RESUMO
Clinical simulation within nursing programs is a hallmark teaching strategy. With faculty challenged to design effective simulations for large groups of students, students are often divided into an active or passive role group. This study examined the anxiety levels experienced by students in the two roles. Results indicated that trait anxiety was similar in both groups before and after the simulation; however, there was a significant decrease in state anxiety ratings in the active role group following the simulation. The finding that students in the active role group experienced reduced state anxiety can theoretically facilitate learning.
Assuntos
Competência Clínica , Bacharelado em Enfermagem , Estudantes de Enfermagem , Ansiedade , Humanos , Aprendizagem , Simulação de Paciente , Projetos PilotoRESUMO
BACKGROUND: The potential for skin damage from adhesive products is documented in the literature. Nevertheless, health care providers continue to lack understanding of the impact and seriousness of skin injury associated with use of tapes or other adhesive devices when applied to a patient with a history or hypersensitivity or allergy to adhesives. CASE: A 67-year-old woman with a history of tape allergy underwent emergency appendectomy. Initial removal of an adhesive bandage placed over the surgical incision revealed medical adhesive-related skin injury (MARSI). The largest of the 3 wounds was a Class III skin tear based on the Payne-Martin Classification System. It measured (L) 4.4 cm × (W) 1.8 cm × (D) 0.3 cm and required 3 months to heal. CONCLUSIONS: Experiences with this case revealed the need for evidence-based practice innovations to prevent physical, emotional, and economic cost resulting from MARSI. We recommend early identification and careful documentation of susceptibility to MARSI prior to surgery and implementation of consensus-based recommendations for prevention of MARSI as advocated by the MARSI consensus group when preparing patients for surgery and treating wounds.
Assuntos
Adesivos/efeitos adversos , Apendicectomia/efeitos adversos , Complicações Pós-Operatórias/etiologia , Pele/lesões , Cicatrização/efeitos dos fármacos , Idoso , Antibacterianos/farmacologia , Antibacterianos/uso terapêutico , Bandagens/efeitos adversos , Contraindicações , Feminino , Humanos , Sulfadiazina de Prata/farmacologia , Sulfadiazina de Prata/uso terapêutico , beta-Glucanas/farmacologia , beta-Glucanas/uso terapêuticoRESUMO
Obstetric and pediatric patients require unique specialized care not included in traditional adult health education. To prepare nursing students for clinical rotations beginning the second week of class, faculty developed an innovative one-day simulation seminar, the OB/PEDS Boot Camp, in which groups of students rotated through six stations of obstetric and pediatric simulation exercises. This article provides insight on the development and implementation of the OB/PEDS Boot Camp.
