Escola de Enfermagem Anna Nery-Universidade Federal do Rio de Janeiro (H.C.O., J.F.C., G.B.B., L.L.B.F., P.R.S.P., M.A.G.B.); Samaritano Hospital (L.C.S.); Municipal Health Department of Rio de Janeiro (R.N.S.), Rio de Janeiro, Brazil.
Simul Healthc. 2024 Oct 1;19(5):e91-e98. doi: 10.1097/SIH.0000000000000746. Epub 2023 Sep 19.
An integrative review following Whittemore and Knafl's 5-stage approach (problem identification, literature search, data evaluation, data analysis, and presentation) was conducted to synthesize the evidence on the theoretical, conceptual, and operational aspects of simulation training with rapid cycle deliberate practice (RCDP). After the literature search, 2 reviewers independently read and critically evaluated primary studies using the eligibility criteria. A third more experienced reviewer solved disagreements between the reviewers.This review included 31 articles. Eight themes were identified and grouped into 2 pre-established categories: theoretical/conceptual and operational aspects. The first category had the following 3 themes: definition of RCDP, concepts related to the principles of RCDP, and theories underpinning RCDP. The second category had the following 5 themes: total training time, number of participants in the training, training system, first scenario without intervention, and progressive difficulty. This review showed that knowledge about RCDP is still under construction. As a new simulation strategy, there are some theoretical, conceptual, and operational differences in the studies applying RCDP interventions as simulation training.
采用 Whittemore 和 Knafl 的 5 阶段方法（问题识别、文献搜索、数据评估、数据分析和呈现）进行综合回顾，以综合模拟培训与快速循环审慎实践（RCDP）的理论、概念和操作方面的证据。文献搜索后，2 名审查员独立使用资格标准阅读和批判性评估主要研究。一名经验更丰富的第三名审查员解决了审查员之间的分歧。本综述包括 31 篇文章。确定了 8 个主题，并分为 2 个预先确定的类别：理论/概念和操作方面。第一类有以下 3 个主题：RCDP 的定义、与 RCDP 原则相关的概念以及支撑 RCDP 的理论。第二类有以下 5 个主题：总培训时间、培训参与者人数、培训系统、无干预的第一个场景和逐步增加难度。本综述表明，关于 RCDP 的知识仍在构建中。作为一种新的模拟策略，应用 RCDP 干预作为模拟培训的研究在理论、概念和操作方面存在一些差异。
