Realistic simulation as a teaching-learning strategy on intestinal irrigation
Ostomy; Education, Nursing; Therapeutic Irrigation; Nursing.
Colostomy irrigation has been pointed out in several studies as an alternative for improving the welfare of the population using this type of ostomy. This technique provides control of the exit of intestinal excrement and flatus avoiding the colostomized go through uncomfortable situations. However, this method is sometimes not indicated because health professionals do not know the procedure or because they are not sure to indicate or perform this technique. However, this method is sometimes not indicated because health professionals do not know the procedure or because they are not sure to indicate or perform this technique. In addition, it is a subject that is hardly addressed in undergraduate studies and is restricted to specializations in the area of stomatherapy. Thus, the objective of the present study is to analyze the effectiveness of realistic simulation as a teaching-learning strategy in the acquisition of knowledge on intestinal irrigation of colostomies. This is a randomized clinical trial that will be developed in two steps: The first will be the construction of the questionnaire through a literature review and realistic simulation scenario, validation through the Content Validity Index, the population will be composed of 15 expert judges on the subject, responsible for evaluating the instrument. In the second phase, 132 nursing students attending sixth to ninth periods at the Federal University of Rio Grande do Norte will participate. Recruitment will also be intentional. For this the researcher will make visits in the classrooms of the referred periods to invite the students to participate in the research. Students will be divided into two groups, where the control group will have only the dialogued lecture, and for the experimental group, in addition to the dialogued lecture will be added the realistic simulation, the instruments will be applied before and after classes. Data will be analyzed using descriptive and inferential statistics, as well as Fisher's chi-square and exact test to compare the various demographic variables and Mann Whitney to compare the responses of the control and intervention groups. Differences with p-value <0.05 will be considered statistically significant. This study was approved by the Research Ethics Committee by the Ethics Review Certificate: 02977518.8.0000.5537. All steps of this investigation will comply with the instructions of Resolution No. 466/2012 of the National Health Council.