Realistic simulation is associated with healthcare professionals' increased self-perception of confidence in providing acute stroke care: a before-after controlled study.
Arq Neuropsiquiatr
; 79(1): 2-7, 2021 01.
Article
em En
| MEDLINE
| ID: mdl-33656107
ABSTRACT
BACKGROUND:
Simulations are becoming widely used in medical education, but there is little evidence of their effectiveness on neurocritical care. Because acute stroke is a neurological emergency demanding prompt attention, it is a promising candidate for simulation training.OBJECTIVE:
To assess the impact of a stroke realistic simulation course on clinicians' self-perception of confidence in the management of acute stroke.METHODS:
We conducted a controlled, before-after study. For our intervention, 17 healthcare professionals participated in a stroke realistic simulation course. As controls, participants were chosen from a convenience sample of attendees to the courses Emergency Neurologic Life Support (ENLS) (18 participants) and Neurosonology (20 participants). All participants responded pre- and post-test questionnaires evaluating their self-perception of confidence in acute stroke care, ranging from 10 to 50 points. We evaluated the variation between pre- and post-test results to assess the change on trainees' self-perception of confidence in the management of acute stroke. Multivariate analysis was performed to control for potential confounders.RESULTS:
Forty-six (83.63%) subjects completed both questionnaires. The post-test scores were higher than those from the pretests in the stroke realistic simulation course group [pretest median (interquartile range - IQR) 41.5 (36.7-46.5) and post-test median (IQR) 47 (44.7-48); p=0.033], but not in the neurosonology [pretest median (IQR) 46 (44-47) and post-test median (IQR) 46 (44-47); p=0.739] or the ENLS [pretest median (IQR) 46.5 (39-48.2), post-test median (IQR) 47 (40.2-49); p=0.317] groups. Results were maintained after adjustment for covariates.CONCLUSIONS:
This stroke realistic simulation course was associated with an improvement on trainees' self-perception of confidence in providing acute stroke care.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Acidente Vascular Cerebral
/
Treinamento por Simulação
Tipo de estudo:
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Arq Neuropsiquiatr
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Brasil