Publicação
The role of clinical simulation in perioperative nursing training in maximizing surgical patient safety – Scoping Review
| Resumo: | Introduction: Perioperative nursing is becoming increasingly complex and recognized, not only because of the competences attributed to it, but also as a recognized discipline with its own domain. The surgical patient is an individual, subject to great vulnerability and risk, due to the context in which they are inserted. Maximizing their safety is therefore a key focus in the quality of healthcare. Therefore, implementing strategies to minimize or avoid the occurrence of adverse situations is a goal in healthcare. Clinical simulation is seen as a tool for training, educating and empowering nurses, and so there was a need to synthesize the scientific evidence on this subject. The scoping review was carried out in accordance with the recommendations of the Joanna Briggs Institute (JBI). Objective: To map the scientific evidence on the use of clinical simulation in perioperative nursing training to maximize surgical patient safety. Materials and methods: The JBI methodology was chosen. To define the inclusion criteria, we used the mnemonic ‘PCC’, according to the JBI recommendations for scoping reviews, corresponding to population, concept and context. The population included perioperative nurses, the concept included studies that portrayed clinical simulation as a strategy in the training of perioperative nurses and the context involved the perioperative environment, which comprised all studies on pre-, intra- and post-operative care. Given the inclusion criteria, all studies that did not fulfil the criteria were excluded. The search was carried out using the following databases: CINAHL Complete (via EBSCO), MEDLINE (via PUBMED), COCHRANE, Scopus and Web of Science; and grey literature will be searched in Opengrey and RCAAP. The search, analyzing the relevance of the studies and extracting and synthesizing the data, was carried out by two independent reviewers. In the initial search, 79 articles were selected and, after being analyzed, 7 were included in the study. Results: This study maps the evidence on the application of clinical simulation in perioperative nursing training, with the aim of improving surgical patient safety. Clinical simulation contributes to improving technical and non-technical skills, facilitates the integration of professionals into the practice of care, minimises errors and strengthens the confidence of perioperative nurses. However, there are still some challenges to its implementation, in terms of costs and operational requirements. Simulation is widely recognised as a fundamental tool for training and patient safety in the perioperative context. Conclusion: This review identified the impact of clinical simulation on the training and qualification of perioperative nurses. It should subsequently be the basis to produce other studies in this area, namely national studies. |
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| Autores principais: | Moura, Carina Liliana C. |
| Outros Autores: | Castro, Danielle Dias de; Fonseca, Maria Manuela da C. |
| Assunto: | Treino por simulação Enfermagem perioperatória Segurança do doente Simulation training Perioperative nursing Patient safety Formación con simulación; Enfermería perioperatoria; Seguridad del paciente. |
| Ano: | 2025 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | Universidade Católica Portuguesa |
| Idioma: | português |
| Origem: | Cadernos de Saúde |
| Resumo: | Introduction: Perioperative nursing is becoming increasingly complex and recognized, not only because of the competences attributed to it, but also as a recognized discipline with its own domain. The surgical patient is an individual, subject to great vulnerability and risk, due to the context in which they are inserted. Maximizing their safety is therefore a key focus in the quality of healthcare. Therefore, implementing strategies to minimize or avoid the occurrence of adverse situations is a goal in healthcare. Clinical simulation is seen as a tool for training, educating and empowering nurses, and so there was a need to synthesize the scientific evidence on this subject. The scoping review was carried out in accordance with the recommendations of the Joanna Briggs Institute (JBI). Objective: To map the scientific evidence on the use of clinical simulation in perioperative nursing training to maximize surgical patient safety. Materials and methods: The JBI methodology was chosen. To define the inclusion criteria, we used the mnemonic ‘PCC’, according to the JBI recommendations for scoping reviews, corresponding to population, concept and context. The population included perioperative nurses, the concept included studies that portrayed clinical simulation as a strategy in the training of perioperative nurses and the context involved the perioperative environment, which comprised all studies on pre-, intra- and post-operative care. Given the inclusion criteria, all studies that did not fulfil the criteria were excluded. The search was carried out using the following databases: CINAHL Complete (via EBSCO), MEDLINE (via PUBMED), COCHRANE, Scopus and Web of Science; and grey literature will be searched in Opengrey and RCAAP. The search, analyzing the relevance of the studies and extracting and synthesizing the data, was carried out by two independent reviewers. In the initial search, 79 articles were selected and, after being analyzed, 7 were included in the study. Results: This study maps the evidence on the application of clinical simulation in perioperative nursing training, with the aim of improving surgical patient safety. Clinical simulation contributes to improving technical and non-technical skills, facilitates the integration of professionals into the practice of care, minimises errors and strengthens the confidence of perioperative nurses. However, there are still some challenges to its implementation, in terms of costs and operational requirements. Simulation is widely recognised as a fundamental tool for training and patient safety in the perioperative context. Conclusion: This review identified the impact of clinical simulation on the training and qualification of perioperative nurses. It should subsequently be the basis to produce other studies in this area, namely national studies. |
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