Competencias del Interno Rotativo de Enfermería, en los Procesos de Atención de Emergencias Obstétricas, una Revisión Sistemática
Palabras clave:
rol de enfermería, enfermería de urgencia, enfermería obstétrica, internado no médico
Resumen
Esta investigación tuvo como objetivo analizar las competencias del interno rotativo de enfermería en la atención de emergencias obstétricas mediante revisión bibliográfica, con el fin de identificar las competencias que requieren fortalecimiento. Se realizó una revisión sistemática basada en síntesis narrativa, cumpliendo con las directrices establecidas por PRISMA, que incluyó 18 estudios que abordaron las competencias del personal de enfermería, en especial de los internos, en contexto de atención de emergencias obstétricas, entre los años 2019 a 2024 en idioma español, inglés y portugués, que cumplieron los criterios de inclusión y respondían a la pregunta SPIDER. Entre los resultados, se identificó que las emergencias obstétricas: hemorragia postparto, trastornos hipertensivos y la infección obstétrica, requieren el desarrollo de competencias técnicas: manejo de hemorragias, trastornos hipertensivos, sepsis y administración de medicamentos o hemoderivados, así como competencias no técnicas: comunicación efectiva y trabajo en equipo. Los hallazgos subrayan la necesidad de mejorar tanto las competencias técnicas y no técnicas, para asegurar una atención segura y eficaz. La simulación es una herramienta educativa que permite perfeccionar las habilidades en un entorno controlado antes de enfrentarse a emergencias obstétricas reales.
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Abd El-hamid, S. M., Ahmed, M. H., Abo-zaid, E. H., & El-adham, A. F. (2021). Effect of High Fidelity Simulation Based Training Program on Nursing Students’ Performance, Self-efficacy and Confidence regarding Prevention of Postpartum Hemorrhage. Tanta Scientific Nursing Journal, 23(4), 233–267.
Abdallah, E., Mahgoub, A., Osman, S. H. M., Al-Hussien, H. A., Al-Bushra, N., Khairy, A., Ahmed, Y., & Elhadi, M. (2024). Examining the use, confidence, and barriers to follow Advanced Life Support in Obstetrics (ALSO) course guides in managing obstetric emergencies in Sudan. https://doi.org/10.1186/s12909-024-05159-x
Adams, R., Chapa, H., Garney, W. R., Wang, M., Pope, R., Lichorad, A., & Garcia, K. M. (2024). A Model for Interprofessional, Multisituational, High-Intensity Simulations of Obstetrical and Neonatal Emergencies Involving Residents and Nursing Students. American Journal of Public Health, 114(S4), S302–S303. https://doi.org/10.2105/AJPH.2024.307596
Alalade, A. O., & Sekar, S. (2023). Simulation-Based Education for Enhancing Obstetric Emergency Response: A Needs Impact Evaluation. Cureus, 15(8). https://doi.org/10.7759/CUREUS.43908
Alsaraireh, A., Madhavanprabhakaran, G., Raghavan, D., Arulappan, J., & Khalaf, A. (2024). Effect of a high-fidelity simulation-based teaching-learning experience (SBTLE) on maternal health nursing students’ knowledge of postpartum hemorrhage, confidence, and satisfaction. Teaching and Learning in Nursing, 19(1), e176–e181. https://doi.org/10.1016/J.TELN.2023.10.009
Brasil, G. da C., Ribeiro, L. M., Mazzo, A., Almeida, R. G. D. S., Martins, J. C. A., Fonseca, L. M. M., & de Leon, C. G. R. M. P. (2019). Utilização de escalas de design e autoconfiança na avaliação da simulação realística materno-infantil. Revista de Enfermagem Referencia, 4(19), 117–126. https://doi.org/10.12707/RIV18025
Colalillo, E. L., Sparks, A. D., Phillips, J. M., Onyilofor, C. L., & Ahmadzia, H. K. (2021). Obstetric hemorrhage risk assessment tool predicts composite maternal morbidity. Scientific Reports |, 11. https://doi.org/10.1038/s41598-021-93413-3
Crawford, S. B., Monks, S. M., Mendez, M., Quest, D., Mulla, Z. D., & Plavsic, S. K. (2019). A Simulation-Based Workshop to Improve Residents’ Collaborative Clinical Practice. Journal of Graduate Medical Education, 11(1), 66–71. https://doi.org/10.4300/JGME-D-18-00209.1
Elhaliem, S., Ramadan, E., Ali, H., & El-Houfey, A. (2021). Effect of Simulation on Maternity Nurses’ Knowledge, Practice and Self-efficacy During Management of Eclamptic Fits. International Journal of Nursing Education, 13(1), 128–136. https://doi.org/10.37506/IJONE.V13I1.13329
Fouly, H., & Davidson, P. (2022). Evaluate the clinical learning environment of “Nursing the Childbearing Family” Course from the students’ perspectives. ResearchSquare.
https://doi.org/10.21203/RS.3.RS-1564204/V1
Hussein, M., Amel, A., Hassan, O., Hend, E., & Salama, A. (2023). Effect of Simulation Training on Intern Nurses’ Competence and Self-Confidence regarding Primary Postpartum Hemorrhage. Journal of Nursing Science Benha University, 4(2), 602–616. https://doi.org/10.21608/JNSBU.2023.308787
Infante, J. M., Infante, J. J. M., Ramirez, D. J. T., & Tandazo, M. J. C. (2023). Conocimiento sobre el Manejo del Score Mama en los estudiantes de Internado Rotativo de la Carrera Enfermería. Polo Del Conocimiento, 8(8), 261–275. https://doi.org/10.23857/pc.v8i8.5846
Khot, N., Sarkar, M., Bansal, U., Singh, J. V., Pharande, P., Malhotra, A., & Kumar, A. (2022). Community of Inquiry framework to evaluate an online obstetric and neonatal emergency simulation workshop for health professional students in India. Advances in Simulation (London, England), 7(1). https://doi.org/10.1186/S41077-022-00220-5
Lawson, W., Smith, M., & Mccue, B. (2020). Ochsner Obstetrics and Gynecology Simulation Program: A Review of the Literature and Description of a Multidisciplinary Simulation Program Targeting Management of Obstetric Emergencies. Ochsner Journal, 20, 394–399. https://doi.org/10.31486/toj.20.0014
Leta, M., Assefa, N., & Tefera, M. (2022). Obstetric emergencies and adverse maternal-perinatal outcomes in Ethiopia; A systematic review and meta-analysis.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643843/pdf/fgwh-03-942668.pdf
Li, M., Wright, A., Tan, L. K., Mathur, M., Tan, K. H., & Tagore, S. (2024). Multidisciplinary Obstetric Simulation Training: Experience at KK Women’s and Children’s Hospital (KKH), Singapore, a Tertiary Referral Centre. Cureus, 16(3). https://doi.org/10.7759/CUREUS.55840
Liu, R., Yuan, K., Li#, Y., Liu, R., Yuan, K., & Li#, Y. (2023). Application of the “Six-Step Teaching Method” in the Nursing Teaching of Obstetric Interns. Open Journal of Nursing, 13(9), 615–623. https://doi.org/10.4236/OJN.2023.139040
Maweu, D. M., Davies, P., Dahn, L. C., Karanja, V. M., Nyishime, M., Rogers, R. D., Bindai, M. G., Viah, R., Nuahn, H. L., Connor, I. T., Verdier, J. A., Johnson, L. W., & Cook, R. (2021). Strategies for Success: Simple Education Interventions to Equip Nursing Students in Rural Liberia. Annals of Global Health, 87(1). https://doi.org/10.5334/AOGH.3251
Montenegro, E., & Arango, P. (2020). Complicaciones obstétricas durante puerperio mediato, en relación a la nueva clasificación de embarazo a término de la ACOG, en el hospital de Vitarte. https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/215/236
Mostafa, E., El-Aty, A., Abd, S., & Osman, E.-R. (2021). Efect of High Fidelity Simulation on Student’knowledge of Ostetrics Emergencies, Confidence and Satisfaction at Faculty of Nursing port Said University. Port Said Scientific Journal of Nursing, 8(3), 219–243. https://doi.org/10.21608/PSSJN.2021.77537.1110
Page, M. J., Mckenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., Mcdonald, S., … Moher, D. (2020). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. https://doi.org/10.1136/bmj.n71
Roma, H., Zaki, N., Rizk, S. A., & Zaki, N. H. (2019). Effect of High Fidelity Simulation Based Training Program on Interns Students’ Knowledge and Skills about Management of Eclamptic Fits. Eclamptic Fits Management ASNJ, 21(1).
https://asalexu.journals.ekb.eg/article_206576_d7d6eae48a445b3eb1a02652caa6c8c9.pdf
Sami, A.-Y., & Nabeel, A.-Y. (2019). Simulation-Based Training to Improve Obstetric/Perinatal Nurses Competency in Managing Obstetric Emergencies in Saudi Arabia (KSA). International Journal of Caring Sciences, 12. www.internationaljournalofcaringsciences.org
Santhoshkumari, M., & Sharmil, S. H. (2022a). Efficacy of capacity building educational interventions in the management of obstetric complications: A systematic review. Journal of Education and Health Promotion, 11(1), 194. https://doi.org/10.4103/JEHP.JEHP_1392_21
Santhoshkumari, M., & Sharmil, S. H. (2022b). Efficacy of capacity building educational interventions in the management of obstetric complications: A systematic review. Journal of Education and Health Promotion, 11(1). https://doi.org/10.4103/JEHP.JEHP_1392_21
Şentürk Erenel, A., Yaman Sözbi˙r, Ş., Uzun Aksoy, M., Arslan Gürcüoǧlu, E., Pelit Aksu, S., Ünal Toprak, F., & Uçakci Asalioǧlu, C. (2021). Effect of Scenario-Based Simulation Training on the Obstetrics and Gynecology Nursing Clinical Practicum. The Journal of Nursing Research : JNR, 29(2), E142. https://doi.org/10.1097/JNR.0000000000000417
Tarrahi, M., Kianpour, M., Ghasemi, M., & Mohamadirizi, S. (2022). The effectiveness of simulation training in obstetric emergencies: A meta-analysis. Journal of Education and Health Promotion, 11(1), 82. https://doi.org/10.4103/JEHP.JEHP_1360_20
Trikha, A., & Singh, P. M. (2018). Management of major obstetric haemorrhage. Indian Journal of Anaesthesia, 62(9), 698–703. https://doi.org/10.4103/IJA.IJA_448_18
Villao Rodríguez, A., Independiente, I., Jimmy, E., Torres, Y., Silvia, E., & Arriaga, L. (2024). Estrategia para el Desarrollo de Habilidades en la Atención de Urgencias Obstétricas en el Estudiante de Medicina Durante su Internado Rotativo. Estudios y Perspectivas Revista Científica y Académica , 4(2), 211–234. https://doi.org/10.61384/R.C.A..V4I2.210
Abdallah, E., Mahgoub, A., Osman, S. H. M., Al-Hussien, H. A., Al-Bushra, N., Khairy, A., Ahmed, Y., & Elhadi, M. (2024). Examining the use, confidence, and barriers to follow Advanced Life Support in Obstetrics (ALSO) course guides in managing obstetric emergencies in Sudan. https://doi.org/10.1186/s12909-024-05159-x
Adams, R., Chapa, H., Garney, W. R., Wang, M., Pope, R., Lichorad, A., & Garcia, K. M. (2024). A Model for Interprofessional, Multisituational, High-Intensity Simulations of Obstetrical and Neonatal Emergencies Involving Residents and Nursing Students. American Journal of Public Health, 114(S4), S302–S303. https://doi.org/10.2105/AJPH.2024.307596
Alalade, A. O., & Sekar, S. (2023). Simulation-Based Education for Enhancing Obstetric Emergency Response: A Needs Impact Evaluation. Cureus, 15(8). https://doi.org/10.7759/CUREUS.43908
Alsaraireh, A., Madhavanprabhakaran, G., Raghavan, D., Arulappan, J., & Khalaf, A. (2024). Effect of a high-fidelity simulation-based teaching-learning experience (SBTLE) on maternal health nursing students’ knowledge of postpartum hemorrhage, confidence, and satisfaction. Teaching and Learning in Nursing, 19(1), e176–e181. https://doi.org/10.1016/J.TELN.2023.10.009
Brasil, G. da C., Ribeiro, L. M., Mazzo, A., Almeida, R. G. D. S., Martins, J. C. A., Fonseca, L. M. M., & de Leon, C. G. R. M. P. (2019). Utilização de escalas de design e autoconfiança na avaliação da simulação realística materno-infantil. Revista de Enfermagem Referencia, 4(19), 117–126. https://doi.org/10.12707/RIV18025
Colalillo, E. L., Sparks, A. D., Phillips, J. M., Onyilofor, C. L., & Ahmadzia, H. K. (2021). Obstetric hemorrhage risk assessment tool predicts composite maternal morbidity. Scientific Reports |, 11. https://doi.org/10.1038/s41598-021-93413-3
Crawford, S. B., Monks, S. M., Mendez, M., Quest, D., Mulla, Z. D., & Plavsic, S. K. (2019). A Simulation-Based Workshop to Improve Residents’ Collaborative Clinical Practice. Journal of Graduate Medical Education, 11(1), 66–71. https://doi.org/10.4300/JGME-D-18-00209.1
Elhaliem, S., Ramadan, E., Ali, H., & El-Houfey, A. (2021). Effect of Simulation on Maternity Nurses’ Knowledge, Practice and Self-efficacy During Management of Eclamptic Fits. International Journal of Nursing Education, 13(1), 128–136. https://doi.org/10.37506/IJONE.V13I1.13329
Fouly, H., & Davidson, P. (2022). Evaluate the clinical learning environment of “Nursing the Childbearing Family” Course from the students’ perspectives. ResearchSquare.
https://doi.org/10.21203/RS.3.RS-1564204/V1
Hussein, M., Amel, A., Hassan, O., Hend, E., & Salama, A. (2023). Effect of Simulation Training on Intern Nurses’ Competence and Self-Confidence regarding Primary Postpartum Hemorrhage. Journal of Nursing Science Benha University, 4(2), 602–616. https://doi.org/10.21608/JNSBU.2023.308787
Infante, J. M., Infante, J. J. M., Ramirez, D. J. T., & Tandazo, M. J. C. (2023). Conocimiento sobre el Manejo del Score Mama en los estudiantes de Internado Rotativo de la Carrera Enfermería. Polo Del Conocimiento, 8(8), 261–275. https://doi.org/10.23857/pc.v8i8.5846
Khot, N., Sarkar, M., Bansal, U., Singh, J. V., Pharande, P., Malhotra, A., & Kumar, A. (2022). Community of Inquiry framework to evaluate an online obstetric and neonatal emergency simulation workshop for health professional students in India. Advances in Simulation (London, England), 7(1). https://doi.org/10.1186/S41077-022-00220-5
Lawson, W., Smith, M., & Mccue, B. (2020). Ochsner Obstetrics and Gynecology Simulation Program: A Review of the Literature and Description of a Multidisciplinary Simulation Program Targeting Management of Obstetric Emergencies. Ochsner Journal, 20, 394–399. https://doi.org/10.31486/toj.20.0014
Leta, M., Assefa, N., & Tefera, M. (2022). Obstetric emergencies and adverse maternal-perinatal outcomes in Ethiopia; A systematic review and meta-analysis.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9643843/pdf/fgwh-03-942668.pdf
Li, M., Wright, A., Tan, L. K., Mathur, M., Tan, K. H., & Tagore, S. (2024). Multidisciplinary Obstetric Simulation Training: Experience at KK Women’s and Children’s Hospital (KKH), Singapore, a Tertiary Referral Centre. Cureus, 16(3). https://doi.org/10.7759/CUREUS.55840
Liu, R., Yuan, K., Li#, Y., Liu, R., Yuan, K., & Li#, Y. (2023). Application of the “Six-Step Teaching Method” in the Nursing Teaching of Obstetric Interns. Open Journal of Nursing, 13(9), 615–623. https://doi.org/10.4236/OJN.2023.139040
Maweu, D. M., Davies, P., Dahn, L. C., Karanja, V. M., Nyishime, M., Rogers, R. D., Bindai, M. G., Viah, R., Nuahn, H. L., Connor, I. T., Verdier, J. A., Johnson, L. W., & Cook, R. (2021). Strategies for Success: Simple Education Interventions to Equip Nursing Students in Rural Liberia. Annals of Global Health, 87(1). https://doi.org/10.5334/AOGH.3251
Montenegro, E., & Arango, P. (2020). Complicaciones obstétricas durante puerperio mediato, en relación a la nueva clasificación de embarazo a término de la ACOG, en el hospital de Vitarte. https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/215/236
Mostafa, E., El-Aty, A., Abd, S., & Osman, E.-R. (2021). Efect of High Fidelity Simulation on Student’knowledge of Ostetrics Emergencies, Confidence and Satisfaction at Faculty of Nursing port Said University. Port Said Scientific Journal of Nursing, 8(3), 219–243. https://doi.org/10.21608/PSSJN.2021.77537.1110
Page, M. J., Mckenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., Mcdonald, S., … Moher, D. (2020). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. https://doi.org/10.1136/bmj.n71
Roma, H., Zaki, N., Rizk, S. A., & Zaki, N. H. (2019). Effect of High Fidelity Simulation Based Training Program on Interns Students’ Knowledge and Skills about Management of Eclamptic Fits. Eclamptic Fits Management ASNJ, 21(1).
https://asalexu.journals.ekb.eg/article_206576_d7d6eae48a445b3eb1a02652caa6c8c9.pdf
Sami, A.-Y., & Nabeel, A.-Y. (2019). Simulation-Based Training to Improve Obstetric/Perinatal Nurses Competency in Managing Obstetric Emergencies in Saudi Arabia (KSA). International Journal of Caring Sciences, 12. www.internationaljournalofcaringsciences.org
Santhoshkumari, M., & Sharmil, S. H. (2022a). Efficacy of capacity building educational interventions in the management of obstetric complications: A systematic review. Journal of Education and Health Promotion, 11(1), 194. https://doi.org/10.4103/JEHP.JEHP_1392_21
Santhoshkumari, M., & Sharmil, S. H. (2022b). Efficacy of capacity building educational interventions in the management of obstetric complications: A systematic review. Journal of Education and Health Promotion, 11(1). https://doi.org/10.4103/JEHP.JEHP_1392_21
Şentürk Erenel, A., Yaman Sözbi˙r, Ş., Uzun Aksoy, M., Arslan Gürcüoǧlu, E., Pelit Aksu, S., Ünal Toprak, F., & Uçakci Asalioǧlu, C. (2021). Effect of Scenario-Based Simulation Training on the Obstetrics and Gynecology Nursing Clinical Practicum. The Journal of Nursing Research : JNR, 29(2), E142. https://doi.org/10.1097/JNR.0000000000000417
Tarrahi, M., Kianpour, M., Ghasemi, M., & Mohamadirizi, S. (2022). The effectiveness of simulation training in obstetric emergencies: A meta-analysis. Journal of Education and Health Promotion, 11(1), 82. https://doi.org/10.4103/JEHP.JEHP_1360_20
Trikha, A., & Singh, P. M. (2018). Management of major obstetric haemorrhage. Indian Journal of Anaesthesia, 62(9), 698–703. https://doi.org/10.4103/IJA.IJA_448_18
Villao Rodríguez, A., Independiente, I., Jimmy, E., Torres, Y., Silvia, E., & Arriaga, L. (2024). Estrategia para el Desarrollo de Habilidades en la Atención de Urgencias Obstétricas en el Estudiante de Medicina Durante su Internado Rotativo. Estudios y Perspectivas Revista Científica y Académica , 4(2), 211–234. https://doi.org/10.61384/R.C.A..V4I2.210
Publicado
2024-11-12
Cómo citar
Chicaiza Tipantiza, E. J., González Naranjo , D. E., & Colcha Pulupa, K. L. (2024). Competencias del Interno Rotativo de Enfermería, en los Procesos de Atención de Emergencias Obstétricas, una Revisión Sistemática. Ciencia Latina Revista Científica Multidisciplinar, 8(5), 7495-7511. https://doi.org/10.37811/cl_rcm.v8i5.14163
Número
Sección
Ciencias de la Salud
Derechos de autor 2024 Evelyn Johanna Chicaiza Tipantiza, David Eduardo González Naranjo , Katherine Lizbeth Colcha Pulupa
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
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