Target audience |
Final-year nursing students at a higher education institution |
Learning objectives |
Develop conflict management skills through competencies |
Encourage reflection on conflict management |
Briefing of the scenario |
You’re on duty in the morning during your supervised internship at a medical clinic in a university hospital. Patient João is requesting a bed bath. You must delegate to the nursing technician responsible for this patient that the procedure be carried out. The nursing technician is a highly experienced professional who is about to retire |
Set location |
University skills laboratory |
Pre-simulation |
Raising awareness and preparing participants for conflict management: educational video, lecture, reading a book or article, video of a simulated scenario, etc. |
Time of activities |
Pre briefing e Briefing: 10 minutes |
Scenario: 10 minutes |
Debriefing: 30 minutes |
Pre-briefing |
Establishing a “fictional contract”, clarifying who the participant will be, and surveying the scenario, seeking to immerse the participants in the simulated scenario. Signing the confidentiality agreement |
Descriptive narrative of the case |
A nursing trainee from the medical clinic asks the nursing technician to perform a bed bath. This is a professional with a great deal of practical experience, heading towards retirement, with difficulties with communication and teamwork, especially with trainees. |
Number of participants |
1 volunteer representing the nursing trainee |
1 volunteer representing the nursing technician - standardized participant (actor), a person previously prepared to conduct the scenario to achieve the proposed objectives |
Supporting documents |
Standardized institutional protocol for the functions and activities to be carried out by each professional in the simulated institution; References presented in class |
Environmental resources |
λTechnical skills laboratory to set up the simulation scenario; λSignpost: nursing station; λClock on the wall; λMaterials for bed baths; λCamera (if available), to film the simulation and facilitate the debriefing.
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Bibliographical references |
Conselho Regional de Enfermagem de São Paulo. Manual de Simulação Clínica para profissionais de Enfermagem. São Paulo, SP. 2020. Fabri RP, Mazzo A, Martins JCA, Fonseca A da S, Pedersoli CE, Miranda FBG, et al. Development of a theoretical-practical script for clinical simulation. Revista da Escola de Enfermagem. 2017;51. INACSL Standards Committee. INACSL standards of best practice: SimulationSM Simulation Design. Clinical Simulation in Nursing [Internet]. 2016. |
Simulation scenario script |
If the trainee asks you to do the bed bath, answer as follows Argue incisively with the trainee if he insists on showering If the trainee wants to show you the institutional protocol, refuse and be firm in your decision not to take the bath If the trainee does not argue and submits to your decision not to perform the bed bath, encourage discussion |
I’m not going to do the bed bath because I’m not scheduled to do it, and it’s not fair for me to take over the baths again. Besides, I don’t take orders from trainees. I’ve been here too long to put myself through that. I don’t agree with bathing, because the patients are heavy, I’ve been here for a long time, and the other technicians are doing calmer activities. Pass this activity on to the younger ones. There’s no point in showing me the institutional protocol; after all, nobody follows what’s written there. I’m about to retire and don’t need to put myself through that. I only follow orders from my superiors, not trainees, and the patient doesn’t ask for a bath; we do it when we can. I refuse to do the bath, and if you want, you can call the supervisor. Do you agree that it’s not fair for me to take this bath? I just want justice and support; I feel very overwhelmed. |
Debriefing |
Summarize the case |
How did you feel? |
What do you think you’ve done well? How does this relate to practice? |
Have you established communication based on respect, clarity, and intercollaboration? |
What could have been done differently? |
Did you handle the conflict situation properly? |
Did you do the right thing without favoring someone because of a personal relationship? |
Were you fair, and did you listen to what the coach had to say? |
Did you listen to what the coach had to say? |
Did you work in a group? |
Were you quick to resolve this conflict? |
Have you negotiated alternatives and possibilities in the face of conflict? |
Given everything you’ve experienced today, what would be important to do if a similar case were to happen? |
General observations with a focus on successes. |
*The above questions are guiding and do not hinder the expression of the participants; they only guide the debriefing if the issues have not been explored. |