Clinical simulation in surgical center with participation of nursing professionals: an Integrative Review
DOI:
https://doi.org/10.5327/Z1414-44251057%20Keywords:
Simulation, Operating room, NursingAbstract
Objective: To verify the scientific production on clinical simulation in the surgical center with the participation of the nursing team. Methods: An integrative review was carried out based on articles available in the Scopus, CINAHL, PubMed, LILACS, and Web of Science databases. The collection considered publications between 2019 and 2024, in Brazilian Portuguese, English, and Spanish. Results: The 18 articles analyzed were written abroad. The following types of simulations were performed: eight in situ, five virtual reality, four medium- and/or high-fidelity, and one not identified. The technical skills addressed in the simulations were: in five, surgical instrumentation and assistance; in one, safety and risk management. The nontechnical skills were: five concerning communication and teamwork, and one concerning the importance of the work itself. Five simulations reviewed workflows and two focused on acquiring new knowledge. Conclusion: We evidenced that clinical simulation, with the participation of the nursing team, has been applied to improve technical and nontechnical skills, review of workflows, and acquisition of new knowledge, promoting a more robust learning and aligned with the requirements of care practice.
References
1. Jowsey T, Beaver P, Long J, Civil I, Garden AL, Henderson K, et al. Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres – a framework analysis. BMJ Open. 2019;9(10):e027122. https://doi.org/10.1136/bmjopen-2018-027122
2. Vitoriano LVT, Da Palma Sobrinho N, Machado DA. A cirurgia robótica e o processo de enfermagem no período perioperatório: revisão integrativa. RECTIS. 2022;3:e-11635. https://doi.org/10.9789/2675-4932.rectis.v3.11635
3. Campanati FLS, Ribeiro LM, Silva ICR, Hermann PRS, Brasil GC, Carneiro KKG, et al. Clinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study. Rev Bras Enferm. 2021;75(2):e20201155. https://doi.org/10.1590/0034-7167-2020-1155
4. Martins RC, Trevilato DD, Jost MT, Caregnato RCA. Nursing performance in robotic surgeries: integrative review. Rev Bras Enferm. 2019;72(3):795-800. https://doi.org/10.1590/0034-7167-2018-0426
5. Kaneko RMU, Lopes MHBM. Realistic health care simulation scenario: what is relevant for its design? Rev Esc Enferm USP. 2019;53:e03453. https://doi.org/10.1590/S1980-220X2018015703453
6. Conselho Regional de Enfermagem do Estado de São Paulo. Manual de simulação clínica para profissionais de enfermagem [Internet]. São Paulo: Conselho Regional de Enfermagem do Estado de São Paulo; 2020 [accessed on Jan. 20, 2025]. 142 p. Available at: https://biblioteca.cofen.gov.br/wp-content/uploads/2022/01/manual-simulacao-clinica-profissionais-enfermagem.pdf
7. Nascimento JSG, Oliveira JLG, Alves MG, Braga FTMM, Góes FSN, Dalri MCB. Debriefing methods and techniques used in nursing simulation. Rev Gaúcha Enferm. 2020;41:e20190182. https://doi.org/10.1590/1983-1447.2020.20190182
8. Cogo ALP, Lopes EFS, Perdomini FRI, Flores GE, Santos MRR. Construção e desenvolvimento de cenários de simulação realística sobre a administração segura de medicamentos. Rev Gaúcha Enferm. 2019;40(esp):e20180175. https://doi.org/10.1590/1983-1447.2019.20180175
9. Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64. https://doi.org/10.1590/S0104-07072008000400018
10. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71
11. Khalafi A, Sarmeydani NS, Albooghobeish M, Saidkhani V, Adarvishi S. The effect of small group simulation-based interprofessional education on non-technical skills of anesthesia providers: a randomized controlled trial. Nurs Midwifery Stud. 2024;13(1):1-8. https://doi.org/10.48307/NMS.2023.417396.1271
12. Escher C, Rystedt H, Creutzfeldt J, Meurling L, Hedman L, Felländer-Tsai L, et al. All professions can benefit – a mixed-methods study on simulation-based teamwork training for operating room teams. Adv Simul (Lond). 2023;8(1):18. https://doi.org/10.1186/s41077-023-00257-0
13. Park O, Jeon M, Kim M, Kim B, Jeong H. The effects of a simulation-based patient safety education program on compliance with patient safety, perception of patient safety culture, and educational satisfaction of operating room nurses. Healthcare (Basel). 2023;11(21):2824. https://doi.org/10.3390/healthcare11212824
14. Kaitu'u MJ, Armour T, Nicholson P. Determination of skill and knowledge requirements of an instrument nurse working in major vascular surgery for the development of a virtual reality training tool. Clin Simul Nurs. 2023;79:40-8. https://doi.org/10.1016/j.ecns.2023.02.005
15. Hibberson M, Lawton J, Whitehead D. Multidisciplinary simulation training for Australian perioperative teams: a qualitative descriptive exploratory study. J Perioper Nurs. 2023;36(4):14-35. https://doi.org/10.26550/2209-1092.1261
16. Gallegos E, Hennen B. Malignant hyperthermia preparedness training: using cognitive aids and emergency checklists in the perioperative setting. J Perianesth Nurs. 2022;37(1):24-8. https://doi.org/10.1016/j.jopan.2020.09.020
17. Hara K, Kuroki T, Fukuda M, Onita T, Kuroda H, Matsuura E, et al. Effects of simulation-based scrub nurse education for novice nurses in the operating room: a longitudinal study. Clin Simul Nurs. 2022;62:12-9. https://doi.org/10.1016/j.ecns.2021.09.007
18. Vortman R. Using simulation‐based education to improve team communication during a massive transfusion protocol in the OR. AORN J. 2020;111(4):393-400. https://doi.org/10.1002/aorn.12987
19. Ferguson MJ, Sampson C, Duff J, Green T. Integrated simulations to build teamwork, safety culture and efficient clinical services: a case study. J Perioper Nurs. 2022;35(3):e3-14. https://doi.org/10.26550/2209-1092.1168
20. Kennedy C, Doyle NM, Pedigo RL, Toy S, Stoner A. A novel approach to operating room readiness for airborne precautions using simulation‐based clinical systems testing. Paediatr Anaesth. 2022;32(3):462-70. https://doi.org/10.1111/pan.14386
21. Chen X, Liao P, Liu S, Zhu J, Abdullah AS, Xiao Y. Effect of virtual reality training to enhance laparoscopic assistance skills. BMC Med Educ. 2024;24(1):29. https://doi.org/10.1186/s12909-023-05014-5
22. Zabaleta J, Blasco A, Esnal T, Aguinagalde B, López IJ, Fernandez-Monge A, et al. Clinical trial on nurse training through virtual reality simulation of an operating room: assessing satisfaction and outcomes. Cir Esp (Eng Ed). 2024;102(9):469-76. https://doi.org/10.1016/j.cireng.2024.04.012
23. Matsco M, Marich M, Parke P. Setting the foundation for an in situ simulation program through the development of a malignant hyperthermia simulation in the operating room. J Contin Educ Nurs. 2020;51(11):523-7. https://doi.org/10.3928/00220124-20201014-09
24. Daly Guris RJ, Elliott EM, Doshi A, Singh D, Widmeier K, Deutsch ES, et al. Systems‐focused simulation to prepare for COVID‐19 intraoperative emergencies. Paediatr Anaesth. 2020;30(8):947-50. https://doi.org/10.1111/pan.13971
25. Shah A, Mai CL, Shah R, Levine AI. Simulation-based education and team training. Otolaryngol Clin North Am. 2019;52(6):995-1003. https://doi.org/10.1016/j.otc.2019.08.002
26. Nguyen L, Bordini M, Matava C. Using virtual reality for perioperative nursing education in complex neurosurgical surgeries: a feasibility and acceptance study. Cureus. 2024;16(3):e55901. https://doi.org/10.7759/cureus.55901
27. Edwards TC, Patel A, Szyszka B, Coombs AW, Liddle AD, Kucheria R, et al. Immersive virtual reality enables technical skill acquisition for scrub nurses in complex revision total knee arthroplasty. Arch Orthop Trauma Surg. 2021;141(12):2313-21. https://doi.org/10.1007/s00402-021-04050-4
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