Banca de DEFESA: ANA PAULA DE SOUZA SANTOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : ANA PAULA DE SOUZA SANTOS
DATA : 29/10/2018
HORA: 14:00
LOCAL: A combinar
TÍTULO:

Use of Team Based Learning (TBL) in the training of nursing professionals: contributions to the knowledge and practices on neonatal thermoregulation

PALAVRAS-CHAVES:

Active learning; in-service training; thermoregulation; newborn

PÁGINAS: 80
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

Quality nursing care at the Neonatal Intensive Care Unit (NICU) requires in-service training to promote the safe care of newborn (RN) thermoregulation. There is a knowledge gap in neonatology that indicates the need for continuing education activities of health professionals, through active methodologies that problematize training in the work environment and stimulate meaningful learning. Team-Based Learning (TBL) is a dynamic, team-based learning methodology that provides a motivating and cooperative environment. Objective: To analyze the apprehension of knowledge and skills about neonatal thermoregulation in nursing technicians after training based on TBL. Methods: An exploratory, quasi-experimental study with quantitative and qualitative data, involving nursing technicians from a Neonatal Intensive Care Unit (NICU). Results: The TBL training data revealed that, in the evaluation of individual training, through a questionnaire with 10 multiple choice questions, the professionals had scores of 15 to 28 points (equivalent to 4 to 7 correct answers), with a median of 19 points, considered an insufficient performance. Already in the team, the scores varied from 29 to 35 points and median of 30, in which all the teams achieved "sufficient" performance. The same questionnaire used in the training was applied after 6 months of intervention and evidenced scores of 7 to 10 correct answers, with a median of 8, that is, a performance superior to that reached before intervention. In the statistical analysis, considering p <0.05 and 95% confidence, the Wilcoxon test showed that the TBL team scores were higher than the individual scores (Z = -2.93) and statistically significant, p = 0.003. Likewise, the test showed that the correct answers to the individual questionnaire for TBL and post-intervention had differences, since Z = -2.87 and p = 0.004.  The professionals were also evaluated regarding the skills in the care of thermoregulation of the newborn after 6 months of the intervention, according to an elaborated model of DOPS (Direct Observation of Procedural Skills). The observations of the skills "routine gauging of the temperature of the newborn and during admission, temperatures recording and preheating of incubators and cribs" were evaluated as "excellent" in more than 75% of the observations. Incubator humidification for the preterm newborn was little used, as only 18.2% used it "optimally" and 27.3% did not activate or used inappropriately. Regarding the occurrence of hypothermia in the newborn, all participants underwent care to reverse it, in which 73.4% of the observations of the care provided were "excellent" or "great". The data collected on the perception of the professionals regarding the training with the use of TBL, showed that all "partially or totally agreed" with the methodology, with the learning was significant and that the training aroused the interest in studying more about the subject matter. Conclusion: The use of TBL was a viable teaching method for application in activities of permanent education of health professionals, and was well evaluated by the participants. The training in TBL performed influenced the improvement of pre and post-intervention scores, which may reflect improvement of knowledge acquired in relation to previous knowledge. It allowed to identify knowledge gaps and to direct the feedback of the learning, evidenced statistical difference in the apprehension of the theoretical knowledge and a satisfactory evaluation of the skills after the intervention. The study allowed the implantation of a Standard Operating Procedure on neonatal Thermoregulation, the development of a proposal of a lesson plan for TBL sessions held in permanent education, and suggests the DOPS model as an evaluation tool for the implementation of care protocols by health professionals at the study.

MEMBROS DA BANCA:
Presidente - 2072824 - MARCELO DOS SANTOS
Interno - 3050262 - MARCELO VIANA DA COSTA
Externo ao Programa - 3168491 - NILBA LIMA DE SOUZA
Externo à Instituição - TAYSSA SUELEN CORDEIRO PAULINO