Construction and Validation of Simulated Scenario for Nursing Care to Colostomy Patients

Abstract

Objective: to construct and validate a high fidelity clinical simulation scenario on nursing care to colostomy patients. Method: descriptive study of construction and validation of the appearance and content of a high fidelity clinical simulation scenario referring to nursing care for colostomy patients. To guide the elaboration of the scenario, a study was carried out in the literature on nursing care for the colostomy patient in the hospital environment. The scenario was constructed according to the items proposed by Fabri, based on the Bloom’s Taxonomy. For the selection of the nine experts, the criteria proposed by Fehring were used. The scenario, after being structured, was tested by a group of students from the 3rd and 4th years of graduation in nursing in a clinical simulation laboratory of a public university. It was considered 80% level of agreement. Results: in the validation of the scenario, all the experts agreed with the proposed items, suggesting the inclusion of some references, book chapters, skills training, preparation of reading material and checklist follow-up of participants. This scenario test allowed the identification of relevant contributions for adjustments of the simulated activity and allowed to test the debriefing with the support of the checklist. It was also evidenced the need to include information in the patient medical record and to increase the time of development of the scenario to solve the proposed objectives. Conclusion: the results show that for practical simulated well defined and successful are required to careful preparation, validation and prior testing of the planned activities.

Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy

“…Bloom's taxonomy was used to plan and support the clinical simulation strategy, as a mechanism of competence development. The students obtained an increase in their (15)(16)(17)(18) .…”

“…(5) Adapting: improvising movements (knowing how to act coherently and technically); (6) Organizing: acting spontaneously according to the acquired skill (15)(16)(17) .…”

“…The selected publications are from 2011, 2016, 2017, and 2019. Most of them were published by American universities (16)(17)(18) ; just one is Brazilian (15) . One study is quasi-experimental (17) , the majority are descriptive (15)(16)18) with a low level of evidence, which suggests the need to explore Bloom's taxonomy as a mechanism that supports the development of nursing competence during clinical simulation, by means of well-designed scientific research (17) .…”

Sala de aula invertida: construção de jogos lúdicos para o ensino na graduação em Enfermagem

“…Dentro destes princípios dois domínios importantes foram desenvolvidos e obtiveram resultados positivos, sendo os domínios afetivos e psicomotores, baseados no referencial metodológico da Taxonomia de Bloom. Em visão dos princípios desta taxonomia, foi possível observar elementos positivos, tal como também evidenciado por outros estudos (Negri, Pereira Jr, Cotta Filho, Franzon, & Mazzo, 2019;Gonçalves, Bórnea, & Padovani, 2020;Mazzo et al, 2018).…”

Percepção do autocuidado por homens com derivações urinárias permanentes: desafios para a prática de enfermagem

“…A teoria do autocuidado traz a prática de atividades aprendidas que possibilitam aos indivíduos realizar ações em seu benefício, a fim de manter a vida, a saúde, o desenvolvimento e o bem-estar. Nessa perspectiva, o autocuidado pode ser entendido de diferentes formas, influenciado pela cultura, período de tempo e sociedade na qual esse homem está inserido 6,7 .…”