From theorization about teaching-learning to the practice in nursing continuing education and your contribution to self-efficacy
Keywords:Permanent health education; Simulation; Self-efficacy
The objective of this study was to know and problematize the explanatory theories about the learning process, focusing on the use of a teaching methodology based on experiential learning, called in situ simulation, and the relation of the result of this experience to the level of professional confidence to perform cardiopulmonary resuscitation. An exploratory quantitative approach was conducted, where the participants were divided into 3 groups with different intervention periodicities. A questionnaire based on a Likert-type scale on agreement level investigated the participants' perceptions regarding their competencies in attending to cardiorespiratory arrest before and after participating in each in situ simulation. It was evidenced averages of self-confidence of the highest professionals in the post-simulation evaluation, compared to the pre-simulation in most of the groups. It has been found that the fact that a learning methodology promotes practice within the professional's work context, and provides immediate feedback of its performance, can improve the professional's confidence, and when it causes discomfort for ineffective performance, promotes reflection and motivates future improvements. The use of in situ simulation in the nursing continuing education has shown potential for experiential learning, where, from the experimentation of a situation in a real context of the service, one can observe the increase of the self-efficacy of the apprentices.
Allan, C.K., Thiagarajan, R.R., Beke, D., Imprescia, A., Kappus, L.J., Garden, A., Hayes, G., Laussen, P. C., Bacha, E., & Weinstock, P. H. (2010). Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort, and decreased anxiety among multidisciplinary resuscitation teams [Eletronic version] J Thorac Cardiovasc Surg, 140(3), 646–52. Retrieved September 5, 2017, from
Ausubel, D. (1968). Educational psychologyy: A cognitive view. New York: Holt R& W.
Bastable, S.B. (2010). O enfermeiro como educador (3a ed.). Porto Alegre: Artmed.
Bhanji, F., Finn, J.C., Lockey, A., Monsieurs, K., Frengley, R., Iwami, T., Lang, E., Ma, M.H., Mancini, M.E., McNeil, M.A., Greif, R., Billi, J.E., Nadkarni, V.M., & Bigham, B. (2015). Part 8: Education, implementation, and teams: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation, 132(Suppl.), S242–68.
Brasil. (2009). Política Nacional de Educação Permanente em Saúde. Gestão da Educação em Saúde. Secretaria de Gestão do Trabalho e da Educação na Saúde. Brasília, DF: Ministério da Saúde.
Bullough, A.S., Wagner, S., Boland, T., Waters, T.P., Kim, K., & Adams, W. (2016).
Obstetric team simulation program challenges [Eletronic version] J Clin Anesth, 35, 564–70. Retrieved September 19, 2017, from http://dx.doi.org/10. 1016/j.jclinane.2016.08.019
Ceccim, R.B. (2004/2005). Educação permanente em saúde: desafio ambicioso e necessário. Interface (Botucatu), 9(16), 161-177.
Chan, S.Y., Figueroa, M., Spentzas, T., Powell, A., Holloway, R., & Shah, S. (2013) Prospective assessment of novice learners in a simulation-based extracorporeal membrane oxygenation (ECMO) education program. Pediatr Cardiol., 34(3), 543–52.
Dewey, J. (1971). Experiência e Educação. São Paulo: Companhia Editora Nacional.
Freire, P. (1996). Pedagogia da Autonomia. São Paulo: Paz e Terra.
Gaba, D.M. (2004). The future vision of simulation in health care [Eletronic version] Qual Saf Health Care, 13 (Suppl 1), i2-10. Retrieved September 15, 2016, from http://www.ncbi.nlm.nih.gov/pubmed/15465951%5Cnhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC1765792
Govranos, M., & Newton, J.M. (2014). Exploring ward nurses' perceptions of continuing education in clinical settings [Eletronic version] Nurse Educ Today, 34(4), 1-6. Retrieved January 10, 2017, from https://www.sciencedirect.com/science/article/pii/S0260691713
Guise, J.M., Mladenovic, J. (2013). In situ simulation: Identification of systems issues. Semin Perinatol., 37(3):161–5
Issenberg, S.B., McGaghie, W.C., Petrusa, E.R., Lee Gordon, D., & Scalese, R.J. (2005) Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Medical teacher, 27:10-28.
Klipfel, J.M., Carolan, B.J., Brytowski, N., Mitchell, C.A., Gettman, M.T., & Jacobson, T.M. (2014). Patient safety improvement through in situ simulation interdisciplinary team training [Eletronic version] Urol Nurs, 34(1), 39–46. Retrieved September 20, 2017, from http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=2471638
Knowles, M. S., Holton III, E. F., & Swanson, R. A. (2005). The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development (6nd. ed.). Amsterdam: Elsevier.
Kolb, D. (1984). Experiential Learning: Experience as the Source of Learning and Development. Englewood Cliffs, NJ: Prentice Hall.
Maibach, E.W., Schieber, R.A., & Carroll, M.F. (1996). Self-efficacy in pediatric resuscitation: implications for education and performance. Pediatrics, 97, 94-99.
Menin, M.S.D.S. (2001) Aprendizagem e desenvolvimento na teoria de Jean Piaget. Nuances, 7, 97–101.
Moreira, M.A. (1982). Aprendizagem significativa: a teoria de David Ausubel. São Paulo: Moraes.
Neves, R., & Damiani, M. (2006). Vygotsky e as teorias da aprendizagem. UNIrevista, 1(abril), 1–10.
Pereira, A.S, Shitsuka, D.M., Parreira, F.J. & Shitsuka, R. (2018). Metodologia da pesquisa científica. Ed. UAB/NTE/UFSM, Santa Maria/RS. Disponível em:
Piaget, J. (1950). The psychology of intelligence. London: Routeledge.
Rosen, M.A., Hunt, E.A., Pronovost, P.J., Federowicz, M.A., Weaver, S.J. (2012). In Situ Simulation in Continuing Education for the Health Care Professions: A Systematic Review. J Contin Educ Health Prof., 32(4), 243–54.
Sandars J. The use of reflection in medical education: AMEE Guide No. 44 [Eletronic version] Med Teach, 31(8), 685–95. Retrieved November 5, 2017, from http://old.healthsci.queensu.ca/assets/ohse/reflection.pdf
Schön, D.A. (2000). Educando o Profissional Reflexivo: um novo design para o ensino e a aprendizagem. Porto Alegre: Artmed.
Schunk, D. H. (1983). Progress self-monitoring: Effects on children’s self-efficacy and
achievement. Journal of Experimental Education, 51, 89–93.
Schunk, D. H. (1985). Self-efficacy and classroom learning. Psychology in the Schools, 22, 208–223.
Shah, A., Carter, T., Kuwani, T., Sharpe, R. (2013). Simulation to develop tomorrow’s medical registrar. Clin Teach., 10(1), 42–6.
Shahhosseini, Z., Hamzehgardeshi, Z. (2015). The facilitators and barriers to nurses’ participation in continuing education programs: a mixed method explanatory sequential study [Eletronic version] Glob J Health Sci, 7(3), 184-193. Retrieved November 30, 2016, from http://www.ccsenet.org/journal/index.php/gjhs/article/view/40049
Stocker, M., Burmester, M., Allen, M. (2014). Optimisation of simulated team training through the application of learning theories: a debate for a conceptual framework [Eletronic version] BMC Med Educ, 14(1), 69. Retrieved Setember 5, 2017, from http://
Surcouf, J.W., Chauvin, S.W., Ferry, J., Yang, T., Barkemeyer, B. (2013) Enhancing residents’ neonatal resuscitation competency through unannounced simulation-based training. Med Educ Online, 18(1), 1 - 7.
Taylor, D.C.M. (2013). Hamdy H. Adult learning theories: Implications for learning and teaching in medical education: AMEE Guide No. 83 [Eletronic version] Med Teach, 35(11), e1561–72. Retrieved December 10, 2017, from
Timerman, S., Gonzalez, M. M. C, Ramires, J. A. F., Quilici, A. P., Lopes, R. D., Lopes, A. C. (2010). Rumo ao Consenso Internacional de Ressuscitação Cardiopulmonar e Cuidados Cardiovasculares de Emergência 2010 da Aliança Internacional dos Comitês de Ressuscitação. Rev Bras Clin Med, 8(3), 228-37.
Van Schaik, S.M., Plant, J., Diane, S., Tsang, L., O’Sullivan, P. (2011). Interprofessional Team Training in Pediatric Resuscitation: A Low-Cost, In Situ Simulation Program That Enhances Self-Efficacy Among Participants [Eletronic version] Clin Pediatr (Phila), 50(9), 807–15. Retrieved December 2, 2017, from http://cpj.sagepub.com/cgi/doi/10.117
Vigostky, L. (1978). Mind in society: The development of higher psychological processes. Cambridge, MA: Press HU.
Yardley, S., Teunissen, P.W., & Dornan, T. (2012). Experiential learning: AMEE Guide No. 63 [Eletronic version] Med Teach 34(2), e102–15. Retrieved Setember 10, 2017, from http://www.tandfonline.com/doi/full/10.3109/0142159X.2012.650741
Yusuf, M. (2011). The impact of self-efficacy, achievement motivation, and selfregulated learning strategies on students’ academic achievement. Procedia Social and Behavioral Sciences, 15, 2623–2626.
Zimmerman, B. J. (2000). Self-Efficacy: An Essential Motive to Learn. Contemporary Educational Psychology, 25, 82–91.
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