Escenario en simulación realística en salud: ¿qué es relevante para su diseño?

Se buscó describir las etapas de confección de escenarios, con énfasis en los aspectos más relevantes, según la literatura y las directrices de la The International Nursing Association and Learning y de la Best Evidence Medical Education, las que se discuten y ejemplifican de acuerdo con nuestra experiencia profesional. Fueron descritas y comentadas las siguientes etapas para el diseño de escenarios: planificación, objetivos, estructura y formato de la simulación, descripción del caso y percepción del realismo, predebriefing, debriefing, evaluación, materiales y recursos y piloto. El diseño del escenario basado en buenas prácticas abarca elementos importantes, y cada etapa está íntimamente interconectada e interdependiente en su proceso de creación.We sought to describe the stages of scenario development with emphasis on the most relevant aspects according to the literature and guidelines of The International Nursing Association for Clinical Simulation and Learning and Best Evidence Medical Education, which are discussed and exemplified on the basis of our professional experience. The following stages were described and commented on for scenario design: planning, objectives, simulation structure and format, case description and perception of realism, pre-debriefing, debriefing, evaluation, materials and resources, and pilot test. A scenario design based on good practices involves important elements, and each stage is closely interrelated and interdependent in its creation process.Buscou-se descrever as etapas de elaboração de cenários, com destaque para os aspectos mais relevantes, segundo a literatura e as diretrizes da The International Nursing Association for Clinical Simulation and Learning e da Best Evidence Medical Education, as quais são discutidas e exemplificadas com base em nossa experiência profissional. Foram descritas e comentadas as seguintes etapas para elaboração de cenários: planejamento, objetivos, estrutura e formato da simulação, descrição do caso e percepção do realismo, pre-debriefing, debriefing, avaliação, materiais e recursos e piloto. A elaboração do cenário baseada em boas práticas envolve elementos importantes, e cada etapa está intimamente interligada e interdependente no seu processo de criação

Distribution of participants according to professional experience in the use of the healthcare simulation technique (n = 28).

Sao Paulo, SP, Brazil 2018.</p

Titles of the scenarios developed by the participants (n = 28).

Sao Paulo, SP, Brazil, 2018.</p

Distribution of experts according to time of experience in healthcare simulation and field of work (n = 8), Brazil, 2018.

Distribution of experts according to time of experience in healthcare simulation and field of work (n = 8), Brazil, 2018.</p

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Feasibility assessment of the <i>ForPEC</i> and its Operational Manual by participants after scenario development (n = 28).

Sao Paulo, SP, Brazil, 2018.</p

Expert agreement on the scope of each part of the <i>ForPEC</i> and the Operational Manual (n = 8).

Brazil, 2018.</p

Demographic of health professionals—test (n = 28).

São Paulo, 2018.</p

Selection of experts according to the attributes proposed by Jasper [33] and modified for this study (n = 8).

Brazil, 2018.</p

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