Construction and validation of a scenario for sedation training in the emergency room for pediatric surgical procedures by in-situ simulation

sedation and analgesia are fundamental procedures for children undergoing invasive interventions, and complications must be avoided during their implementation. In situ simulation allows, in turn, training in real practice environments to improve the technical and non-technical skills of professiona...

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Published inRevista do Colegio Brasileiro de Cirurgioes Vol. 51; p. e20243709
Main Authors Santos, Marcos Maciel Candido Justino Dos, Lima, Sara Fiterman, Slullitel, Alexandre, Giovanazzi, Rosemeire Simone Dellacrode, Lopes Neto, Francisco Diego Negrão, Lima, Marjorie DE Araújo Vian Pinheiro, Santos Neto, René Scalet Dos, Pereira Júnior, Gerson Alves
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Published Brazil Colégio Brasileiro de Cirurgiões 2024
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Abstract sedation and analgesia are fundamental procedures for children undergoing invasive interventions, and complications must be avoided during their implementation. In situ simulation allows, in turn, training in real practice environments to improve the technical and non-technical skills of professionals for such procedures. Although it is a very useful tool, it is often not used due to lack of preparation for its planning and application. develop and validate an in situ simulation scenario in pediatric emergency care using sedation to perform an invasive procedure. descriptive study of construction and content validation of an in situ simulation scenario, using the Delphi method, following the following steps: 1) definition of the problem and selection of experts; 2) development of the initial document; 3) rounds for validation with analysis of responses and feedback (until consensus is reached by the Content Validation Index); 4) final report. Results: The experts indicated suggestions that were duly used and the scenario obtained, in all items, a CVI greater than 80.0%, demonstrating its high validity and reliability. By using experts to validate the scenario, their insights guarantee greater precision and reliability in scenario construction engineering. It is expected that this study will allow the replication of the scenario in different training contexts, facilitating and encouraging professional training based on a scenario model based on best evidence and practices.
AbstractList ABSTRACT Introduction: sedation and analgesia are fundamental procedures for children undergoing invasive interventions, and complications must be avoided during their implementation. In situ simulation allows, in turn, training in real practice environments to improve the technical and non-technical skills of professionals for such procedures. Although it is a very useful tool, it is often not used due to lack of preparation for its planning and application. Objective: develop and validate an in situ simulation scenario in pediatric emergency care using sedation to perform an invasive procedure. Method: descriptive study of construction and content validation of an in situ simulation scenario, using the Delphi method, following the following steps: 1) definition of the problem and selection of experts; 2) development of the initial document; 3) rounds for validation with analysis of responses and feedback (until consensus is reached by the Content Validation Index); 4) final report. Results: The experts indicated suggestions that were duly used and the scenario obtained, in all items, a CVI greater than 80.0%, demonstrating its high validity and reliability. By using experts to validate the scenario, their insights guarantee greater precision and reliability in scenario construction engineering. Conclusion: It is expected that this study will allow the replication of the scenario in different training contexts, facilitating and encouraging professional training based on a scenario model based on best evidence and practices. RESUMO Introdução: a sedação e analgesia são procedimentos fundamentais para crianças submetidas a intervenções invasivas, devendo-se evitar complicações durante sua realização. A simulação in situ permite, por sua vez, capacitações nos ambientes reais de prática para aprimorar as competências técnicas e não técnicas dos profissionais para tais procedimentos. Embora seja uma ferramenta de grande utilidade, muitas vezes não é aproveitada pelo despreparo para seu planejamento e aplicação. Objetivo: elaborar e validar um cenário de simulação in situ no atendimento de urgências pediátricas com uso de sedação para realização de procedimento invasivo. Método: estudo descritivo de construção e validação de conteúdo de um cenário de simulação in situ, por meio do método Delphi, seguindo os seguintes passos: 1) definição do problema e seleção de especialistas; 2) desenvolvimento do documento inicial; 3) rodadas para validação com análise das respostas e feedback (até obtenção do consenso pelo Índice de Validação de Conteúdo); 4) relatório final. Resultados: Os especialistas indicaram sugestões devidamente aproveitadas e o cenário obteve, em todos os itens, um IVC maior que 80,0% demonstrando sua alta validade e confiabilidade. Ao usar especialistas para validar o cenário, seus insights garatem maior precisão e confiabilidade à engenharia de construção dos cenários. Conclusão: espera-se, que este estudo permita a replicação do cenário em diferentes contextos de formação facilitando e incentivando a capacitação profissional a partir de um modelo de cenário baseado em melhores evidências e práticas.
sedation and analgesia are fundamental procedures for children undergoing invasive interventions, and complications must be avoided during their implementation. In situ simulation allows, in turn, training in real practice environments to improve the technical and non-technical skills of professionals for such procedures. Although it is a very useful tool, it is often not used due to lack of preparation for its planning and application. develop and validate an in situ simulation scenario in pediatric emergency care using sedation to perform an invasive procedure. descriptive study of construction and content validation of an in situ simulation scenario, using the Delphi method, following the following steps: 1) definition of the problem and selection of experts; 2) development of the initial document; 3) rounds for validation with analysis of responses and feedback (until consensus is reached by the Content Validation Index); 4) final report. Results: The experts indicated suggestions that were duly used and the scenario obtained, in all items, a CVI greater than 80.0%, demonstrating its high validity and reliability. By using experts to validate the scenario, their insights guarantee greater precision and reliability in scenario construction engineering. It is expected that this study will allow the replication of the scenario in different training contexts, facilitating and encouraging professional training based on a scenario model based on best evidence and practices.
ABSTRACT Introduction: sedation and analgesia are fundamental procedures for children undergoing invasive interventions, and complications must be avoided during their implementation. In situ simulation allows, in turn, training in real practice environments to improve the technical and non-technical skills of professionals for such procedures. Although it is a very useful tool, it is often not used due to lack of preparation for its planning and application. Objective: develop and validate an in situ simulation scenario in pediatric emergency care using sedation to perform an invasive procedure. Method: descriptive study of construction and content validation of an in situ simulation scenario, using the Delphi method, following the following steps: 1) definition of the problem and selection of experts; 2) development of the initial document; 3) rounds for validation with analysis of responses and feedback (until consensus is reached by the Content Validation Index); 4) final report. Results: The experts indicated suggestions that were duly used and the scenario obtained, in all items, a CVI greater than 80.0%, demonstrating its high validity and reliability. By using experts to validate the scenario, their insights guarantee greater precision and reliability in scenario construction engineering. Conclusion: It is expected that this study will allow the replication of the scenario in different training contexts, facilitating and encouraging professional training based on a scenario model based on best evidence and practices.
Author Slullitel, Alexandre
Santos Neto, René Scalet Dos
Lima, Sara Fiterman
Lopes Neto, Francisco Diego Negrão
Santos, Marcos Maciel Candido Justino Dos
Giovanazzi, Rosemeire Simone Dellacrode
Pereira Júnior, Gerson Alves
Lima, Marjorie DE Araújo Vian Pinheiro
AuthorAffiliation 2 - Universidade Federal do Maranhão, Programa de Pós-Graduação em Saúde Coletiva - São Luís - MA - Brasil
5 - Carefy - Ribeirão Preto - SP - Brasil
1 - Universidade de São Paulo, Programa de Pós-Graduação em Ciências da Reabilitação HRAC - Bauru - SP - Brasil
4 - Universidade Federal de Uberlândia, Hospital das Clínicas - Uberlândia - MG - Brasil
3 - Universidade de São Paulo, Programa de Pós-Graduação ACCEPT - São Paulo - SP - Brasil
6 - Faculdades Pequeno Príncipe - Curitiba - PR - Brasil
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– name: 4 - Universidade Federal de Uberlândia, Hospital das Clínicas - Uberlândia - MG - Brasil
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– name: 2 - Universidade Federal do Maranhão, Programa de Pós-Graduação em Saúde Coletiva - São Luís - MA - Brasil
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  givenname: Marcos Maciel Candido Justino Dos
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  givenname: Sara Fiterman
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  givenname: Francisco Diego Negrão
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  givenname: Marjorie DE Araújo Vian Pinheiro
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Snippet sedation and analgesia are fundamental procedures for children undergoing invasive interventions, and complications must be avoided during their...
ABSTRACT Introduction: sedation and analgesia are fundamental procedures for children undergoing invasive interventions, and complications must be avoided...
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StartPage e20243709
SubjectTerms Child
Conscious Sedation - standards
Emergency Medicine
Emergency Service, Hospital
Humans
Original
Pediatrics
Pediatrics - education
Simulation Training
Simulation Training - methods
Surgical Procedures, Operative - education
Surgical Procedures, Operative - standards
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Title Construction and validation of a scenario for sedation training in the emergency room for pediatric surgical procedures by in-situ simulation
URI https://www.ncbi.nlm.nih.gov/pubmed/39045916
https://pubmed.ncbi.nlm.nih.gov/PMC11449518
https://doaj.org/article/6c4093195d534ffdb2733ca149a63411
Volume 51
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