Development of clinical evaluation competence of critically ill patients by Nursing students: contribution of Simulation

ABSTRACT

Objective

to analyze, from the perspective of the Historical-Cultural approach, the translation of knowledge from the clinical evaluation of critically ill patients in Intensive Care by the nursing academic, in a real environment, with clinical simulation as a facilitator of the learning process.

Method

qualitative and analytical study, supported by the Vigotski Historical-Cultural framework, developed with students of the subject Curricular Internship of the undergraduate nursing course of a public university in southern Minas Gerais. Data collection was performed in three stages: Clinical Simulation, Participant Observation at the Intensive Care Center and Focus Group.

Results

two categories were built: “The singularity of the subject who learns” and “Simulation as a tool for knowledge translation”.

Conclusion and implications for practice

simulation as a psychological instrument in the Historical-Cultural perspective contributed to the development of the superior psychological functions of the students to evaluate and implement care actions in the real scenario of intensive care. This strategy cannot be conceived in isolation and disjointed from interrelated factors that take place in the sociocultural field and that imply in the trajectories of human development.

Keywords:
Clinical Competence; Nursing; Learning; Simulation Training; Nursing Education