Contribuições da telesimulação na autoeficácia e conhecimento de mães diante obstrução de vias áreas por corpo estranho em crianças menores de um ano

• Autor(a) principal: Camilo, Beatriz Helena Naddaf
• Data de Publicação: 2022
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFSCAR
• Texto Completo: https://repositorio.ufscar.br/handle/ufscar/15868
• topic: Enfermagem; Simulação; Conhecimento; Autoeficácia; Obstrução das vias respiratórias; Criança; Nursing; Simulation; Knowledge; Self-efficacy; Airway obstruction; Child; CIENCIAS DA SAUDE::ENFERMAGEM

Objective: to analyze the contributions of telesimulation in the self-efficacy and knowledge of mothers in the situation of obstruction of the airways by a foreign body in children under one year old and to identify the related factors. Method: this is a quasi-experimental study, of the pre- and post-test type, carried out with mothers of children under one year of age. Telesimulation was adopted as an educational intervention applied through the free online communication platform Google Hangouts®. Data collection was organized into four stages: pre-test, telesimulation, immediate and late post-test (60 days after intervention). In the telesimulation, the video referring to the development of the simulated scenario was broadcast. Afterwards, the debriefing process was conducted, when the discussion about the perceptions about the watched video took place in order to emerge reflections and enable the joint construction of knowledge. The other stages of the research were based on the application of three instruments converted to online format: socio-demographic characterization instrument, knowledge assessment questionnaire and perceived general self-efficacy scale. Knowledge and self-efficacy scores were treated as outcome variables and the independent variables were those derived from the characterization instrument, which were: maternal age, occupation, education, number of children and previous experience with choking. Data were analyzed using descriptive and analytical statistics. Results: 49 mothers with a mean age of 30.2 years and children with a mean age of 3.9 months participated in the study. A significant difference was observed in the knowledge score between the three assessments (p<0.001), indicating an increase in knowledge after the intervention. The self-efficacy scores showed no statistically significant difference between the three assessments (p 0.385). Regarding knowledge, the following relationships remained with statistical significance in the multivariate linear regression model: pre-test knowledge and another child's choking experience (p=0.012); promotion of immediate knowledge with the choking of another child (p=0.040) and schooling (p=0.006); promotion of late knowledge with occupation (p=0.012) and choking of another child (p=0.011). Conclusion: telesimulation promoted knowledge about the prevention and management of foreign body airway obstruction among mothers of children under one year of age. Mothers who had previously experienced choking presented better performance in the three moments, an aspect that reinforces the potential of strategies that use simulated scenarios to promote knowledge.