Implementation of an Acute Coronary Syndrome Simulation Training Strategy for Emergency Healthcare Professionals
Souza-Silva, Maíra Viana Rego; Passos, Priscilla Fortes de Oliveira; Lemos, Thais Ribeiro; Marino, Bárbara Campos Abreu; Dias, Thatiane Dantas; Machado, Geisiane Sousa Braga; Carvalho, Edson Alexandre Silva; Rocha, Gabriel Almeida Silqueira; Ribeiro, Antonio Luiz; Marcolino, Milena Soriano.
Int. j. cardiovasc. sci. (Impr.)
; 32(3): 227-237, May-June 2019. tab, graf
Artículo
en Inglés
| LILACS | ID: biblio-1002219
The knowledge on the management of patients with acute coronary syndrome (ACS) is essential to reduce the gap between evidence and practice.
Objective:
To describe a simulation training strategy for emergency healthcare professionals and provide preliminary data on knowledge acquisition, learners' confidence and prescription of medications after training.Methods:
The training was part of the implementation of two myocardial infarction systems of care. It comprehended lectures and simulation-based learning using high and low-fidelity mannequins and actors. It was tested in two phases the first one in Belo Horizonte and the second one in Montes Claros, both in the state of Minas Gerais. A test was applied before and after training to assess knowledge acquisition. Confidence to perform thrombolysis in ST-elevation myocardial infarction (STEMI) patients was assessed using a questionnaire, and the impact on medication prescription analyzed STEMI patients admitted to hospitals in Montes Claros.Results:
In the first phase, 156 professionals answered both tests 70% of them improved their results and the median number of right answers increased (6, interquartile range [IQR] 5-7; vs 7 ([IQR] 6-9; p < 0.05). In the second phase, 242 professionals answered both tests 58% of the physicians and 83% of the nurses obtained better test scores. Participants referred a positive impact on their clinical practice, 95% reported feeling very secure when perform fibrinolysis after the training, and there was also an impact on medication prescription.Conclusions:
There was an impact on the learners' knowledge acquisition and confidence using our two-phase training model, with evidence of impact on performance
Biblioteca responsable:
BR44.1
Ubicación: BR44.1
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