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 in | Revista do Colegio Brasileiro de Cirurgioes Vol. 51; p. e20243709 |
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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. |
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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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Cites_doi | 10.1590/1413-81232015203.04332013 10.1016/j.jped.2017.07.009 10.1097/ACM.0000000000003807 10.1542/hpeds.2016-0111 10.5480/11-593.1 10.15689/ap.2018.1702.14501.13 10.1177/0748175612440286 10.1177/1046878109355683 10.1016/j.ecns.2021.08.009 10.1007/s00431-021-03930-6 10.1136/emermed-2015-205418 10.1097/PEC.0000000000002262 10.1213/ane.0b013e31818fc334 10.1097/PEC.0000000000001643 10.1136/emj.2009.077024 10.1007/s00383-018-4361-y 10.1093/intqhc/mzx113 10.1136/qshc.2010.040311 10.1097/SIH.0b013e3182786209 10.1542/peds.106.4.633 10.1136/bmjopen-2016-011384 10.1177/1046878108319278 10.5205/1981-8963-v12i6a230633p1751-1762-2018 10.1016/S0196-0644(99)80050-X 10.1155/2010/701257 |
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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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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 |
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