Escola Anna Nery Revista de Enfermagem
https://app.periodikos.com.br/journal/ean/article/doi/10.1590/2177-9465-EAN-2017-0442
Escola Anna Nery Revista de Enfermagem
Pesquisa

Use of clinical simulation to improve diagnostic reasoning in nursing

Uso de la simulación clínica para mejorar el razonamiento diagnóstico en enfermería

Uso da simulação clínica para aprimorar o raciocínio diagnóstico na enfermagem

Ingrid Régia Lopes Jerônimo; Juliana Faria Campos; Mauricio Abreu Pinto Peixoto; Marcos Antônio Gomes Brandão

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Abstract

Objectives: Propose a methodology for the construction of simulated scenarios and cases to improve diagnostic reasoning in nursing.

Method: A methodological study was conducted using theories and concepts from the dual processing theory to develop cases and scenarios of clinical simulation for diagnostic reasoning in nursing through proper use of analytical and non-analytical reasoning.

Results and discussion: This study presents and discusses issues of the theoretical framework and operational elements: structure of scenarios, preparation of simulation, briefing, debriefing, and modeling, incorporating any required content. The methodology articulates content that is compatible with analytical reasoning, non-analytical studies and diagnostic accuracy measurements of clinical validation studies.

Conclusion: This study demonstrated the feasibility of modeling simulated cases that combine dual processing with diagnostic reasoning in nursing.

Implications: Contribution to learning in a safer simulated environment, adopting theoretical bases from studies on human reasoning.

Keywords

Simulation; Nursing Diagnosis; Educational Technology; Methods; Learning

Resumen

Objetivos: Proponer una metodología de construcción de escenarios y casos simulados para mejorar el razonamiento diagnóstico de enfermería.

Métodos: Estudio metodológico con bases teóricas y metodológicas de la Teoría del Doble Proceso para construir casos y escenarios de simulación clínica para el razonamiento diagnóstico de enfermería utilizando correctamente los razonamientos analítico y no analítico.

Resultados y discusión: Fueron presentados y discutidos aspectos del referencial teórico y elementos operativos: estructura de los escenarios, preparación de la simulación, briefing, debriefing y construcción, incorporando contenidos necesarios. La metodología articula contenido compatible con razonamientos analíticos, no analíticos y mediciones de precisión diagnóstica de estudios de validación clínica.

Conclusión: Se entiende haber demostrado la factibilidad para construir casos simulados necesarios para el doble proceso del razonamiento diagnóstico de enfermería.

Implicaciones: Contribución al aprendizaje en ambiente más seguro; adoptando base teórica de estudios de razonamiento humano.

Palabras clave

Simulación; Diagnóstico de Enfermería; Tecnología Educacional; Métodos; Aprendizaje

Resumo

Objetivos: Propor uma metodologia de construção de cenários e casos simulados para aprimorar o raciocínio diagnóstico de enfermagem.

Métodos: Estudo metodológico com bases teóricas e conceituais da Teoria do Duplo Processamento para construir casos e cenários de simulação clínica para o raciocínio diagnóstico de enfermagem pelo uso adequado dos raciocínios analítico e não analítico.

Resultados e discussão: São apresentados e discutidos aspectos do referencial teórico e elementos operacionais, como: estrutura dos cenários, preparação da simulação, briefing, debriefing e modelagem, incorporando conteúdos necessários. A metodologia articula o conteúdo compatível com raciocínios analíticos, estudos não analíticos e medidas de acurácia diagnóstica de estudos de validação clínica.

Conclusão: Entende-se ter demonstrado a exequibilidade da modelagem de casos simulados que integram o duplo processamento ao raciocínio diagnóstico de enfermagem.

Implicações:  Contribuição para o aprendizado em ambiente simulado mais seguro; adotando base teórica de estudos de raciocínio humano.

Palavras-chave

Simulação; Diagnóstico de Enfermagem; Tecnologia Educacional; Métodos; Aprendizagem

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Submetido em:
04/01/2018

Aceito em:
14/03/2018

6823a5cea953953c62284b74 ean Articles

Esc. Anna Nery

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