Evaluación de la actuación de los alumnos de tercero de Grado en Enfermería de la USC en un escenario simulado de síndrome coronario agudo con elevación del segmento ST

Resumo

Introduction. Acute Coronary Syndrome (ACS) is caused by an acute obstruction of the coronary arteries and is one of the most frequent causes of death in our setting. Teaching through advanced simulation improves the professionals‘ and students‘ performance in dealing with ACS. The aim of this study is to describe the management of ACS at the present time by third course students of Nursing Degree of the University of Santiago de Compostela (USC). Material and methods. Post-test quasi-experimental design of a single group of students of third course of Nursing. A total of 45 simulations included in the classes of Clinical Nursing II have been systematically analyzed in accordance with standardized clinical scenarios following the subject program, with the same clinical variations and time sequence in all cases analyzed. The scenarios were designed and developed using the SinMan® simulator available from the Laerdal® company, and the evaluation was provided by the Laerdal Debrief Viewer® program. Results. Out of a total of 886 activities susceptible of being performed, 534 were correctly completed, corresponding to 60.27% of the total. A statistically significant relationship was found between action performance and survival (p = 0.026). Only in 7 of the 45 simulations (15.55%) has the complete initial treatment been implemented. Conclusions. ACS management by third course students of Nursing Degree of the USC is insufficient and does not reach at the present time the adequate level of knowledge for the comprehensive approach to this pathology.