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O impacto do debriefing estruturado associado à prática simulada: aprimoramento de competências dos EEESMO
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A Enfermagem de Saúde Materna e Obstétrica assume um papel central na prestação de cuidados seguros, de qualidade e sustentados na evidência científica, particularmente em contextos de elevada complexidade clínica. A formação avançada dos Enfermeiros Especialistas em Saúde Materna e Obstétrica exige estratégias pedagógicas inovadoras que promovam o desenvolvimento integrado de competências técnicas, não técnicas e reflexivas. Neste contexto, a simulação clínica tem-se afirmado como uma metodologia privilegiada, sendo o debriefing um momento estruturado essencial para a consolidação da aprendizagem e integração da experiência na prática clínica.
O presente trabalho de projeto foi desenvolvido no âmbito do 1.º Mestrado em Enfermagem de Saúde Materna e Obstétrica da Escola Superior de Saúde da Cruz Vermelha Portuguesa de Lisboa, tendo como objetivo identificar o impacto do debriefing estruturado associado à prática simulada no desenvolvimento de competências dos Enfermeiros Especialistas em Saúde Materna e Obstétrica.
Trata-se de um estudo de descritivo, de natureza quantitativa, e transversal, desenvolvido com enfermeiros participantes num Curso Avançado de Emergências Obstétricas, envolvendo o planeamento e implementação de um cenário de prática simulada em formato de escape room clínico, baseado na Lista de Verificação da Organização Mundial da Saúde para Partos Seguros, seguido de uma sessão de debriefing estruturado orientada pelo modelo Promoting Excellence and Reflective Learning in Simulation. A avaliação do projeto incluiu a aplicação da Escala de Avaliação do Debriefing associado à Simulação, nas dimensões afetiva, cognitiva e psicossocial.
Os resultados demonstram uma perceção globalmente muito positiva do debriefing estruturado, evidenciando contributos relevantes para a reflexão crítica, a segurança psicológica, o trabalho em equipa e a consolidação do conhecimento. Conclui-se que o debriefing estruturado associado à prática simulada constitui uma estratégia pedagógica relevante na formação avançada em Enfermagem de Saúde Materna e Obstétrica, contribuindo para a qualidade e segurança dos cuidados prestados à mulher, ao recém-nascido e sua família.
Maternal and Obstetric Nursing plays a central role in delivering safe, high quality and evidence-based care, particularly in contexts of high clinical complexity. Advanced training of Maternal and Obstetric Nurse Specialists requires innovative pedagogical strategies that promote the integrated development of technical, non-technical and reflective skills. In this context, clinical simulation has emerged as a key educational methodology, with debriefing recognized as a structured and essential moment for learning consolidation and integration into clinical practice. This project was developed within the scope of the 1st Master’s Degree in Maternal and Obstetric Nursing at the Lisbon Portuguese Red Cross Health School, aiming to identify the impact of structured debriefing associated with simulated practice on the development of competencies of Maternal and Obstetric Nurse Specialists. This study has a quantitative, descriptive and cross-sectional approach, conducted with nurses attending an Advanced Course in Obstetric Emergencies and involved the planning and implementation of a simulated practice scenario using a clinical escape room format, based on the World Health Organization Safe Childbirth Checklist. This was followed by a structured debriefing session guided by the Promoting Excellence and Reflective Learning in Simulation model. Project evaluation included the application of the Debriefing Assessment for Simulation Scale, addressing affective, cognitive and psychosocial dimensions. The results demonstrate an overall very positive perception of structured debriefing, highlighting its contribution to critical reflection, psychological safety, teamwork and knowledge consolidation. It is concluded that structured debriefing associated with simulated practice represents a relevant pedagogical strategy in advanced education in Maternal and Obstetric Nursing, contributing to the quality and safety of care provided to women, newborns and their families.
Maternal and Obstetric Nursing plays a central role in delivering safe, high quality and evidence-based care, particularly in contexts of high clinical complexity. Advanced training of Maternal and Obstetric Nurse Specialists requires innovative pedagogical strategies that promote the integrated development of technical, non-technical and reflective skills. In this context, clinical simulation has emerged as a key educational methodology, with debriefing recognized as a structured and essential moment for learning consolidation and integration into clinical practice. This project was developed within the scope of the 1st Master’s Degree in Maternal and Obstetric Nursing at the Lisbon Portuguese Red Cross Health School, aiming to identify the impact of structured debriefing associated with simulated practice on the development of competencies of Maternal and Obstetric Nurse Specialists. This study has a quantitative, descriptive and cross-sectional approach, conducted with nurses attending an Advanced Course in Obstetric Emergencies and involved the planning and implementation of a simulated practice scenario using a clinical escape room format, based on the World Health Organization Safe Childbirth Checklist. This was followed by a structured debriefing session guided by the Promoting Excellence and Reflective Learning in Simulation model. Project evaluation included the application of the Debriefing Assessment for Simulation Scale, addressing affective, cognitive and psychosocial dimensions. The results demonstrate an overall very positive perception of structured debriefing, highlighting its contribution to critical reflection, psychological safety, teamwork and knowledge consolidation. It is concluded that structured debriefing associated with simulated practice represents a relevant pedagogical strategy in advanced education in Maternal and Obstetric Nursing, contributing to the quality and safety of care provided to women, newborns and their families.
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debriefing simulação enfermagem de saúde materna e obstétrica simulation maternal and obstetric health nursing
Contexto Educativo
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Licença CC
Sem licença CC