A utilização de novas estratégias e instrumentos de avaliação deve ser estimulado para contribuir com o desenvolvimento das habilidades que culminam na tomada de decisão segura e eficaz.

Objectives: to build and validate three clinical simulation scenarios and report the application with candidates for the specialist’s degree in stomatherapy. Methods: methodological study, building three scenarios and evaluation checklists; content validation with judges, using content validity index and Modified Kappa Coefficient; pre-test and application. Results: scenarios built based on nursing care for: 1. insufficiency and venous ulcer; 2. demarcation of intestinal stomia; and 3. Clean intermittent catheterization. In the content validation of the 24 items appreciated, 83%, 80%, and 92% were validated without change. In the pre-test, the objectives and checklists were adjusted. In the application, to standardize the evaluation, actors and evaluators were trained previously, and each candidate passed the three stations. Conclusions: scenarios built and with validated content, based on evidence and covering the three areas of stomatherapy. The pre-test allowed for adjustments in the scenarios, and the candidates achieved the expected objectives.

Device‐related pressure injury (DRPI) is a serious problem that is affecting professionals working on the front lines against COVID‐19 due to the prolonged use of personal protective equipment (PPE). In addition to the physical and psychological integrity of professionals, these injuries can compromise the quality of care. Therefore, using technologies to prevent this adverse effect is an urgent matter. This is a parallel two‐arm randomized clinical trial without the use of a control group to compare the use of foam and extra‐thin hydrocolloid in preventing DRPI associated with the use of PPE by health professionals working on the front lines against coronavirus. In total, 88 professionals were divided into two groups: foam and hydrocolloid. Data were collected using two instruments and related to demographic and professional characteristics and skin evaluation. Each volunteer received one of the dressings, both with the same dimensions and arranged over similar regions, and data were gathered at baseline and after 6 or 12 hours. Descriptive and inferential analytic statistical methods were used; the significance level adopted was 5%. No participant developed DRPI, but four areas with hyperemia were observed in the foam group (two in the forehead, one in the cheeks, and one in the nose bridge), as well as four areas with hyperemia in the hydrocolloid group (two in the nose bridge, one in the right ear, and one in the left ear). There was no difference between the groups regarding skin conditions and discomfort (P > .05). The average cost obtained was $ 5.8/person and $ 4.4/person in the foam group and the hydrocolloid group, respectively, considering the dressing measurements. The results show that foam and extra‐thin hydrocolloid were effective in preventing DRPI associated with the use of PPE.

Objectives: to comprehend the perception of undergraduate nursing students about learning to care for the child and family through clinical simulation. Methods: this is a qualitative research conducted with ten nursing students through semi-structured interviews. Data were analyzed through content analysis. Results: data were organized into two categories: “learning a new way to learn,” in which students describe their experiences during the simulation, and “learning a new way to care,” in which they reflect on learning through simulation. Final considerations: we believe that clinical simulation practice in teaching should be encouraged because of the benefits it can offer to the students, faculty, patients and their families. However, we recommend further studies to validate scenarios of child and family healthcare.

Objective: to report the experience of constructing and applicating clinical simulation scenarios for the evaluation and treatment of wounds. Method: experience report on two simulation scenarios for nursing care of wounded patients applied to nursing undergraduates. We structured simulations based on the model from the National League for Nursing/Jeffries Simulation Framework. The scenarios were evaluated by the instrument Simulation Design Scale and the students by the experience with the simulation. Results: the scenarios reproduced nursing care situations with the application of role play and moulage, which allowed us to evaluate and discuss the wound treatment. Refl ections on the debriefi ng were important for the teaching-learning process and association between theory and practice, these factors determined the satisfaction of students with the activity. Conclusion: using clinical simulation scenarios to teach students favored the clinical reasoning and decision-making in the evaluation and treatment of wounds. Descriptors: Teaching; Education in Nursing; Simulation; Wounds and Injuries; Healing. RESUMO Objetivo: relatar experiência da construção e aplicação de cenários de simulação clínica para avaliação e tratamento de feridas. Método: relato de experiência sobre dois cenários de simulação para assistência de enfermagem ao paciente com feridas aplicados a graduandos em enfermagem. Estruturaram-se simulações no modelo do National League for Nursing/Jeffries Simulation Framework. Avaliaram-se os cenários pelo instrumento Simulation Design Scale e os acadêmicos, pela experiência com a simulação. Resultado: cenários reproduziram situações de atendimento, com aplicação de role play e moulage, que permitiram avaliar e discutir o tratamento da ferida. Refl exões no debriefi ng foram importantes para o processo de ensino-aprendizagem e associação entre teoria e prática, fatores que determinaram satisfação dos alunos com a atividade. Conclusão: uso de cenários de simulação clínica no ensino de estudantes favoreceu o raciocínio clínico e a tomada de decisão na avaliação e tratamento de feridas. Descritores: Ensino; Educação em Enfermagem; Simulação; Ferimentos e Lesões; Cicatrização. RESUMEN Objetivo: relatar experiencia de la construcción y aplicación de escenarios de simulación clínica para evaluación y tratamiento de heridas. Método: relato de experiencia sobre dos escenarios de simulación para asistencia de enfermería al paciente con heridas aplicados a estudiantes de enfermería. Se han estructurado simulaciones en el modelo del National League for Nursing / Jeffries Simulation Framework. Se evaluaron los escenarios por el instrumento Simulation Design Scale y los académicos por la experiencia con la simulación. Resultado: los escenarios reprodujeron situaciones de atención, con aplicación de role play y moulage, que permitieron evaluar y discutir el tratamiento de la herida. Las refl exiones en el debriefi ng fueron importantes para el proceso de enseñanza-aprendizaje y asociación entre teoría y prá...

Methods that are able to provide more robust evidence of nursing diagnosis validity are needed to support highly accurate diagnostic findings in clinical practice.

AIM: The aim of this study was to investigate the accuracy of the self-reported measure of adherence and the relation between adherence to warfarin use, demographic and clinical variables, and the satisfaction with the treatment in patients affected by stroke. METHODS: This is a correlational, quantitative, and cross-sectional study, carried out in the outpatient clinics of a public university hospital from October 2017 to April 2018. Sociodemographic and clinical data were collected through interviews and hospital charts, as well as by applying the Measurement of Treatment Adherence (MTA) and the Duke Anticoagulation Satisfaction Scale, in their Brazilian versions. Results of the international normalized ratio (INR) were collected. Measurements of accuracy of the MTA scale were calculated in relation to the INR classification. RESULTS: Of 99 patients (55.6% male with a mean age of 58.6 years), 57.6% presented with therapeutic INR values and 75.8% of the patients were adherent to the oral anticoagulant therapy according to the MTA. The accuracy analysis of the measurement provided by the MTA scale in relation to the INR classification showed a sensitivity of 77.2% and a specificity of 26.2%. The patients’ satisfaction with the treatment was high. The Duke Anticoagulation Satisfaction Scale had an average total score of 46.4, with the dimension impact in the field having the highest score (20.3). CONCLUSION: Stroke patients were adherent and satisfied with the oral anticoagulant therapy. The MTA had good sensitivity and poor specificity. Sociodemographic and clinical characteristics identified were not associated with adherence and satisfaction with treatment.

A avaliação dos pacientes com feridas embasa a seleção de intervenções apropriadas; no entanto, a existência de instrumentos com diferentes parâmetros pode dificultar a escolha daquele mais adequado a cada necessidade. O objetivo do estudo foi identificarinstrumentos utilizados e seus respectivos parâmetros para avaliação do processo de cicatrização. Trata-se de uma revisão integrativa, realizada nas bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde, Cumulattive Index to Nursing and Allied Health Literarure, PubMed, Web of Science e Scopus. Foram considerados 35 estudos; o instrumento mais utilizado foi o PUSH, seguido da BWAT, DESING e DESIGN-R. As características mais avaliadas foram tamanho (área, volume, profundidade), exsudato, tipo de tecido, sinais de infecção ou inflamação. Os instrumentos evidenciaram a complexidade do processo de cicatrização e de sua avaliação, assim, o estudo contribui para embasar a escolha do melhor instrumento para cada necessidade.