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2025, Number 2

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Acta Med 2025; 23 (2)

Clinical simulation. A tool to improve safety during early mobilization in the intensive care unit

Martínez CMA, Lugo GDS, Rivera EAG
Full text How to cite this article 10.35366/119499

DOI

DOI: 10.35366/119499
URL: https://dx.doi.org/10.35366/119499

Language: Spanish
References: 24
Page: 212-218
PDF size: 234.70 Kb.


Key words:

clinical simulation, physiotherapy, early mobilization, intensive care unit, patient critical.

Patient care in critical condition within the Intensive Care Unit (ICU) represents a challenge for multidisciplinary teams due to the high complexity of the illness, a high technician environment, and the patient's clinical instability. Clinical simulation provides a controlled and safe environment for the physiotherapist to develop the necessary competencies to perform early mobilization protocols safely. Implementing clinical simulation, specifically for developing competencies in safely carrying out early mobilization protocols, becomes a priority in the teaching-learning process for physiotherapists in critical or intensive care areas. Different simulation strategies or activities exist, such as deliberate practice or the enactment of clinical scenarios. Clinical simulation aims to provide students with a context where clinical decision-making and procedural skills can be practiced without risk to actual patients.


REFERENCES

  1. Martínez-Camacho MA, Jones-Baro RA, Gómez-González A. El fisioterapeuta en la Unidad de Cuidados Intensivos ¿un profesional necesario? Acta Med Grupo Ángeles. 2020; 18 (1): 104-105.

  2. Martínez-Camacho MÁ, Jones-Baro RA, Gómez-González A, Pérez-Nieto OR, Guerrero-Gutiérrez MA, Zamarrón-López EI et al. Movilización temprana en la Unidad de Cuidados Intensivos. Med Crítica. 2021; 35 (2): 89-95.

  3. Hodgson CL, Stiller K, Needham DM, Tipping CJ, Harrold M, Baldwin CE et al. Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Crit Care. 2014; 18 (6): 1-9.

  4. Mejía AAC, Martínez NGM, Nieto ORP, Martínez MÁC, Tomas ED, Martínez BP. Movilización temprana como prevención y tratamiento para la debilidad adquirida en la unidad de cuidados intensivos en pacientes en ventilación mecánica. experiencia en un hospital de segundo nivel. Eur Sci Journal ESJ. 2018; 14 (21): 19.

  5. Wang YT, Lang JK, Haines KJ, Skinner EH, Haines TP. Physical rehabilitation in the ICU: a systematic review and meta-analysis. Crit Care Med. 2022; 50 (3): 375-388.

  6. Zang K, Chen B, Wang M, Chen D, Hui L, Guo S et al. The effect of early mobilization in critically ill patients: a meta-analysis. Nurs Crit Care. 2020; 25 (6): 360-367.

  7. Miranda RAR, Martinez BP, Maldaner da SVZ, Forgiarini JLA. Early mobilization: why, what for and how? Med Intensiva. 2017; 41 (7): 429-436. Available in: http://dx.doi.org/10.1016/j.medin.2016.10.003

  8. Shoemaker MJ, Riemersma L, Perkins R. Use of high fidelity human simulation to teach physical therapist decision-making skills for the intensive care setting. Cardiopulm Phys Ther J. 2009; 20 (1): 13-18.

  9. Piña-Jiménez I, Amador-Aguilar R. La enseñanza de la enfermería con simuladores, consideraciones teórico-pedagógicas para perfilar un modelo didáctico. Enferm Univ. 2015; 12 (3): 152. Available in: http://sire.ub.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edssci&AN=edssci.S1665.70632015000300152&lang=es&site=eds-live

  10. Bambini D. Writing a simulation scenario: a step-by-step guide. AACN Adv Crit Care. 2016; 27 (1): 62-70.

  11. Barrientos-Jiménez M, Durán-Pérez VD, León-Cardona AG, García-Tellez SE, Barrientos-Jiménez M, Durán-Pérez VD et al. La práctica deliberada en la educación médica. Rev la Fac Med. 2015; 58 (6): 48-55. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0026-17422015000600048&lng=es&nrm=iso&tlng=es

  12. Berner JE, Ewertz E, Ewertz E. Bases teóricas del uso simulación para el entrenamiento en cirugía. Rev Chil Cir. 2018; 70 (4): 382-388.

  13. Martínez-Castillo F, Matus-Miranda R. Desarrollo de habilidades con simulación clínica de alta fidelidad. Perspectiva de los estudiantes de enfermería. Enfermería Univ. 2015; 12 (2): 93-98. Disponible en: http://dx.doi.org/10.1016/j.reu.2015.04.003

  14. Cunningham S, Cunningham C. Exploration of a simulation-based learning experience in critical care: the use of standardized patients for early mobility training. Cardiopulm Phys Ther J. 2020; 31 (2): 74-85.

  15. Dieckmann P. Simulation is more than technology – the simulation setting. Sun. 2011; 1-6. Available in: http://www.laerdaltraining.com/sun/enable/PDF/dieckman_article.pdf

  16. Decker S, Alinier G, Crawford SB, Gordon RM, Jenkins D, Wilson C. Healthcare simulation standards of best practicetm the debriefing process. Clin Simul Nurs. 2021; 58: 27-32. Available from: https://doi.org/10.1016/j.ecns.2021.08.011

  17. Holmes C, Mellanby E. Debriefing strategies for interprofessional simulation-a qualitative study. Adv Simul (Lond). 2022; 7 (1): 18. Available in: https://doi.org/10.1186/s41077-022-00214-3

  18. Maestre JM, Szyld D, del Moral I, Ortiz G, JW Rudolph. La formación de clínicos expertos: práctica reflexiva. Rev Clin Esp. 2014; 214 (4): 216-220.

  19. Cook DA, Hamstra SJ, Brydges R, Zendejas B, Szostek JH, Wang AT, Erwin PJ, Hatala R. Comparative effectiveness of instructional design features in simulation-based education: systematic review and meta-analysis. Med Teach. 2013; 35 (1): e867-98.

  20. Díaz-Guio DA, Cimadevilla-Calvo B. Educación basada en simulación: debriefing, sus fundamentos, bondades y dificultades. Simulación Clínica. 2019; 1 (2): 95-103.

  21. Hernández L, Barona AV, Durán C, Olvera HE, Ortiz GA, Ávila SA, Morales S. La seguridad del paciente y la simulación clínica. 2017. Disponible en: URL: http://www.medigraphic.com/pdfs/facmed/un-2017/uns171b.pdf

  22. Amaya AA. Simulación clínica y aprendizaje emocional. Rev Colombiana Psiquiatría. 2012; 41: 44-55.

  23. Quesada SA, Burón MFJ, Castellanos OA, Moral Vicente-Mazariegos I. del, González FC, Olalla AJJ et al. Formación en la asistencia al paciente crítico y politraumatizado: papel de la simulación clínica. Med Intensiva. 2007; 31 (4): 187-193.

  24. Organización Mundial de la Salud. Alianza mundial para la seguridad del paciente. [Visitada en Junio 2007] Disponible en: URL: https://www.who.int/es/news-room/fact-sheets/detail/patient-safety




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Acta Med. 2025;23