DEVELOPMENT AND VALIDITY OF SERIOUS GAME FOR TEACHING-LEARNING IN SURGICAL SITE INFECTION PREVENTION

Nascimento, Kleiton Gonçalves do; Nascimento, Juliana da Silva Garcia; Raponi, Maria Beatriz Guimarães; Pires, Patrícia da Silva; Fonseca, Luciana Mara Monti; Barbosa, Maria Helena

doi:10.1590/1980-265X-TCE-2023-0198en

Kleiton Gonçalves do Nascimento

Study design

Data collection

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal do Triângulo Mineiro, Programa de Pós-Graduação em Atenção à saúde. Uberaba, Minas Gerais Brasil .

https://orcid.org/0000-0002-2717-6837

Juliana da Silva Garcia Nascimento

Study design

Data collection

Data analysis and interpretation

Writing and/or critical review of content

Review and final approval of the final version

Academia de Simulação em Saúde. Uberaba, Minas Gerais, Brasil.

https://orcid.org/0000-0003-1118-2738

Maria Beatriz Guimarães Raponi

Data analysis and interpretation

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal de Uberlândia, Faculdade de Medicina. Uberlândia, Minas Gerais, Brasil.

https://orcid.org/0000-0003-4487-9232

Patrícia da Silva Pires

Data analysis and interpretation

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde. Vitória da Conquista, Bahia, Brasil.

https://orcid.org/0000-0002-2537-3909

Luciana Mara Monti Fonseca

Data analysis and interpretation

Writing and/or critical review of content

Review and final approval of the final version

Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo Brasil .

https://orcid.org/0000-0002-5831-8789

Maria Helena Barbosa

Study design

Data analysis and interpretation

Discussion of results

Writing and/or critical review of content

Review and final approval of the final version

Universidade Federal do Triângulo Mineiro, Programa de Pós-Graduação em Atenção à saúde. Uberaba, Minas Gerais Brasil .

https://orcid.org/0000-0003-2749-2802

CORRESPONDING AUTHOR
Maria Helena Barbosa mhelena331@hotmail.com

CONFLICT OF INTEREST

There is no conflict of interest.

EDITORS

Associated Editors: Luciara Fabiane Sebold, Maria Lígia Bellaguarda. Editor-in-chief: Elisiane Lorenzini.

Virtual simulation stage	Guide 1: Guidelines and care in the preoperative period	Guide 2: Guidelines and care during the intraoperative period	Guide 3: Guidelines and care in the post-operative period
Pre-simulation/and pre-briefing stage	Element 1: Tutorial about the game. Pre-simulation was made possible by the presence of theoretical frameworks on the topic of SSI prevention, exposed to learners in the game’s materials tab. Pre-briefing took place through explanations about the game and the clinical case in question, during the tutorial narration.
Participation stage	Element 2: Operative moment: pre-operative; Element 3: Environment: a ward room in the orthopedics sector of a general hospital; Element 4: Game characters: narrator, nurse and patient; Element 5: Game plot: interaction between a nurse and a 64-year-old patient who will undergo total hip arthroplasty surgery; Element 6: Game challenges: six problems relating to guidance and care in the preoperative period. Challenges 1 and 2: pre-operative bath; challenges 3 and 4: knitting; challenge 5: antimicrobial prophylaxis; challenge 6: glycemic control.	Element 1: Operative moment: intraoperative; Element 2: Environments: degermation room and operations room; Element 3: Characters: narrator, nurse, patient, two orthopedic surgeons, an anesthesiologist, a circulator nurse and a surgical technologist; Element 4: Plot: nurse’s interaction with a 64-year-old patient and a multidisciplinary team, during total hip arthroplasty surgery. Element 5: Challenges: six problems regarding guidance and care during the intraoperative period. Challenges 7 and 8: surgical degerming of hands; challenge 9: skin antisepsis; challenge 10: prevention of hypothermia; challenge 11: operating fields; challenge 12: surgical dressing.	Element 1: Operative moment: post-operative; Element 2: Environment: post-anesthesia recovery room; Element 3: Characters: narrator, nurse and patient; Element 4: Plot: nurse’s interaction with a 64-year-old patient after total hip arthroplasty surgery; Element 5: Challenges: three problems regarding guidance and care in the postoperative period. Challenge 13: adequate oxygen concentration; challenges 14 and 15: proper dressing.
Debriefing stage			Element 6: seven open-ended questions for reflection.

Heuristics	Total problems
Heuristics	Level 0(%)	Level 1(%)	Level 2(%)	Level 3(%)	Level 4(%)
Interface	41(51.3)	14(17.5)	21(26.2)	4 (5.0)	0
Pedagogy/education	19(39.6)	10(20.8)	14(29.2)	2 (4.2)	3(6.3)
Content	26(54.2)	12(25)	5(10.4)	4(8.3)	1(2.1)
Gameplay	33(41.3)	12(15)	16(20)	2(2.5)	3(3.7)
Multimedia	34(85)	5(12.5)	1(2.5)	0	0

Experts’ suggestions	Adaptations
(A) Improve feedback.	(A) The incorrect answer was highlighted in red and the correct answer in green. The page referring to the question content was indicated to direct players.
(B) Provide content on preventing SSI during the game.	(B) The theoretical framework access tab was inserted in all game scenarios.
(C) Consider different levels of learning.	(C) Suggestion not suitable for the purpose of the game, as it is considered linear; all items are important, considering their respective difficulty levels.
(D) Include figures about the procedures mentioned in the study material.	(D) The figures were included in the material.
(E) Direct players to the debriefing session with a specific tab at the end of the game.	(E) The tab was inserted at the end of the game.
(F) Make the game available for mobile technologies.	(F) Suggestion planned for future adaptation.

[1] CORRESPONDING AUTHOR
Maria Helena Barbosa mhelena331@hotmail.com

Brasil

Brasil

DEVELOPMENT AND VALIDITY OF SERIOUS GAME FOR TEACHING-LEARNING IN SURGICAL SITE INFECTION PREVENTION

DESARROLLO Y VALIDACIÓN DE UN JUEGO SERIO PARA LA ENSEÑANZA-APRENDIZAJE SOBRE LA PREVENCIÓN DE INFECCIONES DEL SITIO QUIRÚRGICO

ABSTRACT

Objective:

Method:

Results:

Conclusion: