
(2) Souza CS, Iglesias AG, Pazin-Filho A. Estratégias inovadoras para métodos de ensino tradicionais – aspectos gerais. Med (Rib Pre). 2014;47(3):284-92. https://doi.org/10.11606/issn.2176-7262.v47i3p284-292
(3) Flato UAP, Guimarães HP. Educação baseada em simulação em medicina de urgência e emergência: a arte imita a vida. Rev Bras Clin Med [Internet]. 2011;9(5):360-4. Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/lil-601356
(4) Khan K, Pattison T, Sherwood M. Simulation in medical education. Med Teach. 2011;33(1):1-3. https://doi.org/10.3109/0142159x.2010.519412
(5) Gaba DM. Do as we say, not as you do: using simulation to investigate clinical behavior in action. Simul Healthc. 2009;4(2):67-9. https://doi.org/10.1097/sih.0b013e3181a4a412
(6) Mitre SM, Siqueira-Batista R, Girardi-de-Mendonça JM, Morais-Pinto NM, Meirelles CAB, Pinto-Porto C, et al. Metodologias ativas de ensino-aprendizagem na formação profissional em saúde: debates atuais. Ciênc. saúde coletiva. 2008;13(2):2133-44. https://doi.org/10.1590/S1413-81232008000900018
(7) Luna RA, Spight D. Simulação em educação médica: uma mudança necessária. Revi HUPE. 2014;13(4):57-61. https://doi.org/10.12957/rhupe.2014.13955
(8) Martins JCA, Mazzo A, Baptista RCN, Coutinho VRD, Godoy S, Mendes IAC, et al. A experiência clínica simulada no ensino de enfermagem: retrospectiva histórica. Acta paul enferm. 2012;25(4):619-25. https://doi.org/10.1590/S0103-21002012000400022
(9) Rall M, Mönk S, Mather S, Rettedal A, Glavin R. SESAM - The Society in Europe for Simulation Applied to Medicine. Eur j anaesthesiol. 2003;20(10):763. https://doi.org/10.1017/s026502150300125x
(10) Brandão CFS, Collares CF, Marin HF. A simulação realística como ferramenta educacional para estudantes de medicina. Sci medica [Internet]. 2014;24(2):187-92. Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/lil-742489
(11) Coutinho V, Martins JC, Pereira M. Construção e Validação da Escala de Avaliação do Debriefing associado à Simulação (EADaS). Rev enferm ref. 2014;IV(2):41-50. http://dx.doi.org/10.12707/RIII1392
(12) Gaba DM. The future vision of simulation in health care. Qual saf health care. 2004;13(1):2-10. https://doi.org/10.1136/qhc.13.suppl_1.i2
(13) Macieira LMM, Teixeira MDCB, Saraiva JMA. Simulação Médica no Ensino Universitário de Pediatria. Rev. bras. educ. med. 2017;41(1):86-91. https://doi.org/10.1590/1981-52712015v41n1RB20160032
(14) Stefanidis D, Acker CE, Greene FL. Performance Goals on Simulators Boost Resident Motivation and Skills Laboratory Attendance. J surg educ. 2010;67(2):66-70. https://doi.org/10.1016/j.jsurg.2010.02.002
(15) Van Heukelom JN, Begaz T, Treat R. Comparison of postsimulation debriefing versus in-simulation debriefing in medical simulation. Simul healthc. 2010;5(2):91-7. https://doi.org/10.1097/sih.0b013e3181be0d17
(16) Oliveira SN, Prado ML, Kempfer SS. Utilização da simulação no ensino da enfermagem: revisão integrativa. Rev min fnferm. 2014;18(2):487-495. https://doi.org/10.5935/1415-2762.20140036
(17) Oliveira AR, Falcão ML. A simulação de atendimento como dispositivo de ensino-aprendizagem: um relato de experiência no serviço de psicologia aplicada (SPA) [Internet]. XV ENEXT/I ENExC; 2015; Recife, PE. Disponível em: https://www.ufpe.br/documents/38978/1184596/2.pdf/19c92f82-86ed-4366-84cf-2e522afb71fc
(18) 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
(19) Rudolph JW, Simon R, Dufresne RL, Raemer DB. There's no such thing as "nonjudgemental" debriefing: a theory and method for debriefing with good judement. Simul healthc. 2006;1(1):49-55. https://doi.org/10.1097/01266021-200600110-00006
(20) Aguiar AC, Ribeiro ECO. Conceito e avaliação de habilidades e competência na educação médica: percepções atuais dos especialistas. Rev. bras. educ. med. 2010;34(3):371-8. https://doi.org/10.1590/S0100-55022010000300006
(21) Unver V, Basak T, Watts P, Gaioso V, Moss J, Tastan S, et al. The reliability and validity of three questionnaires: The Student Satisfaction and Self-Confidence in Learning Scale, Simulation Design Scale, and Educational Practices Questionnaire. Contemp nurse. 2017;53(1):60-74. https://doi.org/10.1080/10376178.2017.1282319
(22) Reed SJ. Debriefing Experience Scale: Development of a Tool to Evaluate the Student Learning Experience in Debriefing. Clin simul nurs. 2012;8(6):e211-7. http://dx.doi.org/10.1016/j.ecns.2011.11.002
(23) Almeida RGS, Mazzo A, Martins JCA, Coutinho VRD, Jorge BM, Mendes IAC. Validação para língua portuguesa da Debriefing Experience Scale. Rev bras enferm. 2016;69(4):705-11. https://doi.org/10.1590/0034-7167.2016690413i
(24) Rodrigues MA, Baía MC. Mediação e acompanhamento da formação, educação e desenvolvimento profissional. Rev enferm ref [Internet]. 2012;3(7):199-205. Disponível em: https://www.redalyc.org/articulo.oa?id=388239966013
(25) Troncon LEA. Utilização de Pacientes Simulados no Ensino e na Avaliação de Habilidades Clínicas. Med (Rib Pret). 2007;40(2):180-91. https://doi.org/10.11606/issn.2176-7262.v40i2p180-191
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Copyright (c) 2022 Julia Nogueira Fernandes de Oliveira, Ana Claudia Costa Carneiro, Maristela Sestelo
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.