Correction: A non-randomized clinical trial to examine patients' experiences and communication during telemonitoring of pacemakers after five years follow-up.

[This corrects the article DOI: 10.1371/journal.pone.0261158.].

Self-learning methodology in simulated environments (MAES©) utilized in hospital settings. Action-research in an Emergency Department in the United Kingdom.

INTRODUCTION: This article describes the impact of a simulation-based learning method on emergency nurses at the Royal Devon Hospital (Exeter, United Kingdom). OBJECTIVES: To determine the training needs of nurses who were recently hired, as well as to evaluate the perception on the acquisition of emergency nurse competencies after the educational intervention. METHOD: The study was composed of 3 phases. FIRST PHASE: The training needs were analysed from the point of view of the participants (through a focus group), and the institution (by consulting experts through an online questionnaire). SECOND PHASE: Various simulations were implemented and designed by the participants themselves according to their needs, using the Self-Learning Methodology in Simulated Environments (MAES©). THIRD PHASE: The results of the education program were evaluated. RESULTS: Many categories were obtained that served to determine the training needs of the participants, and to design various self-directed simulation scenarios. Three simulation scenarios were performed and afterwards discussed. CONCLUSION: The experience was positively evaluated by the participants. The participants believed that the MAES© method was adequate, given that at all times, they were the protagonists of their own learning according to their training needs, and considering their previous knowledge.

Transcultural adaptation and new proposal for the nursing outcome, Physical condition (2004).

OBJECTIVES: cross-culturally adapt to the Spanish context and make a new proposal for the nursing outcome, Physical Condition (2004), of the Nursing Outcomes Classification (NOC) for its precise use in clinical practice. METHOD: a cross-cultural adaptation study and a proposal for the nursing outcome, Physical Condition, was conducted and supported by the opinion of 26 experts. The data was obtained through an electronic form, and a quantitative analysis was conducted, using the SPSS software. RESULTS: the version adapted to the Spanish context was obtained and the proposal of the outcome, Physical Condition, received agreement from 26 experts, with a mean score greater than 7.6 for adequacy of the outcome definition and its indicators, and 8.5 for the relevance of the indicators. CONCLUSIONS: the version adapted to the Spanish context and a new proposal for Physical Condition were obtained. The results obtained indicate a high level of adequacy and relevance, an instrument of great utility in the clinic, and research was obtained to evaluate the interventions directed to the improvement of the physical condition.

Transcultural adaptation and new proposal for the nursing outcome, Physical condition (2004) / Adaptação transcultural e nova proposta do resultado de enfermagem Condição física (2004) / Adaptación transcultural y nueva propuesta del resultado de enfermería Condición física (2004)

ABSTRACT Objectives: cross-culturally adapt to the Spanish context and make a new proposal for the nursing outcome, Physical Condition (2004), of the Nursing Outcomes Classification (NOC) for its precise use in clinical practice. Method: a cross-cultural adaptation study and a proposal for the nursing outcome, Physical Condition, was conducted and supported by the opinion of 26 experts. The data was obtained through an electronic form, and a quantitative analysis was conducted, using the SPSS software. Results: the version adapted to the Spanish context was obtained and the proposal of the outcome, Physical Condition, received agreement from 26 experts, with a mean score greater than 7.6 for adequacy of the outcome definition and its indicators, and 8.5 for the relevance of the indicators. Conclusions: the version adapted to the Spanish context and a new proposal for Physical Condition were obtained. The results obtained indicate a high level of adequacy and relevance, an instrument of great utility in the clinic, and research was obtained to evaluate the interventions directed to the improvement of the physical condition.

RESUMO Objetivos: adaptar transculturalmente ao contexto espanhol e idealizar uma nova proposta do resultado de enfermagem Condição física (2004) da Nursing Outcomes Classification (NOC) para uso acurado na prática clínica. Método: foi realizado um estudo de adaptação transcultural e elaboração de proposta do resultado de enfermagem Condição física, comprovada pela opinião de 26 especialistas. Os dados foram coletados por meio de formulário eletrônico e análise quantitativa foi realizada utilizando o software SPSS. Resultados: obteve-se a versão adaptada ao contexto espanhol e proposta do resultado de enfermagem Condição física a partir do consenso de 26 especialistas, com uma pontuação média superior a 7.6 para a adequação da definição do resultado e de seus indicadores e 8.5 para a relevância dos indicadores. Conclusões: obteve-se a versão adaptada ao contexto espanhol e uma nova proposta do resultado Condição física. Os resultados obtidos indicam um alto nível de adequação e relevância. Um instrumento de grande utilidade na clínica e pesquisa foi obtido para avaliar as intervenções direcionadas à melhoria da condição física.

RESUMEN Objetivos: adaptar transculturalmente al contexto español y realizar una nueva propuesta del resultado de enfermería Condición física (2004) de la Nursing Outcomes Classification (NOC) para su uso preciso en la práctica clínica. Método: se llevó a cabo un estudio de adaptación transcultural y una propuesta del resultado de enfermería Condición física, avalada por la opinión de 26 expertos. Los datos se obtuvieron mediante un formulario electrónico y se llevó a cabo un análisis cuantitativo utilizando el software SPSS. Resultados: se obtuvo la versión adaptada al contexto español y la propuesta del resultado Condición física consensuada por 26 expertos, con una puntuación media superior a 7.6 en la adecuación de la definición del resultado y de sus indicadores y 8.5 en la relevancia de los indicadores. Conclusiones: se obtuvo la versión adaptada al contexto español y una nueva propuesta del resultado Condición física. Los resultados obtenidos indican un alto nivel de adecuación y relevancia, se obtuvo un instrumento de gran utilidad en la clínica e investigación para evaluar las intervenciones dirigidas a la mejora de la condición física.

Aprendizaje basado en problemas con escenarios simulados: un modelo pedagógico autodirigido en enfermería / Aprendizagem baseada em problemas com cenários simulados: um modelo pedagógico auto-dirigido em enfermagem / Problem-based learning with simulated scenarios: a self-teaching model in nursing

Objetivo: este trabajo tiene como objetivo presentar un modelo de fusión de dos metodologías de aprendizaje activo como son el Aprendizaje basado en problemas y la simulación clínica en enfermería. Este modelo está fundamentado en la experiencia combinada puesta en marcha de manera completa en 4º de grado de enfermería en laUniversidad Católica San Antonio de Murcia (España). Método: en grupos de 18 alumnos y subgrupos de 3 se eligen las situaciones clínicas que habrán de trabajar. Los alumnosrealizan una lluvia de ideas y marcan los objetivos de aprendizaje. Diseñan el escenario, lo representan en la sala de simulación clínica y lo discuten llevando el peso delDebriefing y fundamentando su análisis en evidencias científicas. Resultados: se ha observado una mayor implicación del alumnado y una mayor participación en el Debriefing. Conclusiones: se estima que el aprendizaje se refuerza con la suma de ambas metodologías.

Objective: the purpose of this paper is to present a model of fusion of two active learning methods, namely the Problem-based Learning and the Clinical Simulation in Nursing. This model is based on merged experience, thoroughly implemented in the 4thyear of Nursing at the Catholic University San Antonio of Murcia (Spain). Method: the activities are carried out in groups of 18 students and subgroups of three, in which theclinical cases to be worked on are chosen. Students brainstorm so as to reach the learning objectives. They describe the scenario, represent it in the simulation room and discuss itusing Debriefing as a foundation and performing an analysis based on scientific evidence. Results: there has been a greater involvement of the students and greater participationin the Debriefing. Conclusion: it can be noticed that learning is reinforced by the addition of both methodologies.

Objetivo: este artigo tem como proposta apresentar um modelo de fusão de dois métodos de aprendizagem ativos, tais como Problem Based Learning e simulação clínica em enfermagem. Este modelo está fundamentado na experiência combinada, implementada plenamente no 4° ano de enfermagem da Universidade Católica San Antoniode Murcia (Espanha). Método: as atividades são realizadas em grupos de 18 alunos e subgrupos de três, em que se elegem as situações clínicas que terão que trabalhar. Os alunos realizam uma chuva de ideias e alcançam os objetivos de aprendizagem. Descrevem o cenário, o representam na sala de simulação clínica e o discutem tendo como base o Debriefing e fundamentando sua análise em evidências científicas. Resultados: observa-se uma maior envolvimento dos alunos e uma maior participação no Debriefing. Conclusão:percebe-se que a aprendizagem é reforçada com a soma de ambas as metodologias.