RESUMO
BACKGROUND: Education mediated by simulation is a widely used method for teaching basic life support (BLS). The American Heart Association recommends protocols based on scientific evidence to reduce sequelae and mortality. We aimed to assess learning and retention of knowledge of BLS in students of the first semester of the medical course using teaching methods of dialogic expository class (group 1), expository and demonstrative class (group 2), and the two previous methodologies associated with simulated practice (group 3), and after 3 months, memory retention. MATERIALS AND METHODS: This was an experimental, prospective, randomized study. Participants were assessed in terms of performance in theoretical and simulated practical tests, satisfaction with training (Likert scale), and knowledge retention. RESULTS: The practical test results were analyzed by two experienced observers. Students had 20% progression in knowledge and 80% retention of knowledge after 3 months of exposure comparing the theoretical pre- and posttest. The students in group 3 performed better than the others (P = 0.007) in the posttest. With the simulated practice, the knowledge acquired was maintained after 3 months with a mean performance of 90%, but in the test of the infant age group, there was a loss of learning retention by 10%. There was no difference of the results between the two evaluators (P < 0.001). The training was positively assessed by the participants. CONCLUSION: The use of different methodologies promoted knowledge progression, with emphasis on simulated practice. Learning retention was maintained after 3 months. In order to teach BLS to infants, it may be necessary to improve teaching techniques.
RESUMO
ABSTRACT The use of simulation and e-learning has increased considerably in healthcare related educational activities, enabling the acquisition of skills ethically and safely. The objective is to describe the design and evaluation of a semi-distance pre-hospital emergency course for physicians and nurses at the Public Health Department of Belo Horizonte City, Minas Gerais, Brazil. The course comprised 13 online lessons and ten stations, which used simulated scenarios. The participants answered a semi-structured questionnaire using the Likert scale to evaluate the course. Course participation included 203 (63.6%) physicians and 116 (36.4%) nurses; most physicians (72.1%) had finished their studies over five years prior to the study, and had little practice (72.9%) on advanced life support measures. The distance course was well evaluated in terms of general quality, video quality, use of images and animations and usability. The e-learning system was considered to be user friendly by doctors and nurses, and the practical activities were well rated. The course used methodology based on simulation and distance education, and received positive evaluations. The system was rated as good and easy to use.
RESUMO O uso da simulação e da educação a distância tem aumentado consideravelmente na área da saúde, permitindo o desenvolvimento de competências de forma ética e segura. O objetivo deste artigo é descrever a concepção e a avaliação de um curso semipresencial de emergência pré-hospitalar para médicos e enfermeiros da Secretaria Municipal de Saúde de Belo Horizonte, Brasil. O curso a distância foi composto por 13 aulas, e a parte presencial por dez estações temáticas. Os participantes responderam a um questionário semiestruturado (escala de Likert) como forma de avaliar o curso. Participaram do curso 203 (63,6%) médicos e 116 (36,4%) enfermeiros. A maioria dos médicos (72,1%) tinha terminado seus estudos havia mais de cinco anos e tinha pouca prática (72,9%) em medidas de suporte avançado de vida. O curso a distância foi bem avaliado quanto a qualidade geral e dos vídeos, uso de imagens e animações, e usabilidade do sistema. A plataforma de ensino foi considerada amigável. A parte de simulação foi bem avaliada. O curso utilizou metodologia baseada em simulação e educação a distância, sendo bem avaliado. A plataforma de ensino foi classificada como boa e de fácil utilização.
