O uso de máscara laríngea para manejo das vias aéreas: avaliação das habilidades e do design da simulação

Abstract

The objective of the study was to evaluate the laryngeal mask airway insertion skills of nursing students and the simulation design based on a simulated scenario. This is a quantitative, descriptive study evaluating knowledge and importance of items according to the Simulation Design Scale. The research was divided into two stages in June and July 2023 and was attended by 33 participants who made up the nursing bachelor's student body at a federal university. In the first stage, the Knowledge Test was applied, consisting of two topics, followed by a conversational presentation on airway management by nurses in urgent and emergency cases and presentation of a Standard Operating Procedure. In the second stage, there was a review of the briefing, guidance on the scenario and later, practice of the scenario with debriefing and evaluation of the students. The statistical analyzes carried out on the collected data were descriptive in nature. As a result, it was observed that 25 students participated in all proposed activities and eight did not meet the inclusion criteria. Of these, 70% of participants performed correctly in the skills required during the laryngeal mask airway insertion simulation. Regarding the Simulation Design Scale, with regard to the evaluation of educational practices among the five factors, factor 3 obtained the highest mean (5.79 and SD± 0.58) and factor 5 had the lowest mean (3.90 and dp± 0.95). It was concluded that the performance was positive in the insertion of the laryngeal mask, evidenced by the acquisition of knowledge and skills that occurred after theoretical and practical teaching of the content. Furthermore, the students considered that the design was adequate or very appropriate due to the necessary information and support, being carried out realistically and providing opportunities for reflection. With the results obtained, there was progression in learning and knowledge in the management of advanced airways. The application of the Simulation Design Scale in varied educational realities and greater quantities made it possible to reach new questions and reinventions of simulated clinical scenarios.