Revista do Colégio Brasileiro de Cirurgiões (Jul 2024)

Construction and validation of a scenario for sedation training in the emergency room for pediatric surgical procedures by in-situ simulation

  • MARCOS MACIEL CANDIDO JUSTINO DOS SANTOS,
  • SARA FITERMAN LIMA,
  • ALEXANDRE SLULLITEL,
  • ROSEMEIRE SIMONE DELLACRODE GIOVANAZZI,
  • FRANCISCO DIEGO NEGRÃO LOPES NETO,
  • MARJORIE DE ARAÚJO VIAN PINHEIRO LIMA,
  • RENÉ SCALET DOS SANTOS NETO,
  • GERSON ALVES PEREIRA JÚNIOR

DOI
https://doi.org/10.1590/0100-6991e-20243709-en
Journal volume & issue
Vol. 51

Abstract

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ABSTRACT Introduction: sedation and analgesia are fundamental procedures for children undergoing invasive interventions, and complications must be avoided during their implementation. In situ simulation allows, in turn, training in real practice environments to improve the technical and non-technical skills of professionals for such procedures. Although it is a very useful tool, it is often not used due to lack of preparation for its planning and application. Objective: develop and validate an in situ simulation scenario in pediatric emergency care using sedation to perform an invasive procedure. Method: descriptive study of construction and content validation of an in situ simulation scenario, using the Delphi method, following the following steps: 1) definition of the problem and selection of experts; 2) development of the initial document; 3) rounds for validation with analysis of responses and feedback (until consensus is reached by the Content Validation Index); 4) final report. Results: The experts indicated suggestions that were duly used and the scenario obtained, in all items, a CVI greater than 80.0%, demonstrating its high validity and reliability. By using experts to validate the scenario, their insights guarantee greater precision and reliability in scenario construction engineering. Conclusion: It is expected that this study will allow the replication of the scenario in different training contexts, facilitating and encouraging professional training based on a scenario model based on best evidence and practices.

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