Construção e validação de cenário simulado e checklist para avaliação e identificação de arritmias chocáveis no indivíduo adulto em UTI

Abstract

Clinical Simulation is considered an active methodology that allows students to acquire clinical skills, therapeutic analysis, interdisciplinary communication, critical and reflective thinking in a safe environment, without patient exposure. The recognition of an arrhythmia is an expected skill of the generalist nurse, making it essential to train the nursing student with the necessary knowledge and skills on the subject. The objective of this study was to build and validate a simulated scenario script and checklist for the assessment and identification of shockable arrhythmias in adult individuals hospitalized in the ICU. This is a methodological study for the construction and validation of a simulated scenario for the evaluation of shockable arrhythmias in adult patients admitted to the ICU. The analysis of the items was performed by the experts/judges, using a Likert-type scale. For instrument validation, the calculation of the Content Validity Coefficient, the Positivity Index of the responses and the pilot test were used. 13 judges participated in the script validation, and 11 judges participated in the checklist. All nurses with experience in critically ill patients and/or clinical simulation. Three rounds were carried out to evaluate the simulated script, reaching the global Content Validity Coefficient (CVC) of 0.98 and the global Positivity Index (PI) of the scenario of 92.7%. As for the checklist, two evaluation rounds were carried out, resulting in an overall CVC of 0.95 and an overall IP of 98.5%. After consideration by the judges and validations, the pilot test was carried out, resulting in an adequate scenario, which can be used in teaching the recognition of shockable arrhythmias in an ICU environment, being validated by the students. The content validation of the scenario on screen opens the way to develop specific skills, competences and decision-making in the assessment and identification of shockable arrhythmias in the ICU. The experience of the ICU environment at graduation improves the generalist nurse's knowledge, mediating the skills and competences for significant, critical and reflective professional development. The validation of the script and checklist obtained satisfactory results, will contribute to the application of the simulation in undergraduate nursing education, clinical practice in nursing, as well as an instrument for future research