Eficácia de cenário de simulação in situ sobre higienização do coto umbilical do recém-nascido

Júlia Nascimento Flores; Bárbara dos Santos Lins; Jéssica Aparecida da Silva; Luciano Marques dos Santos; Luciana Mara Monti Fonseca; Mariana Torreglosa Ruiz

doi:10.5902/2179769292316

Authors

Júlia Nascimento Flores Federal University of Triângulo Mineiro https://orcid.org/0009-0009-0616-8764
Bárbara dos Santos Lins Federal University of Triângulo Mineiro https://orcid.org/0000-0001-9085-7953
Jéssica Aparecida da Silva Federal University of Triângulo Mineiro https://orcid.org/0000-0002-4308-5978
Luciano Marques dos Santos State University of Feira de Santana https://orcid.org/0000-0001-7866-6353
Luciana Mara Monti Fonseca University of São Paulo https://orcid.org/0000-0002-5831-8789
Mariana Torreglosa Ruiz Federal University of Triângulo Mineiro https://orcid.org/0000-0002-5199-7328

DOI:

https://doi.org/10.5902/2179769292316

Keywords:

Neonatal Nursing, Health Education, Infant, Newborn, Umbilical Cord, Simulation Training

Abstract

Objective: To verify the impact of in-situ simulation on umbilical cord hygiene in newborns, focusing on postpartum women’s knowledge, skills, and attitudes. Method: A quasi-experimental study including 53 postpartum women during their stay in the rooming-in unit of a teaching hospital. Data collection took place from August 2022 to February 2023. Two pre-tests and two post-tests were applied after the simulation, along with repeated measures ANOVA and Sidak’s post-hoc test. Results: Significant differences were found between the pre- and post-tests (p <0.001). The pre-tests did not differ from each other, but they did differ from the post-tests, and the post-tests did not differ from each other, but they did differ from the pre-tests. ANOVA showed an effect of in-situ simulation on the mean adequacy of the technique, and Sidak’s post-hoc test confirmed the adequacy of care after the simulation. Conclusion: Training postpartum women in umbilical stump hygiene using an in-situ simulated scenario proved effective.

Downloads

Download data is not yet available.

Author Biographies

Júlia Nascimento Flores, Federal University of Triângulo Mineiro

Enfermeira, graduada pela Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil.

Bárbara dos Santos Lins, Federal University of Triângulo Mineiro

Enfermeira, graduada pela Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil

Jéssica Aparecida da Silva, Federal University of Triângulo Mineiro

Enfermeira, mestranda pelo Programa de Pós-Graduação em Atenção à Saúde da Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil.

Luciano Marques dos Santos, State University of Feira de Santana

Enfermeiro, Doutor, Professor Adjunto da Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil.

Luciana Mara Monti Fonseca, University of São Paulo

Enfermeira, Pós-doutora, Professora Titular da Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

Mariana Torreglosa Ruiz, Federal University of Triângulo Mineiro

Enfermeira. Professora Associada do Curso de Graduação em Enfermagem e do Programa de Pós-Graduação em Atenção à Saúde da Universidade Federal do Triângulo Mineiro.

References

Pinto IR, Silva JA, Ruiz MT, Manzan LO, Barboza FR, Oliveira JF, et al. Construction and validation of a clinical simulation scenario on umbilical cord stump care. Rev Gaúcha Enferm. 2022;43:e20210245. doi: 10.1590/1983-1447.2022.20210245.en.

Stewart D, Benitz W; Committee on fetus and newborn. Umbilical cord care in the newborn infant. Pediatrics. 2016;138(3):e20162149. doi: 10.1542/peds.2016-2149.

World Health Organization (WHO). WHO recommendations on maternal and newborn care for a positive postnatal experience [Internet]. 2022 [cited 2025 Oct 17]. Available from: https://iris.who.int/server/api/core/bitstreams/73dec697-c033-449c-8323-1cd04a8d8f20/content.

Sociedade Brasileira de Pediatria (SBP). Cuidados com a pele e anexos do recém-nascido: da higienização e hidratação ao tratamento [Internet]. Rio de Janeiro (RJ): SBP; 2024 [acesso em 25 maio 2025]. Disponível em: https://www.sbp.com.br/fileadmin/user_upload/sbp/2024/abril/11/_24424L-GPA_ISBN_-_Cuidado_Pele_e_Anexos_do_RN.pdf.

Empresa Brasileira de Serviços Hospitalares (EBSERH). Hospital de Clínicas da Universidade Federal do Triângulo Mineiro. Procedimento Operacional Padrão: Banho no recém-nascido – versão 2 [Internet]. 2023 [acesso em 25 maio 2025]. Disponível em: https://www.gov.br/ebserh/pt-br/hospitais-universitarios/regiao-sudeste/hc-uftm/documentos/procedimentos-e-rotinas-operacionais padrao/pops/POP.DENF.015_Banho_no_Recem_Nascido__versao_2.pdf.

Costa CRB, Reis RK, Melo ES. Simulation of emergency training for nursing students. Rev Cuid. 2020;11(2):e853. doi: 10.15649/cuidarte.853.

Son HK. Effects of S-PBL in maternity nursing clinical practice on learning attitude, metacognition, and critical thinking in nursing students: a quasi-experimental design. Int J Environ Res Public Health. 2020;17(21):7866. doi: 10.3390/ijerph17217866.

Silva APM, Pina JC, Rocha PK, Anders JC, Souza AIJ, Okido ACC. Training of caregivers of children with special healthcare needs: simulation contributions. Texto Contexto Enferm. 2020;29:e2018448. doi: 10.1590/1980-265X-TCE-2018-0448.

Goldshtein D, Krensky C, Doshi S, Perelman VS. In situ simulation and its effects on patient outcomes: a systematic review. BMJ Simul Technol Enhanc Learn. 2020;6(1):3-9. doi: 10.1136/bmjstel-2018-000387.

Kjaergaard-Andersen G, Ibsgaard P, Paltved C, Jensen HI. An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. Int J Qual Health Care. 2021;33(1):mzaa148. doi: 10.1093/intqhc/mzaa148.

Santos MMCJ, Lima SF, Vieira CFG, Slullitel A, Santos ECN, Pereira Júnior GAP. In situ simulation and its different applications in healthcare: an integrative review. Rev Bras Educ Méd. 2023;47(4):e135. doi:10.1590/1981-5271v47.4-2022.0196.ING.

Sigalet E, Cheng A, Donnon T, Koot D, Chatfield J, Robinson T, et al. A simulation-based intervention teaching seizure management to caregivers: a randomized controlled pilot study. Pediatr Child Health. 2014;19(7):373-8. doi:10.1093/pch/19.7.373.

Wooldrigde AL, Carter KF. Pediatric and neonatal tracheostomy caregiver education with phased simulation to increase competency and enhance coping. J Pediatr Nurs. 2021;60:247-51. doi: 10.1016/j.pedn.2021.07.011.

Diaz-Navarro C, Armstrong R, Charnetski M, Freeman KJ, Koh S, Reedy G, et al. Global consensus statement on simulation-based practice in healthcare. Adv Simul (Lond). 2024;9(1):19. doi: 10.1186/s41077-024-00288-1.

Alharbi A, Nurfianti A, Mullen RF, McClure JD, Miller WH. The effectiveness of simulation-based learning (SBL) on students’ knowledge and skills in nursing programs: a systematic review. BMC Med Educ. 2024;24(1):1099. doi: 10.1186/s12909-024-06080-z.

Jarlais DCD, Lyles C, Crepaz N; TREND Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health. 2004;94(3):361-6. doi: 10.2105/AJPH.94.3.361.

Kalufya NA, Seif SA, Masoi TJ. Knowledge and practice of umbilical cord care among young mothers of neonates in Tabora region: analytical cross-sectional study. Medicine (Baltimore). 2022;101(49):e31608. doi: 10.1097/MD.0000000000031608.

Mazanec SR, Sandstrom K, Colletta D, Dorth J, Zender C, Alfes CM, et al. Building family caregiver skills using a simulation-based intervention: a randomized pilot trial. Oncol Nurs Forum. 2019;46(4):419-27. doi:10.1188/19.ONF.419-427.

Whalen M, Aebersold M, Nelson K, Rooney DM. The feasibility and use of simulation to assess parent learning. Clin Simul Nurs. 2020;38:23-6. doi: 10.1016/j.ecns.2019.10.003.

Chang LC, Huang MC. Efficacy of scenario simulation-based education in relieving parental anxiety about fever in children. J Pediatr Nurs. 2021;61:102-8. doi: 10.1016/j.pedn.2021.03.024.

Silva JP, Pereira Junior GA, Meska MHE, Mazzo A. Construction and validation of a low-cost simulator for training patients with diabetes mellitus and/or their caregivers in insulin administration. Esc Anna Nery. 2018;22(3):e2017387. doi: 10.1590/2177-9465-EAN-2017-0387.

INACSL Standards Committee; Watts PI, McDermott DS, Alinier G, Charnetski M, Nawathe PA. Healthcare simulation standards of best practice TM simulation design. Clin Simul Nurs. 2021;58:14-21. doi: 10.1016/j.ecns.2021.08.009.

Mukunya D, Haaland MES, Tumwine JK, Tyleskar T, Nankabiwa V, Moland KM. “The cord is the child”: meanings and practices related to umbilical cord care in Central Uganda. BMC Pediatr. 2020;20(1):105. doi: 10.1186/s12887-020-2002-9.

Linhares EF, Dias JAA, Santos MCQ, Boery RNSO, Santos NA, Marta FEF. Collective memory of umbilical stump care: an educational experience. Rev Bras Enferm. 2019;72(Suppl 3):360-4. doi: 10.1590/0034-7167-2018-0735

Effectiveness of an in-situ simulation scenario on umbilical stump hygiene in newborns

Authors

DOI:

Keywords:

Abstract

Downloads

Author Biographies

Júlia Nascimento Flores, Federal University of Triângulo Mineiro

Bárbara dos Santos Lins, Federal University of Triângulo Mineiro

Jéssica Aparecida da Silva, Federal University of Triângulo Mineiro

Luciano Marques dos Santos, State University of Feira de Santana

Luciana Mara Monti Fonseca, University of São Paulo

Mariana Torreglosa Ruiz, Federal University of Triângulo Mineiro

References

Downloads

Published

How to Cite

Issue

Section

License

Most read articles by the same author(s)

Owned and Managed by

Make a Submission

Sobre a Revista

clustrmaps

Language

Information

Current Issue