Contribution of an instructional module for lymph node evaluation: An experiment

• Published in: Revista latino-americana de enfermagem Vol. 29; p. e3408
• Main Authors: Fulquini, Francine Lima, Zamarioli, Cristina Mara, Gadioli, Bárbara, Kusumota, Luciana, Gimenes, Fernanda Raphael Escobar, Carvalho, Emília Campos de
• Format: Journal Article
• Language: English
• Published: Brazil Universidade de São Paulo-USP, Escola de Enfermagem de Ribeirão Preto - USP 01.01.2021; Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo; Universidade de São Paulo
• Subjects: Anatomy & physiology; Clinical competence; Education, Nursing, Baccalaureate; Educational evaluation; Humans; Lymph Nodes; Lymphatic Metastasis; Lymphatic System; NURSING; Nursing education; Original; Physical Examination; Physical examinations; Simulation Training; Students, Nursing; Teaching; Teaching Materials; Enseñanza; Examen Físico; Ensino; Entrenamiento Simulado; Simulation Training; Lymphatic System; Treinamento por Simulação; Enfermagem; Sistema Linfático; Materiais de Ensino; Teaching; Materiales de Enseñanza; Nursing; Teaching Materials; Physical Examination; Exame Físico; Enfermería
• DOI: 10.1590/1518-8345.4166.3408
• ISSN: 1518-8345; 0104-1169

to evaluate the contribution of an instructional module identifying the number and characteristics of lymph nodes by undergraduate nursing students. an experimental, randomized, controlled and masked study using an instructional module for intervention. The 68 students who made up the control group or the experimental group performed the prototype lymph node palpation in the initial and final phases, following the free registration of the characteristics and number of these structures. Between the phases, the instructional module (palpation prototype and a registration guide instrument) was applied to the experimental group. Descriptive statistics and mixed linear regression were used for analysis. the experimental group showed greater accuracy (p<0.05) in the evaluation of the size, consistency, mobility and coalescence of the lymph nodes in the final phase when compared to the control; it also showed more chances to correctly evaluate the consistency ( OR 45,26; 95% CI<7,74>‡<264.54> p<0.0001), mobility (OR 55.95; CI 95% 12.45 - 251.60; p<0.0001) and size (OR 25.64; CI 95% 3.92 - 160.2; p=0.0002) of the lymph nodes. the results reinforce the contribution of the instructional module to increase the knowledge of nursing students about the evaluation of lymph nodes.