Self-confidence in the care of critically ill patients: before and after a simulated intervention

AUTOR(ES)

Almeida, Rodrigo Guimarães dos Santos

FONTE

Rev. Bras. Enferm.

DATA DE PUBLICAÇÃO

21/10/2019

RESUMO

RESUMO Objetivo: Verificar a autoconfiança do enfermeiro no atendimento ao paciente crítico pré e pós-intervenção simulada. Método: Estudo quase experimental realizado com 103 enfermeiros que participaram de um workshop de atendimento ao paciente crítico no primeiro semestre de 2016. Foi utilizada a ferramenta pedagógica de simulação clínica em todo o evento, e a autoconfiança foi verificada pela Self-Confidence Scale, versão portuguesa (SCSvp). Resultados: A maior parte dos sujeitos julgou não estar preparada para prestar o primeiro atendimento ao paciente crítico, afirmando tê-lo realizado durante a prática assistencial. Os participantes apresentaram aumento significativo de autoconfiança após a intervenção simulada (p <0,001) nas dimensões cardíacas, neurológica e respiratória. Conclusão: A simulação tem-se mostrado uma estratégia eficaz para o desenvolvimento da autoconfiança do indivíduo, o que contribui para o acréscimo das competências exigidas para o exercício profissional.ABSTRACT Objective: To evaluate the self-confidence of nurses in the care of critically ill patients, before and after a simulated intervention. Method: A quasi-experimental study was carried out with 103 nurses who participated in a workshop on the care of critically ill patients in the first semester of 2016. A clinical simulation pedagogical instrument was used throughout the event, and self-confidence was assessed by the Portuguese version of the Self-confidence Scale (SCSvp). Results: Most participants reported not being prepared to provide first care to critically ill patients, which was carried out during care practice. The participants presented a significant increase in self-confidence after the simulated intervention (p<0.001) in the cardiac, neurological, and respiratory dimensions. Conclusion: Simulation has proved to be an effective strategy for the development of individuals’ self-confidence, which contributes to the improvement of skills required for professional practice.

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