Usando a educação baseada em simulação para melhorar a aprendizagem antirracista em enfermagem

Autores

DOI:

https://doi.org/10.17267/2317-3378rec.2024.e5770

Palavras-chave:

Racismo, Antirracismo, Simulação, Participante Simulado, Estudantes de Graduação em Enfermagem

Resumo

OBJETIVO: Determinar se a educação baseada em simulação promove a aprendizagem antirracismo entre estudantes de enfermagem. MÉTODOS: Este estudo qualitativo descritivo explorou como a educação baseada em simulação poderia apoiar a educação antirracismo no currículo de graduação em enfermagem. O estudo consistiu em três partes: (a) entradas de jornal, (b) oficinas antirracismo e (c) educação baseada em simulação.  Os três workshops antirracismo como parte do pré-trabalho de simulação para preparar os alunos para participarem ativamente em quatro cenários simulados de participantes antirracismo.  A análise de conteúdo de entradas de diário usando a estrutura Sensibilização, Tomada de Ação e Reflexão (STAR). Foram recrutados 14 participantes. Dez obtiveram consentimento e participaram de pelo menos um componente do estudo, seis participaram das simulações e cinco completaram as oito entradas no diário RESULTADOS:  Nossos achados indicaram que os participantes se engajaram em um ciclo contínuo de sensibilização e reflexão, o que ampliou sua consciência em quatro categorias: autorrespeito, outros, racismo e estratégias antirracistas.  Como resultado, os workshops antirracismo aumentaram a conscientização sobre o racismo entre os participantes. Além disso, ambos estavam dispostos e capazes de abordar o racismo e defender a mudança política durante as simulações. Os alunos participantes descobriram que os cenários simulados lhes deram um maior senso de autenticidade ao confrontar o racismo. CONCLUSÕES: Oficinas antirracismo e SBE apoiam efetivamente o aprendizado antirracismo em estudantes de enfermagem. Recomendamos que as instituições de saúde explorem formas de integrar a SBE antirracismo nos currículos para apoiar a praxis antirracista.

 

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Referências

(1) Adib-Hajbaghery M, Sharifi N. Effect of simulation training on the development of nurses and Nursing Students’ Critical Thinking: A Systematic Literature Review. Nurse Education Today. 2017;50:17–24. https://doi.org/10.1016/j.nedt.2016.12.011 DOI: https://doi.org/10.1016/j.nedt.2016.12.011

(2) Bahreman NT, Swoboda SM. Honoring diversity: Developing culturally competent communication skills through simulation. Journal of Nursing Education. 2016;55(2):105–8. https://doi.org/10.3928/01484834-20160114-09 DOI: https://doi.org/10.3928/01484834-20160114-09

(3) Cant RP, Cooper SJ. The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and meta-analysis. Nurse Education in Practice. 2017;27:45–62. https://doi.org/10.1016/j.nepr.2017.08.012 DOI: https://doi.org/10.1016/j.nepr.2017.08.012

(4) Orr Z, Machikawa E, Unger S, Romem A. Enhancing the structural competency of nurses through Standardized Patient Simulation. Clinical Simulation in Nursing. 2022;62:25–30. https://doi.org/10.1016/j.ecns.2021.09.005 DOI: https://doi.org/10.1016/j.ecns.2021.09.005

(5) Ozkara San E. Using clinical simulation to enhance culturally competent nursing care: A review of the literature. Clinical Simulation in Nursing. 2015;11(4):228–43. https://doi.org/10.1016/j.ecns.2015.01.004 DOI: https://doi.org/10.1016/j.ecns.2015.01.004

(6) Dordunoo D, Abernethy P, Kayuni J, McConkey S, Aviles-G ML. Dismantling “race” in health research. Canadian Journal of Nursing Research. 2022;54(3):239–45. https://doi.org/10.1177/08445621221074849 DOI: https://doi.org/10.1177/08445621221074849

(7) Dordunoo D. Race is not pathological bur racism is. RBE. 2020;13;34. https://doi.org/10.18471/rbe.v34.34990 DOI: https://doi.org/10.18471/rbe.v34.34990

(8) Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: Evidence and interventions. The Lancet. 2017;389(10077):1453–63. https://doi.org/10.1016/S0140-6736(17)30569-X DOI: https://doi.org/10.1016/S0140-6736(17)30569-X

(9) Williams DR, Lawrence JA, Davis BA. Racism and health: Evidence and needed research. Annual Review of Public Health. 2019;40(1):105–25. https://doi.org/10.1146/annurev-publhealth-040218-043750 DOI: https://doi.org/10.1146/annurev-publhealth-040218-043750

(10) Turpel-Lafond, ME. In plain sight: Addressing indigenous-specific racism and discrimination in B.C. Health Care [Internet]. 2021. Available from: https://www.bcpharmacists.org/readlinks/plain-sight-addressing-indigenous-specific-racism-and-discrimination-bc-health-care

(11) Coalition of African, Caribbean and Black Nurses in British Columbia. [Internet]. Available from: https://www.cacbn.ca/

(12) Dordunoo D, Villeneuve M, Hamz A, Guest T, Etowa J, Bearskin MLB, et al. Racism and Discrimination Among Nurses in Canada and the Impacts of the COVID-19 Pandemic - A Scoping Review. Ottawa: Canadian Nurses Association; 2024. Available from: https://www.casn.ca/wp-content/uploads/2024/07/CNA_Racism_Discrimation_Nurses_E.pdf

(13) Waddell-Henowitch CM, Kruth ML, Stephen HM. Reiterating a need for antiracism praxis in nursing and Psychiatric Nursing Education. Journal of Nursing Education. 2022;61(8):439–46. https://doi.org/10.3928/01484834-20220602-04 DOI: https://doi.org/10.3928/01484834-20220602-04

(14) Coleman T. Anti-racism in nursing education: Recommendations for racial justice praxis.Journal of Nursing Education. 2020;59(11):642–5. https://doi.org/10.3928/01484834-20201020-08 DOI: https://doi.org/10.3928/01484834-20201020-08

(15) Thorne S. Isn’t it high time we talked openly about racism? Nursing Inquiry. 2017;24(4). https://doi.org/10.1111/nin.12219 DOI: https://doi.org/10.1111/nin.12219

(16) Garland R, Batty ML. Moving beyond the rhetoric of Social Justice in nursing education. Witness: The Canadian Journal of Critical Nursing Discourse. 2021;30;3(1):17–30. https://doi.org/10.25071/2291-5796.96 DOI: https://doi.org/10.25071/2291-5796.96

(17) Blanchet Garneau A, Browne AJ, Varcoe C. Drawing on antiracist approaches toward a critical antidiscriminatory pedagogy for Nursing. Nursing Inquiry. 2017;25(1). https://doi.org/10.1111/nin.12211 DOI: https://doi.org/10.1111/nin.12211

(18) Bell B. White dominance in nursing education: A target for anti‐racist efforts. Nursing Inquiry. 2020;3;28(1). https://doi.org/10.1111/nin.12379 DOI: https://doi.org/10.1111/nin.12379

(19) Hassen N, Lofters A, Michael S, Mall A, Pinto AD, Rackal J. Implementing anti-racism interventions in healthcare settings: A scoping review. International Journal of Environmental Research and Public Health. 2021;15;18(6):2993. https://doi.org/10.3390/ijerph18062993 DOI: https://doi.org/10.3390/ijerph18062993

(20) Cordes CC. Developing antiracist integrated health professionals. Families, Systems, & Health. 2021;39(2):404–7. https://doi.org/10.1037/fsh0000625 DOI: https://doi.org/10.1037/fsh0000625

(21) Barton AJ. What does it mean to be an ally? Journal of Nursing Education. 2020;59(10):543–4. https://doi.org/10.3928/01484834-20200921-01 DOI: https://doi.org/10.3928/01484834-20200921-01

(22) Miller JL, Bryant K, Park C. Moving from “safe” to “Brave” conversations. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 2021;(4):231–2. https//doi.org/10.1097/sih.0000000000000605 DOI: https://doi.org/10.1097/SIH.0000000000000605

(23) Oh P-J, Jeon KD, Koh MS. The effects of simulation-based learning using standardized patients in nursing students: A meta-analysis. Nurse Education Today. 201535(5). https://doi.org/10.1016/j.nedt.2015.01.019 DOI: https://doi.org/10.1016/j.nedt.2015.01.019

(24) Lewis C, Reid J, McLernon Z, Ingham R, Traynor M. The impact of a simulated intervention on attitudes of undergraduate nursing and medical students towards end of life care provision. BMC Palliative Care. 2016;15(1). https://doi.org/10.1186/s12904-016-0143-2 DOI: https://doi.org/10.1186/s12904-016-0143-2

(25) Vora S, Dahlen B, Adler M, Kessler DO, Jones VF, Kimble S, et al. Recommendations and guidelines for the use of simulation to address structural racism and implicit bias. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 2021;(4):27584. https://doi.org/10.1097/sih.0000000000000591 DOI: https://doi.org/10.1097/SIH.0000000000000591

(26) Mezirow J. Transformative dimensions of adult learning. San Francisco: Jossey-Bass; 1991.

(27) Mezirow J. Learning as transformation: critical perspectives on a theory in progress. San Francisco: Jossey-Bass; 2000.

(28) McAllister M. Star: A Transformative Learning Framework for Nurse Educators. Journal of Transformative Education. 2011;(1):42–58. https://doi.org/10.1177/1541344611426010 DOI: https://doi.org/10.1177/1541344611426010

(29) INACSL. Healthcare simulations standards of best practiceTM. https://www.inacsl.org/healthcare-simulation-standards

(30) Downe‐Wamboldt B. Content analysis: Method, applications, and issues. Health Care for Women International. 1992;(3):313–21. https://doi.org/10.1080/07399339209516006 DOI: https://doi.org/10.1080/07399339209516006

(31) Elo S, Kyngäs H. The qualitative content analysis process. Journal of Advanced Nursing. 2008;62(1):107–15. https://doi.org/10.1111/j.1365-2648.2007.04569.x DOI: https://doi.org/10.1111/j.1365-2648.2007.04569.x

(32) Truth and Reconciliation – Commissioner of Canada. Truth and Reconciliation Commission of Canada: Call to action. Manitoba; 2015. Available from: https://ehprnh2mwo3.exactdn.com/wp-content/uploads/2021/01/Calls_to_Action_English2.pdf

(33) Darley JM, Latané B. Bystander intervention in emergencies: diffusion of responsibility. Journal of personality and social psychology. 1968;8(4p1):377-383. https://doi.org/10.1037/h0025589 DOI: https://doi.org/10.1037/h0025589

(34) Hortensius R, de Gelder B. From Empathy to Apathy: The Bystander Effect Revisited. Curr Dir Psychol Sci. 2018;(4):249-256. https://doi.org/10.1177/0963721417749653 DOI: https://doi.org/10.1177/0963721417749653

(35) Lo KWK, Ngai G, Chan SCF, Kwan KP. How Students' Motivation and Learning Experience Affect Their Service-Learning Outcomes: A Structural Equation Modeling Analysis. Front Psychol. 2022;825902. https://doi.org/10.3389/fpsyg.2022.825902 DOI: https://doi.org/10.3389/fpsyg.2022.825902

(36) Lewis L, Fabersunne CC, Lacopetti CL, Retta GN, McBride D, Irving P, et al. Racial Affinity Group Caucusing in Medical Education - A Key Supplement to Antiracism Curricula. N Engl J Med. 2023;388(17):1542-1545. https://doi.org/10.1056/NEJMp2212866 DOI: https://doi.org/10.1056/NEJMp2212866

(37) McGibbon EA, Etowa JB. Anti-racist health care practice. Toronto: Canadian Scholars’ Press; 2009.

(38) Warner NS, Njathi-Ori CW, O’Brien EK. The grit (gather, restate, inquire, talk it out) framework for addressing microaggressions. JAMA Surgery. 2020;155(2):178. https://doi.org/10.1001/jamasurg.2019.4427 DOI: https://doi.org/10.1001/jamasurg.2019.4427

Publicado

28.11.2024

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1.
Epp H, Dordunoo D, Dompierre K-A, Cundiff V, McBride C, Magassa M. Usando a educação baseada em simulação para melhorar a aprendizagem antirracista em enfermagem. Rev Enf Contemp [Internet]. 28º de novembro de 2024 [citado 22º de dezembro de 2024];13:e5770. Disponível em: https://www5.bahiana.edu.br/index.php/enfermagem/article/view/5770

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