Banca de DEFESA: BARBARA MORAIS FERREIRA THEREZA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : BARBARA MORAIS FERREIRA THEREZA
DATA : 26/05/2018
HORA: 09:00
LOCAL: Quarto subsolo do HUOL
TÍTULO:

THE SIMULATION USE TO IMPROVE COLLABORATIVE PRACTICES AND TEAMWORK IN UNDERGRADUATE MEDICAL COURSE: A TEACHING-SERVICE INTEGRATION STRATEGY.

PALAVRAS-CHAVES:

Collaborative learning, Emergency Medicine, Healthcare Team, Primary Health Care

PÁGINAS: 65
GRANDE ÁREA: Ciências da Saúde
ÁREA: Medicina
SUBÁREA: Clínica Médica
ESPECIALIDADE: Cardiologia
RESUMO:

As a major medical event, cardiac arrest (CA) requires prompt and effective attendance by an integrated and collaborative interprofessional teamwork. The use of simulation, collaborative practice and interprofessional education are strategies capable of improving integral patient care, improving not only technical but also human skills. This paper describes the experience of the integrated training between the last year medical student and the health team during a simulated emergency situation and aims to analyze the technical and human performance of students and nursing professionals for the collaborative practice. Methods: This is a quasi-experimental study, involving 50 students from the medical internship and 40 nursing technicians, in which the gains of technical and human performance in cardiopulmonary resuscitation (CPR) were evaluated using team assessment tool, during training workshops between October 2016 and July 2017. Two simulated stations were prepared, one of extra-hospital (ECA) and the other in-hospital cardiac arrest (ICA), in which the participants were grouped into pairs containing a student and a nursing technician. Results: There was a significant increase in the mean of cognitive evaluation before and after training, with 5.9 ± 2.7 and 7.5 ± 1.8, respectively, p <0.001. Similarly, performance during OSPE also showed a significant improvement in the outpatient CA station, with a median of 16 before and 22 after training (p <0.001). The mean scores observed at the ICA station were 20.8 ± 9.6 and 30.0 ± 8.9 before and after the intervention (p <0.001). The evaluation with the TOSCE showed that the human abilities presented significant improvement after the training, both individual and in the team. Individually we observed a reduction of the percentage of participants in the "below-expected" stratum (63.9% vs 36.2%, p <0.001). The same was observed for the teams (66.9% vs 37.5%, p <0.001). The evaluation of the workshop showed that the training strategy was well accepted and easily adapted to the new teaching-learning method for most of the participants. Conclusions: the use of the TOSCE tool was feasible when applied in an emergency scenario as a formative strategy for the evaluation of groups, being well accepted by the participants. Its use has enabled us to identify weaknesses and domains of non-technical skills essential to teamwork.

 

MEMBROS DA BANCA:
Presidente - 2495713 - ROSIANE VIANA ZUZA DINIZ
Interno - 2172036 - MARIA JOSE PEREIRA VILAR
Interno - 2171948 - PAULO JOSE DE MEDEIROS
Externo à Instituição - HENRY DE HOLANDA CAMPOS - UFC
Externo à Instituição - MAURICIO GALVAO PEREIRA - UNP