Construction and validation of a clinical simulation scenario on umbilical cord stump care

Pinto, Ingrid Rosane; Silva, Jéssica Aparecida da; Ruiz, Mariana Torreglosa; Manzan, Letícia Oliveira; Barboza, Fábio Renato; Oliveira, Jacqueline Faria de; Oliveira, Karoline Faria de; Fonseca, Luciana Mara Monti

doi:10.1590/1983-1447.2022.20210245.en

Ingrid Rosane Pinto

Universidade Federal do Triângulo Mineiro (UFTM) . Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0003-0040-6716

Jéssica Aparecida da Silva

Universidade Federal do Triângulo Mineiro (UFTM) . Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0002-4308-5978

Mariana Torreglosa Ruiz

Universidade Federal do Triângulo Mineiro (UFTM) . Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0002-5199-7328

Letícia Oliveira Manzan

Universidade Federal do Triângulo Mineiro (UFTM) . Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0002-5303-4269

Fábio Renato Barboza

Universidade Federal do Triângulo Mineiro (UFTM) . Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0001-8211-7461

Jacqueline Faria de Oliveira

Hospital de Clínicas da Universidade Federal do Triângulo Mineiro (HC-UFTM). Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0002-2829-1837

Karoline Faria de Oliveira

Universidade Federal do Triângulo Mineiro (UFTM) . Uberaba, Minas Gerais, Brasil.

http://orcid.org/0000-0002-7941-5852

Luciana Mara Monti Fonseca

Universidade de São Paulo (USP), Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.

http://orcid.org/0000-0002-5831-8789

Corresponding author:
Mariana Torreglosa Ruiz E-mail: marianatorreglosa@hotmail.com

Associate editor:

Helena Becker Issi

Editor-in-chief:

Maria da Graça Oliveira Crossetti

Authorship contributions:

Project administration: Mariana Torreglosa Ruiz. Formal analysis: Mariana Torreglosa Ruiz, Letícia Oliveira Manzan, Jacqueline Faria de Oliveira, Karoline Faria de Oliveira, Luciana Mara Monti Fonseca. Concept: Mariana Torreglosa Ruiz, Luciana Mara Monti Fonseca. Data selection: Ingrid Rosane Pinto, Jéssica Aparecida da Silva, Mariana Torreglosa Ruiz, Letícia Oliveira Manzan, Jacqueline Faria de Oliveira, Karoline Faria de Oliveira, Luciana Mara Monti Fonseca. Writing - first draft: Ingrid Rosane Pinto, Jéssica Aparecida da Silva, Mariana Torreglosa Ruiz, Letícia Oliveira Manzan, Fábio Renato Barboza, Jacqueline Faria de Oliveira, Karoline Faria de Oliveira, Luciana Mara Monti Fonseca. Writing - revision and editing: Mariana Torreglosa Ruiz e Luciana Mara Monti Fonseca Investigation: Ingrid Rosane Pinto, Jéssica Aparecida da Silva, Mariana Torreglosa Ruiz, Letícia Oliveira Manzan. Methodology: Mariana Torreglosa Ruiz, Letícia Oliveira Manzan, Fábio Renato Barboza, Jacqueline Faria de Oliveira, Karoline Faria de Oliveira, Luciana Mara Monti Fonseca. Supervision: Mariana Torreglosa Ruiz. Validation: Mariana Torreglosa Ruiz e Luciana Mara Monti Fonseca. Visualization: Ingrid Rosane Pinto, Jéssica Aparecida da Silva, Mariana Torreglosa Ruiz, Letícia Oliveira Manzan, Fábio Renato Barboza, Jacqueline Faria de Oliveira, Karoline Faria de Oliveira, Luciana Mara Monti Fonseca.

The authors declare there are no conflicts of interest.

Criteria		Strongly disagree	Disagree	Agree	Strongly agree	Null	CVI
Language	1. tde text has a logical sequence	0	0	1 (9.1%)	10 (90.1%)	0	1
	2. The writing style is compatible with the target audience	0	0	1 (9.1%)	10 (90.1%)	0	1
	3. The text is clear and understandable	0	0	1 (9.1%)	10 (90.1%)	0	1
Content	1. The content of the case presents relevant information about the sanitization of the umbilical stump	0	0	1 (9.1%)	10 (90.1%)	0	1
	2. The content is related with the theory (bibliographical survey)	0	0	1 (9.1)	10 (90.1%)	0	1
	3. The presentation of the content favors learning in practice	0	0	1 (9.1%)	10 (90.1%)	0	1
	4. The content of the clinical case is adequate for the target audience	0	0	1 (9.1%)	10 (90.1%)	0	1
	5. The clinical situation is similar to the one found in reality	0	0	0	11 (100%)	0	1
Objective	1. The clinical case can be used for health formation/education	0	0	0	11 (100%)	0	1
	2. The objective of the case is clear	0	0	1 (9.1%)	10 (90.9%)	0	1
	3. The objective of the case is relevant for the practice	0	0	0	11 (100%)	0	1
Applicability	1. The use of the case presents more benefits than limitations	0	0	0	11 (100%)	0	1
Applicability	2. The clinical case favors learning about umbilical stump sanitization	0	0	0	11 (100%)	0	1
Cultural acceptability	1. The text is compatible with the target-audience and attends to different profiles	0	0	1 (9.1%)	10 (90.9%)	0	1
	2. Would you change something in the text? - 1st round	Yes - 3 (27.2%)	No - 8 (72.7%)
	3. Would you include something in the text after the 2nd round?		No - 11 (100%)

Checklist - simulated scenario: umbilical stump sanitization
	Performed		Not performed	Notes
	Adequate	Inadequate	Not performed	Notes
1. Describes the technique to be carried out, including the necessary materials;
2. Reports doubts and anxieties regarding technique;
3. Hand sanitization;
4. Gathering of the materials, which are: bottle of 70% alcohol, swabs, and gauze;
5. Evaluation of the umbilical stump insertion site and of the periumbilical region;
6. Removal of a swab from its package without touching the cotton tip;
7. Dampening the cotton tip of the swab with 70% alcohol;
8. Using the non-dominant hand to keep the stump away from the abdomen of the child, holding the clamp delicately to handle it;
9. Placing gauze between the stump and the abdomen;
10. Using one of the extremities of the swab to clean the basis of the stump with a single circular motion, turning the swab between the index and the thumb;
11. Using the other extremity of the swab to clean the rest of the stump from the base to the extremity, with single movements, turning the swab after each movement.
12. Dampening the extremities of another swab, with the use of one of them to clean the clamp with straight movements, turning the swab after each movement;
13. Using the other extremity of the swab to clean the distal extremity of the stump with single movements, turning the swab after each movement;
14. Placing the stump upwards and closing the diaper;
15. Discarding the materials used in an adequate place;
16. Cleaning the hands.

Stages	Items for each stage of the validation of the clinical simulation scenario	Carried out by the facilitator		CVI
Stages		Yes	No	CVI
Briefing	The facilitator presents themselves to the mother	11 (100%)		1
	The facilitator explains the objectives of the simulated setting	11 (100%)		1
	The facilitator establishes a confidentiality agreement	11 (100%)		1
	The facilitator evaluates the physical conditions of the mother	10 (90.9%)	1 (9.1%)	0.91
	The facilitator invites the mother to participate	10 (90.9%)	1 (9.1%)	0.91
	The facilitator presents the scenario	11 (100%)		1
	The facilitator guides the mother regarding the debriefing	10 (90.9%)	1 (9.1%)	0.91
	The facilitator thanks the mother for her participation	11 (100%)		1
	The facilitator describes the clinical case	11 (100%)		1
Scenario in action	The mother cleans her hands before sanitizing the stump	11 (100%)		1
	The mother says what materials she will use for sanitization	11 (100%)		1
	The mother evaluates the place where the umbilical stump is located and the periumbilical region	10 (90.9%)	1 (9.1%)	0.91
	The mother removes of a swab from its package without touching the cotton tip	11 (100%)		1
	The mother dampes the cotton tip of the swab with 70% alcohol	10 (90.9%)	1 (9.1%)	0.91
	The mother uses her non-dominant hand to keep the stump away from the abdomen of the child, holding the clamp delicately to handle it	10 (90.9%)	1 (9.1%)	0.91
	The mother places gauze between the stump and the abdomen	11 (100%)		1
	The mother uses one of the extremities of the swab to clean the basis of the stump with a single circular motion, turning the swab between the index and the thumb	11 (100%)		1
	The mother uses the other extremity of the swab to clean the rest of the stump from the base to the extremity, with single movements, turning the swab after each movement	11 (100%)		1
	The mother dampens the extremities of another swab, with the use of one of them to clean the clamp with straight movements, turning the swab after each movement	11 (100%)		1
	The mother uses the other extremity of the swab to clean the distal extremity of the stump with single movements, turning the swab after each movement	11 (100%)		1
	After sanitization, the mother places the stump upwards and closes the diaper below the clamp	11 (100%)		1
	While the mother carries out the procedures, she states what she is doing safely	11 (100%)		1
Debriefing	The facilitator invites the mother who participated in the simulation experience to reflect on how she felt as she carried out the simulation (emotional)	11 (100%)		1
	The facilitator invites the mother who participated in the simulation experience to describe the scenario experienced (descriptive)	11 (100%)		1
	The facilitator invites the mother who participated in the simulation experience to evaluate the positive points of participating in it (evaluative)	11 (100%)		1
	The facilitator invites the mother who participated in the simulation experience to report what could be improved (evaluative)	11 (100%)		1
	The facilitator invites the mother who participated in the simulation experience to evaluate whether this was a significant learning process (conclusive)	11 (100%)		1

[1] Corresponding author:
Mariana Torreglosa Ruiz E-mail: marianatorreglosa@hotmail.com

Brasil

Brasil

Construction and validation of a clinical simulation scenario on umbilical cord stump care

Construcción y validación de un escenario de simulación clínica sobre el cuidado del cordón umbilical

ABSTRACT

Objective:

Method:

Results:

Conclusion: