medigraphic.com
ISSN 1684-1824 (Electronic)

2022, Number 4

<< Back Next >>

Rev Méd Electrón 2022; 44 (4)

Learning non-technical skills in pre-hospital emergency services: medical students' perspective

de Abreu-Oliveira M, Rangel-Rosa K, Rezende-Dázio EM, de Castro-Ribeiro A, Silva-Lima R

Language: Spanish
References: 21
Page: 700-713
PDF size: 981.14 Kb.


ABSTRACT

Introduction: to ensure quality of care in emergencies, medical training must include non-technical aspects such as communication, leadership, decision-making and team interaction.
Objective: to analyze the perception of medical students about learning non-technical skills, through simulations in pre-hospital emergency situations.
Materials and methods: qualitative study with 50 students enrolled in the medical course at the public university in Southern Minas Gerais, selected by convenience. For data collection, semi-structured interviews were used, and thematic analysis was used to analyze them.
Results: two themes were elaborated: “Simulation as an instrument for the construction of knowledge and personal development” and “Beyond the procedures, non-technical skills are basic for the practice of medicine in emergency”, with the sub-theme “Different people, different ways for the development of non-technical skills”.
Conclusion: simulation is perceived as a recourse which allows experiencing the role of a physician in the pre-hospital environment, in a way similar to real life, and promotes the need of developing non-technical skills. This process is not disconnected from self-knowledge. Its early insertion in medical graduation is recommended.


REFERENCES

  1. Holanda FL, Marra CC, Cunha ICKO. Professional competence of nurses in emergency services: evidence of content validity. Rev Bras Enferm [Internet]. 2019 [citado 12/11/2020];72(suppl 1):66-73. Disponible en: Disponible en: https://www.scielo.br/j/reben/a/nNVpWhB65Jtm6d43tsnrMgn/?lang=en 1.

  2. Purim KSM, Borges LMC, Possebom AC. Profile of the newly graduated physicians in southern Brazil and their professional insertion. Rev Col Bras Cir [Internet]. 2016 [citado 17/09/2020];43(04):295-300. Disponible en: Disponible en: https://www.scielo.br/j/rcbc/a/DMXZZYW3fQtZfJYkHTYGpTb/?lang=en 2.

  3. Cooper S, Endacott R, Cant R. Measuring non-technical skills in medical emergency care: a review of assessment measures. Emerg Med [Internet]. 2010 [citado 11/05/2020]; 2:7-16. Disponible en: Disponible en: https://www.dovepress.com/measuring-non-technical-skills-in-medical-emergency-care-a-review-of-a-peer-reviewed-fulltext-article-OAEM 3.

  4. Scott J, Morales DR, McRitchie A, et al. Non-technical skill and health care provision in low-and middle-income countries: a systematic review. Med Educ [Internet]. 2016 [citado 16/06/2020];50(4):441-55. Disponible en: Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/medu.12939 4.

  5. Fraga GP, Pereira Júnior RGA, Fontes CER. A situação do ensino de urgência e emergência nos cursos de graduação de medicina no Brasil e as recomendações para a matriz curricular [Internet]. En: Lampert JB, Bicudo AM. 10 anos das Diretrizes Curriculares Nacionais do Curso de Graduação em Medicina. Rio de Janeiro: Associação Brasileira de Educação Médica; 2014 [citado 30/08/2021]. Disponible en: Disponible en: http://www.ufrgs.br/pediatria/Repositorio/seminarios/subsidios-bibliograficos/documentos-basicos/Lampert_10_anos_das_diretrizes_curriculares_nacionais_dos_cursos_de_graduacao_em_medicina_2014.pdf 5.

  6. Rey RR, Pereira ACT, Rosa KR, et al. Ensinar competências não técnicas para atendimentos de emergência: percepções de professores médicos. Rev Bras Educ Med [Internet]. 2021 [citado 30/08/2021];45(01):13. Disponible en: Disponible en: https://www.scielo.br/j/rbem/a/jB8w3WdZYJS7zKpVJ9Vq6fs/?lang=pt 6.

  7. Pereira Júnior GA, Fraga GP, Arnaud F, et al. Ensino de Urgência e Emergência de acordo com as novas Diretrizes Curriculares Nacionais e a Lei do Mais Médicos [Internet]. En: ABEM. Novas Diretrizes Curriculares Nacionais para Medicina: avanços e desafios. Rio de Janeiro: Associação Brasileira de Educação Médica ; 2015 [citado 30/08/2021].Disponible en: Disponible en: https://website.abem-educmed.org.br/wp-content/uploads/2019/09/CadernosABEM__Vol11.pdf 7.

  8. Braun V, Clarke V. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qual Res Psychol [Internet]. 2020 [citado 13/06/2021];18(3):328-52. Disponible en: Disponible en: https://www.tandfonline.com/doi/full/10.1080/14780887.2020.1769238 8.

  9. Krage R, Zwaan L, Tjon Soei Len L, et al. Relationship between non-technical skills and technical performance during cardiopulmonary resuscitation: does stress have an influence? Emerg Med J [Internet]. 2017 [citado 17/12/2020];34(11):728-33. Disponible en: Disponible en: https://emj.bmj.com/content/34/11/728 9.

  10. Gomes RG, Fava SMCL, Lima RS, et al. Desenvolvimento da competência de avaliação clínica do paciente crítico por acadêmicos de enfermagem: contribuição da simulação. Esc Anna Nery [Internet]. 2020 [citado 17/03/2021];24(4):20190384. Disponible en: Disponible en: https://www.scielo.br/j/ean/a/XNnBrpYrMSsGRjfjQ6t54ZH/?lang=pt 10.

  11. Silva SR, Silveira LG, Fraga LP, et al. A dramatização como estratégia de ensino-aprendizagem na perspectiva discente: um relato de experiência no curso de medicina. Rev Med [Internet]. 2019 [citado 21/09/2021];98(5):324-8. Disponible en: Disponible en: https://www.revistas.usp.br/revistadc/article/view/158998 11.

  12. Griffin C, Aydın A, Brunckhorst O, et al. Non-technical skills: a review of training and evaluation in urology. World J Urol [Internet]. 2020 [citado 04/06/2021];38(7):1653-61. Disponible en: Disponible en: https://link.springer.com/article/10.1007/s00345-019-02920-6 12.

  13. Magnago TSBS, Silva JS, Taís Carpes Lanes, et al. Simulação realística no ensino de segurança do paciente: relato de experiência. Rev Enferm UFSM [Internet]. 2019 [citado 09/11/2020];10(13):1-16. Disponible en: Disponible en: https://periodicos.ufsm.br/reufsm/article/view/36616 13.

  14. Negri EC, Mazzo A, Martins JCA, et al. Clinical simulation with dramatization: gains perceived by students and health professionals. Rev Latino-Am Enfermagem [Internet]. 2017 [citado 23/06/2020];(25):2916. Disponible en: Disponible en: https://www.scielo.br/j/rlae/a/QQxfsnbsqwYJCMmjRPp7xtB/?lang=en 14.

  15. Guedes MHC, Gomes JTS, Almeida ASR, et al. Uso de simulação no ensino de urgência e emergência pré-hospitalar para discentes de medicina: Relato de experiência. Revista de Saúde [Internet]. 2017 [citado 11/02/2019];8(1):8-14. Disponible en: Disponible en: http://editora.universidadedevassouras.edu.br/index.php/RS/article/view/460 15.

  16. Vygotski LS. Obras escogidas II: problemas de psicología general. 2ª ed. [Internet]. Madrid: Machado Libros; 2001 [citado 30/08/2021]. Disponible en: Disponible en: https://sr.1lib.limited/book/17352577/f71320 16.

  17. Kaneko RMU, Lopes MHBM. Realistic health care simulation scenario: what is relevant for its design? Rev esc enferm USP [Internet]. 2019 [citado 26/03/2020];53:03453. Disponible en: Disponible en: https://www.scielo.br/j/reeusp/a/wcQrCdz4ZcXgQxC9vpHcrKJ/?lang=en 17.

  18. Loup O, Boggs SD, Luedi MM, et al. Nontechnical Skills in a Technical World. Int Anesthesiol Clin [Internet]. 2019 [citado 17/05/2021];57(1):81-94. Disponible en: Disponible en: https://journals.lww.com/anesthesiaclinics/Citation/2019/05710/Nontechnical_Skills_in_a_Technical_World.6.aspx 18.

  19. Gordon M, Farnan J, Grafton-Clarke C, et al. Non-technical skills assessments in undergraduate medical education: A focused BEME systematic review: BEME Guide No. 54. Med Teach [Internet]. 2019 [citado 19/08/2020];41(7):732-45. Disponible en: Disponible en: https://www.tandfonline.com/doi/full/10.1080/0142159X.2018.1562166 19.

  20. Ledo MJV, Martínez RA, Monteagudo MAR, et al. Simuladores como medios de enseñanza. Educ Med Super [Internet]. 2019 [citado 22/04/2020];33(4):2085. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21412019000400008&lng=es 20.

  21. Kerins J, Smith SE, Phillips EC, et al. Exploring transformative learning when developing medical students’ non‐technical skills. Med Educ [Internet]. 2020 [citado 13/05/2021];54(3):264-74. Disponible en: Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/medu.14062 21.




2020     |     www.medigraphic.com