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Simulation as a learning tool for continuing education on cardiorespiratory arrest
La simulación como herramienta de aprendizaje para la formación continuada ante una parada cardiorrespiratoria
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M.L. Fraga-Sampedro
Unidad de Formación Continuada, Gerencia de Gestión Integrada de Ferrol, Servicio Gallego de Salud (Sergas), Ferrol, A Coruña, Spain
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Received 13 April 2017. Accepted 09 October 2017
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Table 1. Data from the “CPA simulation” courses.
Table 2. Socio-demographic data of the sample.
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Abstract
Objective

To evaluate the level of knowledge and the degree of satisfaction obtained through continuous training in simulation-debriefing methods as a learning tool in the care of cardiopulmonary arrest (CPA).

Method

A quasi-experimental study. Evaluation by ad hoc questionnaire (pre and post, and reassessment at 4 months) to all professionals (physicians and nurses) who passed any of the 6 editions of the course: ‘Simulation of situations of cardiopulmonary arrest or peri-arrest in hospitalisation units’. Descriptive and inferential statistics.

Results

133 participants, 16 physicians, and 117 nurses. Before the course started, the level of knowledge was 78.5%, at the end of training it was 94.6% (p<.001), and after 4 months, it was 88% (p<.05). The satisfaction achieved was 91.8% at the end of the course, and subsequently 88.4%; this was significant (p<.05) among the younger professionals, with less experience and with a temporary contract. Eighty one point two percent of the participants expressed that they changed the way they acted during a cardiopulmonary arrest.

Conclusions

Continuous education in CPA, performed through simulation-debriefing, is consolidated in our field as an effective tool to acquire a suitable level of knowledge that lasts over time. The level of satisfaction achieved was high since this method of learning meets the expectations of the professionals and resembles real care practice.

Keywords:
Simulation
Educational measurement
Continuing education
Cardiopulmonary arrest
Resumen
Objetivo

Evaluar el nivel de conocimiento y el grado de satisfacción conseguidos mediante la formación continuada en la modalidad de simulación-debriefing como herramienta de aprendizaje en la atención a la parada cardiorrespiratoria (PCR).

Método

Estudio cuasiexperimental. Evaluación por cuestionario ad hoc (pre y post, y reevaluación a los 4 meses) a todos los profesionales (médicos y enfermeras) que aprobaron alguna de las 6 ediciones del curso: «Simulación de situaciones de parada o periparada en las unidades de hospitalización». Estadística descriptiva e inferencial.

Resultados

Participaron 133 profesionales; 16 médicos y 117 enfermeras. Al inicio, el nivel de conocimiento fue del 78,5%, al finalizar la formación alcanzó el 94,6% (p<0,001), y al cabo de 4 meses se situó en el 88% (p<0,05). La satisfacción alcanzada fue del 91,8% al final del curso, y posteriormente del 88,4%, siendo significativa (p<0,05) entre los profesionales de menor edad, los de menor experiencia y eventuales. Referente al impacto (4 meses después), el 81,2% de los participantes expresaron que cambiaron su manera de actuar ante una PCR.

Conclusiones

La formación continuada en PCR, realizada a través de la simulación-debriefing, se consolida en nuestro ámbito como una herramienta eficaz para adquirir un nivel de conocimiento adecuado y perdurable a lo largo del tiempo. El grado de satisfacción conseguido ha sido elevado, ya que este método de aprendizaje cumple las expectativas del profesional y se asemeja a la práctica asistencial real.

Palabras clave:
Simulación
Evaluación educacional
Formación continuada
Parada cardiorrespiratoria

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