Uso de simulação na consulta de enfermagem ao paciente hipertenso para acadêmicos

Abstract

Within primary health care the nurse has as main function the nursing consultation (CE) and, in order to perform it, the nurse needs adequate training. Among the nursing attributions related to the nursing consultation regarding the Family Health Strategy (ESF), the care practice is the person with hypertension, which requires critical reasoning and multidisciplinary living. Regarding this adequate training, we can observe practices such as realistic simulation, much used in health to improve skills and techniques. The general objective of this study is to evaluate the performance and satisfaction of nursing students in a nursing consultation in hypertension through the simulation. It is a descriptive, cross-sectional, quantitative approach. The practices were carried out in the Nursing Department of the Federal University of Ceará, in the nursing practice laboratory; the material used was from the laboratory itself. The study sample was 31 students. In the study we used the clinical scenarios simulation guidelines for nurses' training defined by Waxman, which is done by 5 steps. In the last stage the students had the opportunity to self-evaluate and reflect on the process. After this period of reflection, the students answered a questionnaire based on the foundations of the Pedagogical Political Project of the mentioned Nursing course, identifying the acquired competences throughout the simulation; there was also a questionnaire about the personal aspects of the student, such as age and semester. The analysis was made from the insertion of data in the Statistical Package for the Social Sciences (SPSS, Chicago, United States), version 22. This project was approved by the Research Ethics Committee of the Federal University of Ceará with no 2.251.160 . The survey consisted mostly of female students. The students' satisfaction with the proposed methodology was observed, in which the value was reached above 80% in all proposed dimensions. However, they had a lower yield than expected, with most values below 86%, which means that the performance was not adequately developed in the simulation. Through the study it was possible to observe the students' needs and peculiarities regarding teaching-learning and the use of differentiated methodologies such as realistic simulation. The study reached satisfactorily the objectives set.