The effectiveness of a simulated scenario to teach nursing students how to perform a bed bath: A randomized clinical trial.

BACKGROUND: Simulation allows students to develop several skills during a bed bath that are difficult to teach only in traditional classroom lectures, such as problem-solving, student interactions with the simulator (patient), reasoning in clinical evaluations, evaluation of responses to interventions, teamwork, communication, security and privacy. OBJECTIVES: This study aimed to evaluate the effectiveness of a simulated bed bath scenario on improving cognitive knowledge, practical performance and satisfaction among nursing students. DESIGN: Randomized controlled clinical trial. SETTING: Nursing students that were in the fifth period from two educational institutions in Brazil. PARTICIPANTS: Nursing students (n=58). METHOD: The data were collected using the assessments of cognitive knowledge, practical performance and satisfaction were made through a written test about bed baths, an Objective Structured Clinical Examination (OSCE) and a satisfaction questionnaire. RESULTS: We identified that the acquisition and assimilation of cognitive knowledge was significantly higher in the simulation group (p=0.001). The performance was similar in both groups regardless of the teaching strategy (p=0.435). At follow-up, the simulation group had significantly more satisfaction with the teaching method than the control group (p=0.007). CONCLUSION: The teaching strategy based on a simulated scenario of a bed bath proved to be effective for the acquisition of cognitive knowledge regarding bed baths in clinical practice and improved student satisfaction with the teaching process.

Auriculoterapia efeito sobre a ansiedade / Efecto de la auriculoterapia sobre la ansiedad / Effect of auriculotherapy on anxiety

Introdução: A vida agitada, rotina excessiva, estresse e a aparência de conflito estão aumentando hoje e pode causar ansiedade, comprometendo a saúde física e mental das pessoas. Objetivos: identificar evidências na literatura sobre o efeito de orelha em protocolo de ansiedade e tratamento. Métodos: uma pesquisa bibliográfica no PubMed, LILACS, Science Direct e IBECS com palavras-chave · Ansiedade / Ansiedade · e · Auriculoterapia / Auriculoterapia · e · Ansiedade / Ansiedade · e · fone de ouvido / Acupuntura, Orelha · adaptada a cada base, com os critérios de inclusão: trabalhos apresentados em Português, Inglês e Espanhol, publicados nos últimos dez anos. Resultados: 78,11 porcento dos estudos analisados ??mostraram acupuntura auricular como uma intervenção eficaz para reduzir a ansiedade. É relacionada com o protocolo de auricular ·· ele descobriu que não há consenso entre os especialistas sobre o número de sessões, duração do tratamento e os pontos aplicados para a ansiedade. Apesar desta diversidade, auricolotherapy pode ser identificado como o método preferido: aplicação da técnica por meio de uma agulha (50 porcento), unilateral (42,9 porcento) em pontos Shenmen (64,3 porcento) e relaxamento (28,6 porcento), com o manual e estimulação (78,6 porcento) por semana (21,4 porcento), com número variável de sessões utilizando para avaliar o efeito da técnica, os marcadores e os instrumentos de avaliação psicométrica ansiedade (78,6 porcento). Conclusões: Sugere-se a realização de novos ensaios clínicos para a compreensão da técnica de ouvido, uma vez que ela foi positiva para a redução da ansiedade, além de protocolo do estudo de validação(AU)

Introducción: la agitada vida, rutina excesiva, el estrés y la aparición de situaciones de conflicto están aumentando hoy en día y pueden causar ansiedad, lo que compromete la salud física y mental de las personas. Objetivos: identificar la evidencia en la literatura sobre el efecto de la auriculoterapia en la ansiedad, así como el protocolo de tratamiento. Métodos: búsqueda de la literatura en PubMed, LILACS, Science Direct y IBECS, con las palabras clave "Ansiedade/ Anxiety" and "Auriculoterapia/ Auriculotherapy" e "Ansiedade/ Anxiety" and "Acupuntura auricular/ Acupuncture, Ear" , adaptada para cada base, con los criterios de inclusión: trabajos presentados en portugués, inglés y español, publicados en los últimos diez años. Resultados: en 78,11 por ciento de los estudios analizados la auriculoterapia se mostró como una intervención eficaz para la reducción de la ansiedad. Relacionado con el protocolo del auriculoterapia ​​ se encontró que no existe un consenso de los expertos en relación con el número de sesiones, duración del tratamiento y puntos aplicados para la ansiedad. A pesar de esta diversidad, la auricoloterapia puede identificarse como el método más utilizado: aplicación de la técnica a través de una aguja (50 por ciento), de forma unilateral (42,9 por ciento) en los puntos Shenmen (64,3 por ciento) y Relajación (28,6 por ciento) , con la estimulación manual (78,6 por ciento) y semanal (21,4 por ciento) con número variable de sesiones, utilizando, para evaluar el efecto de la técnica, marcadores e instrumentos de evaluación psicométrica de ansiedad (78,6 por ciento). Conclusiones: se sugiere llevar a cabo más ensayos clínicos para el conocimiento de la técnica del auriculoterapia, una vez que ella fue positiva para la reducción de la ansiedad, además de la validación del protocolo de estudio(AU)

Introduction: The hectic life, excessive routine, stress and the appearance of conflict are increasing today and can cause anxiety, compromising the physical and mental health of people. Objectives: to identify evidence in the literature on the effect of ear in anxiety and treatment protocol. Methods: A literature search in PubMed, LILACS, Science Direct and IBECS with keywords · Ansiedade / Anxiety · and · Auriculoterapia / Auriculotherapy · e · Ansiedade / Anxiety · and · headset / Acupuncture Acupuncture, Ear · adapted to each basis, with the inclusion criteria: papers presented in Portuguese, English and Spanish, published in the last ten years. Results: 78.11 percent of the studies analyzed showed ear acupuncture as an effective intervention to reduce anxiety. It related to the protocol of auricular ·· it found that there is no consensus among experts regarding the number of sessions, duration of treatment and dots applied for anxiety. Despite this diversity, auricolotherapy can be identified as the preferred method: applying the technique through a needle (50 percent), unilateral (42.9 percent) in Shenmen points (64.3 percent) and relaxation (28.6 percent), with manual and stimulation (78.6 percent) Weekly (21.4 percent) with variable number of sessions using to evaluate the effect of the technique, markers and psychometric assessment instruments anxiety (78.6 percent). Conclusions: It is suggested to conduct further clinical trials for understanding the technique of Ear, once she was positive for anxiety reduction, plus validation study protocol(AU)

Clinical validation of impaired spirituality in patients with chronic renal disease.

This study aimed to identify and validate the defining characteristics of the nursing diagnosis Impaired spirituality. The methodological framework proposed by Fehring for the clinical validation of nursing diagnosis was used. The investigation was carried out in a dialysis clinic and had as participants 120 patients with chronic renal disease. Data were collected by two expert nurses, through interviews. The prevalence of the nursing diagnosis Impaired spirituality in the sample was 27.5%. It was found that the most frequent defining characteristics were Expresses behavioral changes: rage, Inability to express creativity, Questions suffering and Expresses alienation. The clinical validation of Impaired spirituality contributed to refine this diagnosis. Its identification in patients with chronic renal disease undergoing dialysis treatment can offer alternatives for a safer and more effective intervention, aiming at the satisfaction of the spiritual needs of these patients.