Processo de ensino e aprendizagem multiprofissional entre residentes para treinamento de simulação clínica em eclâmpsia

Abstract

Objective: To evaluate the performance and perceptions of residents in a scenario of clinical simulation of multidisciplinary care for pregnant women with eclampsia. Methods: Quantitative and qualitative cross-sectional observational study carried out at the Simulation Center of the Hospital Complex of the Federal University of Ceara, with the participation of resident physicians and nurses, by convenience sampling, between November 2020 and January 2021. A simulation was structured in obstetric emergency of eclampsia, followed by assessment of satisfaction, self-confidence and performance of residents, in addition to the design of the scenario. The debriefing audios were transcribed for content analysis in thematic categories using Bardin's method. Numerical data were organized in an Excel spreadsheet, with the mean and standard deviation calculated. The project was submitted and approved by the Ethics Committee for Research with Human Beings. Results: There was a 15 minutes simulation practiceon eclampsia for 43 participants, in 14 multidisciplinary teams. More than 11 teams showed lower performance of the applied structured checklist in different components such as trauma prevention and tongue protection, suspension of sulfate + calcium gluconate, hydatalization and hand hygiene. The average for satisfaction, self-confidence and scenario design was 4. The perception between medical and nursing residents in relation to “Support” and “Feedback/reflection” was different. The following thematic categories were listed: initial perceptions and experienced sensations; scenario inconsistencies: real versus simulated; simulation as a learning tool; communication and leadership; multidisciplinary education and acquired knowledge. Conclusion: Important gaps in the performance of the resident teams were evidenced. Satisfaction and self-confidence with the methodology were homogeneous among the participants, with emphasis on its multidisciplinary aspect. There was disagreement between nursing and medical residents regarding the design of the simulation.