ABSTRACT
Introduction:
This work is focused on the construction and validation of a simulated scenario with an interprofessional approach, which will allow the use in the teaching and continuing education of health professionals through the active methodology of clinical simulation.
Objective:
To build and validate a simulated scenario for the pronation of critically ill patients with Acute Respiratory Distress Syndrome (ARDS).
Method:
This is a methodological study developed in 2022 at a public university in Curitiba-PR, which occurred in two stages: 1) delineation of the clinical case and construction of the scenario; 2) content and appearance validation by 11 judges with expertise in clinical simulation and/or critical patient care, who met the Fehring’s criteria. A Likert-type questionnaire was applied to evaluate 37 items based on the Fabri’s reference. To measure the percentage of agreement among the judges, the Content Validity Index (CVI) was adopted.
Results:
To build the scenario, the script and support guide for the facilitator, the participant, and the script for the simulated actor; a table of expected actions for each participant; the list of materials and equipment needed for the development; and the checklist for observation of the development of competencies and skills for each profession involved in the scenario (physician, physical therapist, nurse, and nursing technician) were developed. The judges were predominantly nurses (63.6%), followed by physical therapists (18.1%), physicians (9%), and nursing lecturers (9%). The judges responded to a questionnaire that addressed “Prior Participant Experience/Briefing”, “Content/Objectives”; “Human Resources”; “Scenario Preparation”, “Scenario Development”, and “Evaluation”. All items scored higher than desirable Content Validity Index (0.80) and were considered valid. In addition, the judges suggested improvements to the scenario, which were accepted or rejected and discussed with the available literature.
Conclusion:
This study made it possible to create and validate a scenario that reflects actual practice while providing a safe environment for participants and meeting the goals of interprofessional learning.
Keywords:
High Fidelity Simulation Training; Interprofessional Education; Respiratory Distress Syndrome; Severe Acute Respiratory Syndrome-Related Coronavirus; Validation Study