Efeito do debriefing no desenvolvimento de competências clínicas de estudantes na sepse: estudo quase-experimental

Abstract

Objective: To evaluate the effect of debriefing associated with the clinical simulation scenario on the knowledge and skills of nursing students in managing patients with sepsis. Method: A quasi-experimental study, of the before-and-after type, with an interrupted time series design with one group. Conducted with 20 undergraduate nursing students from a Brazilian federal public university. They participated in a theoretical-practical class and a simulated scenario with structured debriefing on sepsis. Data were collected through instruments that captured sociodemographic data (questionnaire); theoretical knowledge related to the identification, treatment, and management of sepsis (pre- and post-test validated); skills (pre and post-debriefing assessment checklist); simulation design (Simulation Design Scale); satisfaction and self-confidence (Student Satisfaction and Self-Confidence in Learning Scale); and debriefing impact (Debriefing Evaluation Scale associated with the Simulation). Subsequently, they were analyzed through descriptive and analytical statistics. Results: Students' knowledge in the post-test was significantly (p < 0.05) higher than in the pre-test, as well as their skills before and after debriefing. The mean score in the pre-test was 2.50 (±1.23) and, in the post-test, it was 5.95 (±1.14) (p < 0.001). The mean of the sum in the simulation checklist before debriefing was 11.45 (±3.85) and, after debriefing, it was 14.80 (±1.79) (p=0.002). A high level of agreement was detected for the simulation design, student satisfaction and self-confidence, as well as a positive impact of debriefing on the psychosocial, affective, and cognitive dimensions. Conclusion: The results demonstrate the effectiveness of the intervention, which significantly expanded knowledge and skills in sepsis management, thus contributing to the advancement of nursing education based on simulation. These findings substantiate the positive impact of debriefing on the development of clinical competencies.