De la teorización sobre la enseñanza-aprendizaje a la práctica de la educación permanente en enfermería y su contribución a la autoeficacia

Autores/as

DOI:

https://doi.org/10.33448/rsd-v8i7.1144

Palabras clave:

Educación permanente en salud; Simulación; Autoeficacia.

Resumen

El objetivo de este estudio fue conocer y problematizar las teorías explicativas sobre el proceso de aprender, con foco en el uso de una metodología de enseñanza basada en el aprendizaje experiencial, denominada simulación in situ, y la relación del resultado de esa experiencia con el nivel de confianza de profesionales de enfermería para realizar la resucitación cardiopulmonar. Se realizó una investigación exploratória de abordaje cuantitativa, donde los participantes fueron divididos en 3 grupos con periodicidades de intervención diferentes. Por medio de un cuestionario basado en una escala del tipo Likert a nivel de concordancia, se investigó la percepción de los participantes en relación a sus competencias en la atención a la parada cardiorrespiratoria antes y después de participar de cada simulación in situ. Se evidenció promedios de autoconfianza de los profesionales más elevados en la evaluación Post simulación, en comparación con la Pre simulación en la mayoría de los grupos. Se ha comprobado que el hecho de que una metodología de aprendizaje promueve la práctica dentro del contexto de trabajo del profesional, y proporcione retroalimentación inmediata de su desempeño, puede mejorar la confianza del profesional, y cuando causa incomodidad por un desempeño ineficaz, promueve la reflexión y genera una motivación para las mejoras futuras. El uso de la simulación in situ, en la educación permanente de profesionales de enfermería, se mostró potencializadora de aprendizaje experiencial, donde, a partir de la experimentación de una situación en un contexto real del servicio, se puede observar el aumento de la autoeficacia de los aprendices.

Citas

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

http://dx.doi.org/10.1016/j.jtcvs.2010.04.027

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

&site=ehost-live

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:

http://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

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://

www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3975868&tool=pmcentrez&rendertype=abstract

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

http://www.tandfonline.com/doi/full/10.3109/0142159X.2013.828153

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

/0009922811405518

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.

Publicado

29/05/2019

Cómo citar

PISCIOTTANI, F.; COSTA, M. R.; FIGUEIREDO, A. E.; MAGALHÃES, C. R. De la teorización sobre la enseñanza-aprendizaje a la práctica de la educación permanente en enfermería y su contribución a la autoeficacia. Research, Society and Development, [S. l.], v. 8, n. 7, p. e38871144, 2019. DOI: 10.33448/rsd-v8i7.1144. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/1144. Acesso em: 30 jun. 2024.

Número

Sección

Ciencias de la educación