Implementation of an Acute Coronary Syndrome Simulation Training Strategy for Emergency Healthcare Professionals
Int. j. cardiovasc. sci. (Impr.)
; 32(3): 227-237, May-June 2019. tab, graf
Article
in English
| LILACS
| ID: biblio-1002219
Responsible library:
BR44.1
Localization: BR44.1
ABSTRACT
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
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
SDG3 - Target 3C: Increase health financing and the recruitment, development, training and retention of the health workforce
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Delivery Arrangements
/
Authority and Accountability for Healthcare Workers
/
Implementation Strategies for Healthcare Workers
/
Cardiovascular Disease
/
Ischemic Heart Disease
Database:
LILACS
Main subject:
Quality Indicators, Health Care
/
Emergency Service, Hospital
/
Acute Coronary Syndrome
Type of study:
Prognostic study
Aspects:
Implementation research
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Int. j. cardiovasc. sci. (Impr.)
Journal subject:
Cardiology
Year:
2019
Document type:
Article
/
Project document
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal de Minas Gerais/BR