Abstract
Objective: To evaluate the level of satisfaction and self-confidence of medical students regarding sepsis teaching through TBL and clinical simulation. Methods: This is a cross-sectional, quantitative study carried out with 121 students from a private university in Belém do Pará, from January 2023 to June 2024. The students underwent TBL sessions associated with clinical simulations on sepsis. An instrument was applied to assess the level of satisfaction and self-confidence of the students. The Kappa Fleiss test was applied to verify the degree of agreement of the responses, with a significant level of alpha < 0.05. Results: A total of 121 students participated, with a mean age of 26 years. The overall Kappa Fleiss test was 0.50 for satisfaction and 0.48 for self-confidence (p- < 0.001), both considered a moderate level of agreement. Conclusion: The combined use of TBL and clinical simulation stimulated self-confidence and promoted satisfaction among students. Thus, it is a strategy with potential for the teaching-learning process on early identification, care and allocation of patients with sepsis in emergencies and urgent care settings.
References
ALMEIDA RGS, et al. Validation to portuguese of the Scale of Student Satisfaction and Self-Confidence in Learning. Rev Latino Am Enfermagem, 2015; 23(6): 1007-13.
ALTMAN DG. Practical Statistics for Medical Research. London: Chapman and Hall, 1990; 624.
BOLLELA VR, et al. Aprendizagem baseada em equipes: da teoria à prática. Medicina, 2014; 47(3): 293-300.
BORTOLATO-MAJO C, et al. Autoconfiança e satisfação dos estudantes de enfermagem em simulação de emergência. Rev. Min. Enferm, 2020; 24: 1336.
BRASIL GS, et al. Use of the design and self-confidence scales in the assessment of maternal-child realistic simulation. Rev Enf Ref, 2018; (19): 117-26.
BRASIL. Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira (INEP). Relatório síntese de área: medicina. Brasília: INEP, 2019; 447.
EPIPICH W e CHENG A. Promoting Excellence and Reflective Learning in Simulation (PEARLS), 2015; 10(2): 106-115.
EVANS L, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive Care Med, 2021; 47(11): 1181-1247.
GUEDES KSA, et al. Perfil socioprofissional dos médicos atuantes em serviços hospitalares. Rev Soc Bras Clin Med, 2021; 19(1): 14-9.
HE RR, et al. Sepsis Biomarkers: Advancements and Clinical Applications: A Narrative Review. Int J Mol Sci, 2024; 25(16): 9010.
ILAS. INSTITUTO LATINO-AMERICANO DE SEPSE. Programa de melhoria de qualidade Protocolos gerenciados de sepse: Relatório Nacional Ano de Referência. Instituto Latino Americano de Sepse, 2024.
INACSL. Standards Committee. Healthcare Simulation Standards of Best Practice TM Simulation Design. Clinical Simulation in Nursing, 2021; 58: 14-21.
KANEKO RMU e LOPES MHBM. Realistic health care simulation scenario: what is relevant for its design? Rev Esc Enferm USP, 2019; 53: 3453.
MACHADO FR, et al. Sepsis in Brazilian emergency departments: a prospective multicenter observational study. Internal and Emergency Medicine, 2023; 18: 409–421.
MASOCATTO NO, et al. Percepção de Alunos de Curso de Graduação em Medicina sobre o Team-Based Learning (TBL). Revista Brasileira de Educação Médica, 2019; 43(3): 110-114.
MESKA MHG, et al. Satisfaction and self-confidence of nursing students in simulated scenarios with the use of unpleasant odors: randomized clinical trial. Sci Med., 2018; 28(1): 28693.
OLIVEIRA JL. O aprendizado da anamnese e sua avaliação no curso de medicina: uma contribuição ao debate. Dissertação (Mestrado em Educação e Docência) - Faculdade de Educação. Universidade Federal de Minas Gerais, Belo Horizonte, 2021; 184.
OPAS. ORGANIZAÇÃO PAN-AMERICANA DA SAÚDE. 2020. OMS pede ação global contra a sepse - causa de uma em cada cinco mortes no mundo. Disponível em: https ://www.paho.org/pt/noticias/9-9-2020-oms-pede-acao-global-contra-sepse-causa-uma-em-cada-cinco-mortes-no-mundo#:~:text=Uma% 20complica%C3%A7%C 3%A3o%20s%C3%A9ria%20de%20infec%C3%A7%C3%A3o&text=Aproxima damente%2085%25%20dos%20caso s%20de,associadas%20ao. Acesso em: 08 abr. 2025.
SAKAMOTO SR, et al. Team-Based Learning: a randomized clinical trial in undergraduate nursing. Revista Brasileira de Enfermagem, 2020; 73(2).
SILVA PCS, et al. Simulação com debriefing com vídeo no ensino do exame físico respiratório: Satisfação e a autoconfiança dos estudantes de enfermagem. Research, Society and Development, 2021; 10(7): 59010716 61.
SOUZA CC, et al. Evaluating the “satisfaction” and “self-confidence” in nursing students in undergoing simulated clinical experiences. Rev. Esc. Enferm. USP, 2020; 54: 3583.
