Comparison of the effects of virtual training by serious game and lecture on operating room novices' knowledge and performance about surgical instruments setup: a multi-center, two-arm study.

BACKGROUND: Game-based training is increasingly implemented in different nursing fields, as it allows students to learn experientially, with the flexibility to regulate their training based on their personal progresses and abilities. This study aimed to compare the effects of virtual training by the "Playing with Surgical Instruments (PlaSurIn)" game and the lecture on the surgical instruments setup knowledge and performance of Operating Room (OR) novices. METHODS: This study was conducted on 51 s-semester undergraduate OR technology students taking the course "An Introduction to Surgical Instruments and Equipment." An additional virtual training session was held via a learning management system using two different methods. The students of the Game Training Group (GTG, n = 27) played individually with the "PlaSurIn" game during a week, while the students of the Lecture Training Group (LTG, n = 24) received the lecture-based training during a week. To measure knowledge, all the students participated in a theoretical test with 10 multiple-choice questions before and immediately after the training. They also participated in an Objective Structured Clinical Examination (OSCE) after the training, and their performance was evaluated by the remained time for setup completion and the scores, errors, and bonuses. RESULTS: The mean score of the theoretical test was significantly higher in the GTG than in the LTG after the training (p = 0.040). Additionally, the GTG participants had higher scores (p = 0.016), fewer errors (p = 0.001), and higher bonuses (p = 0.011) compared to the LTG ones. The remained time for setup completion was also significantly longer in the GTG than in the LTG (p < 0.001). CONCLUSION: Virtual training by "PlaSurIn" was superior to the lecture-based method for the enhancement of surgical instruments setup knowledge and performance amongst OR novices.

"Playing with Surgical Instruments (PlaSurIn)" game to train operating room novices how to set up basic surgical instruments: A validation study.

BACKGROUND: Game-based training has been considered as an alternative modality to traditional training in different perioperative nursing fields. OBJECTIVES: To describe the adaptation and validation process of "Playing with Tweezers", a Portuguese game developed for novices to set up basic surgical instruments on the Mayo stand or a back table. DESIGN: A validation study with three phases of translation, reconciliation, and evaluation (face, content, and construct validity). SETTINGS: Several medical universities in Iran. PARTICIPANTS: Twelve students in a pilot translation test, 18 experts in the reconciliation phase, 20 experts in the face and content validity stages, and 120 students (72 novices, 26 intermediates, and 22 experts) in the construct validity stage. METHODS: Following "forward-backward" translation from Portuguese to English, the English version of the game was appraised in the reconciliation phase using a 57-item questionnaire. To test face and content validity of the final version of the game, a 30-item questionnaire addressing different aspects of the game was completed. The students' game performance (remained time for game completion, obtained score, and error) was compared to assess the construct validity. RESULTS: Minor differences were detected and resolved during the translation process. The English version of the game was reconciled in two sequential steps, and the final game called "Playing with Surgical Instruments (PlaSurIn)" was developed. All the items regarding the face validity received 80-100% of positive responses. Moreover, regarding the content validity, all of the evaluated items obtained a content validity index of 0.90-1.0. Compared to the novices, the experts and intermediates received higher scores (p < 0.001 in two cases) and fewer errors (p < 0.001, p = 0.007). The remained time for game completion was significantly longer for experts than the novices (p = 0.011). CONCLUSIONS: The "PlaSurIn", as a virtual training strategy, can prepare novices to set up basic surgical instruments.

Leadership development of nursing students in a material and sterilization center.

OBJECTIVE: To analyze the experiences of Nursing students during the mandatory hospital internship at a Material and Sterilization Center with a focus on leadership development. METHOD: This is an experience report of a mandatory hospital curricular internship anchored in the national curricular guidelines for Nursing, of a descriptive-reflective nature, and carried out in a general university hospital in southern Brazil, from March to June 2019. RESULTS: Activities were developed in order to develop leadership aspects such as people, orthotics and prosthetics management, surgical planning, conflict management, and assertive communication. FINAL CONSIDERATIONS: The mandatory hospital curricular internship at the Material and Sterilization Center favored the students in the leadership process, management, decision-making, and development of autonomy for leading nurses.

Leadership development of nursing students in a material and sterilization center / Desarrollo de liderazgo de estudiantes de enfermería en un centro de material y esterilización / Desenvolvimento de liderança de acadêmicos de enfermagem em um centro de material e esterilização

ABSTRACT Objective: To analyze the experiences of nursing students during the mandatory hospital internship at a Material and Sterilization Center with a focus on leadership development. Method: This is an experience report of a mandatory hospital curricular internship anchored in the national curricular guidelines for nursing, of a descriptive-reflective nature, carried out in a general university hospital in southern Brazil, from March to June 2019. Results: Activities were developed that provided the development of leadership aspects such as people management, orthosis and prosthesis management, surgical planning, conflict management and assertive communication. Final considerations: The mandatory hospital curricular internship at the Materials and Sterilization Center favored students in the leadership process, management, decision making and development of autonomy for leading nurses. Keywords: Sterilization. Education, nursing. Leadership. Students, nursing.

RESUMENObjetivo: Analizar las experiencias de los estudiantes de enfermería durante el internado hospitalario obligatorio en un Centro de Material y Esterilización con enfoque en el desarrollo del liderazgo.Método: Se trata de un relato de experiencia de internado curricular hospitalario obligatorio anclado en los lineamientos curriculares nacionales de enfermería, de carácter descriptivo-reflexivo, realizado en un hospital universitario general del sur de Brasil, de marzo a junio de 2019.Resultados: Se desarrollaron actividades que brindaron el desarrollo de aspectos de liderazgo como el manejo de personas, manejo de ortesis y prótesis, planificación quirúrgica, manejo de conflictos y comunicación asertiva.Consideraciones finales: La internación curricular hospitalaria obligatoria en el Centro de Materiales y Esterilización favoreció a los estudiantes en el proceso de liderazgo, gestión, toma de decisiones y desarrollo de la autonomía por parte de enfermeras líderes.Palabras clave: Esterilización. Educación en enfermería. Liderazgo. Estudiantes de enfermería.

RESUMOObjetivo: Analisar as vivências de acadêmicos de enfermagem durante o estágio curricular obrigatório hospitalar em um Centro de Material e Esterilização com foco no desenvolvimento de liderança.Método: Trata-se de um relato de experiência de estágio curricular obrigatório hospitalar ancorado nas diretrizes curriculares nacionais para a enfermagem, de cunho descritivo-reflexivo, realizado em um hospital geral universitário no sul do Brasil, no período de março à junho de 2019.Resultados: Foram desenvolvidas atividades que proporcionaram o desenvolvimento de aspectos de liderança como gestão de pessoas, gestão de órteses e próteses, do planejamento cirúrgico, da gestão de conflitos e comunicação assertiva.Considerações finais: O estágio curricular obrigatório hospitalar em Centro de Materiais e Esterilização favoreceu aos estudantes o processo de liderança, a gestão, a tomada de decisão e desenvolvimento da autonomia de enfermeiros líderes.Palavras-chave: Esterilização. Educação em enfermagem. Liderança. Estudantes de enfermagem.

Development of an Educational Game to Set Up Surgical Instruments on the Mayo Stand or Back Table: Applied Research in Production Technology.

BACKGROUND: Existing research suggests that digital games can be used effectively for educational purposes at any level of training. Perioperative nursing educators can use games to complement curricula, in guidance and staff development programs, to foster team collaboration, and to give support to critical thinking in nursing practice because it is a complex environment. OBJECTIVE: To describe the process of developing an educational game to set up surgical instruments on the Mayo stand or back table as a resource to assist the instructor in surgical instrumentation training for students and nursing health professionals in continued education. METHODS: The study was characterized by applied research in production technology. It included the phases of analysis and design, development, and evaluation. The objectives of the educational game were developed through Bloom's taxonomy. Parallel to the physical development of the educational game, a proposed model for the use of digital elements in educational game activities was applied to develop the game content. RESULTS: The development of the game called "Playing with Tweezers" was carried out in 3 phases and was evaluated by 15 participants, comprising students and professional experts in various areas of knowledge such as nursing, information technology, and education. An environment was created with an initial screen, menu buttons containing the rules of the game, and virtual tour modes for learning and assessment. CONCLUSIONS: The "digital" nursing student needs engagement, stimulation, reality, and entertainment, not just readings. "Playing with Tweezers" is an example of educational gaming as an innovative teaching strategy in nursing that encourages the strategy of involving the use of educational games to support theoretical or practical classroom teaching. Thus, the teacher does not work with only 1 type of teaching methodology, but with a combination of different methodologies. In addition, we cannot forget that skill training in an educational game does not replace curricular practice, but helps.