Prática Simulada no Desenvolvimento de Competências Não-Técnicas dos Enfermeiros em Cuidados Críticos: Scoping Review
DOI:
https://doi.org/10.63176/hnr1fw14Palavras-chave:
Enfermagem, Simulação, Cuidados Críticos, Segurança do Paciente, Competência Cl´ínicaResumo
Introdução: Os eventos adversos em doentes críticos estão associados ao défice de competências não-técnicas dos profissionais, assumindo-se a simulação como estratégia na capacitação dos enfermeiros.
Objetivo: Mapear a literatura sobre os contributos da simulação no desenvolvimento das competências não-técnicas dos enfermeiros na abordagem ao doente crítico.
Métodos: Scoping Review seguindo metodologia JBI. Os critérios de inclusão foram definidos segundo PCC, para estudos entre 2019 e 2024. A pesquisa foi realizada na MEDLINE, Complementary Index, Academic Search Complete, CINAHL, Scopus, Science Citation Index Expanded e PubMed através de uma estratégia de pesquisa com descritores DeCS/MeSH. A seleção dos estudos foi realizada por dois autores independentes. De 83 resultados, foram incluídos 7 estudos.
Resultados: Melhorias na liderança, comunicação, consciência situacional, gestão de recursos em crise, trabalho de equipa, tomada de decisão e gestão de tarefas.
Conclusão: A simulação contribui para o desenvolvimento das competências não-técnicas dos enfermeiros. Futuras investigações devem focar-se em estudos de transferibilidade para a prática clínica.
Referências
World Health Organization (2021). Global patient safety action plan 2021–2030: Towards eliminating avoidable harm in health care. WHO. https://www.who.int/publications/i/item/9789240032705
Brazão, M., Nóbrega, S., Barreto, F., & Almada, S. (2022). The Role of Simulation in Emergency Teams Training. Medicina Interna, 29, 39–46. https://doi.org/10.24950/rspmi.1229
Khaleghi, P., Akbari, H., Masoudi Alavi, N., Motalebi Kashani, M., & Batooli, Z. (2022). Identification and analysis of human errors in emergency department nurses using SHERPA method. International Emergency Nursing, 62, 101159. https://doi.org/10.1016/j.ienj.2022.101159 DOI: https://doi.org/10.1016/j.ienj.2022.101159
Oliveira, I., Costeira, C., Pereira Sousa, J., & Santos, C. (2024). Patient safety culture in the context of critical care: An observational study. Nursing Reports, 14, 1792–1806. https://doi.org/10.3390/nursrep14030133 DOI: https://doi.org/10.3390/nursrep14030133
Diaz-Navarro, C., Armstrong, R., Charnetski, M., Freeman, J. K., Koh, S., Reedy, G., Smitten, J., Ingrassia, L. P., Matos, M. F., & Issenberg, B. (2024a). Global consensus statement on simulation-based practice in healthcare. Simulation in Healthcare. Advance online publication. https://doi.org/10.1097/sih.0000000000000804 DOI: https://doi.org/10.54531/pesi3493
Abildgren, L., Lebahn-Hadidi, M., Mogensen, C. B., Toft, P., Nielsen, A. B., Frandsen, T. F., Steffensen, S. V., & Hounsgaard, L. (2022). The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review. Advances in Simulation, 7(1). https://doi.org/10.1186/s41077-022-00207-2 DOI: https://doi.org/10.1186/s41077-022-00207-2
Gawronski, B., Pinto, A., Rice, D., Klassen, T., Dubrowski, A., & Dagnone, E. (2022). Instruments to evaluate non-technical skills during high-fidelity simulation: A systematic review. Frontiers in Medicine, 9, 986296. https://doi.org/10.3389/fmed.2022.986296 DOI: https://doi.org/10.3389/fmed.2022.986296
Pimenta, P. S., Santos, A. R., Pereira, F., Silva, P., Ferreira, M., & Santos, M. (2025). Effectiveness of non-technical skills training in intensive care units: A systematic review. BMC Medical Education, 25(1), 1–15. https://doi.org/10.1186/s12909-025-07037-6 DOI: https://doi.org/10.1186/s12909-025-07037-6
Sharma, P., & Goyal, N. (2023). How to write a scoping review? International Journal of Advanced Medical and Health Research, 10(1), 53–56. https://doi.org/10.4103/ijamr.ijamr_91_23 DOI: https://doi.org/10.4103/ijamr.ijamr_91_23
Pollock, D., Peters, M. D. J., Khalil, H., McInerney, P., Alexander, L., & Tricco, A. C., et al. (2023). Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evidence Synthesis, 21(3), 520–532. https://doi.org/10.11124/JBIES-22-00123 DOI: https://doi.org/10.11124/JBIES-22-00123
Pollock, D., Alexander, L., Munn, Z., Peters, M. D. J., Khalil, H., & Godfrey, C. M., et al. (2022). Moving from consultation to co-creation with knowledge users in scoping reviews: Guidance from the JBI Scoping Review Methodology Group. JBI Evidence Synthesis, 20(4), 969–979. https://doi.org/10.11124/JBIES-21-00416 DOI: https://doi.org/10.11124/JBIES-21-00416
Armstrong, P., Peckler, B., Pilkinton-Ching, J., McQuade, D., & Rogan, A. (2021). Effect of simulation training on nurse leadership in a shared leadership model for cardiopulmonary resuscitation in the emergency department. Emergency Medicine Australasia, 33(2), 255-261. https://doi.org/10.1111/1742-6723.13605 DOI: https://doi.org/10.1111/1742-6723.13605
Jonsson, K., Brulin, C., Härgestam, M., Lindkvist, M., & Hultin, M. (2021). Do team and task performance improve after training situation awareness? A randomized controlled study of interprofessional intensive care teams. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. https://doi.org/10.1186/s13049-021-00878-2 DOI: https://doi.org/10.1186/s13049-021-00878-2
Coyle, M., Martin, D., & McCutcheon, K. (2020). Interprofessional simulation training in difficult airway management: a narrative review. British Journal of Nursing, 29(1), 36–43. https://doi.org/10.12968/bjon.2020.29.1.36 DOI: https://doi.org/10.12968/bjon.2020.29.1.36
Yun, S., Park, H. A., Na, S. H., & Yun, H. J. (2024). Effects of communication team training on clinical competence in Korean Advanced Life Support: A randomized controlled trial. Nursing and Health Sciences, 26. https://doi.org/10.1111/nhs.13106 DOI: https://doi.org/10.1111/nhs.13106
Schwartze, J. T., Das, S., Suggitt, D., Baxter, J., Tunstall, S., Ronan, N., Stannard, H., Rezgui, A., Jafar, W., & Baxter, D. N. (2024). Ward-based in situ simulation: lessons learnt from a UK District General Hospital. BMJ Open Quality, 2. https://doi.org/10.1136/bmjoq-2023-002571 DOI: https://doi.org/10.1136/bmjoq-2023-002571
Jensen, J. F., Ramos, J., Ørom, M. L., Naver, K. B., Shiv, L., Bunkenborg, G., Kodal, A. M., & Skram, U. (2023). Improving patient’s intensive care admission through multidisciplinary simulation-based crisis resource management: A qualitative study. Journal of Clinical Nursing, 7530–7542. https://doi.org/10.1111/jocn.16821 DOI: https://doi.org/10.1111/jocn.16821
Swol, J., Brodie, D., Willers, A., Zakhary, B., Belezzo, J., Shinar, Z., Weingart, S. D., Haft, J. W., Lorusso, R., & Peek, G. J. (2022). Human factors in ECLS – A keystone for safety and quality – A narrative review for ECLS providers. Artificial Organs, 46, 40–49. https://doi.org/10.1111/aor.14095 DOI: https://doi.org/10.1111/aor.14095
Antila, A. K., Lindblom Ylänne, S., Louhiala, P., & Pyörälä, E. (2024). Creating a safe space: Medical students’ perspectives on using actor simulations for learning communication skills. BMC Medical Education, 24(1), 1–12. https://doi.org/10.1186/s12909-024-06184-6 DOI: https://doi.org/10.1186/s12909-024-06184-6
Endsley, M. R. (2020). The divergence of objective and subjective situation awareness: A meta-analysis. Journal of Cognitive Engineering and Decision Making, 14(1), 34–53. https://doi.org/10.1177/1555343419874248 DOI: https://doi.org/10.1177/1555343419874248
Diaz-Navarro, C., Jones, B., Pugh, G. A., Moneypenny, M., Lazarovici, M., & Grant, D. (2024b). Improving quality through simulation: Developing guidance to design simulation interventions following key events in healthcare. Advances in Simulation, 9(1), 1–12. https://doi.org/10.1186/s41077-024-00300-8 DOI: https://doi.org/10.1186/s41077-024-00300-8
Lee, J. E., Yu, J., Lee, S. K., Lee, J. H., & Jung, H. J. (2024). Comparison of medical students' perceptions of patient safety: Focusing on simulation training using a high-fidelity simulator. PLOS ONE, 19(6), e0304883. https://doi.org/10.1371/journal.pone.0304883 DOI: https://doi.org/10.1371/journal.pone.0304883
Zhang, C. (2023). A literature study of medical simulations for non-technical skills training in emergency medicine: Twenty years of progress, an integrated research framework. International Journal of Environmental Research and Public Health, 20(5), 4487. https://doi.org/10.3390/ijerph20054487 DOI: https://doi.org/10.3390/ijerph20054487
Arif, A., Ayub, A., Wagner, M., Doshi, R., Breyre, A., & Dimentberg, R. (2023). The impact of the addition of a virtual reality trainer on skill retention of tourniquet application for hemorrhage control among emergency medical technician students: A pilot study. Cureus, 15(1), e34320. https://doi.org/10.7759/cureus.34320 DOI: https://doi.org/10.7759/cureus.34320
Kow, F. F., Chong, M. C., Lai, L. L., Lee, W. L., Chua, W. L., & Liaw, S. Y. (2024). Developing hospital nurses’ clinical reasoning abilities in assessing and managing clinical deterioration using a virtual patient simulation: A quasi-experimental study. Clinical Simulation in Nursing, 87, Article 101489. https://doi.org/10.1016/j.ecns.2023.101489 DOI: https://doi.org/10.1016/j.ecns.2023.101489
Desouky, O. S., Lawes, N., Hunter, T., Zafar, N., & Whitehead, W. (2024). On-call simulation: A one-day comprehensive simulation of clinical practice for final-year medical students. Cureus, 16(12), e74555. https://doi.org/10.7759/cureus.74555 DOI: https://doi.org/10.7759/cureus.74555
Jallad, S. T. (2024). Effectiveness of simulation-based education on educational practices of communication skills, satisfaction, and self-confidence among undergraduate nursing students. Creative Nursing, 30(4), 245–252. https://doi.org/10.1177/10784535241301115 DOI: https://doi.org/10.1177/10784535241301115
Liu, L., Martino, M. A., Yurteri-Kaplan, L. A., Truong, M. D., & Antosh, D. D. (2023). Utilizing simulation to evaluate robotic skill acquisition and learning decay. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 33(4), 398–403. https://doi.org/10.1097/SLE.0000000000001177 DOI: https://doi.org/10.1097/SLE.0000000000001177
Rababa, M., & Hayajneh, A. A. (2025). Critical care nurses' knowledge, confidence, and clinical reasoning in sepsis management: A systematic review. BMC Nursing, 24(1), 1–15. https://doi.org/10.1186/s12912-025-02986-1 DOI: https://doi.org/10.1186/s12912-025-02986-1
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Direitos de Autor (c) Doente Crítico - Revista Científica da Sociedade Portuguesa de Enfermagem em Doente Crítico
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