Implementation of an Acute Coronary Syndrome Simulation Training Strategy for Emergency Healthcare Professionals
| Autor: | Geisiane Sousa Braga Machado, Gabriel Rocha, Priscilla Fortes de Oliveira Passos, Thatiane Dantas Dias, Edson Alexandre Silva Carvalho, Milena Soriano Marcolino, Maíra Viana Rego Souza-Silva, Antonio Luiz Pinho Ribeiro, Thais Ribeiro Lemos, Bárbara Campos Abreu Marino |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Acute coronary syndrome
business.industry medicine.medical_treatment education Myocardial Infarction Emergency Service Hospital Myocardial Reperfusion Thrombolysis 030204 cardiovascular system & hematology medicine.disease Medication prescription Knowledge acquisition Test (assessment) 03 medical and health sciences 0302 clinical medicine Interquartile range medicine 030212 general & internal medicine Myocardial infarction Medical emergency Medical prescription Acute Coronary Syndrome Quality Indicators Health Care business |
| Zdroj: | International Journal of Cardiovascular Sciences v.32 n.3 2019 International Journal of Cardiovascular Sciences Sociedade Brasileira de Cardiologia (SBC) instacron:SBC International Journal of Cardiovascular Sciences, Volume: 32, Issue: 3, Pages: 227-237, Published: 21 JAN 2019 |
| Popis: | Background: The knowledge on the management of patients with acute coronary syndrome (ACS) is essential to reduce the gap between evidence and practice. Objective: To describe a simulation training strategy for emergency healthcare professionals and provide preliminary data on knowledge acquisition, learners' confidence and prescription of medications after training. Methods: The training was part of the implementation of two myocardial infarction systems of care. It comprehended lectures and simulation-based learning using high and low-fidelity mannequins and actors. It was tested in two phases: the first one in Belo Horizonte and the second one in Montes Claros, both in the state of Minas Gerais. A test was applied before and after training to assess knowledge acquisition. Confidence to perform thrombolysis in ST-elevation myocardial infarction (STEMI) patients was assessed using a questionnaire, and the impact on medication prescription analyzed STEMI patients admitted to hospitals in Montes Claros. Results: In the first phase, 156 professionals answered both tests: 70% of them improved their results and the median number of right answers increased (6, interquartile range [IQR] 5-7; vs 7 ([IQR] 6-9; p < 0.05). In the second phase, 242 professionals answered both tests: 58% of the physicians and 83% of the nurses obtained better test scores. Participants referred a positive impact on their clinical practice, 95% reported feeling very secure when perform fibrinolysis after the training, and there was also an impact on medication prescription. Conclusions: There was an impact on the learners' knowledge acquisition and confidence using our two-phase training model, with evidence of impact on performance. |
| Databáze: | OpenAIRE |
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