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构建并验证一个跨专业的模拟场景,用于识别和处理脓毒症。

Construction and validation of an interprofessional simulated scenario for the identification and management of sepsis.

机构信息

Universidade Federal do Rio Grande do Sul; Escola de Enfermagem; Programa de Pós-Graduação em Enfermagem. Porto Alegre, RS, Brasil.

出版信息

Rev Gaucha Enferm. 2024 Sep 27;45:e20230223. doi: 10.1590/1983-1447.2024.20230223.en. eCollection 2024.

Abstract

OBJECTIVE

Build and validate a realistic interprofessional simulation scenario for the identification and management of sepsis by doctors and nurses.

METHOD

Methodological study developed in 2021, in two stages: construction of the guide and content validation by expert judges; and development of the simulation and validation of the scenario by doctors and nurses. 15 specialists participated in the research in the first stage and eight care professionals in the second stage. 0.8 was adopted as a parameter for the Content Validation Index (CVI).

RESULTS

The scenario guide addressed nosocomial sepsis with an abdominal focus in an adult patient and its validation obtained a total CVI of 0.97. All areas evaluated in the simulation scenario obtained agreement indices greater than 0.8.

CONCLUSION

The construction and validation of the guide allowed the elaboration of guiding material for the development of an interprofessional simulated scenario, whose execution and validation process demonstrated its suitability in approaching the identification and management of sepsis by doctors and nurses. It is recommended to carry out future research evaluating its applicability to other situational contexts.

摘要

目的

为医生和护士构建并验证一个用于识别和处理脓毒症的真实跨专业模拟场景。

方法

2021 年开展的方法学研究,分为两个阶段:指南的构建和专家评审员的内容验证;以及模拟的开发和场景的验证。第一阶段有 15 名专家参与研究,第二阶段有 8 名医护人员参与。内容验证指数(CVI)的参数为 0.8。

结果

该场景指南针对成人患者的医院获得性腹腔焦点脓毒症,并对其进行了验证,获得了 0.97 的总 CVI。模拟场景中评估的所有领域均获得了大于 0.8 的一致性指数。

结论

指南的构建和验证允许制定指导材料,以开发跨专业模拟场景,该场景的执行和验证过程表明其在医生和护士识别和处理脓毒症方面的适用性。建议开展进一步的研究,评估其在其他情境背景下的适用性。

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