Effectiveness of realistic simulation for teaching pulmonary physical examination: randomized clinical trial

Authors

DOI:

https://doi.org/10.15253/2175-6783.20222380801

Keywords:

Nursing; Simulation Exercise; Physical Examination; Clinical Trial; Learning.

Abstract

Objective: to evaluate effectiveness of realistic clinical simulation for teaching pulmonary physical examination to undergraduate nursing students. Methods: experimental study of pre-test and post-test type applied to randomized intervention and control groups. The sample consisted of 30 students, randomly divided. The analysis was performed using descriptive and inferential statistics, through Kolmogorov-Smirnov test and t-test for independent samples, considering statistical significance p≤0.05. A satisfaction scale validated with the intervention group was applied. Results: we identified increased correct answers in post-test in the intervention group, which was submitted to realistic simulation. In this group, the mean number of errors varied from 4.87 in the pre-test to 2.13 in the post-test. In the control group, students either decreased or maintained the number of correct answers in the post-test, and mean errors increased, from 3.87 in the pre-test to 4.0 in post-test. The difference in correct answers between intervention and control groups was significant (p=0.000). Conclusion: from realistic simulation, students obtained a lower average error rate on post-test. Contributions to practice: results of this research favor the curricular insertion of simulation for teaching pulmonary physical examination in undergraduate nursing.

References

Rigobello JL, Bernardes A, Moura AA, Zanetti ACB, Spiri WC, Gabriel CS. Supervised curricular internship and the development of management skills: a perception of graduates, undergraduates, and professors. Esc Anna Nery. 2018;22(2):e20170298. doi: https://dx.doi.org/10.1590/2177-9465-EAN-2017-0298

Fong S, Tan A, Czupryn J, Oswald A. Patient-centred education: how do learners’ perceptions change as they experience clinical training? Adv Health Sci Educ Theory Pract. 2019;24(1):15-32. doi: https://doi.org/10.1007/s10459-018-9845-y

Dias EG, Barbosa ET, Barbosa EKT, Bardquim VA. Ocurrencia de estrés entre estudiantes de Enfermería en una institución de educación superior. Av Enferm. 2021;39(1):11-20. doi: https://dx.doi.org/10.15446/avenferm.v39n1.84665

Lima T, Monteiro CR, Domingues TAM, Oliveira APD, Fonseca CD. Exame físico na enfermagem: avaliação do conhecimento teórico-prático. Nursing (São Paulo). 2020;23(264):3906-21. doi: https://doi.org/10.36489/nursing.2020v23i264p3906-3921

Doğru BV, Aydın LZ. The effects of training with simulation on knowledge, skill and anxiety levels of the nursing students in terms of cardiac auscultation: a randomized controlled study. Nurse Educ Today. 2020;84:104216. doi: https://doi.org/10.1016/j.nedt.2019.104216

Pimentão AR, Ueno TMRL, Silva AC, Nogueira TO, Oliveira MLC. Clinical simulation to confront covid-19: complementary training of nurses. Rev Enferm UFPE on line. 2021;15:e246653. doi: https://doi.org/10.5205/1981-8963.2021.246653

Boostel R, Felix JVC, Bortolato-Major C, Pedrolo E, Vayego SA, Mantovani MF. Stress of nursing students in clinical simulation: a randomized clinical trial. Rev Bras Enferm. 2018;71(3Suppl):967-74. doi: http://dx.doi.org/10.1590/0034-7167-2017-0187

Cate OD, Carraccio C, Damodaran A, Gofton W, Hamstra SJ, Hart DE, et al. Entrustment decision making: extending miller’s pyramid. Med Acad. 2021;96(2):199-204. doi: https://dx.doi.org/10.1097/ACM.0000000000003800

Mota LM, Santos ALF, Wyszomirska RMAF. Assessment of cognitive knowledge associated with debriefing in realistic simulation. Res Soc Dev. 2022;11(3):e38811326583. doi: https://dx.doi.org/10.33448/rsd-v11i3.26583

Ferri P, Rovesti S, Magnani D, Barbieri A, Bargellini A, Mongelli F, et al. The efficacy of interprofessional simulation in improving collaborative attitude between nursing students and residents in medicine. A study protocol for a randomised controlled trial. Acta Biomed. 2018;89(suppl 7):32-40. doi: http://dx.doi.org/10.23750/abm.v89i7-S.7875

Souza EFD, Silva AG, Silva AILF. Active methodologies for graduation in nursing: focus on the health care of older adults. Rev Bras Enferm. 2018;71(suppl 2):920-4. doi: https://dx.doi.org/10.1590/0034-7167-2017-0150

Schams K, Snyder A, Zeller D, Caywood K. Learning together: combining undergraduate and graduate simulated learning for practicing physical assessment skills. Nurse Educ Perspec. 2020;5(6):177-9. doi: http://doi.org/10.1097/01.NEP.0000000000000533

Tan K, Chong MC, Pathmawathi S, Wong LP. The effectiveness of outcome based education on the competencies of nursing students: a systematic review. Nurse Educ Today. 2018;64:180-9. doi: http://dx.doi.org/10.1016/j.nedt.2017.12.030

Jeffries PR. The NLN Jeffries simulation theory. Wolters Kluwer: National League for Nursing; 2016.

Quilici AP, Abrão K, Timerman S, Gutierrez F. Simulação clínica: do conceito à aplicabilidade. São Paulo: Atheneu; 2012.

Lopes MVO, Silva VM, Araujo TL. Methods for establishing the accuracy of clinical indicators in predicting nursing diagnoses. Int J Nurs Knowl. 2012;23(3):134-9. doi: https://doi.org/10.1111/j.2047-3095.2012.01213.x

Kim Y, Hwang K, Cho O. Simulation education with problem-based learning: effect on nursing students’ communication apprehension. Soc Behav Pers. 2018;46(1):151-60. doi: https://dx.doi.org/10.2224/sbp.6906

Oliveira SN, Massaroli A, Martini JG, Rodrigues J. From theory to practice, operating the clinical simulation in Nursing teaching. Rev Bras Enferm. 2018;71(4):1791-8. doi: https://dx.doi.org/10.1590/0034-7167-2017-0180

Silva JLG, Oliveira-Kumakura ARS. Clinical simulation to teach nursing care for wounded patients. Rev Bras Enferm. 2018;71(4):1785-90. doi: https://doi.org/10.1590/0034-7167-2017-0170

Ferreira RPN, Guedes HM, Oliveira DWD, Miranda JL. Realistic simulation as a method of teaching in the learning of the health field students. Rev Enferm Cent-Oeste Min. 2018;8:e2508. doi: https://doi.org/10.19175/recom.v8i0.2508

Fernandes RM, Carino ACC, Fernandes MICD, Tinôco JDS, Ribeiro HCTC, Lira ALBC. Teaching cardiovascular physical examination in nursing: clinical simulation. Rev Bras Enferm. 2020;73(6):e20190530. doi: https://dx.doi.org/10.1590/0034-7167-2019-0530

Alconero-Camarero AR, Sarabia-Cobo CM, Catalán-Piris MJ, González-Gómez S, González-López JR. Nursing students’ satisfaction: a comparison between medium- and high-fidelity simulation training. Int J Environ Res Public Health. 2021;18:e804. doi: https://dx.doi.org/10.3390/ijerph18020804

Mota L, Maia C, Soares F, Marreiros T, Silva AR, Freitas R. Perspectiva dos estudantes e docentes acerca do debriefing na prática simulada. Rev Invest Inov Saúde. 2019;2(1):41-50. doi: https://doi.org/10.37914/riis.v2i1.46

Bortolato-Maior C, Perez-Arthur J, Mattei Â, Mantovani M, Cestari-Felix J, Boostel R. Contribuições da simulação para alunos de graduação em enfermagem. Rev Enferm UFPE on line. 2018;12(supl6):1751-62. doi: https://dx.doi.org/10.5205/1981-8963-v12i6a230633p1751-1762-2018

Cogo ALP, Lopes EFS, Perdomini FRI, Flores GE, Santos MRR. Building and developing realistic simulation scenarios on safe drug administration. Rev Gaúcha Enferm. 2019;40(esp):e20180175. doi: http://10.1590/1983-1447.2019.20180175

Alves NP, Gomes TG, Lopes MMCO, Gubert FA, Lima MA, Beserra EP, et al. Realistic simulation and its attributes for nurse training. Rev Enferm UFPE online. 2019;13(5):1420-8. doi:https://dx.doi.org/10.5205/1981-8963-v13i05a239014p1420-1428-2019

Kim E. Effect of simulation-based emergency cardiac arrest education on nursing students’ self-efficacy and critical thinking skills: role play versus lecture. Nurse Educ Today. 2018;61:258-63. doi: https://doi.org/10.1016/j.nedt.2017.12.003

Published

2022-11-09

How to Cite

Carino, A. C. C., Fernandes, R. M., Fernandes, M. I. da C. D., Tinôco, J. D. de S., Gomes, C. S. T., Almeida, A. T. D., & Lira, A. L. B. de C. (2022). Effectiveness of realistic simulation for teaching pulmonary physical examination: randomized clinical trial. Rev Rene, 23, e80801. https://doi.org/10.15253/2175-6783.20222380801

Issue

Section

Research Article

Most read articles by the same author(s)

1 2 > >>